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Eye Bags and Swelling 8 Months Post-Blepharoplasty

My doctor doesn't know why the swelling and eyebags 8 months post-procedure won't go down. For the last 2 months, I've been using a special cream that he gave me, with little success. He says he removed enough fat, and there isn't a need to remove more.

I have more swelling on my left side, I believe due to the suture knot not being trimmed short enough. It is somewhat noticeable and causes a little discomfort at times. I can feel it though my skin, at the corner of my eye. He said he will trim this for me next month. I'm desperate for other opinions as I'm now trying everything from drinking green tea, eating more cucumbers, massive vitamin intake, etc.

Anything to help my body not retain the excess fluid? What can I do to improve the condition? I'm open to suggestions and professional opinions. Thank you all for your time.

Asked 38 months ago by Beachnutkitty in Wester-Ohrstedt, Germany

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eye bags swelling

A tricky balance

It is difficult from the looking up photograph to see exactly what the problem is. It appears as though there is hollowness immediately below the eyes, some retraction of the eyelids, and fullness, perhaps with irregularities from ? fat injection below that at the eye-cheek junction. It appears that your eyes are quite prominent. Often when prominent eyes are operated on through a lower eyelid (subciliary) incision, the eyelids can pull down, as though seeking a lower position on the... more

Doctor's Website

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Prolonged swelling after lower eyelid surgery

I concur with the other recommendations and highly advise you seek an additional opinion by a board certified plastic surgeon, oculoplastic surgeon, opthalmologist, ear nose and throat physician, and/or internist. Swelling of the lower eyelids has a variety of causes and surgery is not always the answer: This includes condition such as thyroid disease. If the condition is caused by inflammation antiinflammatory medications and drops may be beneficial. Surgical treatments may produce... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Swelling of eyes

It is not very common to have swelling 8 months after surgery. If there is an eye irritant that can cause swelling. If your eyes do not close well, that can also cause swelling. It is hard to tell without examining you. If you have fullness in your lower lids, then perhaps there is still some fat that is prominent and may need to be removed.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Swelling and lump

I have experienced the bump at the corner of the eye. For some reason this is not uncommon, and is usually (in my patinerts) scar tissue (I use a resorbable suture). A small snip and it is over. Your sweliing is another story. It may be that there is more fat there, but I would tend to believe your surgeon, as he was there to observe the anatomy. So, going on the assumption that this is swelling, one thing that might help is kenalog (steroid) shots. This must be done based on exam, and... more

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Kitty eyes?

Kitty, It is difficult to tell from this picture, but it does appear that you have some residual lower lid fat that needs to be removed. Also, you are looking up so that may be causing the scleral (white) show below your iris. If it is showing from a direct frontal view you may need a canthopexy/canthoplasty procedure. This would raise the outer part of your lid giving you a more cat like appearance, but would correct the scleral show. You may also want to ask what is in the cream that... more

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

A surgical revision may correct the problem.

At 8 months, it is very unlikely that this problem will get better. Most patients see dramatic results within 4-6 weeks following an eyelid procedure. From the picture, it is difficult to tell if you also have some abnormal show of the "whites" or conjunctiva of the eye. This could be corrected at the same time as further fatty removal and lid tightening. Discuss surgery with your doctor. Get a second opinion with a consultation. Our answers may guide you, but examination by... more

David A. Dreyfuss, MD

Chicago Plastic Surgeon

ASPS

Unfortunately, this will not go away without a surgical revision.

To Beachnutkitty, Operating on the lower eyelids can be quite challenging, and your problem is not that rare and it is difficult to correct. You do not have more fat that needs to be removed, and the stitches are not causing this. The problem seems to be a sharp line between your inner cheeks and you lower lids, with some swelling and some rounding of the eyes. You probably need another eyelidpasty with tightening and lifting of the outer corners of the eyes (a canthoplasty). The sharp... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Swelling after surgery

I would give it 4-6 more months. Up to a year or so in some patients, eyelid swelling can exist. These people are rare but theories are that the lymphatics are cut during the surgery and need time to regenerate. The lymph system nornally drains the fluid from our tissues. This may take some time....

Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon

Be patient with swelling after eyelid surgery. Home remedies don't work.

You may have swelling even after 8 months. This is unusual but not unheard of. These vitamins and creams you are using are ineffectual and I would skip them if I were you. It is possible some additional fat might need to be removed especially from your left eye. But it is too early to make that judgment. As long as you are making some progress, albeit modest, observation should continue.

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Transconjunctival blepharoplasty with fat repositioning to help bags 8 months after blepharoplasty

There is residual fat that is causing the puffiness or eye bags 8 months after your blepharoplasty. This is causing the dark circle or shadow beneath your lower eyelid which makes the bags more noticeable. The correct procedure to fix this problem is called a transconjunctival lower blepharoplasty with arcus marginalis release and fat grafting. This procedure will lessen the eye bag and also plump the dark circle beneath the lowe eyelid by placing the fat beneath the depression below the... more

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Perhaps redraping the fat is another option

In a brief perusal of your picture and reading your short synopsis you may want to dicuss a possible revision with redraping of the fat over the rim of the orbit. It appears to me that removal of any mor fat will be detrimental and hollow your socket appearance. I have done several revisional surgeries on my own patients and this has been an acceptable solution. Unfortunately this sometimes happens. All the best.