This can take a little longer to resolve itself

Philip Young, MD answers: Tightness and swelling post-Blepharoplasty

I had incisional double eyelid and lower blepharoplasty a month ago. One of my eyes isn't recovering well; the eyelid is still swollen and feels a little tight. The other eye is also bigger than the other. Is this normal, and will it eventually get better?

Tightness and swelling post-Blepharoplasty
Philip Young, MD
10 months ago

I can see that from your picture your right eye is a little bigger. This can happen with lower eyelid blepharoplasty when this procedure entails taking skin and fat. The skin resection and the scar contracture is what can cause the lower eyelid to retract downwards revealing more eye in your right eye. This can take a while to resolve on it own. Sometimes, steroid injections can help.

In the long run, it may require other procedures to improve this. This is one reason why I don't prefer the lower eyelid blepharoplasty as a procedure and believe in restoring volume to the lower eyelid and cheek region. I also prefer fat injections for this area for a longer lasting effect and more natural looking results. Sometimes this takes up to a year for the tightness to get better and for things to look better. Patience can be a virtue during this transition.

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