I had lower eyelid surgery/blepharoplasty and I am not happy with the results. How long should I wait before a second procedure, if needed?
Waiting Time Before Revision Blepharoplasty?
Doctor Answers 10
6 months safe waiting period for revision blepharoplasty
Surgery is essentially planned trauma to the tissues. Most surgeons would recommend waiting 6 months after a trauma and primary reconstruction before undergoing revision or enhancement surgery. Therefore, we have always encouraged and pretty much required a 6 month waiting period between primary and enhancement procedures.
Interestingly, many patients areas of concern either soften or fade during that time period. Many patients who were asking for more surgery at the 1 month mark actually defer the enhancement when offered at the 6 month mark stating that their areas of concern have improved to their satisfaction. So wait and see is the usual recommendation.
Now, of course there are situations where surgery sooner is recommended for medical reasons...for example eyes not closing and corneal breakdown or chronic pain from exposure keratitis, etc. So the true answer is that it depends on what exactly it is that you are unhappy about and the impact that it is having on your ocular health. Without seeing pictures it is difficult to give you specific advice, but these are some general guidelines.
I hope that you find this information helpful.
When can I have revision blepharoplasty?
There is no set waiting time for revision blepharoplasty
Typically, most surgeons would wait about six months. However, the main factor is the status of the lower eyelid. In general, you should not reoperate until the incision and the lid itself feels like normal tissue again. It should not be firm or swollen or another surgery could cause further problems.
If the eyelid is not in the right position, this can often improve significantly with massage and time. However, if you are a quick healer and the eyelid feels completely normal at 4 months and you want to consider revision work, then there should be nothing stopping you. Just be sure to discuss all you concerns with your surgeon. Good luck.
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Waiting time for revision eyelid surgery
It is actually uncommon to revise eyelid surgery results overall. If necessary, I recommend waiting a full 12 months for final healing to occur before revising. Often times, Botox can help improve the heavy areas that persist after surgery and make the results more pleasing.
Revision lower lid Blepharoplasty
Wait at least 3-4 months before embarking on revision blepharoplasty
If there is an unhappy result with the primary blepharoplasty, the patient should wait at least three to four months prior to embarking on a revision blepharoplasty procedure. All of the incisions need to be completely healed, edema subsided, and the final result present prior to embarking on any revision blepharoplasty surgery.
You can't wait too long before revising lower eyelid blepharoplasty
It is never a good idea to revise eyelid surgery too soon. Though it is infrequent, I would typically recommend waiting 6-12 months before considering any eyelid revision, especially in the lower lids. Early re-operation increase the risks of the surgery and can result in bigger problems. There can be prolonged swelling, scar deformity and eyelid distortion if the eyelid is not completely healed and the scar tissue hasn't matured before revision surgery.
A minimal of 6 months but closer to a year would be ideal. It all depends on what you are trying to accomplish. But in general for revision work, we like to wait a while to see how things shape out.
Wait time for revision blepharoplasty
Depending on what you are revising and what was done, the minimum time you should wait is between 6 months to 1 year. It is important to have this discussion with you surgeon to understand what the issues are and potential problems associated with early revision.
The general answer is wait 6 to 12 months for revision blepharoplasty
While the state time frame is the general rule, individual factors play an important role. I recommend that you discuss your concerns with your original surgeon. They may in fact be able to assist you and or modify how you are healing. No one will be more invested in making you happy than the surgeon who just operated on you. The operative surgeon should be highly motivated in this regard.
Occasionally there is a break down in the relationship with the original surgeon. These break downs like other relationships may not be resolvable. In this case, it is reasonable to shop for another opinion. In particular it might be helpful to find a surgeon who can and is willing to take over your follow up care and monitor your progress even if you
Also there are circumstances where immediate surgical revision is needed because an eyelid will not open or close. The most important thing you need is a diagnosis of what your issues are with your surgery. I would recommend a fellowship trained oculoplastic surgeon. In the UK there are relatively few with this level of specialized training and those who are so trained are generally very focused providing medically necessary oculoplastic surgery.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.