5 months post op upper bleph surgery, I have sagging skin on outer corners of my eyes, creating a fold. Is this normal? (photos)

Pictures to be very helpful to receive useful information. Sounds like that you just have redundant/excess tissue that many revision. Good luck.

Photos would be very helpful.  But from what you describe you have a little extra skin which needs to be addressed.  Sometimes you can just take a little skin off.  And other times the brow may be low which will result in a fold of skin.  If this is the case a brow lift would help.  These issues can occur after any upper eyelid surgery.  

You would need to post some before and after photos so that we can provide any useful commentary.  Please do so.

Excess skin can be seen after blepharoplasty for a few reasons. First, it's possible that there wasn't enough skin taken from that part of the eye. Second. You may have poor scarring or a poorly placed scar causing the appearance. Finally, sometimes after blepharoplasty the brows will sag a little. When there's less skin above the eyelid, the brows will not pull up as hard, and this can recreate the look of loose skin on the outer part of the eye. If your surgeon has not been on help, you can seek a second opinion. By 6 months, there probably won't be a large change in the appearance anymore. 

It is normal for tissues to settle and heal in less than perfect ways after any surgery.  This does not mean your surgeon did something wrong.  This is not a complication.  It is a normal part of having virtually any cosmetic surgery.  There is almost nothing in life that can't be further improved.  Eyelid surgery is no exception.  Generally we cover these types of possibilities in the surgical consent by saying something to the effect that more surgery may be needed in the future.  Just recognize that some refinements that may be very beneficial to further improving your results may be out of the ability of your original surgeon to achieve.  It your original surgeon is of "no help on this,"  they may be telling you that they do not think they can achieve the refinement you are looking for.  Don't make your surgeon do something that they are not comfortable with.  Generally it is appropriate to consider refinements to the original surgery after 6 to 12 months of healing.  We could provide a more specific answer if you post a photograph.

Pictures would really be helpful to give you advice in regards to the sagging skin you see on the outer corners of your eyes 5 months after upper blepharoplasty.  I would not say that this is normal, but without seeing you or pictures of you, it is difficult to comment.  

after any procedure, a photo is truly worth a 1000 words.  Talk to your surgeon about your concerns and see what options are presented to you and at what costs.  Hopefully a reasonable revision policy is in effect but it sounds like you will need one.  If your brows are really droopy, a browlift often takes care of this as well.

Hard to say without photos, but upper eye lid excess may be due to brow sagging. The brow may need to be lifted to improve the appearance. Best to be seen in person.

No photograph was included. There is a very common issue in upper blepharoplasty procedures determining which component is due to the eyelid and therefore responsive to a blepharoplasty procedure, and which component is due to drooping or ptosis of the brow therefore needing a brow lift or something else. Unfortunately, fullness of the upper eyelids is frequently due to the sagging of the lateral brow and a blepharoplasty will not cure this. It may be that Botox could be of some help if this is the case but a possible brow lift also may be necessary. I suggest you discuss this with your plastic surgeon or get a second opinion.

Really need a photograph to be able to understand your situation completely.  Without a photograph I can only guess that either the incision was not carried out far enough laterally to take care of this hooding or you have some sagging of the lower aspect of your eyebrow.