Is it normal for 3 week post-op Ptosis surgery to still have swelling & worse appearance in the ptosis than beforehand? (Photo)

Because the eyelid skin is the thinnest in the body, small amounts of swelling can persist for months.  I recommend that patients wait at least 3 months before considering any further treatment.  Once all the swelling is gone (in some patients this can take up to 6 months), sometimes non surgical treatments can be used to improve the results (ie skin tightening with Thermi smooth).  For now it looks like you are healing well but feel free to speak with your doctor about any concerns.

Some patients will be still swollen for several weeks sometimes longer up to a few months.  It isn't clear if your ptosis repair was done by an internal (inside eyelid) approach, but I have seen some patients be droopy just like your's is and then it begins to lift up between a month to 3 months.  This is quite rare, however, to see that much improvement between 1-3 months.  I would contact your surgeon to go over things in person.  I counsel patients that ptosis repairs have about a 10% reoperation rate in my hands as they sometimes can be over or under-corrected.  Since your situation was a congenital issue I would give your need for a second surgery a higher probability as congenital ptosis eyelids are never normal anatomically even if we can make them surgically much better functioning and appearing.  I wish you the best.