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Will This Resolve in Time. Has Anyone Seen This Before

asked 1 year ago by apprehensive in Philadelphia, PA
Latest answer by Francis R. Palmer, III, MD
Question viewed 1,068 times
Tags: crows feet, ptosis, 3 weeks post-op, normal, pinched

It is now 3 weeks post upper & lower bleph and ptosis repair. I have "pinches" in the corners of my lower eyes. The right eye seems to be getting better but the left eye has a deep trough and the skin at the top seems to adhere - not just swollen. Does this usually resolve with time?

19 answers to Will This Resolve in Time. Has Anyone Seen This Before

+2

Recovery from Eyelid Surgery

What you are experiencing a 3 weeks after surgery is all normal. After reviewing your pictures, you have a degree of swelling still present which continues to present as a "bulging" in the upper lid. This will smooth and soften as the swelling continues to resolve. The "pinching" you refer to is due to the lower lid tightening procedure (canthopexy) which appears to have been performed. This too will soften over time. Massage in this area is... more
+2

Pinching Usually Goes Away

The pinching in the corner is often due to the firm fixation needed to well support the lower lid. Ask your surgeon if he/she wants you to "be patient," or begin massaging the scar: to avoid complications, it is very important that you follow your surgeon's instructions in this regard
+2

Pinching of the corner of the eyes after Blepharoplasty is temporary

Your eyes are still swollen. The pinching at the corner of the eyes after your Blepharoplasty appears to be caused by the surgeon using sutures to tighten the lower eyelid-this is a GOOD THING. As the swelling goes down and the tissues relax this pinching will go away. It looks as though the doctor did a nice job making sure the lower eyelid is tight which will ultimately give you a nice result
+2

Please wait

You have severe swelling and it will take time to see the final result. You may need revision ,but at this time there is nothing to do except to wait. You can help the swelling by decreasing your salt uptake.
+1

Will This Resolve in Time. Has Anyone Seen This Before

I have performed eyelid surgery for over 20 years and IMHO, the bunching, of the lower eyelids look like they may be the result of lateral canthopexy. Ask your eyelid surgeon about the details of your surgery.
+1

You had a lot of work

It sounds so innocent when you say quad bleph with ptosis repair, but in reality that's a lot of work in a small space and the canthoplasty/pexy you clearly had is the reason your eyes are so swollen and also the reason your lower lid is in good position. I am also sure your surgeon already told you this, so be patient. also put the magnifying mirror down.
+1

Post Blepharoplasty and swelling

Post op swelling at 3 weeks is really normal and expected. Collection of fluid (edema) at the corner of the eye is to be expected. Per the pictures it seems that you had a lower eyelid tightening procedure where the lateral part of the lower eyelid is re-positioned to make the lower eyelid tighter. Usually that procedure creates a lot of swelling. Be patient and the swelling will go down.
+1

Post blepharoplasty

3 weeks out of surgery is still relatively early in the postoperative period. You appear to have some edema (swelling) which should clear with time. Unfortunately swellling can often be asymmetric and in some people take longer to go away. Be patient - it will get better!
+1

Asymmetry in healing

The two sides often do not heal at the same rate. Although 3 weeks is a bit slow, sometimes one side heals slower than the other. You need to allow more time. It does not appear that you have any infection so the healing ought to progress daily. If it stops improving then there might be an infection or other problem.
+1

Recovery after belepharoplasty

You are only three weeks after surgery, so it is too soon to be worried about anything. As the swelling resolves and the tissues settle, you should see improvements. If you post before and after photos, we may be able to give you more specific advice. Good Luck.
+1

Will This Resolve in Time. Has Anyone Seen This Before

Swelling will resolve with time and pinching which is the result of cathopexy used to secure the lower eyelid will improve and may completely even out after several months.
+1

Live video on blepharoplasty: The pinching could be from lower eyelid procedures that are meant to keep the eyelid from drooping

The pinching could be from lower eyelid procedures that are meant to keep the eyelid from drooping. The cause is from the suture that tacks up the lower eyelid to the corner there. This supports the lowe eyelid and prevents droopiness in the lower eyelid. I would wait at least 3-6 months before considering anything to treat this as this may resolve see video
+1

Blepharoplasty scars

At three weeks you are probably still very swollen. I would give it some more time to settle down before getting too worried.
+1

You can have excessive eyelid swelling when multiple procedures are performed.

I read your concern and reviewed your photos. Your eyelid skin is very delicate and may be unforgiving in appearance soon after eyelid surgery. You appear to have a lot of post-surgical swelling which will continue to resolve. Your eyelid will look much better in a few weeks as your swelling continues to resolve. You should ask your surgeon why your left eye is more swollen than your right. I hope this helps you. see video
+1

Will This Resolve in Time. Has Anyone Seen This Before

Sorry for your issues. I do not agree with my previous posting colleagues. If you are asking about the indentation/ pleat in the lateral corner of your lower eyelid, than I believe only further surgery will correct.
+1

Swelling after eyelid surgery can persist for a long time

After eyelid surgery (blepharoplasty) swelling is very common. I tell my patients that most of the swelling will go away in 2-3 weeks, but minor swelling can persist for months. Also, there will probably be a difference in the healing between the right and the left. So, what you are describing and what I see on the photos is not unusual and may last for several more weeks. I advise my patients to limit salt intake because this can make swelling longer than normal. Don't be... more
+1

Scarring after blepharoplasty

The scarring will improve with time and may take up to six months. Gentle massage of the scars may help.
+1

You are still swollen.

This is a pretty normal situation after eyelid surgery. Swelling can persist much longer than we want after surgery. It is very difficult to be patient. You are very early from your eyelid surgery. This swelling will settle down and much of this swelling will be resolved over the next 4 to 6 weeks. Don't throw your surgeon under the train just yet.
+1

Post blepharoplasty and ptosis questions

RELAX! Things will certainly improve with time. I do an awful lot of these procedures and I ALWAYS counsel my patients that one eye will always heal at a different rate than the other and that things will continue to improve for at least the first six months. If some pinching persists, this could very likely be easily addressed by your surgeon at that time.

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