One eye barely changed after Blepharoplasty

I had Blepharoplasty done 5 weeks ago, and I immediately noticed post-surgery that the incisions were not the same. However, I didn't worry. Now, one eye looks wonderful and awake, but the other still has overlapping skin and looks tired. What could have happened? Is this result common with the procedure? I'm not sure if I should call my doctor prior to our next appointment (at the 10th week), or just wait and let it heal.

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14 answers to “One eye barely changed after...”

A: Yes, call your physician who did the surgery

Andrew Y. Kleinman, MD

It is always best to keep in contact with the physician who performed the procedure. I would suggest you call the office.  It is always helpful for the surgeon to see exactly what you are talking about when it is happening.  Instead of waiting. So call the office and see what they say. This way you... more

A: Don't forget about the brows!

Brett S. Kotlus MD, MS

One of the most overlooked contributions to excess upper eyelid skin is the postion of the brow. Interestingly, it is common for one brow to be lower than the other, creating more extra eyelid skin on one side. This is something I point out to patients before any eyelid procedure, and I will often recommend a... more

A: The eyes have it

Kenneth R. Francis, MD

Bronte, Five weeks following a blepharoplasty is still quite early.  You may have different amounts of swelling on each side causing the asymmetric appearance.  Have patience and trust your surgeon, especially if he/she is a board certified plastic surgeon.  I'm sure that your plastic surgeon... more

A: Give it some more time

Samson Lee, MD

Swelling unfortunately is a common occurrence after cosmetic surgery. It takes several months for the final result to be realized after most cosmetic procedures although with the exception of rhinoplasty most of the swelling goes away in the first 1-2 months. I would contact your surgeon if you are concerned.... more

A: Uneven eyes after blepharoplasty (eyelift)

Otto Joseph Placik, MD

There are many factors which make operating on the eye difficult. One is the interaction with the surrounding areas. For the lower eyelid we look at the cheek. For the upper eyelid we look at the forehead an brow The activity of the muscle surrounding the eye are complex and can vary The medications used... more

A: Asymmetric excision or Ptosis both are not hard to fix.

Hisham Seify, MD, PhD

Five weeks after surgery is a little early to consider revisions. The cause of asymmetric eyes after blepharoplasty includes: 1-Asymmetric incision or removal of less skin on one side. 2-Droopiness of the upper eye lid due to weakness of the muscle (Ptosis) In any case small revision would fix the problem. I... more

A: Give it some time

David Shafer, MD

Bronte, Five weeks a bit early to start getting worried.  Give it a little more time (say three months) to allow all the swelling to resolve.  Also, depending on if you had any other procedures done at the same time (Brow?), you may have some neuropraxia (weakness of the nerves) which may lead to a... more

A: Needs time to heal

Jeffrey Zwiren, MD

There can be many reasons for early asymmetry and it can be normal.  It would be important to evaluate your eyelid appearance prior to your procedure in order to get an idea as to the amound of pre-existing asymmetry, if any.  Also it would be important to note any differences in the open distance... more

A: Earlier follow-up recommended

Edmund Fisher, MD

Dear Bronte, Your concern is not uncommon after blepharoplasty. Most healing and swelling should be resolved after 6 weeks, although it usually takes months to reach the final result. There is not much that can be done until healing has finished, to avoid "chasing your own tail" at surgery. Your... more

A: Close contact with your surgeon is critical

Shahram Salemy, MD

During the healing process, it is critical that you stay in close contact with your surgeon. He will be able to assess your concerns and let you know how he feels you are progressing. A few thoughts to consider, and some of these have already been mentioned. We are all somewhat asymmetrical, and this means... more

Comments

aliu
109 posts
17 Nov 2008

Hi Bronte, I can understand your concern about the asymmetric appearance of your eyelids after your procedure.  Although one would think that both eyelids would heal in equal fashion, that is typically not the case.  That being said, there are many factors in healing.  How was the surgery performed?  Was it with a laser (which takes longer to heal from)?  Was it a 4 lid surgery or together with a browlift?  The best thing to do would be to discuss your concerns with your surgeon.  Although your appointment is not for a while, he or she should be able to at least examine you to let you know whether according to their surgery, you are healing normally for this point in time.  There is a wide range of appearance and healing time for individual patients that can be considered "normal" despite the asymmetry of your appearance.  Some small asymmetry is inevitable with any surgery; whether or not it is noticeable is something different.  Later on, if the correction is limited to just a small amount of excess skin, this is something that can be corrected quite simply.

Renee Miller
7 posts
12 Mar 2009

I too have a problem with droopy skin on my right eye tree weeks post-op. I'm trying to be patient and wait till my appt. for 1 month. I'ts just that the left eye looks great and the right looks worse. The extra skin just folds down at the inner corner of my eye which it nwever did before. Do you think this will resolve or will a revision be necessary.

Emma Hagans
1 post
24 Mar 2009

Is eyelid surgery expensive?

Sharon from RealSelf
1417 posts
25 Mar 2009

Hi Emma, You can check out the average costs of blepharoplasty in your area with our blepharoplasty cost map.

Bronte
3 posts
6 Apr 2009

Hi Renee, i didn't know how else to contact you so i hope you see this. I'm the original question writer. My eye never improved and my surgeon did a revision that did not help much. I found a new surgeon who easily saw the problem and corrected it. This was an emotionally draining process and i'm glad it is all behind me. I feel i look fine, however have more scarring on the eye that had so many touch ups. At least the lid is no longer drooping. I'm sorry you are going thru this. These doctors don't appreciate what it's like to put yourself thru this, try to heal and then be so heartbroken. They talk about additional surgery like it's nothing. It's very difficult emotionally. - Bronte

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