Will the Puckered Spot on Blepharoplasty Incision Resolve?

I agree with the others who responded that the puckering could be due to swelling which is very common after blepharoplasty.  It's not unusual for one eye to look slightly different or better than the other because both eyes are not symmetrical to begin with.  The incision site will continue to look better with time.  You should follow-up with your surgeon who let you know if and when some intervention is needed.  If there needs to be correction it would be best to... more

Anyone who has eyelid surgery will see and notice things more critically than ever before.  Anything that doesn't appear to be normal would cause concern as being a complication or a problem.  Almost always this is normal and it is a result of the time following surgery when you often regret your decision due to postoperative swelling, bruising, and discomfort.  Compounded by to time spent focusing on one area of concern and the feeling of what have I done to myself.... more

The puckering should resolve after the swelling resolves. Asian eyelids tend to take longer for swelling to resolve; blepharoplasty in a caucasian may have swelling for a few weeks whereas in some Asian patients it can last longer up to a month or two. However, a significant amount of swelling resolves within the first two weeks. Puckering is also dependent on how the deep suturing was performed to reform a lid crease. My technique for double eyelid surgery involves externalized... more

At 1 week post-op, it is very early in the healing phase.  Often swelling can be the cause of what you are describing.  If the other side looks great as you describe, most likely symmetric surgery was done and this will resolve.   If this is the case, you should see definite improvement in the next 2 weeks.

1 week out is early so you need a little time for this to improve. If it persists it can be excised or softened. First you need to give it a full 12 weeks to heal.

The puckered area could be a local area of inflammation that will resolve with time and all of your worries will be alleviated. Sometimes these areas of swelling will lead to changes in your eyelid crease. Once the swelling goes away, the crease will improve. If you were to do anything right now the results of this could be disastrous. One mantra that consistently is passed between surgeons new and old is "the enemy of a good result is a perfect one." Meaning that there is a... more

As you said, you're one week post-op. Whereas I completely understand a patient being nervous about any concept of imperfection after surgery, please remember that we do not heal overnight, nor do we heal evenly. I do this procedure regularly. The puckering and small bump you refer to is not at all uncommon in the healing process of any upper lid Blepharoplasty. In your case, it may even be a bit more common as an Asian Blepharoplasty (creating a crease in the upper eyelid where there was... more