Skin wrinkling after lower Blepharoplasty

I had lower Blepharoplasty done 2 weeks ago. Swelling still remains, which is normal. What I noticed recently is the exessive skin wrinkling on the lower lidsas the swelling goes down. What should I do to eliminate wrinkling? Could it become permanent?

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10 answers to “Skin wrinkling after lower...”

A: Too early to evaluate excess skin after Blepharoplasty

Steven Wallach, MD

2 weeks post-blepharoplasty is too early to evaluate the excess skin. There is often alot of swelling after a blepharoplasty, and you have to give the skin some time to go back to normal.

A: Wrinkling can occur if excess skin exists before blepharoplasty

William Portuese, MD

Wrinkling after a lower blepharoplasty can occur if excess skin exists preoperatively. Once the fat is removed from the lower lids, excess wrinkling can occur if not addressed. On most patients over 50 years of age there is some wrinkling that is present, and this is removed through an incision located at the... more

A: Was skin removed?

Kenneth R. Francis, MD

Part of the pre operative evaluation for lower blepharoplasty surgery is to assess the amount of skin present.  Your surgeon has made a determination as to whether you needed skin removed or not.  If you did, then there should be stitches under your lower eyelashes.  If you did not, then the... more

A: Give it some time, you may be surprised at the improvement

David Shafer, MD

Matreshka, 2.5 weeks is fairly early to start getting worried about your eyelids after blepharoplasty. Often it takes several weeks to months for the tissues to settle and the swelling to resolve. At the same time, the tissue is healing and the collagen is reorganizing. All of this leads to changes after... more

A: Wait for now, then here are the options

Brent Moelleken, MD

Postoperative swelling is of course the rule after blepharoplasty.  There is a phase when the eyes can appear "crepey".  Waiting until swelling subsides, typically six months, is the standard answer. The nature of the problem may depend on what was there before the surgery.  If... more

A: Do absolutely nothing for at least four months.

George J. Beraka, MD

Correcting the lower eyelids is one of the trickier cosmetic surgery procedures. In a young face, you cannot tell where the cheek ends and the lower eyelid starts. There is no sharp line between them. So, with surgery, you should try to recreate this smooth, seamless transition. You also have to preserve the... more

A: Fraxel re:pair treatment

Min S. Ahn, MD

Waiting for at least six weeks is appropriate before determining if you need treatment of the wrinkling. As stated on this blog, blepharoplasty alone does not address the crepey lower eyelid skin. A resurfacing treatment performed in conjunction witha minimally invasive blepharoplasty can take care of both... more

A: Wait at least 6 weeks

Brooke R. Seckel, MD

Lower lid blepharoplasty causes swelling and as the other doctors have said-it takes time to resolve. You can better evaluate the wrinkling at 6 weeks. It is NORMAL for wrinkles of the lower eyelid to look worse as swelling is coming down, because the swelling expanded the skin and the swelling leaves quicker... more

A: Allow more time for healing

Kamran Jafri, MD

Hello, Excellent advice given to you by Dr. Freund. I would also add that since you are only two weeks removed from your surgery you need to allow more time for further healing to occur before making a final assesment of your results (ie. the wrinkling skin on your eyelid). Once the swelling has gone done, the... more

A: Lower lid wrinkling has many causes

Robert M. Freund, MD

A lower lid blepharoplasty can remove 1- excess skin, 2) excess and herniated fat and 3) tighten the muscles and ligaments of the eyes. Surgeons have different techniques that address all or some of these problems. To address the herniated and bulging fat, surgeons can remove the fat from inside the eyelid... more

Comments

Linda Burleson
unregistered guest

2 Jan 2009

I am 10 into post-blepharoplasty (upper and lower). My left eye looks quite well considering and my right eye is scary. The doctor told me I had a free bleeder above my right eye and had to reopen the top stitches. My eye is still swollen and very red. My eyelashes are turned down and the lids are also swollen. I got on here to see about reviews because I have been getting very, very anxious and concerned about the right eye. All of the negatives I have been reading alarm me even more. I began to think I am going to look hideous but I also read the doctors comments. This helped me to take a deep breath and tell myself I have to give myself time to heal and then see what happens. Thanks

Linda Burleson
1 post
2 Jan 2009

Did any dr. suggest any creams or vitamin oils to use to message on eyes to help with decreasing keloids and scarring?

intears
37 posts
19 Feb 2009

I had the lowere surgury done and am in tears because it looks worse with extra skin and wrinkles...?Im not sure what to do myself..I never had bad eyes to begin with.....but they are now worse. What do i do?

aliu
109 posts
24 Nov 2008

Two weeks out is still very early in the healing phase.  Many factors will contribute to the amount of excess skin you have after the procedure.  Was the surgery performed through the inside of the eyelid (ie/ Transconjunctival) or was it performed by an external skin incision?  External excisions of skin from a lower blepharoplasty take longer to heal than one performed internally (transconjunctivally).  I would recommend being patient and observing week to week how much your skin heals and tightens.  80% of your healing should occur by the 4th to 6th week so that should give you a pretty good idea where your eyelid result is headed.  There are many different ways to take care of excess skin after a lower eyelid blepharoplasty (ie/ laser, peels, direct excision) all that can yield satisfactory results in a safe manner.

Scared in Atlanta
1 post
1 Apr 2009

I had lower bleph 4 weeks ago today. I did it for the wrinkles under the eyes, and also wanted the corners to lifet up for an exotic look. I also had a face lift, and laterela brow lift, (only the sides, nothing to pull them "up" as I didn't want the opened eye surprised look, but the exotic eye.... it turned out my eyes which went up in the corners 2 weeks ago, have now turned outt he same shape, the wrinkles have returned and I have scarring, I am anxious as the dr told me to tape my eyes so they'll go up, if I need tape why did I have surgery, also, he gave me saline drops for the swelling to go down.... I am freaking out, I spent 20K I had saved....

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