I have been reading the many success stories for...

I have been reading the many success stories for eyelid surgery on this site, and the few complications, and I am going to go forward with surgery to remove the bags under my eyes.

I am 38 yrs. old, and, during my consultation on Wednesday, April 25, 2013, my oculoplastic surgeon, Dr. Paul Stallman, suggested transconjuctival lower lid blepharoplasty along with a chemical peel to aid with what minimally loose skin remains that may wrinkle. I am extremely relieved that I was a candidate for this rather than transcutanious (through the outside, under the lash line) as I have fears about the disfigurement of my face due to a cosmetic procedure. However, I have had these "bags" all my life and they're slowly getting worse over time. I hate them, but I think to myself that they don't look too bad yet, and with makeup I can cover most of it just not that horrible "shadow effect" that makes them look bigger. I keep thinking that if something "went wrong", not out of lack of respect for my surgeon whom I feel very comfortable having do this surgery, I would probably go mad.

After reading so many of your experiences on here, I strongly believe that if one has the following "5 ingredients": a good solid surgeon, none of the risks that could complicate recovery (i.e. hypo/hyper thyroid, Graves disease, etc.), realistic ideas about the length of recovery, knowledge of what is normal during recovery, and proper pre and post op care one would most likely come through this particular version of blepharoplasty just fine. I want to thank Jill81 for her story, because it was hers that helped comfort me in my decision to go ahead with surgery. I have decided to share my journey and results with you, and, hopefully, be just as successful.

As Jill81 blogged, there aren't very many posts on here about lower eyelid surgery as most of you have had uppers done too. So, hopefully, my story will help those of you who plan to have lower blepharoplasty with a chemical peel in your decision. Please God let this be a positive experience for me, and to all of you wish me good healing!

PS: If anyone has had the same surgery I'm planning to have please message me with your experience, if you felt you too had the "5 ingredients" above to a successful surgery, so I can be further advised as to what to expect potentially. Thanks.

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Lindsay, I too read a lot of reviews on this site before going into this surgery. I did my homework and made sure my surgeon did plenty of this particular surgery, which he did over a 1000 faces. I am 5 weeks post lower bleph and I can't be happier. I am healthy, with no medical problems, never a smoker, and active. I think that does make a big difference. I had subcilliary/transcutaneous surgery, but had no pain at all. The advise I would give you is take the arnica and bromaline as directed, eat fresh pineapple, sleep upright for at least 4 nights, get good ice packs and keep a cooler next to you to keep changing them and try not to stare in the mirror every 5 minutes the first week.. The bruising and swelling will give you doubts, but by the 4th or 5th day you will start seeing difference. This was the scariest but best decision I made for myself. The bags are gone and I have my confidence back. This is a subtle difference that unless I tell someone, they would not necessarily know. Good luck to you, and if you have any questions, be feel to ask.
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Hey Lindsay, thank you for posting your experience. I look forwarded to following your updated. I plan to have my lowers done later in the year. Make sure you post photos xxx
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* UPDATE: As noted in the title now, and after...

* UPDATE: As noted in the title now, and after thorough research and testimonials, I have decided to go ahead and get both upper and lower blepharoplasty. My fears have faded to excitement and my surgery has been moved forward one week to 5/9/13. I have also posted two before pictures. Wish me luck.

8 Comments

Like Lindsay so eloquently put it, the thought of something going wrong is extremely frightening. While many posts & pics have been positive, the ones that haven't (while in the minority) sound scary and problematic and hard to fix. For you ladies who have undergone the procedure, how did you overcome this fear in advance of your surgeries? Any advice? Thanks!
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Research your PS above and beyond. Ask loads of questions. Ask worst case scenario questions. Take in loads of photos. Ask your PS to explain everything, including what to expect in your recovery time. Once you have made your decision, pay the invoice, sit back and stay off the internet. I know that sounds a bit trite and simple - but in my opinion, that is really the long and the short of it.
You are making a sound choice. I did both uppers and lowers (transcutanious) two weeks ago and the results are amazing. If you have a PS you trust - put your faith in him and ........ get ready to look GREAT!
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5/3/13 - I went to my pre-op appointment and got...

