How Can I Relieve Long-Lasting Bruising After Eyelid Surgery

I had a lower Blepharoplasty performed 3 months ago and experienced severe bruising which settled below my eye. I applied cold compresses for twelve days, and discovered a topical arnica treatment (bruise guard)that I have applied since then. The bruises are still present, brownish and puffy in color, and are in a moon shape crescent on the upper most portion of my cheeks. I have massaged them, applied bruise guard daily, and want to know what else can be done. I look more tired than ever with the bruises. Deb

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5 Doctor Answers | Asked by Shari D. in Dayton, OH

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Discoloration from bruising after eyelid surgery.

The discoloration, that you are describing, after bruising from your lower eyelid surgery 3 months ago is most likely hemosiderin pigment that has stained the skin. This discoloration most often goes away on it's own but can take 6-12 months. You can see a dermatologist, in your area, for treatment options if your eyelid surgeon gives you a referral.

It will go away

If and when bruising is extensive, there is simply more blood-related pigment left in the skin that takes longer to resolve. You are doing the right things--arnica has been shown to help, but usually in prevention more that recovery. Gentle massage helps also. IPL's and lasers may help, but may cause further down time, so be careful with how intense these are used. Ultimately, time is on your side--use a good concealer and gradually the color will go away.

Bruising after Eyelid surgery

Eyelid surgery, or blepharoplasty, can frequently lead to mild bruising under the eyes. This typically resolves after 10 days. However, persistent bruising at 3 months after surgery may be the result of hemosiderin deposits in the skin. This may slowly fade and at times can take 6 months to 1 year before it resolves. IPL/ light therapy or laser treatment may expedite things.

Eyelid Surgery

Your bruising is longer than we are accustomed to seeing. You may be taking aspirin like compounds such as aspirin, bufferin, advil, Naprosyn, or other NSAID drugs. These may contribute to this bruising. You may also be taking herbs like ginko biloba which also contribute to bruising. If you are taking any aspirin or aspirin-like medication, stop until you are healed. Also, stop herb therapy if you are taking any. Supplementation should consist of only a... more

After 3 months it may not be bruises

It may be that there are bruises that last a long time. But, after 3 months it may not be bruises. it may simply be the vasculature under the skin - which now may be more obvious if the skin has been lifted up during the blepharoplasty. So, the cause of the dark circles has to be determined. If it is vascular sometimes IPL or Intense Pulse Light treatment may be helpful. If it is pigmentation, hydroquinone may be helpful.