To me, your outcome looks textbook. Perfect. If you donTo me, you’re outcome looks textbook. Perfect. If you don’t like the outcome, maybe you need to spend a little more time looking at your before picture. You’re right upper eyelid appeared very swollen before your surgery and I would say that side the swelling looks less than it did before the procedure. In my opinion it is not in fact swelling, but you still have an appropriate amount of excess skin and hooding of your eyelid, which is normal for your ethnic background. Your surgeon could’ve taken more skin and the swollen appearance may be less, but it also wouldn’t look as natural. Your left upper eyelid did not have the appearance of being swollen before the procedure and now appears to have a bit of swelling. This far out from Sergio really shouldn’t be swollen at all. I think this is simply the outcome of your procedure, which to me is quite excellent. Your upper eyelid symmetry is almost perfect. Compared to where it was before and in my opinion you look 10 years younger. It doesn’t look like you had the surgical procedure and I doubt anybody is giving you funny looks because you had a procedure. I’m guessing, if anything, you’ve only received compliments on the outcome. I Liz are very dynamic and to make a good assessment. We usually need to do it in person because movement of your eye, eyelid, or frontalis muscle can change the appearance quite a bit. Single pictures only tell a partial story. It’s not uncommon for people to have droopy upper eyelids to also have some droopiness of their brow physician. For many patients a brow lift can give a better more natural outcome without getting a surgical look. Sometimes the combination of both our ideal. There is definitely some changes in your eyelid but overall to me, it looks like a pretty good results. I suggest scheduling a few in person second opinion consultations with other providers in your community. For a proper second opinion consultation, come prepared, breaking with you a complete set of proper before and after pictures and a copy of your operative report. These are all available from your current providers office if you request them. It may be helpful for somebody, making an assessment regarding the outcome to know if that was removed from your eyelids, if it was done so evenly and how much? There may be some information in the operative report that could help get a better assessment. What does your provider have to say? Best, Mats Hagstrom, MD