5/3/13 - I went to my pre-op appointment and got some great instructions. I will list them below, but I wanted to share one of the biggest reasons I've decided to go forward with blephoraplasty and that is my age. I do not mean to sound vain, and I'd hate to offend anybody reading this so please understand that this is my personal experience. I have decided to share it with all of you for two reasons: to gain knowledge and courage to have the surgery, and to give the same back to anyone considering having surgery.

As I mention above, I am 38 yrs. old, and I am rather self conscious at a fairly young age due specifically to under eye bags. As much as I don't like this about myself, I am not growing older gracefully or wearing each new wrinkle as a badge of honor, although, I wish I could. I will be 40 yrs. old in 1 1/2 yrs., which means that 50 yrs. old will just be 10 yrs. away. For me, now is the time to make some cosmetic revisions so that I can enjoy self confidence while I am relatively young. I don't want to feel like I wasted my youth feeling self conscious and looking much older than I actually am because that is what eye bags do to one's appearance and they only get worse over time with age. Therefore, I've decided to have surgery now to feel attractive now, and in 12 yrs. I can look into the mirror and think wow not bad for 50 yrs. old.

PRE-OP TIPS:

1. DO NOT take any blood thinning medications for 2 weeks prior to surgery or you can cause excessive bleeding behind the eyes, and may cause blindness. The doctor gave me a complete list of medications to avoid, which includes Aspirin, Ibuprofin/Advil, Pepto Bismol, some cold/flu medications, and many others including some homeopathic medications suck as Fish Oil, St. John's Wort, Vitamin E, Gingko, Ginseng, Garlic, and lots of others. Make sure you get this list as I have only listed some of them.

2. BE PREPARED - Pick up all necessary medications and items you need for post-op care prior to surgery. You will get prescriptions that must be filled and your pharmacist may need to special order some. There are a few other things, including over the counter (OTC) medications you should have all ready for you when you get out of surgery. You should get a list of these items at your pre-op appointment, but I will list what I was instructed to have:

POST-OP - MEDICATIONS & ITEMS

1. Arnica 30 mg tablets OTC - to swallow 4 pills 4x a day for 7 days = 112 pills. They come in a bottle of 250 for $10.99 at any health food store.
2. Bromalain 500 mg tablets OTC - to swallow 2 pills 4x a day = 56 pills (they come in a bottle of 60 for $19.99. NOTE: Do not buy the topical creme. I was instructed to start taking both the Arnica and Bromalain on the morning of surgery. NOTE: I was told that I would not benefit by eating Pineapple as I could not eat enough to attain a beneficial amount of the derivative (Bromalain).
3. Extra strength Tylenol OTC - for pain
4. Vicodin prescription - for pain
5. Bacitracin ointment prescription - for incision area to avoid infection.
6. Eye drops prescription - I cannot remember the name or for what purpose they are.
7. Eye drops OTC (yes, you need 2 types of eye drops) - Systane, or any other artificial tears for moisture to relieve dryness due to lack of natural tear development. Comes in a squeeze bottle for $8.99.
8. Halcyon prescription - a calming sedative during the procedure. I will be awake with only a local anesthetic.
9. Phenegren prescription - for nausea from local anasthetic
10. Frozen peas - I bought 5 large bags on sale $0.99. Frozen peas are great because they fall all around your eyes little creases and curves naturally and easily unlike big lumpy ice cubes. I was advised to "ice" for 45 min. on, 15 mins. only off, of every hour for 2 days. I was told I will be doing myself a huge favor by doing this for swelling/bruising/healing.
11. Plastic lunch baggies (2) - to put the peas in and place over each eye.
12. 4x4" gauze pads - put between peas and skin for comfort and protection.
13. Wedge pillow, lounge pillow, or at least 2-3 pillows of normal size to elevate your head above your waist. Nothing drastic, and I was told I do not have to sleep sitting up, only elevated by an additional pillow or 2. I was advised to do this for 4 days.

