Puffiness and discoloration part of the body's healing process

Robert C. Bledsoe, Jr., MD answers: Puffiness and discoloration under eyes after eyelid surgery

I had upper and lower eyelid surgery to make me look more awake and less tired, remove loose skin, and open up my eyes. After surgery, I thought I would be fine; I felt fine and upper eyes healed well. I did not have this puffiness and red discoloration under both eyes. Now, look and feel worse than before the procedure. The surgeon keep telling me nothing can be done other than wait patiently for it to go.

What could this be, and how can I get rid of this? Will it go on its own? Thank you.


Robert C. Bledsoe, Jr., MD
2 months ago

Puffiness (edema) and red discoloration (erythema), to a variable degree, are part of the body’s healing response to surgery. It may take up to six months for the puffiness to resolve completely. However, most of the swelling will be gone after the first month. In the first two weeks after surgery, keeping your head elevated and using cold compresses will aid in resolving the swelling as soon as possible. Avoiding any situation which elevates your blood pressure and pulse (like exercising) will also help.

The redness you are experience is a result of the increase in circulation the your body uses to accomplish the healing of the eyelids after your surgery. This will take up to one year to resolve completely in the scars.

The redness you see in the eyelid itself will usually go away within the first month. Staying out of the sun or using an SPF 45 sunscreen will help your body resolve this temporary coloration. Cover makeup can also mask this issue until the body resolves it naturally. Basically, your surgeon is correct. I encourage you to keep meeting and discussing your concerns with him until the healing process is complete to your satisfaction.

Helpful?
Post your question

Eyelid Surgery before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.