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5 weeks is still very early. As long as the eyes are comfortable, give it some time. The entire process can take 6-12 months. Athough not necessarily your case, asymmetry is sometimes, in part, due to the brain "adjusting" to new 'tone." For example, if an upper eyelid is significantly droopy before surgery, the brow sometimes rises, to compensate...i.e., subconsciously and to clear the peripheral vision. This compensatory response still sometimes exists after surgery to elevate the eyelid and makes thing look asymmetric. Fortunately, this usually goes away with time.
Five weeks may be premature to determine symmetry of your eyelids. There are still postoperative changes taking place. In some cases, it may take several months to adequately assess the ultimate symmetry and appearance of the eyelids following blepharoplasty. In addition, there are other factors that may contribute to eye asymmetry, most notably the brow position. In your picture, your right eyebrow appears to be lower than the left eyebrow: This brow asymmetry was most likely present preoperatively. You should discuss your concerns with your surgeon.
Normally I tell patients for eyelid surgery that it can take up to 3 months to see the final result. It might be even longer if the patient has thyroid disease or has had previous surgeries or procedures, such as fillers. For these patients it might take up to 6 months. But, for most patients, I tell them not to worry about symmetry for 3 months and then a touch up can be done.
Unless you are one of a select few people, your eyes were probably asymmetric before your operation. If you look carefully at your picture, you'll see that your left eye (in the picture) is more prominent / bulging than your right as are your brows. I suspect things may loosen a bit from this point on but you are more or less looking at an early version of the final product.
Yes, at only 5 weeks post-op, it's too early to know what the final results will be. With eyelid surgery, it's important to be patient to see the end result. Your concerns are relatively common and are not anything to worry about. The healing will take months, so the whole process is morelike a marathon than a sprint to the finish line. You should be quite satisfiedwith your results in the long run. If you are still concerned in the future, consult the surgeon who performedyour surgery.
Yes, the lower eyelid wrinkles will improve with blepharoplasty. There may be better options such as laser resurfacing and chemical peels for lesser degrees of wrinkling such as yours.
The wound will not require additional repair in my opinion. The scar may be thicker, in the short run, However, over time it shold become flat and barely visible. IF you find this unacceptable, scar revision can be performed.
It is important to understand the various sources of asymmetry. Some are treatable and some are not treatable. You did not supply a full face photo which would be helpful. However, it appears that your right eye sits lower in the face than the left eye. This asymmetry is not so...
We are at a bit of a disadvantage as you did not enclose a photo. Also we don't know what happened in the surgery. Did you have bleeding, hypertension, or ingestion of blood thinning items? ,(i.e.; ibuprofen, aspirin, vit. A, vit E, ginkgo, etc;). All that...
This is a good argument for having eyelid surgery with an eye plastic surgeon. Eye plastic surgeons are also board certified ophthalmologists. Assuming you are having "laser eyelid surgery" with some other type of plastic surgery specialist, you should not have eyelid...
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