POST-OP - THINGS TO BE AWARE OF, OR AVOID

1. No bending over at waist, or straining causing blood to rush to head for 3-4 days.
2. Eye lids may feel stiff, tight, itchy, and you may feel the lids don't close all the way initially due to swelling and should resolve after stitches are removed.
3. Mild seepage of blood-tinged fluid may occur for 1-2 days and to add gentle to firm pressure to stop. If that doesn't stop it, or its more than mild occurrences call the doctor immediately.
4. Blurry or double vision for several hours after surgery is normal.

The doctor advised that the worst case scenario situations generally happen within hours after surgery, not days.

I hope that helps anyone preparing for this surgery. I know it soothes me to be prepared. Only 3 more days til surgery! Wish me good healing, and a wonderful result!

11 Comments

Good luck lyndsay. Hope all goes well u are well prepared. This will change urn life, it renewed me again. I will say, it won't hurt to try the pineapple. I took the bromaline and arnica as directed, but each time I ate pineapple I always felt my swelling went down. I still eat it daily. No matter how swollen and bruised u get, remember it WILL be short term. This will be hard, you will see, right after surgery to think this way, just keep it in ur mind and this will help to stay positive. We r all thinking of you!
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Thanks Mama Chichi and LindsayD74 for the advice! :-) Very sound advice and very comforting. I think staying off the internet is a helpful hint - the bad outcomes can be very heart-wrenching. Lindsay the Pre-op list is excellent...I had also heard to have under 1,000 mg of sodium helps too in order to reduce swelling. I read an article that said potassium-rich foods like avocado, bananas, cantaloupe, coconut water, and oranges help balance once's sodium levels and reduce bloat.so perhaps a smoothie with all those ingredients (less the avocado) + protein powder might be beneficial daily to aid in healing. I also read protein should be a part of every meal (perferably lean meat) in order to speed up healing. Hope this helps!
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Yes, I've heard that too about the sodium, but my doc didn't warn me away from it; however, I will keep the salt at a minimum. Thanks for the list of foods for a smoothie. That's some great advice! I'm sure it wouldn't hurt to throw a little pineapple in there too, even though the doc said you can't eat enough to be beneficial, it would taste good, and it shouldn't hurt, right? I have protein powder in vanilla and chocolate so I'm thinking Choc. & Banana or Vanilla, Coconut & Banana with some Vanilla Soy Milk. Yum! Great advice. I'm heading out to the store now, so that was just in time!

Going in for surgery in the morning at 9:15 a.m. I...

Going in for surgery in the morning at 9:15 a.m. I did a little more preparing for this and due to not being able to watch TV for 2 days I found a great free online audio "ebook" website: www.podiobooks.com. All I have to do is hit the play button and a narrator with a soothing voice will read me an entire book, one right after the other. I've already picked out my line up. I can't wait.

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Can't wait to hear your update after surgery Lindsay! Rooting for you and I cannot wait to see your fab "after" pics! Enjoy the time with your daughter and let us know how that ebook website is - maybe you can recommend a few good titles after resting and listening to your line-up of novels. Enjoy and be well. :-)
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Best of Luck ! You won't need it though..... :) Just buckle up and enjoy the ride. How lovely to be tended to by your daughter. Think of all the moments you will have together whilst she helps you through the fist few days. I think you will find it not so bad...... SEE you on the other side, Lindsay!
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Thanks so much for your positive words. They have really helped me with the few fears that keep creeping up on me...I did buy a pineapple and I will eat it. If it helped you, it won't hurt right? I'm going to listen to my audio books and not look in the mirror too much. My 11 yr. old daughter will be tending to me. I spent the afternoon cooking lean meats and preparing meals for the first 3 days to help her with my down time. I want her to be comfortable too, since her mom is going to be quite creepy looking for awhile. I will remember that swelling and bruising always go away. Thank you so much. I'll post again after surgery in the morning.

