Droopy Eye Corner Skin After Blepharoplasty

asked 3 years ago by Renee Miller
Latest answer by William Portuese, MD
Question viewed 1,459 times

I am 5 weeks post-op bilaterial upper Blepharoplasty. My left eye is healing fine but the inner corner of my right eye has sagging or droopy skin! I saw my surgeon after a month, and she said to be patient, I won't see a total result for 6 months. I don't see how the skin will tighten; I thought the skin usually relaxes with time. Do you think this will shrink? It sure looks to me that I will need a revision to just remove the excess skin. Can this be done as soon as 3 months? Thanks.

10 answers to Droopy Eye Corner Skin After Blepharoplasty

Medial upper eyelid skin droopiness after blepharoplasty

There is a tradeoff on the medial eyelid skin. If the incision is too medial, it shows even when the eyes are open. A conservative approach is usually best so that the smallest, least visible correction can be made.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

This area does take quite some time to settle down

The skin on the inside corner of the upper eyelid does take quite some time to settle down. There is occasionally some residual wrinkling that is present on the upper lid closest to the nose. The design of the upper lid crease and incision sometimes does not allow for full correction of all of the excess skin in that area of the upper eyelid. Sometimes a small tuck of excess skin can be removed, but careful attention to not make the incision more noticeable in that area is very... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Skin medially often retracts as swelling decreases

It is best to follow the advice of your surgeon and wait. The skin in the medial area of he eyelid often takes a little longer to retract, especially if you had a large medial fat pad that needed to be removed. It is always best to work with your original surgeon during the immediate post-op period, as she knows exactly what was done during your surgery.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

You can revise Blepharoplasty in 3 months once swelling is gone

With lower eyelid surgery, it is vital that the surgeon does not remove too much skin, which can be very hard to correct. If there is some excess skin you can always go back and remove a little more easily. At only 5 weeks out, I would definitely wait because the skin may tighten on its own. If nothing changes, and at 3 months your surgeon sees no swelling of the lower lid, then revision can be done at that time. Be sure to discuss your concerns with your surgeon so that they can be... more

Andrew Miller, MD
Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

Let yourself heal and see what the final blepharoplasty result will be

There are many patients who heal at different rates on both sides of the same surgery. There are also preoperative asymmetries that can affect the ultimate result. Give this some time and see how things look at six months. If there is redundancy that concerns you, it is simple to correct.

Richard Gentile, MD
Cleveland Facial Plastic Surgeon

www.facialplastics.org

Yes to 3 months

You may get a revision as early as 3 months. I would agree to the waiting, what's the rush, you are already half way there! sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

After 3 months a minor skin revision may be indicated

When designing the incision on the medial or inner aspect of the upper eyelids we do not like to extend it too close to the nose skin. This will leave an unsightly scar. There are several techniques available to help to blend in the corners while removing most of the loose skin. There are several factors that must be taken into account when determining how much skin to removed. You certainly do not want to be left with an upper eyelid that will not close or an over resected upper eyelid... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Waiting after Blepharoplasty is appropriate

Small elements of asymmetry or skin excess can indeed change with time. 3-6 months of waiting would not be unreasonable prior to entertaining any revision. In general, a small correction corresponds to a shorter downtime and quicker recovery. Discuss this with your surgeon and come up with a plan if anything further is necessary.

Michael A. Marschall, MD
Chicago Plastic Surgeon

Excess inner corner of upper eyelid after blepharoplasty can be revised

You still may be swollen after upper blepharoplasty and I would wait 6 months for revision. If you do it now and there is swelling, too much skin may be removed. There are commonly 2 possible reasons for fullnes of the medial upper eyelid skin after upper blepharoplasty. Most commonly some medial upper eyelid fat is left behind, and this causes the bulge inside the corner near the nose. The other situation is that not enough skin was excised. Both of these problems can be easily revised... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Possible to correct droopy eye corner after Blepharoplasty

Typically, I like to wait around 3-6 months prior to doing a revision because many times things will settle down with time. It is possible that if it is obvious on physical exam that I left a little too much skin I will do a revision sooner just so you can get on with enjoying your result. Hope this helps.