It's better to wait several more months

Paul L. Leong, MD answers: Office-based Blepharoplasty revision?

I had lower Blepharoplasty about 4 months ago. Surgeon says this bulge is not swelling, and it can be rectified in his office by making external incision beneath eye, then reach downward. If fat or scar tissue, then he will remove it. If skin draping issue, he will tighten it to obliterate bump. Does this sound like a plausible solution, or is there a better way of dealing with this? What are the risks? Have any of you done this in your practice – what was the result? How long should I wait before doing this?

 


Paul L. Leong, MD
6 months ago
By Paul L. Leong, MD - Pittsburgh Facial Plastic Surgeon

The surgical plan that has been suggested in reasonable, but there is a very strong argument for waiting another 3-4 months. It’s certainly possible this is not swelling, but it’s hard to be sure unless you wait and see.

Surgically revising a result at an early date can sometimes be justified if there has been a clear surgical error leading to an unambiguously poor cosmetic or functional result. Your picture shows a definite cosmetic concern, but one that’s fairly subtle and might well improve with the healing process. If your surgeon ultimately does revise the result in the future, he will have greater confidence that he’s aiming at a stable target.

Hope that’s useful.
 

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