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
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