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Kenneth R. Francis, MD answers: One eye barely changed after Blepharoplasty

I had Blepharoplasty done 5 weeks ago, and I immediately noticed post-surgery that the incisions were not the same. However, I didn't worry. Now, one eye looks wonderful and awake, but the other still has overlapping skin and looks tired. What could have happened? Is this result common with the procedure? I'm not sure if I should call my doctor prior to our next appointment (at the 10th week), or just wait and let it heal.


Kenneth R. Francis, MD
12 months ago

Bronte,

Five weeks following a blepharoplasty is still quite early.  You may have different amounts of swelling on each side causing the asymmetric appearance.  Have patience and trust your surgeon, especially if he/she is a board certified plastic surgeon.  I'm sure that your plastic surgeon would be more than happy to discuss your current appearance with you before the 10 week proposed visit if you are really concerned.  He/she may also offer some helpful hints as to how to manage your swelling.  Good luck!

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A: Give it some time

David Shafer, MD
12 months ago

Bronte,

Five weeks a bit early to start getting worried.  Give it a little more time (say three months) to allow all the swelling to resolve.  Also, depending on if you had any other procedures done at the same time (Brow?), you may have some neuropraxia (weakness of the nerves) which may lead to a temporary lazy brow.  In either case, if you do not see improvement over the next several months, you may need a "touch-up."  However, at this point, don't get too worried.

I hope this is helpful.

Dr. David Shafer

New York City 

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A: Always asymmetry

Steven Wallach, MD
12 months ago

The eyes are always asymmetric. One eye is always larger than the other. One alwasys has more redundant skin, one fold is always larger.  The asymmetry may be what is considered normal. Without seeing you it is hard to tell.  This is something to review with your surgeon.

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