Fluid retention due to Blepharoplasty?

I recently had a lower Blepharoplasty done 8 weeks ago. Just the removal of fat tissue, nothing elese. I hardly had any bruises after the procedure but the lower lids have always been a little puffy.

My surgeon, after examined them, said it was due to fluid retention and would get better over time. However, my eyes have been looking the same, 3 days post operation. If they haven't changed after 2 months, how would I expect them to ever change? Or, could my problem due to something else?

My surgeon said he cannot tell the condition will be permanent or not and there is nothing I can do. Can I do something to improve my condition? Any response will be appreciated.

Fluid retention due to Blepharoplasty?
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13 answers to “Fluid retention due to Blepharoplasty?”

A: Fluid retention after blepharoplasty can be problematic in some patients.

William Portuese, MD

Fluid retention after blepharoplasty can be problematic in some patients. Altitude, air pressure changes, hormones, and allergies can all affect fluid retention. A low-salt diet would be recommended at this point. At three to four months after the surgery if there is still fluid retention, one has to... more

A: Wound healing is long term process

Richard Gentile, MD

Your results are satisfactory and the effects of surgery can take as long as a year to settle. I have seen mild edema (swelling) in lids past six months, so be patient.

A: Your Blepharoplasty results look nice

Christopher L. Hess, MD

It looks like your surgeon did a nice job. He seems to have removed the appropriate amount of fat. Although it's difficult to tell from the pictures it does appear that you have a small amount of SOOF fat. This is okay and will keep you looking young.  However, this is likely what you are referring to. So... more

A: Some edema normal after Facial Surgery

Raj K. Gupta, MD

It is unlikely to to get significant general body fluid retention after head and neck surgery, BUT some edema or fluid retention in the areas in which surgery was done is normal. After eyelid surgery, some swelling of the face is normal and can last up to two weeks, some swelling of the eyelids will persist... more

A: Your after picture looks very nice.

David Shafer, MD

In comparison to your before picture, your after picture looks very nice. You have a smooth lower lid and lid/cheek junction. Unless there is something that is not apparent in the picture, you should be very happy with the result.

A: Swelling around eyes can last months

Robert M. Jensen, MD

It looks like you a very nice result. The swelling around the eyes can take months, even up to a year to completely resolve. I would be patient. Revision surgery this early is most likely to create more swelling, not less. It should get better on its own.

A: Wait for the Blepharoplasty swelling to resolve

Scott E. Kasden, MD

I agree with Dr. Beraka. You have a very nice result, and I think it would be easier to mess it up than improve it. You may try head elevation on an extra pillow to sleep. Another noninvasive idea is to wear a sleep mask that will put gentle pressure on the lids to help swelling.

A: Swelling post blepharoplasty not uncommon

Andrew Y. Kleinman, MD

It is not uncommon to have swelling post blepharoplasty. As more time goes by, you will notice somedays they will be swollen and some days they will be less swollen.  This happens anytime you remove fat from the body. When I do VASER Liposuction on the body, I remove the fat. Swelling happens amost every... more

A: Minimal swelling after Blepharoplsty will resolve

Stella Desyatnikova, MD

Looks like you have a really good result. Minimal swelling that you may still have and may be hard to see in photos will probably gradually go away over time. Enjoy the results of your surgery.

A: Puffiness is normal Asian orbital and eyelid anatomy

Tanuj Nakra, MD

Let's start with your preop photo. In the region of your lower eyelid/upper cheek, you have a "roll" below the lash line on both lower eyelids. Then there is a second "bulge" below the "roll", that many people would call a "lower eyelid bag." The upper "roll"... more

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