After upper eyelid surgery, the patient’s appearance can be difficult to assess adequately because of swelling. But if after 1 week, there is gross asymmetry then it is best to go back to your doctor and seek an explanation or reassurance. If you are still dissatisfied, then a second opinion should be sought.
In your case, the right upper eyelid fold appears to have a come down slightly and hence it looks swollen and bulging, making the eye look smaller than the other side. Your original doctor can reassess the situation and decide whether it was due to stitch loosening or inadequate skin excision, and then proceed to revise the upper eyelid.
A second surgeon, would have to wait a bit longer till most of the swelling has resolved before deciding the best option to take. This is because he/she did not perform the first surgery and cannot troubleshoot the problem on the spot.
I would advise you to wait for 1 to 2 months if you are considering to go for a revision by a second surgeon. I hope my reply helps.
Regards,
Dr Por Yong Chen