Sugery looks to be a great success! No problems...

Sugery looks to be a great success! No problems during, or with the results thus far. I took 2 sets of photos today: one within 30 minutes after surgery, then the 2nd about 3 hours after surgery and after icing most of that time. The first set look worse, more bruising, but the second set look much better. I guess I'll post both sets. I can tell so far that I'm going to be thrilled with the results! Oh please let this goes as smoothly as it is so far. Obviously, not much paid as the anasthesia is still wearing off, no nausea, but I took the phenagren for that. the whole procedure was fine and I did feel slight pressure but it wasn't weird at all. I felt just fine through the whole thing, still do, but eyes are a little achy. I'm taking Tylenol now, but tomorrow I'll probably take some Vicodin if it gets worse, which I anticipate it will. This surgery is well worth the time, money, and it's all true about the feeling only light pain. Here are the pics, now back to bed with ice packs I go. Wish me good healing.

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POST SURGERY: DAY 1 - As noted above surgery...

POST SURGERY:

DAY 1 - As noted above surgery looks successful, and no complications so far. Minimal bleeding at incisions has stopped. It's now been 6 hours post op (4:20 p.m.), and a lot of the numbing anesthesia medication has worn off. I don't think that Tylenol is enough. I was prescribed Vicodin, but only given 6 to take 1 every 6 hours, which isn't going to be enough so I will ask for more when I go back to see Dr. Stallman in the morning. The pain isn't unbearable by any means, but my eyes are aching. If it were really bad, I'd call the doctor now, but with the Vicodin I'm really doing pretty good. The swelling is visible, still as it looks in the photos, but bruising hasn't really set in yet. Neither has any redness from the chemical peel. I'm sure tomorrow will be different. I've been in bed, propped up listening to these very boring audio ebooks and dozing all day. I'm keeping the iced peas packs over 4 by 4 gauze pads on (wrapped with a long gauze, but not too tight, to hold them in place for comfort) for 45 min. out of each hour, and I'm taking my meds as directed. I think I look pretty good, and I am very pleased with the surgery so far. I do think that the crepiness (wrinkles) under my eyes is weird looking tho, and it feels like the chemical peel wasn't even done, but I'm not worrying because I was warned about the crepe/wrinkle look due to the chemical peel, therefore, it is all going along normally.I will update you all tomorrow. I'm going to lay down again.

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Looking good Lindsay and thanks for posting so soon after your surgery! It looks awesome so far! Did you have fat removal on the lowers or fat repositioning? Relax and get some rest and hope you have minimal pain! Happy icing and be cozy in your bed, getting some R & R. :-)
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I had one scare during the evening of surgery. I...

I had one scare during the evening of surgery. I was in the mirror to add eye drops and a tear drop size of blood leaked out of the outer corner of my right eye. My first thought was that I was about to have a complication: excessive bleeding behind the eye, which if not treated immediately can cause blindness. So, as per my post op instructions, I replaced the cold compress (peas) and added pressure with my hands for several minutes to stop the bleeding. This was successful, and things returned to normal.

I decided to continue icing through the night, and I think it was worth it. I slept in my very comfy lazy boy recliner with my regular pillow. I found it easier to ice my eyes with the frozen peas by wrapping a long gauze roll around my head to hold them in place, and with the Vicodin and my regular Rx for xanax (I have panic attacks/anxitey) I slept quite peacefully.

I set my alarm for 2:00 a.m. to take more pain medication as I did not want to wake the next morning feeling like I'd been hit by a truck, as well as swapped out the defrosted peas for frozen peas. I went right back to sleep.

DAY 2

I posted Day 2 photos taken at 7:00 a.m. I feel great, and I am extremely happy with the results thus far. So glad I did this, and I've had no problems. I think it helped icing and taking pain meds last night, because I didn't wake up feeling or looking much worse. My upper eyelids have gotten darker red, but the swelling/bruising hasn't changed much.

