8 weeks post op Upper eyelid blepharoplasty, I still have tired eyes. Any suggestions?

Question

I have upper eyelid recontructive surgery 8 week ago I'm not happy at all I use to have tired sleeping eyes. Now after the surgery one looks more open and the other tire and sleepy. One look way different shape and size one opens more than the other. It looks one side of my face one person and the other different person. Before surgery the two eye were the same shape.

Mehryar (Ray) Taban, MD, FACS · Answer

It is impossible to give accurate answer without photos but it is possible that you had underlying eyelid ptosis (droopy upper eyelid) that is now more obvious after upper blepharoplasty.  Upper blepharoplasty only removes skin (and fat) from the upper eyelid without actually lifting the eyelid. Eyelid ptosis is when the actual eyelid is droopy due to weak or loosened levator muscle responsible for lifting the eyelid. The treatment for that is ptosis surgery by tightening the muscle. The two eyes can also be asymmetric with one eyelid droopier than the other. See an oculoplastic specialist for evaluation.

Kenneth D. Steinsapir, MD · Answer

Yes eyelids do take more that 2 weeks to heal.  Without posting photographs it is really impossible to understand the basis for your concerns.  I recommend that if you want more meaningful feed back that you post the highest quality images you can.  If you are concerned with being recognized, make what is called an eye strip that included the eyebrows and the top of the cheek.

Dominic Bray, MBBS, FRCS · Answer

as my colleague Dr Park has said, without photos it is impossible to comment. You do need to be seen in person by your surgeon to ensure their is nothing treatable causing your asymmetry - ptosis, levator dysfunction, infection, oedema etc.

Shayne Webb, MD · Answer

Without a picture this is an almost impossible question to answer.  I agree with Dr. Park that one eyelid may have developed ptosis (a drooping of the actual eyelid margin).  Thankfully, this is a correctable problem that can usually be done under local or mild sedation.  Consult your plastic surgeon, and voice your concerns.  At 8 weeks, this is not likely to resolve without surgery.  Best wishes and take care.

Heather J. Furnas, MD · Answer

See your surgeon and express your concerns. He/she can evaluate you and discuss what may be going on.Click on the link below to see an eyelid surgery case.Good luck.

8 weeks post op Upper eyelid blepharoplasty, I still have tired eyes. Any suggestions?

Answers (7)

Answer: Different shape of eyes post op

Answer: Different shape of eyes post op

Answer: Asymmetry after Upper Blepharoplasty

Answer: Asymmetry after Upper Blepharoplasty

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

8 weeks post op Upper eyelid blepharoplasty, I still have tired eyes. Any suggestions?

Answers (7)

Answer: Different shape of eyes post op

Answer: Different shape of eyes post op

Answer: Asymmetry after Upper Blepharoplasty

Answer: Asymmetry after Upper Blepharoplasty

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.