Don't touch a thing: Swelling after upper lid blepharoplasty

Otto Joseph Placik, MD answers: Asymmetrical eyelids after Blepharoplasty

I think I have asymmetrical eyelids after 8 weeks of upper Blepharoplasty. My right eye crease is a bit higher than the left eye's, and that causes uneven eye shapes. Not sure if swelling still exists on the right eye, but it looks more puffy than the other. I'm not sure if I'll be happy or satisfied, but will I need a revision surgery? Will the swelling eventually go away after 2 months or so? If revision surgery is needed, will that involve correcting the right eyelid only, or both?


Otto Joseph Placik, MD
10 months ago

This is still too early to draw any long term conclusions about the final result.

If this is a double eyelid surgery then occasionally the swelling on the eyelid can persist. However, there are numerous other causes which should be evaluated by your surgeon prior to drawing any conclusions.

These can include:

  • edema (swelling)
  • lymphatic obstruction
  • stye/chalazion obstruction of eyelid structures
  • mechanical factors (sleeping with your head towards the right side)
  • previous scars
  • infection
  • dry eye syndrome
  • inflammation
  • chemical irritation
  • numerous other causes

Discuss this with your surgeon but be patient. Occasionally there are some dimple solutions that depend upon the cause. From your pictures it looks mild and is likely to resolve without any additional treatment. I would advise you against seeking any revisions at this point in time and do not feel it will be necessary.

Take care! I hope this hleps

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