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

At three months, it is reasonable to discuss with your surgeon if removing a bit more skin makes sense. Less is more.  So this warrants careful consideration.

Thank you for the question and sharing your photo. It does appear that you have extra skin and/or fat in the corner of your eyelids. This will continue to improve, but may not be satisfactory when fully healed. Wait 3 more months and then see your surgeon for possible enhancement if needed. Good luck.

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 

It is best to discuss your concerns with your surgeon and obtain an evaluation in person. If necessary, many of these touch up procedures can be performed in the office.

Very hard to tell even with posted photos. Best to seek in person second opinions. My guess is revision will be needed...

Excess skin can be removed in the office usually. Your post op photos are all in downgaze so it is difficult to compare. Your surgeon can remove any skin in the office if it is a small amount

Thank you for your question and photos. At 3 months your results will not change significantly. You need an in person exam to determine your specific concerns and what anatomy is contributing to them. A minor revision may be needed to help you accomplish your goals.I recommend you discuss your concerns with your surgeon.Best Regards,Dr. Stutman

At 3 months I don't think you'll have much more regression of the skin you are describing but certain environmental factors (like fluid retention) can make this area seem worse than it actually is. If you are dissatisfied, I would go back to your surgeon and discuss it with him/her.

In this photo it looks like you may have some residual prolapsed orbital fat, but it's hard to tell without examining you.  Sometimes, even with the best surgery the skin doesn't exactly heal as we like.  You may also have a little brow ptosis that can make the problem look worse.  I would recommend for you to discuss your concerns with your surgeon or get a second opinion from an oculoplastic surgeon.  Good luck!