Chemosis after Blepharoplasty

I had upper and lower blepharoplasty, and I still have severe chemosis on one eye after 9 weeks. I am using tear drops and a lubricant, and I'm also taking antibiotics. Will this heal, and how long will it take?  I'm very depressed.

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15 answers to “Chemosis after Blepharoplasty”

A: Chemosis after blepharoplasty will settle down

William Portuese, MD

Chemosis after blepharoplasty will settle down, but it sometimes can take a couple of months. Continue to use eye drops such as Natural Tears and Lacri-Lube ophthalmic ointment as a lubricant. Antibiotics are not going to make this go away at this point. It could probably take another month or so before it... more

A: Don't be depressed as with time it should all resolve

Amir Moradi, MD

Chemosis takes a long time to resolve and full resolution takes 6weeks to 3 months.  Although I have only experienced that once in my carrier, it can occur and it takes weeks to months to gradually resove.  I would not recommed using steriod eye drops for more than a few weeks as it increases the... more

A: Chemosis after Blepharoplasty

Frank P. Fechner, MD

Although it can happen with any surgery  around the eyes (and to any plastic surgeon for this matter), chemosis develops most commonly if lower blepharoplasty has been part of the procedure. If only the upper lids have been operated, it is very rare. If additional procedures have been performed such as... more

A: Hard to tell

Scott E. Kasden, MD

It is impossible to tell exactly. You may want to ask your doctor about steroid eye drops, or perhaps a small procedure to correct it. Sometimes, cool compresses and gentle massage to the closed eyelid may also help, but again, check with your doctor.

A: An unfortunate complication

Christopher L. Hess, MD

Chemosis after blepharoplasty is one of the complications we all look to prevent.  This can occur because of a negative vector or is more common in women in their 40's and 50's because dry eyes tend to occur more in these ages due to hormone changes. You're doing everything right.  And usually... more

A: Chemosis will resolve

Kenneth R. Francis, MD

Ann, Chemosis can be a very frustrating complication from blepharoplasty.  The treatment includes natural tear drops, steroid eye drops and sometimes even a temporary stitching together of your eyelids (tarsorrhaphy).  See your surgeon for treatment options and good luck.

A: Would use steroid drops by this time

Robert T. Buchanan, MD

Chemosis, or inflammation of the conjunctiva, happens about 20% of the time, even to the best of surgeons. It is usually treated initially by the measures you have mentioned. When it persists, as yours has, use of steroid drops is the next treatment, unless you have some contraindication. If so, there are... more

A: Persistant chemosis is a tough problem

Jeffrey Zwiren, MD

 Chemosis can be a real problem and in a major US publication it has an incidence of 25%.  Many things can be done to  help prevent this problem but it still can occur.  It seems that you have been instructed to do some of the usual things for chemosis such as eye drops, and lubiricants.... more

A: You need aggressive dry eye treatment

Kenneth D. Steinsapir, MD

Dear Annouscka, Chemosis is swelling of the conjunctiva following eyelid surgery. The conunctiva is the white covering that surrounds the eye. Just like the eyelids swell after eyelid tissue, the conjunctiva can also swell.   Chemosis is common enough although an incidence of 10% is overstating how often... more

A: Chemosis is different from dry eye syndrome

Hisham Seify, MD, PhD

Chemosis is by definition, the swelling of the conjunctiva. It is a rare poorly understood phenomenon that occurs after lower lid surgery. Dry eye syndrome is a different clinical problem that occurs due to a variety of reasons e.g undersecretion of tears, corneal exposure, etc. Both problems could occur... more

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