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George J. Beraka, MD answers: Hollowing after Blepharoplasty

It will be 3 weeks this Friday since I had lower Blepharoplasty. I'm getting really nervous. As the swelling goes down it looks as though there may be some hollowing. And when I look in the mirror in certain lights I can still see small puffy bags. I hope I'm just over analyzing all this. I talked to a nurse at my doctor's office and she said this is normal, that once the swelling goes down that it will lift back up and even out. I'm worring myself so much over this, I so wish I would have researched before the surgery. I rushed into it way to fast. Please tell me, is this really normal?


George J. Beraka, MD
10 months ago
By George J. Beraka, MD - Manhattan Plastic Surgeon

To izzy2008,

Hi. Based on your picture, you have a complication. The border of your left lower eyelid is pulled down, and this will not get better with time unless steps are taken right away. I cannot prescribe treatment but there are a number of things that can be done.  See your surgeon and if he is not responsive, see an oculoplastic surgeon. I believe time is of the essence. If the left lower lid heals in this downward position, then you will end up needing more surgery.

You also have some irregularity (hollowness, as you say) in the left lower eyelid, but it is too early to tell how this is going to look eventually. Hollowness can result if too much fat is removed in attempt to correct bags. But you just have to wait for this part of the problem.

Good luck!

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More answers to “Hollowing after Blepharoplasty”

A: Be patient, it is still very early

David Shafer, MD
10 months ago
By David Shafer, MD - Manhattan Plastic Surgeon

Izzy2008, Please be patient, it is still very early after surgery. You will continue to see chances over several weeks to months as the swelling resolves and the tissues settle. This is due to healing characteristics which go through a normal progression over 6 weeks to 3 months. During this time the collagen is building up and remodeling, which takes time. I hope this is helpful. David Shafer, MD New York City

Web reference: http://www.RealPlasticSurgery.com
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A: Three weeks is way too soon

Robert M. Freund, MD
10 months ago
By Robert M. Freund, MD - New York City Plastic Surgeon

In spite of some others who have screamed that something is wrong, I do not see that at this time. Three weeks is way too soon to be screaming. The bumpiness that you talk about is normal for many within the first 2 months after lower blepharoplasty. The pulling down of your lower lids can be the result of swelling. I often ask my patients to perform excercises to help resolve the swelling and lift the lower eyes. return to your doctor and discuss all of your concerns.

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A: Blepharoplasty swelling

Steven Wallach, MD
9 months ago
By Steven Wallach, MD - Manhattan Plastic Surgeon

Three weeks is way to soon to evaluate your eyes after Blepharoplasty. In fact, I still see some brusing around your eyes in the photo. Relax and give it some time.

 

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