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?

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11 answers to “Different eye size after Blepharoplasty”

A: Too early to determine

William Portuese, MD

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,... more

A: Give the healing time to settle down

Joseph Perlman, MD

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... more

A: I refuse to discuss patient results for at least 3 weeks

Richard Gentile, MD

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.

A: Wait

Kamran Khoobehi, MD

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.

A: You are only 12 days post-op

David Shafer, MD

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... more

A: Wait and be patient

Richard P. Rand, MD

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.

A: You'll get better

Kenneth R. Francis, MD

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!

A: It's Too Soon

Christopher L. Hess, MD

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... more

A: Almost everything gets better with time

Kenneth D. Steinsapir, MD

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... more

A: Be patient...

Robin T.W. Yuan, MD

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... more

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Boston - Far too early to be upset about Blepharoplasty results
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