I had a facelift on October 27. It has been 2 months, and I still have black eyes. My surgeon said that they usually go away after 2 weeks. However, I feel as though I'll have black eyes forever. Instead of feeling good about my facelift, I just see the black eyes. Will they ever go away? Does it just take time?
Black Eyes After Facelift Surgery
Doctor Answers (13)
Promoted Local Answer Promoted local answers are based on Featured Doctor activity within your current location.
Reduce Black Eyes with Face Lift Surgery
Any cosmetic surgery, procedure, or product has the potential to result in bruising, and skin discoloration. Luckily, most of this bruising is temporary and fades away in a few days or weeks. More extensive procedures may take longer to recover. What can one do to proactively minimize the bruising after cosmetic plastic surgery? To help have the best outcomes after plastic surgery, follow the basic guidelines below.
Avoid Blood Thinners
Makes sense, correct? But we are sometimes unaware that normal medications or herbs may cause bruising. Stop all aspirin and aspirin-like products such as ibuprofen for at least 2 weeks prior to your procedure. Avoid any herbal teas or medications which have blood thinning qualities such as St. John's wort, ginkgo, ginger, garlic, ginseng, kava, vitamin C, and vitamin E. Your plastic surgeon will let you know when it's ok to resume taking these products.
Elevate Your Head
Avoid lying flat or prone. Positioning your head on top of a few pillows, or elevated mattress top, will help reduce bruising, swelling, and pooling of blood in the area. Let gravity play a role in the healing process.
Crushed ice or cool compress help constrict the blood vessels and help prevent a bruise from spreading. Ice should not be directly on the skin. Use a soft cloth to help distribute the cooling effects of the ice to the skin. Ice and cool compresses are especially important within the first 2 days after cosmetic surgery.
No Strenuous Activity
Any activity which elevates your blood pressure or causes Valsalva effect may exacerbate and cause bruising, at worst even frank bleeding. Strenuous activities to avoid include, but are not limited to running, exercise, weight lifting, pilates, aerobics, cycling, climbing, and sex. Yoga should be avoided too. Patients should even avoid straining on the toilet! Your plastic surgeon will inform you when you can resume normal activity.
A homeopathic or alternative medicine approach to bruising, Arnica is available without prescription. Arnica helps alleviate dark, swollen bruises by apply a gel containing arnica every few hours over the affected area. Arnica has traditionally has been used for muscle aches, sprains, and bruises. Some may have a reaction to arnica. Discontinue use if the treated skin becomes red, itchy, or inflamed. Speak to your plastic surgeon before starting arnica, as it is not allowed at all for some cosmetic procedures.
Web reference: http://www.potomacplasticsurgery.com
Black eyes after Facelift should go away with time
Sometimes, black eyes are due to many factors that can thin your blood or make you bleed more during surgery and afterwards. Genetics, medications, technique of the surgery, etc can all play a part.
When you ooze more during and after your procedure, you will tend to develop more bruising. Two months is rather a long time to resolve this, and it may be due to your circulation and general health. Also, with a facelift, the lymphatics that drain your eyes and the pathways from eyes to your general lymph system and circulation are sometimes impeded due to the area of the facelift. Your eyes drain towards the angle of your jaw, below your ear. This is the exact area that is manipulated during the facelift and can impede the drainage of your black eyes.
Exercise and sometimes massage and warmth can help. Black eyes can also be due to iron deposits from blood where your bruises where located. This is harder to treat but can be the same treatment as with persistent bruising, i.e. exercise etc. Sometimes, people also attribute prominent veins to the appearance of black eyes. If these are veins or blood vessels, time will improve them. Sometimes lasers can help decrease the appearance of these vessels. The only way you can find out is by having someone look closely at it.
I would follow-up with your doctor
I agree that its been quite a long time since your surgery to still have bruising. It's impossible to give a real answer without pictures before and after. Please follow up with your surgeon.
You might also like...
Black eyes 2 mos after facelift?
It is unusul to have residual brusiing 2 months after a facelift. Circles around the eyes is not uncommon for some people. They can be due to thin skin. Sometimes hydroquinone can be helpful. If it is truly bruising and not just dark circles I think you just have to let it subside on its own.
Arnica Montana may help
I would agree that the time it has taken is longer than the usual course for bruising to go away. Also please do continue to follow with your Physician - it is possible you had a more extensive facelift (ie. midface or cheek lift) that would account for bruising by the eyes.
However, everyone is a little different and the eyes are very delicate and can "hold on to" bruising longer than other parts of the body.
You may also consider trying Arnica Montana (pellets or topical gel) to help the bruising resolve quicker. It is best used either before surgery or immediately after, but i have had many Patients report good success even several weeks after a procedure.
Thanks & hang in there it will resolve,
No good explanation without seeing a picture
Since a facelift doesn't involve your eyes directly, I can't give you a good answer. Assuming you went to an excellent doctor, I would recommend you stick close to them and they will help you through what sounds like a longer than usual recovery. Cover-up, and various topical treatments and massage can possible assist in a faster resolution.
Dark circles from eyelid surgery.
Black eyes can be very common after eyelid surgery, and the problem usually has to do with the fact that blood pigmentation( hemosiderin) will oftentimes be deposited in the skin after this type of surgery. One can either wait long enough and the pigment will usually disappear, but there are also topical products that contain vitamin K stabilizers to minimize the deposition of pigment in the skin. The topical creams also contain peel products that tend to lighten the discoloration in the skin
Be sure and ask your Plastic Surgeon about this. Good luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
Web reference: http://w.w.w riegercosmeticsurgery.com
Facelift - Black Eyes After Facelift Surgery
Prolonged "black eyes" after facial surgery, including facelifts, eyelid surgery and rhinoplasty ("nose jobs") can occur, particularly if there was a lot of bruising, thin skin, or a combination. It usually fades pretty well on its own within a few months so I would expect yours to settle down soon. You should, of course, follow up with your own plastic surgeon. Referrals can be made to other providers, including a dermatologist, if indicated for additional treatment modalities.
I hope that this helps and good luck,
Web reference: http://www.bodysculpture.com
Black eyes after facelift
This will subside over time. It will also go through a few shades of color as it heals. Just give it time. It could take 6 months and you should not fear that it will last forever.
Black eyes after a face lift
Skin darkening two months after surgery suggests that the skin itself darkened from irritation from the bruising. This is uncommon after a face lift, unless eye surgery is done at the same time.
- Bruising will typically move downwards and change to yellow green within two weeks. I have not seen even traces of bruising after six weeks.
- Darkening longer than a few weeks strongly suggests your skin made more color because of the bruising. This is called hyperpigmentation. It is common in people with color in their skins or of Mediterranean heritage. Treatment is prescription skin lighteners, tretinoin, glycolic, peels and at times, lasers.
- If your surgeon can't manage this problem, seen a Board Certified Plastic surgeon or dermatologist who can. Sorry about this and good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
You might also like...
Ask a Doctor
Get personalized answers from board-certified doctors. For free.