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Will Bruising After Blepharoplasty Go Away?

I still have some bruising a month after lower eyelid surgery to remove bags. Will this ever go away? I have what seems like dark circles directly under eyes. I never had this problem before. Will this clear up?

Asked 34 months ago by becky in cali in california

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Patience is a virtue after Blepharoplasty

Reasons for dark circles after surgery: 1. Prexisting skin pigmenation - not your problem 2. Thin skin with appearance of blood vessels under the skin - also something that you would have noticed before surgery. 3. bruising or blood under the skin - this is the likely reason; It can take up to 6 months for this to go away. Some people swear by topical vitamin K or arnica as a way to hasten improvement. However, there are no studies to prove them right. 4. Blood trapped behind the orbital... more

Robert M. Freund, MD

New York Plastic Surgeon

ASPS

Bruising from eyelid surgery will clear up in time

Hi Becky, Thank you for your question. If it is bruising, it should clear up. Some patients heal within two to three weeks and other patients it takes months. It just depends on each individual and exactly what was done. There are many variations of lower blepharoplasty procedures. If you still have the dark circles under your eyes after you have given it some more time, it could possibly be something else besides bruising. At this point, it may be time to pay another visit to your plastic... more

Sam Speron, MD

Chicago Plastic Surgeon

ASAPS ASPS

Too soon to tell for sure

At one month after lower lid surgery, most patient's bruising is gone but in your case there could still be some staining of the tissues from blood in the tissues or a variety of other issues. Ask your doctor what he or she thinks. Be patient, massage the tissues towards your ear and give it another 2-3 months.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Bruising after blepharoplasty

In my experience in over 30 yrs. it does .Some patients will be well along in the process in 2 to3 wks. and some may take 2 to 3 mos. There is often some relation to skin type and to the type of surgical proceedure you had. Patience is the watch word here and discuss your concerns with your surgeon.

Barry H. Dolich, MD

Bronx Plastic Surgeon

ASAPS ASPS

Bruising can sometimes take months

Bruising from blepharoplasty surgery can sometimes take months to go away. Let me ask you a question: Have you ever had a black and blue mark when you were a kid or even a year ago? Do you still have it? All bruises go away but just take time.

Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon

Dark Hollows and Blepharoplasty

Dear Becky, the dark color of the lower eyelids can be mulitfactorial 1) residual hollows 2) pre-existing dark color of skin- due thin skin, pre-exsiting pigmentation 3) tissue staining from bruising There are supplements and medications that can help with bruising- such as Arnica, Traumeel, and Retinin A. Wtih Warm Regards, Trevor M Born MD

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

After a month, this is probably not bruising.

Hi. You are seeing something you don't like. I don't know what it is. Wait another 2 months to see if it improves. Then get a consultation with another board certified plastic surgeon if your own surgeon does not have a solution.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Bruising and dark circles after Blepharoplasty in dark-skinned people

Bruising after blepharoplasty usually resolves in a few weeks. In some patients however, especially patients with very thin skin and a propensity to dark circles, that is darker skin types, bruising can take many months to go away. Some people have many small blood vessels or veins in the lower eyelid skin which causes a blue or purple color to the eyelid skin. Bruising in these patients usually last longer. Be patient, wear concealer and give it time. Be sure to avoid sun exposure to... more

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Blepharoplasty ...When Will Dark Circles From Bruising Disappear?

Hi Becky, Yes, bruising after lower eye lid surgery usually goes away within a few months. You may use nightly warm compresses in the area to facilitate clearing of the bruising. It should clear up. Good luck and be well. Dr. P

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Bruising after blepharoplasty

Unfortunately, you haven't posted a photograph. The darkness under the eyes could be from residual bruising, which would abate. It could also be a pigmentation issue and, in that case, the question would be whether this is a pre-existing situation on which you are now focusing because of the absence of the bags . Consult with your plastic surgeon. Take a look at your pre-op photos to see if the condition was present prior to surgery Best of luck in your recovery.

Robert L. Kraft, MD

New York Plastic Surgeon

ASPS

Bruising after eyelid surgery depends on your natural skin type and coloring

The answer to this depends on your natural skin type and coloring. You can help the resolution of any post-operative bruising with topical cream that contains Vitamin K. This will help to break up any remaining deposits of hemosiderin (the component of the bruise that can be long lasting, in the skin).

Doctor's Website

Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon

Bruising after lower lid blepharoplasty

Some patients can have persistent bruising after blepharoplasty. Some factors which can lead to darkness around the lower eyelid area include: Failure of "blood" to be absorbed. In select cases, can take months Removal of too much fat- Increasing the hollows around the lower eyelid can make the darkness darker. Deeper hollows will create more darkness. An analogy would be of deep water looking darker than lighter water. Accentuation... more

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Dark Lower Lids Not Bruising

One of the most difficult problems to deal with in eyelid surgery is dark lower lids. The main reason for the dark circles is the appearance of blood vessels close to the skin with associated thin skin. Light reflection also has a part to play. And a complaint that we all often hear is that the dark circles are worse after surgery. I believe that this has to due with a reduction of pressure on the vessels thus allowing them to engorge more and therefore creating more darkness. I and... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

As your surgeon if he recommends a topical treatment to lighten up the discoloration.

Hi Becky: Time is on your side and there are solutions. Depending on how things were going for the first few weeks after surgery, you may be experiencing persistent bruising. However, you may also be experiencing staining of the skin from the initial bruising which may require a topical treatment to reduce the discoloration. There are options for both persistent bruising and for discoloration. I recommend a product called Auriderm by Biopelle for persistent bruising as it is the only... more

Thomas T. Nguyen, MD

Orange County Plastic Surgeon

ASPS

Dark circles have many causes

Depending on what was specifically done to your lower eyes, the dark circles can be from staining of the soft tissues from the breakdown products of hemoglobin, from the increased concentration of pigmented skin as it bunched up after fat removal, from residual bulging and the shadowing effect, to hyperemia or persistent post-traumatic inflammation in the skin. Simple bruising should eventually resorb and disappear.