Asymmetrical eyelids after Blepharoplasty

I think I have asymmetrical eyelids after 8 weeks of upper Blepharoplasty. My right eye crease is a bit higher than the left eye's, and that causes uneven eye shapes. Not sure if swelling still exists on the right eye, but it looks more puffy than the other. I'm not sure if I'll be happy or satisfied, but will I need a revision surgery? Will the swelling eventually go away after 2 months or so? If revision surgery is needed, will that involve correcting the right eyelid only, or both?

Asymmetrical eyelids after Blepharoplasty
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8 answers to “Asymmetrical eyelids after...”

A: Asymetrical eyelids after blepharoplasty can improve for 4-6 months after surgery

Brooke R. Seckel, MD

Your right eye is still more swollen than the left and should continue to improve for the next few months. The right upper eyelid looks a little lower and the eyelid muscle may still be regaining function after surgery. These asymetries are not uncommon and yours appears to be very slight at this point. I... more

A: Evaluate 4 months after surgery

William Portuese, MD

At eight weeks post blepharoplasty the eyelids are not fully healed and no revisional surgery is required at this point. After three to four months if there is still an asymmetry that is present, revision blepharoplasty surgery can be considered. Sometimes only one eye needs to be corrected, and occasionally... more

A: Eyelid asymmetry

Steven Wallach, MD

Eyelid asymmetry after an upper eyelid bleph is the norm. However, your asymmetry may be from swelling as well. Two months out is too soon to see the final result. You should give it at least 6 months to a year. I will bet that you probably had asymmetry to begin with as well.

A: you have ptosis of the upper lid more on the right side

Kamran Khoobehi, MD

There is some swelling but the main reason for the asymmetry is ptosis of the upper eyelid that was not treated. You are compensating with your eye brow lift for the eyelid ptosis and this most probably was camouflaged by the sagging of the upper lid skin before surgery. Please go back to your doctor and let... more

A: Upper lid swelling might stay for a while

Stella Desyatnikova, MD

Some minor swelling might take 6 months or longer to go away. Most likely, you'll be happy with your final result and will not need revision surgery. I would encourage you to discuss this further with your surgeon as well.

A: Wait

Min S. Ahn, MD

It is very common to have asymmetry between the two eyelids after Asian eyelid surgery even after two months. There still may be swelling and definitely healing of the incision. You should wait until the 6 month mark to make a decision on corrective surgery.

A: Give your eyelid time

Robin T.W. Yuan, MD

If you have an incision going from side to side on the upper eyelid and if sutures were placed into the muscle under the skin to simulate the crease, then swelling of the eyelid margin is not uncommon and may take a number of months to abate. In any case, the difference in the level of the crease is probably... more

A: Don't touch a thing: Swelling after upper lid blepharoplasty

Otto Joseph Placik, MD

This is still too early to draw any long term conclusions about the final result. If this is a double eyelid surgery then occasionally the swelling on the eyelid can persist. However, there are numerous other causes which should be evaluated by your surgeon prior to drawing any conclusions. These can... more

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