Doctor insights on:
Why Are My Eyes Swollen After Blepharoplasty
Expected: It is common (and expected) to have swelling after any surgery. The swelling typically is as its maximum by 1-3 days post-operatively but some bruising may remain for up to 2-3 weeks post-operatively. It's also not uncommon to have some mild swelling for up to a month or two after more extensive surgery. In case of severe, sudden, or painful swelling, immediately contact your plastic surgeon. ...Read more
Yes, but...: Yes, some swelling is to be expected after any type of surgical procedure. However, “excessive”, asymmetric, painful, and/or expanding swelling may be a problem; if concerned, best to be evaluated by your surgeon who is in the best position to rule out complications. Best wishes. ...Read more
I am under 30 and have the worst baggy puffy dark circles under my eyes. Would a lower blepharoplasty help?
Puffy Eyelid Bags: Lower eyelid blepharoplasty is still the treatment of choice for lower eyelid bags (fat). Unless the dark circles are a result of shadowing from the puffy lower lids, they will not go away with blepharoplasty. It is not unusual to consider lower bleph in your young adult life as the problem is typically hereditary and shows up earlier in life. Good news is that it is very rare to need it again. ...Read more
Will blepharoplasty change the shape of my eyes? Will my eyes retain the same basic shape, or could the shape change with blepharoplasty? .
Change in shape: Simple upper/lower blepharoplasty will not commonly change the shape of the eyes. However more complex procedures such as upper lid blepharoptosis correction, the eye may appear more open. In individuals with lower lid laxity plus skin excess, the lower lid may need a cantthopexy/canthoplasty which may create more of a slant between the inner and outer corners (canthi) and may appear more narrow ...Read more
Unlikely: Eyelid surgery is typically very consistent and predictable. That being said - make sure that you communicate what you think "misshapen" means to your surgeon for clarification. Doctors and patients don't always communicate on the same wavelength so make sure you ask specific questions during your consultation. Remember also that brow position matters and can be one source of asymmetry. ...Read more
Lid Asymmetry: The number one cause of lid asymmetry before or after blepharoplasty is uneven position of the eyebrows. It turns out that most people have brow asymmetry due (usually) to a tendency for the muscles over one eyebrow to pull more than the other. This in turn makes the less active side look droopier in the lid. My advice is not to try to correct lid asymmetry as it is a normal part of the human face. ...Read more
Is blepharoplasty permanent? Will the results of my blepharoplasty last as I age, or will my eyes continue to sag and possibly need to be redone? .
Blepharoplasty: No anti aging procedure last forever. You will continue to age. However, many people will only have one blepharoplasty and the results may persist for 15 years. ...Read more
Bruising: As the bruising breaks down around the eyelid, the pigment of the bruise can change from a dark purple to a green to a slightly yellow appearance. This bruising can even track into the "white" of the eye. If it looks swollen, then it may be a fluid collection called chemosis. If so, this can last for several weeks or more. Talk to your doctor if does not go away after the first couple weeks. ...Read more
Function v elective:
A blepharoplasty is typically used for cosmetic improvement but may be required to eliminate excess upper eyelid skin which covers your visual field. Other times it ma be used for reconstruction it this depends on upper versus lower and the nature of the problem when it is combined with other procedures.
Vi ...Read more
If you already suffer from dry eyes you will most likely continue to suffer from dry eyes and eyelid surgery may not be an option for you. You should consult with a board certified plastic or oculoplastic surgeon to find out if you are a good candidate. After a blepharoplasty it is not uncommon to use eye drops for a short period (few weeks) for additional moisture in the eye. Due to swelling the tear duct system can be temporarily altered.
Best of luck to you. ...Read more
Are there any other procedures that get rid of saggy skin under the eyes other than blepharoplasty?
Does blepharoplasty result in a lot of bruising? Will my eyes be totally black and blue after my blepharoplasty? How long until I look normal? .
The brushing after a blepharoplasty will vary, but count on having swelling for two weeks, and bruising for a week at least. Most of the patients feel confident going out with sunglasses after 1 week,
there are natural supplements to help you with swelling and brushing.
Ask your plastic surgeon. ...Read more
Will getting a blepharoplasty make me look like I have two black eyes? Will I look as if I have been punched in the face and given two black eyes after a blepharoplasty? .
If I've had lasik, am I still a candidate for blepharoplasty? I had lasik a few years ago, which left me with chronically dry eyes. Am I still able to have blepharoplasty? .
Blepharospasm u: Having had lasik does not preclude you from having blepharoplasty. The dryness could be an issue. Have your eyes evaluated by a board certified surgeon with expertise in eyelid surgery ...Read more
I have indented scars on the outside corners of my eyes after blepharoplasty. Using kilo-cote at night. What is the best cream for atrophic scars?
