Uneven eyes and pain 5 weeks after lower lid blepharoplasty? (Photo)

The most common issue after lower blepharoplasty is dry eye.  I recommend see a fellowship trained oculoplastic surgeon or a fellowship trained cornea specialist.  These types of ophthalmic specialists have more advanced training than a general ophthalmologists are often more attuned to post-eyelid surgery issues.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a well qualified surgeon for a second opinion.

You do have a significant asymmetry still.  What does your surgeon say?  Possible reaction to buried sutures?  You don't appear very red, but definite swelling.  And pain when you touch indicates some inflammation.  May need to get a second opinion.  Check with oculoplastic surgeon who can also take a look at the cornea. 

You may have a cornea issue and should see an ophthalmologist.  Best of luck with your results.,......