Excess skin inner corner of eyes after upper bhelp. Will this go away or do I need another surgery? (photos)

Your photographs suggest that there is a small amount of excess skin in the upper eyelids.It is best to wait at least 6 months to allow the tissues to fully heal.  You can then more accurately determine the amount of excess skin that remains.  You have very hollow eyes and there will always be alittle excess skin as there is not much fat to fill out the eyelid.  A small amount of additional skin could be removed but you don't want to overcorrect by removing too much skin.  This can result in very tight eyelids and even eyelids that may not close completely resulting in dry eyes or irritation.  I recommend you follow up with your surgeon to discuss.

From the photos that you submitted, it certainly appears that there is still excess skin even after the upper lid blepharoplasty. At three months, the swelling from the surgery should have resolved. There appears to be a residual fat pad or swelling in the nasal end of the right upper eyelid.  This can be easily addressed with a minimal procedure in the office under local anesthesia. The skin issue is less clear because the amount of skin that it takes to adequately close your eyelid needs to be evaluated. A little extra skin can always be removed, but it is very difficult to replace if too much is removed. When the preoperative photo is compared to the postoperative photo, there has been a dramatic improvement! It is more difficult to get an exact measurement of how much skin needs to be removed when you start with that much extra skin. The upper eyelid skin is very thin and can stretch even with injection of the anesthetic. Being conservative in your case is a blessing, and if a small touch-up is required, it is not totally unexpected or unusual. John Standefer MD