Droopy Eyes After Lower Blepharoplasty

I had a lower Blepharoplasty two weeks ago, and both of my eyes look a little droopy, especially the left one, giving me a tired look. Is it possible to correct it? How and when? I had a previous blapharoplasty four years ago.

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13 Doctor Answers | Asked by Scared in Florida

Doctor Answers (13)
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Swelling and edema

Since it has only been approximately two weeks since the surgery, your eyes can still be a little droopy from the edema and swelling. Give it a couple of months to settle down and have your surgeon re-evaluate your eyelids.

Massage and squinting exercises

Lower lid surgery can have a longer recovery time and more complications than upper lid surgery. Surgeons nowadays tend to remove minimal lower eyelid skin in order to prevent the lower eyelid from retracting the patient developing what's called ectropion, which is where lower eyelid everts. I have my patients start performing upward massage along the lower eyelid bone as well as doing a squinting exercises where they squint real hard and hold it for three seconds. I'll have them do this... more

Slow down and relax

Lower lid blepharoplasty, depending on how much work was done, can cause significant swelling and hence drooping of the eyelids for quite some time. This is especially true is the periosteum or layer of tissue over the bone was elevated for fat redraping. The best thing you can do is continue to massage the lower lids in a upper and out direction to both help the swelling the direct the tissues to their correct position. If you still have issues after 12 weeks then it's worth... more

Droopy eyes after lower Blepharoplasty

Dear Scared Florida Your concerns are reasonable and should be addressed by your surgeon. There are many steps at this time which will help keep the lower eyeid from pulling down more- massaging the lid in an upward direction several times a day temporary partial closure of the lower eyelid to the upper eyelid steroid injection into the healing tissue(if needed) Theratears - eye lubrication if you have dryness and/or patching the eyes at night or goggles for dryness taping of the lower... more

Doopy lower lids are usually temporary but could be a reason for concern

One of the most significant risks associated with lower eyelid surgery is ectropion. This is when the lower eye lids are pulled down. (could be everted in more sever cases) The reason is that the lower eye lid supporting ligaments can not handle the down ward pull of the skin of lower eyelid or the cheeks. Most of the time this is due to swelling and is temporary. But it could also be the result of scar retraction or excessive skin removal. Your surgeon needs to know about this.... more

Droopy eyes from Blepharoplasty will likely resolve with massage

Lower lid malposition is onr of the most common sequela following lower blepharoplasty. Most cases will not require any further managment. Massage and taping will help in the early stages. If you develop any signs of corneal irritation, please seek the advice of your surgeon and start using eye drops during the day and ointment at night.

Be patient - you will be surprised with time

If you post a picture, we may be able to give you more specific advice. However, this early after surgery, it is best for conservative treatment (massage and taping). You should discuss this with your surgeon. Good luck.

Yes

You are still experiencing swelling, and reduced eyelid function. At this time, it is early in the recovery. Talk to your doctor about taping the lower lids, and perhaps massage. Now is not the time to do anything but conservative treatment. Hang tough. sek

Don't panic. This isn't that unusual.

I assume you are talking about your lower eyelids. The upper can look “droopy” because of swelling right after any procedure on the eyes. The usual cause of “droopiness” of the lower lids at this point is residual swelling of the lids and some lack of support of the lateral lid, especially after a redo procedure. Although this can be a problem that may eventually need correcting, it will frequently resolve with a little time and TLC. You need to do several things.... more

Droopy lower eyelids after second Blepharoplasty

I agree that you need more time to heal. It sounds as though your lower eyelids are drooping or pulled down creating what we refer to as a sad eyed look. An external lower eyelid incision does interfere with the support of the lower eyelid, and drooping is particularly common if the lower eyelid is lax and does not have good support. A secondary lower blepharoplasty is particularly prone to drooping and in some cases can progress to an ectropion, especially if extra lower eyelid skin has... more