Can Asian eyelid surgery help me if I do have a crease, but my eyes are hooded? From what I've read, I think my problem is too much fat in my eyelids? Does Asian eyelid surgery help with that, or do I need regular blepharoplasty? .
Asian blepharoplasty: From the description of your features, you may require aging Asian blepharoplasty with browpexy. Have your eyelids evaluated by a board certified surgeon with expertise in these procedures. ...Read more
Will blepharoplasty get rid of the wrinkles around my eyes? I have crow's feet wrinkles around my eyes. Will blepharoplasty get rid of them, or just the ones on my eyelids? .
The: The excess skin in the upper and lower lids can be addressed with blepharoplasty. But if you are attempting to get rid of crows feet wrinkles you will be able to soften these with Botox or fillers or both. There are also some chemical peels and deeper laser treatments that can help soften the appearance of crows feet and fine lines. Consult with a board certified plastic surgeon or oculoplastic surgeon. Best of luck to you. ...Read more
How do I pick a surgeon for Asian eyelid surgery? Should I focus only on surgeons who specialize in Asian eyelid surgery? Or is it similar enough to regular blepharoplasty that I can use someone who specializes in that but not necessarily Asian eyes? .
The: The surgeon who has enough training to perform asian blepharoplasty (eyelid surgery) and also has performed good numbers of that surgery with good post op results. (always ask to see the pre and post operative pictures!). ...Read more
Ptosis (drooping of the upper eyelid) is a relatively infrequent complication of upper blepharoplasty - if this occurs the visible portion of the open eye will be smaller and likely different than the other side.
Rounding or pulling down of lower eyelid is a more common side effect/complication of lower blepharoplasty that may gradually improve or require corrective surgery. ...Read more
Experience counts: This is possible but should not occur in the hands of an experienced surgeon. Ophthalmologists, facial plastic surgeons and plastic surgeons all have alot of experience with eyelid surgery. The fact is that any of these three specialties, if the surgeon has alot of experience, will likely provide a very good blepharoplasty result with very low risk of misshaping the eye. ...Read more
Eyes Can Change: Eyes can change shape after blepharoplasty. In the old days this was much more common. The lower eyelid is probably the most common reason for eyelid shape changes. The lower eyelid is like a hammock, eventually the support weakens and the lower eyelid begins to droop. In these patients who have some weakness to the lower eyelid, a tightening procedure is often performed at the same time. ...Read more
Depends: There can be eyelid malposition when performing a blepharoplasty, particularly for the lower lid, this is most likely to occur with an aggressive transconjunctival (inside the eyelid) approach which could result in entropion or the eyelid turning in. In experienced hands this is not an issue. Simple skin or skin-muscle blepharoplasties should not cause any deformities. ...Read more
I had a blepharoplasty in my lower eye lids a month ago, I'm still recovering from it, but I think there is something wrong because my eye has change?
Eyelid surgery??: Best to seek IN PERSON second opinions from Plastic Surgeons.. ...Read more
Could a bad blepharoplasty make me unable to open my eye? I am worried that my blepharoplasty could result in a damaged nerve where I wouldn’t be able to open one lid. Has this every happened? .
It depends on how dry your eyes are and whether there are any related changes on your cornea that only an eye doctor with special equipment can observe and document.
You may be able to have an upper and/or lower blepharoplasty but check with your eye doctor first. If you proceed your eyes may become more dry (at least temporarily) and you may need to use eye drops more often and/or add eye gel. ...Read more
Eyelid Surgery: In some cases, cosmetic fillers can help with the under eye bags. However, eyelid surgery would be the best option to remove the under eye bags. ...Read more
Very, very good: Lower blepharoplasty is successful in the vast majority of cases, assuming you're being cared for by an experienced plastic surgeon or ophthalmologist. All procedures have risk but the best way to improve the odds is to seek out a board-certified surgeon with alot of lower eyelid surgery experience. ...Read more
If you have dry eyes or other pre-existing eye conditions then this would be wise. If you have no underlying eye conditions and your plastic surgeon feels that you're a good candidate then it is typically not necessary to see your eye doctor. I hope this information is helpful.
Stephen weber, M.D.
Lone tree facial plastic surgeon. ...Read more
Not exactly: Ptosis of the eyelid is corrected, in most cases, by advancing the levator muscle, which raises the eyelid. It is done through the same type of incision as a blepharoplasty and the two procedures are often combined in older people. In some cases, ptosis is corrected by an incision on the inside of the eyelid, which would not be combined with blepharoplasty. ...Read more
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