Ptosis after blepharoplasty: I am 17 days after my upper blepharoplasty. (Photos)

Here is the thing, upper blepharoplasty will cause upper eyelid ptosis in the predisposed eyelid.  Contraction of the septum can lead to disinsertion of the levator aponeurosis and a condition called a white line ptosis. Generally this takes many months.  It is also you had a preexisting upper eyelid ptosis.Your challenge is that is unlikely that your surgeon performs enough ptosis surgery, which is specialized, to offer you an appropriate corrective surgery.  Because you need an aesthetic result, you need to find a surgeon who specifically offers aesthetic ptosis surgery rather than merely reconstructive ptosis surgery.  It is essential that these eyelids fully heal before having this work done.  In my opinion it is best to let the eyelids heal for 6 months before having surgery.  Generally it is possible to plan surgery with an assessment of the eyelid at 4 months and occasionally for social reasons, surgery may be performe earlier than 6 months but with the risk of a suboptimal outcome.

You need to wait longer before making the decision to have a revision.  It would be nice to see pre op photos because sometimes the ptosis may be pre existing and was never noticed pre op.  In addition, if you are pregnant, there is no question that you should wait until after delivery to have any procedure.

You have a ptosis of the right upper lid.  This may have been present before the bleph as well.  You are still pretty swollen so need to wait a few months before making any decisions about a revision.  The lid may gradually come up and be pretty symmetric.  If not there are surgeries that can be done to fix the ptosis. The lid creases are also not very symmetric.  If this doesn't improve with time that can be adjusted as well.   

Thank you for sharing your questions and sharing your photos. You might have had the ptosis prior to surgery, but did not realize it due to the skin hanging over before the Blepharoplasty was performed. With this said, it is much too early to judge results. Wait 3 months to determine what your eyelids are going to look like. Never have surgery while pregnant. The physician to choose for your ptosis (if it persists) is an experienced Oculoplastic Surgeon. Good luck,

Hi Heather. Greetings from the UK. Yes you do have a mild ptosis affecting your right upper lid. It's really early to tell if this is a mechanical ptosis due to asymmetric swelling of the eyelids only (which is typically temporary) or an aponeurotic ptosis (due to stretching of the main tendon within the eyelid responsible for eyelid elevation). We would normally recommend allowing the post operative healing to run its course and reassess matters at 4-6 months after when all the post op swelling should have settled. Ptosis is really the bread and butter surgery of oculoplastic surgeons and in the UK particularly, this sort of revisional work is commonly referred to us as this is what we specialise in. Oculoplastic surgeons are typically ophthalmologists first (trained to looked after and operate on the eye) and then with additional subspecialist fellowship training in plastic surgery around the eyes, orbits and tear duct systems i.e. the best of both worlds. So by seeing an oculoplastic surgeon, they should be able to assess your ptosis, its suitability and safety for revisional surgery, and be able to offer your ptosis correction surgery whilst respecting and looking after your eye. Although technically one can perform ptosis surgery (usually performed under local anaesthetic) whilst a patient is pregnant, most oculoplastic surgeons would likely err on the side of safety and not want to subject a pregnant lady to any unnecessary stresses such as cosmetic surgery. Therefore most oculoplastic surgeons would probably wait till you were post partum.

Best wishes
David