I went in for my post op checkup at 10:00 a.m. and Dr. Stallman was pleased with my results. He said he thought I was going to do just fine. I told him about my scare with the blood that teared out and he said that was completely normal. Then he pressed on my lower lids, which was minimally painful, and more bloody fluid came out. He indicated this may last a day or so, but not to worry. Then he checked my vision by reading lines of letters, and I did very well. Still a little blurry vision, but the double vision disappeared within an hour after surgery yesterday. The blurriness is due to the ointments and swelling, but I can see fine. Finally, he reminded me to use Cortisone on the under eye lids where he'd done the chemical peel, which I'd forgotten as I was pretty out of it yesterday. I'm seeing the effects of the chemical peel more now and the skin looks wrinkled and swollen. It looks as if I still have bags under my eyes, but they are much lower now. This is because he re-positioned the fat into my tear trough and it is swollen. I can tell it's going to look just how I wanted, wonderful, once it all heals. Well, I'm going to lay down and ice again. I haven't been reading any of your posts as I don't want to be on the computer too much, not icing these first 2 days. I will read your reply's/posts tomorrow. Thanks everyone!

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Having some trouble with nausea this afternoon. I...

Having some trouble with nausea this afternoon. I took another phenegren (for nausea/dizziness) along with some motion sickness medicine, but that didn't seem to help. I didn't vomit, although I felt I might, and I was pretty scared I might. So I let my daughter know asking her to stay in the room with me so I could sleep it off without asphyxiation, but I slept just fine for an hour. I just woke and it has subsided mostly, but I still feel slightly nauseated. I don't think I have the flu and I know I didn't eat anything bad as I've only eaten a good protein cereal with vanilla soy milk and a couple Special K Protein bars so it may be all the pain medication and acemetaphin with minimal food. I hope this subsides as it's not real fun.

As far as the pain goes, it seems to have lessened and I'm not as achy. My surgeon Stallman said I could trade out the Tylenol/Vicodin for Advil/Ibuprofin tomorrow and this may help with the aching. If this is as bad as it gets (other than the nausea) I can definately deal with this. I do highly recommend staying immobile and allowing someone to tend to you (bring you water, fresh ice packs, food, etc.) and stay off your feet as moving around during the first 2 days (all I've been through so far) could cause more swelling/bruising and since I have stayed stationary I believe I've kept it all at a minimum. The bridge of my nose is rather swollen too and causing a bit of webbing at the inner corners of my eyes, but this will settle and I'm sure it will all look just as I'd hoped for.

TIPS FOR DOWNTIME / POST OP ACTIVITIES:

1. Forget Ebooks on Podiocast.com as I mentioned before as they are very boring and it is quite annoying listening to a man narrate in a women's voice. I tried 4 books - all horrible even though they had great reviews. Maybe just not for me. I'd much rather have my daughter read a book I'd enjoy to me.

2. Listen to Stand-Up Comedy - listen to stand-up comedy, because you don't have to see it (usually), and it's quite uplifting and entertaining while you lay in bed, or sit in your lazy boy chair hour after hour for 2-3 days. I have Streaming www.Netflix.com, but you can find it on www.Youtube.com as well or search the web for free stand up comedy audio books or videos. Well back to bed. Still feeling a bit nauseated, and I want to keep the ice on as directed. I hope my journey is helpful as well as my hints/tips. Thanks everyone!

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Hey Lindsay! How are you doing? Feeling ok? Pain not too bad, huh? Looking right on track for day 2-3 PO. For me these were the roughest days - my appearance did not take a turn for the better until like day 5 or 6..... I am also very curious about your mid-cheek incisions.... What can you tell me (us) about that technique? Did your PS elaborate on why he chose that site, or.... ?
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wow. thanks for your helpful, thorough reporting! i learned so much. so, i didn't know that incisions were made below the eye "bag" during a fat repositioning procedure. is that always the case? brave girl. thanks again for posting.
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Day 3 My surgeon instructed me to stop icing...

