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Different Eye Size After Blepharoplasty

I am 29 years old, and had upper/lower blepharoplasty 12 days ago, with outside incisions. I cannot put into words how upset I am with myself for doing this. I feel I will never be able to leave the house again without large sunglasses. My left eye is much larger than my right now. My right eye was bigger than it is now before the surgery. My left eye looks like I thought both eyes would look. I have been to my Dr., crying in his office just today. Although he says I still have swelling that needs to go away, he acknowledges the difference in my eye size. I have recently read that Botox can cause your eyelid to droop, and I know he used that. Could that be why my eye looks so much smaller than the other? If so, can I use eye drops so soon after surgery?

Asked 35 months ago by daisy83461 in Jacksonville,AR

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Almost everything gets better with time

Dear Daisy Your anguish is clear in your note. You are very early after your surgery. At this time, it is common for one eyelid to look a little different than the other. Typically, these differences get better as you heal. This is a good time to put away the magnifying mirror. It is very difficult to be patient after surgery. Photographs would be very helpful to understand the differences you are describing. It sounds like the two eyes appear different. It may be that this was the case... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Complications

I am very sorry that you are suffering but the good news is that most likely this asymmetry wil resolve as things heal. This is a very very short time after surgery and I would not be worried at this point. I am not clear why your doctor used botox during your blepharoplasty unless you asked for it but Botox can cause a droopy eyelid so I would wait until the botox wore off....3 months.

Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon

Different Eyes after Eye Job (Blepharoplasty)

12 days post-operatively is still WAY early for you to expect complete healing. The healing process will go on for months and the results WILL continue to improve. Without photographs it is hard to tell if you have surgical complications or are just upset by the swelling we surgeons regard as routine and know will resolve with time, I HOPE your surgeon is a Board certified Plastic surgeon (check here www.PlasticSurgery.org), ENT or Ophthalmologist. Unfortunately, many other physicians... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Upper blepharoplasty in young women.

Hi. 1) I know this doesn't help you, but other people read these postings. Upper blepharoplasty should almost never be done on a 29 year old. 2) It sounds like you have a bad result. But I am pretty sure you can be improved. 3) Don't do anything for 6 months, and then get 2 or 3 evaluations by board certified plastic surgeons.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Too early to determine

It is still too early to determine, and impossible to know the final healing result since you are only 12 days after the surgery. Corrections can be made after six months’ time (to ensure full healing), however it really depends upon the presenting issues, asymmetry regarding the shape of the eyelid, muscle structure and fat components of the both upper and lower lids before deciding on any corrective surgery.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Give the healing time to settle down

Presently you are in the early postoperative healing phase. There are a lot of factors involved in why the eyes look different. It could be due to a number of factors including how your eyes looked preoperatively, whether the surgeon had to use a different technique on the two upper eyelids, a difference in the amount of postoperative swelling, and even if you sleep on one side versus sleeping on your back. It's important to keep your follow up appointments with the physician so... more

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Joseph M. Perlman, MD

Houston Plastic Surgeon

ASAPS ASPS

I refuse to discuss patient results for at least 3 weeks

You have no idea what your final result will be so relax and wait until at least three weeks post op before you start beating yourself up about your decision to proceed with eyelid surgery. Talk to your doctor about post operative maneuvers to treat eyelid skin retraction.

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Richard Gentile, MD

Cleveland Facial Plastic Surgeon

Wait

You are judging the result too early. You have trusted your doctor to operate on you and you trust him for the post operative care too. Wait till your swelling is resolved.

Kamran Khoobehi, MD

New Orleans Plastic Surgeon

ASAPS ASPS

You are only 12 days post-op

You are only 12 days post-op. There is considerable swelling that has to resolve and the tissues have to settle. You should not worry one bit for at least two more months. You really need to be patient to see the final results. Having surgery is not like buying new clothes. There is a recovery phase and you are just at the beginning of it. Good luck.

David Shafer, MD

New York Plastic Surgeon

ASPS

Wait and be patient

Without pre and postop photos of you it is hard to tell too much but I agree totally with the advice given by the other doctors about waiting at least 3-4 months until swelling has gone away. Also, don't repeat any Botox for that time to keep this variable out of the equation.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

You'll get better

Daisy, Twelve days post surgery is WAY too soon to critically evaluate your results. You still have swelling that can affect one eye more than the other resulting in asymmetry. Be patient and trust your surgeon. What he/she has said is true. Good luck!

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

It's Too Soon

I understand how you feel but you have to wait. The natural healing time for all of the tissues to heal, the deeper tissues as well, is 6 weeks. Depending on how much work your surgeon did will depend on the resolution of the swelling. With that said, occassionally sutures can break or pull out. It sounds like it's your lower lids that are at issue (although this is only a guess without pictures). So be patient, don't perseverate on your eyes. An accurate diagnosis cannot be made for... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Be patient...

Twelve days is much too soon to see the end result of blepharoplasty unless there is a complication such as hematoma, loosening of sutures,etc. Not only is there swelling, changes in skin elasticity, muscle imbalance and the like that may take a couple of weeks more to resolve, but there is no advantage in examining yourself too closely this soon. Once the dust settles, especially if there is the new effect of Botox on the muscles around eye. you and your surgeon can make judgments about why... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Far too early to be upset about Blepharoplasty results

12 days is far too early to evaluate blepharoplasty results. Asymmetry in the size of the eye at this stage is most often due to downward retraction of the lower eyelid-and masage and time will help release the lower lid and allow it to close. The upper lids will also relax and close more after a few weeks. Botox, if done during the Blepharoplasty, can definitely cause lid laxity and compound the problem. Give it more time and stay in touch with your doctor.

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