One Eye Bigger Than the Other After Upper/lower Bleph with Skin Removal? (photo)

     You have a little bit of right upper eyelid ptosis or droop that is improving over the two week period between the second and the first photo.  This may have been due to hemorrhage or swelling in a deeper layer of the eyelid, and this may resolve.  I would recommend giving the issue more time as it has improved. 

During the initial period of healing after eyelid surgery, it is not that unusual to have some difference between the two eyes. There’s a muscle called the levator muscle that is responsible for lifting the eyelids. What you’re experiencing may be something that is related to swelling that affects that muscle.

In oculofacial surgery, when people have trauma we call that traumatic ptosis. There are a couple of things that may cause drooping of the eyelid after cosmetic eyelid surgery where the muscle is not directly any way operated on. It may be related to swelling where the physical weight can actually push down the eyelid. Or may be related to swelling that caused some temporary stretching.

It is important that you communicate with your doctor and discuss the options should there be any need for any revision. Review your pre-operative photos and look and see if there is difference between the two eyes. If there was a certain amount of difference that is more than 1-2 millimeters, then you can accentuate that difference during the early post operative period while there is an ongoing healing process.

I could tell you that this is a temporary issue and that the symmetry does improve. When a situation like this arises in my practice, I will observe for a couple of months and allow swelling to resolve so that if we need to do anything about the muscle, we can do something. I hope this was helpful and thank you again for your question.