Different Eye Shapes Almost 4 Months After Blepharoplasty?

Thank you for your question. A blepharoplasty is only part of the equation  Sometimes, a brow lift is needed to lift the laxity of the brow in addition to a blepharoplasty.  Sometimes, both are essential to complete the job. I hope this helps.

Upper blepharoplasty removes excess/loose skin from the upper eyelids. It does NOT actually change the position/height of the upper eyelid.  The height of the eyelid is determined by the muscle responsible for lifting the eyelid (levator muscle). To actually lift the eyelid, the muscle has to be tightened (ptosis surgery) which would open the eyes more. See an oculoplastic surgeon for evaluation.