I had upper bleph 2 months ago. I feel the doctor didn't take enough fat off. Is it swelling that might go down? (Photo)

You do have fullness which is present in both the before and after.  However it is not due to eyelid fat but to the fallen brow fat.  You should probably have had at least a temporal browlift done with the lids.  This would help to elevate the heavy brow tissue and open up the eye area.  This can still be done, and should make a big difference cosmetically.  Your surgeon is right in that we don't like to take a lot of fat out of the lids as it can make you look hollow.  You also don't want to take out all that brow fat when doing the eyelid surgery or it will not look good.    

Thank you for the question and photos. Although you will continue to improve, I think you will still have a little extra skin/fat in the upper eyelids. Fortunately, this is not a complication. Your doctor was probably being conservative and cautious. Nothing would be worse than if she over-corrected your problem. At 6 months if you are not satisfied, you can have a brow lift which will fix your slightly low brows and pull up the eyelid skin at the same time. Good luck,

Hello.  There are different issues that cause aging and drooping of the upper eyelids, including excess skin laxity, bulging of fat, and drooping of the brows.  The first two issues can be addressed through a blepharoplasty procedure, but the third requires a brow lift.  If someone has significant drooping of the brow (brow ptosis), it is unlikely that they will get significant, if any, improvement from a blepharoplasty alone, and sometimes the blepharoplasty can actually increase the degree of brow ptosis.  Looking at your pictures, it appears that you have significant brow ptosis which is creating hooding of the outer part of the upper eyelids.  A blepharoplasty won't resolve this issue, even if fat was removed at the time of the procedure.  If a brow lift had been performed at the same time as your blepharoplasty procedure, I think you would be much more satisfied with your result.  I would certainly advise you to allow the healing process to complete at this time, which usually takes a few months.  I would suggest that you discuss your concerns with your physician and see what he suggests.  It is likely that a brow lift will be required to achieve the optimal result in your case.  I hope this is helpful.

Now, before you run out a do something, please let yourself heal longer.  You have healed a lot, no question.  However, before deciding what to do next, I recommend healing another 4 months.  I suspect that you might need a conservative forehead lift.  It also looks like a ptosis procedure might have been done in the upper eyelids-do you know?  Time is helpful.  When you are ready, I recommend getting several opinions before deciding what you need.

It may be due to the position of your eyebrows. When the eyelids and brows are at rest, it is likely that your brows are sitting at a lower level, which makes the upper eyelids look fuller. It also contributes to forehead wrinkles, since you get used to holding your lowered brows up higher, which causes the forehead muscles to contract, making wrinkles.  An evaluation of your brows by a board certified plastic surgeon will help you understand if this is the case.  Taking too much fat from the upper eyelids does give a "hollow" look, which should be avoided.

 Since it has only been 2 months after the surgery there still some swelling present in the upper lids. It's best to wait at least one to 2 more months before making a final evaluation. The picture demonstrates brow ptosis, for which a brow lift may be necessary in addition to a touch-up eyelid surgery to remove excess skin and fat in the upper lids creating the hooded look. For many examples of  eyebrow and eyelid lifts, please see link below

The pictures revel a relatively acceptable result. The left side has a little more fullness than the right but it is still relatively early after surgery.Removing fat during a bleph is routine , the lid will not sag if fat is not removed however.

Thank you for submitting the pictures. Because of the extreme variation in eyelid and orbital anatomy patients may not be able to achieve the specific appearance that they would like.  For instance some eye sockets are extremely shallow whereas others are quite deep and have heavy surrounding bone.  This is going to affect the surgical outcome and thus it may not be possible to achieve the specific result that the patient would like.  Furthermore problems that patient identify with the eyelid may indeed be due to a brow problem.  Brow ptosis or flattening of the eyebrow can cause fullness of the upper eyelid which is not improved with a blepharoplasty or eyelid surgery.  It is very important for that reason to discuss your specific problem and expectations undergoing surgery.  A board certified plastic surgeon or oculoplastic surgeon should be able to tell you if your expectations are realistic.  In this picture the brow is flattened or ptotic causing mild fullness of the upper eyelid.  In addition the bone over the eye is heavy and therefore removing soft tissue from an eyelid will not produce a wide-eyed appearance.A brow lift and perhaps mild revision of the blepharoplasty may be able to improve the situation but there are definite limits on what the patient should expect.

I definitely see your concern. That being said, I agree with your surgeon that there is a trend in plastic surgery right now where we are taking less and less fat. The reason being is exactly as she said - long term you will look hollow and that ages you! However, the "fat" that you see around your eyes is not the orbital fat that we used to remove. It is fat that has descended from your brow. We are all born with a nice pad of soft tissue behind our eyebrows that descends with age and gravity. My guess, without seeing a side view, is that you have deep set eyes with a cantilevered brow (sort of like a visor over your eyes). Because of this, descent of the brow fat pad affects you more. When you raise your eyebrows, do you have more of the effect that you desire in your eyes? If so, you may want to consider a browlift, either surgically or non-surgically. We have seen wonderful non-surgical results with Ultherapy. 

I'm sorry you are disappointed, it's no fun to have cosmetic surgery and not get the look you were after. If I was the surgeon, I would be disappointed also, but it looks like the bleph was OK, you now need a brow lift, and probably should have had one at the time of the bleph.