Evaluate 4 months after surgery

William A. Portuese, 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?


William Portuese, MD
7 months ago

At eight weeks post blepharoplasty the eyelids are not fully healed and no revisional surgery is required at this point. After three to four months if there is still an asymmetry that is present, revision blepharoplasty surgery can be considered. Sometimes only one eye needs to be corrected, and occasionally both eyes need revision surgery. This decision depends upon the presenting issues and problems that are presenting themselves.

A: Upper lid swelling might stay for a while

Stella Desyatnikova, MD
10 months ago

Some minor swelling might take 6 months or longer to go away. Most likely, you'll be happy with your final result and will not need revision surgery. I would encourage you to discuss this further with your surgeon as well.

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