Hello, Your eyes look very good. I agree that you have some swelling of the eyelids but it is normal for you 6 weeks after this type of surgery. Your lids do not look infected and there is very nice symmetry. If you had a single fold prior to the procedure, you should be happy with your result. I have seen isolated post-operative hyperpigmentation in a few of my darker skinned blepharoplasty patients. These hyperpigmented areas have been small and usually located at the inner corners of the eyelids and incisions. Topical tretinoin and hydroquinone creams have been helpful in clearing up these cases. I do not believe that you have any hyperpigmentation that requires additional treatment at this time. In addition, time is always beneficial to every healing process. Continue to be patient with your healing process. The swelling you see in your upper eyelids will go away in a few more weeks. If you have environmental allergies that are bothering you now then treat the allergies appropriately. If your eyes feel dry then use over the counter saline tear replacement drops. Try to limit the salt intake in your diet and sleep with your head elevated without hurting your neck or interfering with your sleep. Hang in there!