Day 3

My surgeon instructed me to stop icing today (Day 3) and switch to heating with warm wash clothes about 3 times a day. The pain has lessened and I'm back on Tylenol without Vicodin. I was also advised by the doc that I could begin using Advil/Ibuprofin today, which acts as an anti-inflammatory/pain reliever. I feel I can do more on my own today, but I am making myself stay down as I don't want to over do it and cause more swelling/bruising. I feel pretty lucky so far without much bruising, but I am prepared for more at anytime. I'm super happy to be able to watch TV again. My eyes feel a little strange under the lower lid area as if there is a stitch in there. It isn't too bothersome and not painful. My doc assured me that I was fine. I get my stitches out in less than a week (Wed. 5/15/13) and I'm looking forward to that as I've heard a lot of the swelling goes down soon after stitches come out. I've said this each day, but I really am very happy so far. No problems at all, and I can tell I will love the results. My upper lids look great as far as the amount of skin removed and shape, but my lower lids area still look as if I have super wrinkly fat bags. However, I know that is what fat repositioning with a chemical peel is supposed to do to the under eye skin and that will all smooth out and look great once the dead skin peels off and the swelling goes down. I am so glad I did my research otherwise I'd probably be quite nervous right now. I am trying to be patient, which I am, but I really want to see the end result! Thanks everyone!

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It is still day 3, but I thought I should comment...

It is still day 3, but I thought I should comment about the nausea I'm feeling. It was worse yesterday (Day 2), but comes and goes today still. I don't have the flu because I don't feel achy, feverish, and I haven't thrown up, but slightly nauseated. I have a few prescribed phenegren left so I have taken some to lessen the nausea. I've moved around a little more today and that may also be a factor so I'm going to stay in bed the rest of the day. I haven't been too active, but I've been getting up and down to eat or take meds. The pain is nearly gone, only mild pain along tear trough/upper cheek bone, which was really the only place that has caused me pain anyway. Quite sore to the touch, but when left alone (as it should be) it's very mild. My vision is great, but slightly blurry due to eye drops and ointments. The swelling has stayed about the same. Bruising and redness is minimal, but the chemical peel looks a little worse each day. Well, back to bed with a warm compress, then a movie.

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Thanks I'm feeling really pretty good, and like you said in your post on our procedure: "If this is as bad as it gets I'll be just fine", or something like that anyway. I had a little trouble yesterday with nausea due to the Vicodin on top of Tylenol because my cheekbones/tear trough was aching, but I slept that off. As for pain it is definitely tolerable and I'm very pleased with the results. Even at my worst stages (days 2-3), which I'm posting Day 3 pics now. To answer both you: mama chichi, and LifeIsSweet: These are NOT incisions. They are both ends of one stitch tied off above the skin, which was used to hold the newly positioned fat in the tear trough area for a smooth appearance (after healing of course). I requested this method of stitching over the use of dissolving sutures that aren't visible outside. There is a story behind why we chose this method, which is sort of long as I tend to ramble, but it's definitely something you need to know and consider. Story is as follows: My daughter was born with Severe Acid Reflux and had surgery at 2 weeks old. The incision went across her entire tummy, and the surgeon chose dissolving stitches to close the incision rather than the standard removable stitches. At first I thought this was a great new invention, but, I eventually learned different as half of them didn't dissolve. Also, well passed the time the stitches should have dissolved, or regular stitches would have been removed, my daughter's skin was irritated, swollen, and red around the stitches that hadn't dissolved and the skin had already healed around the sutures. Therefore, I removed them with sterile tweezers and found that the stitch holes had filled up with dirt and oil and some had turned into blackheads while others were filled with puss and popped like a pimple. She is now 11 yrs. old and still gets 2 or 3 blackheads/pimples that we treat. I explained this to Dr. Stallman and initially he said I shouldn't worry about it as this type of suture would be hidden deep inside my eye, but I believe he had a change of heart/mind as when I woke up the two visible stitches were there. I asked what they were for and he said to hold the fat in place. I was too out of it to continue questioning him as to whether he put any dissolving sutures in or not, but I will and I will let you all know.
Please read the response above to mamachichi and you. It explains this in more detail, but those are not incisions. I requested to have the repositioned fat from my under eye bags into my tear trough area secured in place with regular removable stitches rather than the stitches that dissolve. The two spots on each mid cheek are just the one stitches ends tied above the skins surface. Please read the store as to why I chose this method as it is important to know. Thanks so much for you kind words and I suppose I am brave, but I gotta tell you I was horrified up to about one week before surgery. Thorough research helps. That's why I've been so detailed in my journey. Some may find it rambling, but if it helps some of you I'm happy it did. Have a nice day.

