I am 4 weeks post op lower blepharoplasty. Is the puffiness under my eyes swelling or malar bags? (Photo)

While it is wise to be cautious performing eyelid surgery for perceived excess skin (blepharoplasty) in a young person, it is not contraindicated.  Usually eyelid surgery is performed for the purposes of restoring the eyelid to a more youthful appearance.  In your case, given that you...

Big, big difference between a general ophthalmologist and a fellowship trained oculoplastic surgeon.  That extra crease is due to an attachment to the anterior levator aponeurosis.  It is essentially impossible to release this adherence.  A more practical solution is to lift the...

I tell my patients that having your upper eyelids corrected provides an incredible return on your investment.  It is a procedure that gives your appearance an instant refreshed look.  I try not to over promise in terms of recovery as everyone heals differently in spite of the...

The left side is just a bit more droopy than the right side.  There is also a compensatory brow elevation.  This problem is corrected with a surgery called eyelid ptosis surgery.  a fellowship trained oculoplastic surgeon is your best options for this.

That is a nice way of saying that it does not work.  The upper eyelid has many glide planes that need to slip over each other for the upper eyelid to work properly.  Grafted fats scars these planes up.  The more fat that is place, the more one ends up with a scared wad....

Most of the swelling should be gone by 3-4 weeks post-op. In general, most surgeons would recommend keeping elevated for the first two weeks. At this point, I don't think keeping the head elevated would help much. Keep in mind that swelling from surgery may persist for at least 3-4 months....