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Will This Resolve in Time. Has Anyone Seen This Before

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?

Doctor Answers (19)

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

Denver Plastic Surgeon
4.0 out of 5 stars 14 reviews

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

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 37 reviews

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. 

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 60 reviews

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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.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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.

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 1 review

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. 

Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

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!

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

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.


Jeffrey Schiller, MD
Staten Island Oculoplastic Surgeon
5.0 out of 5 stars 9 reviews

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.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

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 also possible to allow softening, although I would not do anything until you consult with your surgeon.  Good Luck, Dr. Corrado

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.