Help Me Please, my Eyes Look Much Worst After a Upper and Lower Blepharoplasty? (photo)

I believe the photos you sent were from one month post op.  This looks to be in the normal range for post operative healing. You are early in your post operative course.  It takes months until the final results are seen.  Please do tell your plastic surgeon your concerns.  They will help you get through the process.

    The preoperative picture with makeup is not really a fair comparison to the photos in the early postoperative period.  You will need several months to make more of a comparison.  If you need a revision, find a plastic surgeon with ELITE credentials who performs hundreds of facial and eyelid surgeries each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

The sadness in your eyes is because they are now hollow, all of the fat that was around them has been removed.  It is like taking the frame away from a picture.  Your prima photo shows how pretty your eyes are with a a beautiful full frame.  This can be corrected with a fat transfer.  It is important that you use a surgeon who has a very large experience with this type of surgery.

Pathetically, your surgeon is probably very proud of the result and thinks you are crazy.  In the before photo, you have a beautiful full subbrow area.  Unfortunately this fold of tissue is targeted by surgeons who have been commonly but incorrectly trained to excise as much of this tissue as possible with upper blepharoplasty.  This robs you of your natural fullness here which is a highly under appreciated area the contributes to a more youthful eye appearance.  In the before photo, to compensate for the heavy upper eyelid fold, you compensate by holding the brows up (we do this without thinking about it).  When the fold is removed, the brows fall creating a cross (as in angry) look.  The lower eyelid surgery has hollowed the lower eyelid.  There are things that can be done to soften the effects of this surgery but you won't find this type of help anywhere in Europe.  I recommend that you allow yourself to heal for at least 6 months before deciding how to proceed next.  Unfortunately it will be very difficult ( most likely impossible) for your surgeon to understand what you don't like about the surgery.  It is my experience that the original surgeon is too invested in the surgery to see the forest for the trees.

There are three fat pads in the lower lid.  You had adequate removal of the medial and middle fat but the lateral fat pads are full and accentuated by the removal of the other two. This can be fixed with some further removal of the lateral fat pads.  But wait a few months for the tissues to soften and become mobile for best results.  As we age, the fullness of the cheeks begins to sag leaving a hollow between the lower lids and the cheek.  This can be addressed when one has a facelift, or with fillers or fat grafting if you are not ready for a facelift. Best wishes. Knowledge is power.  Luis F. Villar MD FACS