HELPFUL TIP: HEATING PAD - for a warm compress...

HELPFUL TIP:

HEATING PAD - for a warm compress after switching from cold compress. The warm wet wash cloths in plastic lunch baggies I've been using cool off way too fast, and are difficult to hold in place. If I would have known, I would have added this to the list above.

Day 4

Wow, I was so happy to wake up this morning feeling great and finding that I've already begun to look better. Swelling is down all around (eyelids, bridge of nose, chipmunk cheeks), and the bruising is already turning yellow which is the last color in the stage of healing (red to purple to yellow, I think I skipped the purple all together). Hopefully I will continue to heal at this faster pace. The only thing left is for the chemical peel to slough or peel off. I'm told my "new" skin underneath with be a bright pink color for about 1 month, which is perfect timing for summer around here. I live in Pismo Beach, Ca, (central California halfway between San Francisco and Los Angeles), and we get our summers a little later than most usually from July through September. I just might be ready to hit the sand in my new bikini come July (I won't forget my sunscreen though).

I have continued to follow post op instructions to the T, taking all meds on time, icing for the first 2 days 45 min. of each hour, then switching to warm compresses 4 times a day for about 15 min., sleeping with my head elevated in a comfy recliner chair, low salt diet, no TV for the first 2 days, and only maybe an hour of TV on day 3 and again today, day 4.

NOTE: I am a smoker. I spoke to my surgeon about this and he indicated that smoking makes it difficult for oxygen to circulate through your blood, which slows the healing process down. I asked him if it would help at all if I cut back on the amount of cigarettes I smoke each day, and he said yes it would, anything would be helpful if I quit completely, which is ideal of course, but not required for this surgery. Normally, I smoke 3/4 pack a day (15 cigarettes), but I decided to cut back as much as I could 2 weeks prior to surgery. I have been smoking a little over 1/4 of a pack (5 -8 cigs) a day. I figured I should mention this as part of my story as it does have to do with the healing process via oxygen/circulation.

Thanks again everyone for walking with me through this journey as you have all been so helpful and given me much needed support. I am hoping that each day will get better and better as I have now hit Day 4, which is supposed to be the beginning of the down slope. Yay!

1 Comments

your doing a great job with your review Lindsay, very comprehensive and informative. can you tell me a little about your fat repositioning, it that the same as a fat graft?
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REWIND - Day 3 was the day I was able to replace...

REWIND - Day 3 was the day I was able to replace the constant cold compresses (peas) over my eyes with warm compresses 3-4 times a day. So, now my eyes were open for most of the day, and I began to feel a grittiness in my eyes under my eye lids. It wasn't painful, and I couldn't see anything in my eyes, but it was a bit of a nuisance. The only relief I found was to close my eyes, and I also used the warm compresses. I don't know whether it was from the 2 different eye drops I was using, or a bit of Dry Eye but closing them with warm compress helped tremendously.

DAY 5

Today has been the best so far - not much pain so I'm only taking 1 Tylenol every 6 hours as my orbital bone (upper cheek bone) is still tender. All of the bruising has now turned yellow, so they should be gone soon. Swelling has subsided a lot. I suppose I was lucky that my bruising never got too bad. Everyone heals differently though. So far, I don't feel the grittiness today, nor do I feel the "stitch" under both lower lids anymore. Hopefully, that has all resolved, or dissolved.

