Difficulty to look up after upper and lower blepharoplasty. Any suggestions? (photos)

This is very common after eyelid surgery.  The swelling in the lids will make them feel heavy.  And when you look up, you will feel a pulling of the eye up as well.  This will all resolve with time.

It is still relatively early in the healing phase of eyelid surgery.  From your photos there appears to be persistent edema of the eyelids which can make the eyes feel tight during the healing.  The question that I would have for you is whether or not you have some double vision when looking up. If you are experiencing some double vision with extreme upward gaze, it will generally resolve but could be due to some fat entrapment that occurred during fat repositioning during your lower lid surgery.  

You should be assessed for corneal drying which can present with the tightness sensations.  The management for this is artificial tears and ointment at bedtime.  Both issues tend to resolve over several weeks to a couple of months after surgery.

You are still quite early in your heling process.  A phont with you looking up would be helpful.  Your doctor would have noticed if any of the extrocular muscles are not working properly.  Give it more time and make sure you see your doctor for all the follow up appointments.

At this point, your eyelids are healing still and your surgeon is right- you have to wait. It is not uncommon to have the sensation of "tightness" but if these issues persist, discuss them with your surgeon at the next postop visit.

Thank you for your question.  It is not uncommon to have sensations of tightness due to swelling and inflammation of the tissues after surgery.  These symptoms typically resolve with time.  While eye muscle injury is possible, this is very unlikely in your case as the symptoms would be more severe that what you are experiencing.  Share your concerns with your surgeon at your next visit.  Best wishes on your recovery.

Dear Tanya, It is not uncommon to have the sensation of tightness after upper and lower lid blepharoplasty procedures. You are very early in the recovery phase and close follow up with your surgeon will help make sure all measures for proper healing are being addressed. Best regards, Michael V. Elam, M.D.