Will These Bags or Festoons Finally Leave or Will This Be the Results, 1 Week Post-Op Lower Eyelid Surgery?

Typically I would recommend waiting 4-6 weeks to see the results from lower Bleph; however, persistent festoons after lower bleph may not just contract with time as these are excess or hypertrophic orbicularis muscle that need to be excised and suspended. The typical lower Bleph procedure does not adress those specific needs. I would wait for at least a month before discussing a revision with your surgeon. Although fillers are excellent for tear troughs and peri-orbital furrows, I do not recommend them for festoons as the injection will need to be more superficial and that will likely create visible and palpable irregularities. I would definitely recommend surgery over fillers. Consult a qualified and experienced Facial plastic, General plastic or Occuloplastic surgeon in your area.

Festoons always look worse in the first few weeks following eyelid surgery. That said, festoons that were there ahead of surgery are likely to improve but may not disappear 100%. Give youself up to 3 months before deciding whether the surgery was helpful. While healing you may find lymphatic drainage massage helps reduce the swelling. I also recommend trying to figure out which factors tend to make the festoons worse, such as certain foods, sleeping position, etc. Be very cautious about getting filler injections to camouflage the festoons. Fillers in the lower lids can look better in the flat reflection of a mirror, but in reality can make the puffiness worse.