Under eye bags 6 weeks post lower blepharoplasty, is this permanent?

I need photos to better help you. You should not have fat bags after blepharoplasty. The fullness could be residual fat, swelling, or other.

It is possible that additional fat needs to be removed.  It may also be residual swelling and you may still notice improvement with time.  In addition, the residual bags may be due to excess skin and not due to fat. A revision can be done in the office to remove additional fat or skin if necessary via a transcutaneous approach.  

Really need to see some pre and post photos to assess your situation.  Most patients should see significant improvement by six weeks.  There may be some residual swelling but this should continue to improve.  If you have swelling over the malar fat pad/cheek area, this can take even longer to resolve.  If you actually have persistent fat pads, then they were either not repositioned or removed correctly.  May need a revision but should wait 6 months.  

No, I don't think that most people should have persistent bags just after having lower eyelid blepharoplasty.  But every person is different so I could not say with certainty that your surgeon was incorrect without seeing you.  Providing  photos or even better, an in person consultation with an ophthalmic plastic surgeon would be helpful to answer your question with greater reliability.  I hope that this helps!

It is difficult to give any specific advice without pre and post op photos. I general most of the swelling should be gone by 6 weeks, but not in every case. If this is residual fat then you might require a revision, but this shouldn't be contemplated for at least six month to allow for complete healing. If you are unhappy with your surgeon then you should seek a second opinion from another qualified surgeon

DeniseSorry to hear that you are not happy and feel that you still have under eye bags after surgery. To my knowledge, you are not my patient.The answer to your question is no. You should not still have bags under your eyes after a lower eyelid blepharoplasty.

Without posting before and after photos very hard to advise. Best to seek paid in person second opinions from boarded surgeons in your area.

Since you are only 6 weeks I would try heat and massage.Sometimes the swelling will take a little longer to go down.Sometimes a fat pad will be missed and has to be removed later'

Without an examination directly, there is no way to answer this question. I would recommend you consider getting a second opinion from a board certified plastic surgeon or oculoplastic surgeon in your area to evaluate if you feel you are not getting the information you need from your surgeon.