Lower lids don’t touch my eyeballs after lower bleph 2 1/2 weeks ago. (Photo)

You have early lower eyelid ectropion or retraction. It is still early in the healing process and usually this resolves. If it doesn't resolve, then treatment may be necessary. Communicate with your surgeon. Do squinting eye exercises and massage lower eyelids upwards. 

It is certainly possible that these measures will help improve the ectropion caused by your lower eyelid surgery.  However it will not correct the loss of the almond shape of the lower eyelid margin.  Fixing this issue is much more complex than simply putting a "stitch" in the eyelid. Generally it is best to let the eyelids heal for 6 to 12 months.  During this time you may decide the result is acceptable. Now the reality is that as you heal, this issue may actually get worse.  Don't let your surgeon rush you back to the operating room in order to do a quick fix.  This only uses up the resources needed for a definitely repair of this issue.

Because you are only 2.5 weeks removed from surgery, it is difficult to draw conclusions about your eyelid position. Post-operative swelling and incisional healing can temporarily exacerbate this problem. Continue to massage and tape the eyelids as instructed. If you are experiencing any eyelid irritation, be sure to use drops or ointment to prevent corneal problems. If the lower eyelid problem persists for 4-6 more weeks, you may need intervention to improve the eyelid position. Be sure to follow up regularly with your surgeon. 

Since you are only about 2 weeks post op I think doing taping and masage is a good way to go and hopefully over time this will correct itself.

You are still in the healing period where aggressive massage can improve your retraction. Look up and then use your finger to pull your lower eyelid up against your eyeball as much as possible and use artificial tears in your eyes to protect you from developing dry eyes. If the retraction does not improve over 2-3 months, you can consider a retraction repair surgery. Don't lose hope yet and keep up with the exercises.

Take care!
Dr. Diana Tamboli

It looks as though you have developed ectropion. Massage and time may help this resolve. Sometimes it can take weeks to perhaps even months for scars to soften and for the lid to become softer. If your current regimen of massage and taping doesn't work, then additional surgery may be needed to tighten the lid and maybe even release some of the scar. Be patient, though. It is still early.

This is a common problem and resolves with the care you are doing in the vast majority of the cases. If the lids do not have proper support  it can lead to the need for revision but your lids appear to be youthful enough that I doubt that will be necessary. Keep close follow up with your plastic surgeon. Good luck

It is difficult to tell from the resolution on this one photo, but you may have some chemosis in the outer half of the eye helping to push the lid away. You may also have some lid laxity that may not have been addressed. I would consult with your surgeon. If you do have chemosis then lubrication and steroid drops may be helpful.This is best evaluated with an in person exam by your surgeon.

Hello and thank you for your question and photo.   I would advise you to keep doing what you are doing and give it some time, two weeks is still early in the game.  Follow up with your PS as directed .

Hi there,

I am sure this is very worrying for you.  It is not uncommon though.  Keep massaging and taping your eyelids - and make sure you are massaging in an upward/outward sweep.  The skin can relax and the structural elements are likely still intact.  As the skin relaxes, the lids may well sit firmly up against the globe.

If persisting at 6 weeks, review with your surgeon.  There are surgical and non-surgical techniques to resolve this problem and I am sure he will be able to manage this if it is persistent.

All the best