I am so happy I went ahead with this surgery. I continue to see improvement every day and I could tell from Day 1 that the results were going to be pleasing. I don't want to jinx myself, but I'm pretty sure this is going to turn out great!

NOTE (POST OP CARE INSTRUCTIONS #6 EYE DROPS NAME/USE):

In my Post Op List above I listed all the medications I was prescribed or to pick up over the counter I couldn't remember the name or use of the eye drops prescribed so I wanted to let you know that they were Corticosteroid Eye Drops by the name of FML 1% (or Fluorometholone), which is a steroid drop. Throughout my research, I've read that this drop is prescribed to patients at the onset of any problem post op; however, my doc includes this medication as part of regular post op medication/care.

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Looking good Lindsay. Your eyes may heal at different paces so don't worry if you see a little assymetry during the healing process. I freaked out a couple of times because my left eye was healing differently than my right but it all evened out in the end. You're looking great.
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Thank you so much for your great review! Please keep the photos coming, as I would love to see more about the peel. I think I will need to have the peel as well, and since I have very sensitive skin, I'm afraid of it. But, I do have very thin, creepy skin under my eyes and that would probably help in the long run. Has it peeled off yet? When do you expect it to?
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Day 6 Very happy the chemical peel has peeled...

Day 6

Very happy the chemical peel has peeled off on both sides today. Skin doesn't look too pink, but may tomorrow. I don't know. I'm getting my stitches out tomorrow afternoon. Super happy about that as I hear swelling goes down pretty quickly after that. I'm a bit worried some of the wrinkles from the loose skin where the fat was aren't completely gone. I'm hoping everything will smooth out. I am happy so far, but today was a little bit of a let down due to that. I got out and about today and did some shopping with large sunglasses on, which felt good after being cooped up, propped up, and strange looking for 5 days.

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Hey Lindsay. I worried about that wrinkley crepey look too. I read from some of the doctors how normal it is bc the skin gets stretched out from the swelling and as the swelling goes down quickly, the skin takes longer to catch up and will look wrinkly. It. Took a couple weeks or more to go. Mine is totally smooth now. It's only going to get better and better from here. Keep positive.
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Thank you, and yes, I've noticed them healing differently from the beggining. One side is slightly more swollen than the other, and today one looks like it is open wider. I am very happy with them though and I can tell they'll even out. One thing that worries me a bit is that I can still see some minimal wrinkling although the chemical peel has come off where the skin was loose from the fat bag that used to be there. My eyes are still fairly swollen, and I get my stitches out tomorrow, but I wonder if that will smooth out. I hope so. Did you have a chem peel?
I did not have a chemical peel but there were all sorts of strange symptoms during healing (including crinkling of skin) that completely resolved themselves in a matter of weeks. Your skin is traumatized from the peel and may not have regained it's elasticity yet. Give it time and rest; its going to look amazing.

Day 7 - 1 week - Stitches removed

Day 7 (1 week post op)

I had my 1 week post op appointment today with stitch removal. Everything is going great. My doc says I'm healing wonderfully, and I can see that I am as well,

NOTE: As you know, I had the fat that was in the under eye bag repositioned into the tear trough (crease), however, the newly positioned fat is a bit hard like a lump, which he had me feel. The doc said that was normal and will probably get a bit harder before it softens up and smooths out as intended. I cannot see this bump, only feel it at this point. I hadn't read anything about this part of the healing process so I thought I'd mention it to anyone researching this procedure.

Stitch removal: I had my stitches out, and it was fairly painless.

Medications: I was instructed not ignore the pharmacist's instruction printed on the medications dispensed prior to surgery, and only follow my doctor's instruction. Some medications instructed only 5 days of use (bacitracin), however, each doctor's visit I am given new instructions (lesser intervals, swap cold compress to warm, etc.).

Makeup: I was instructed to wait another week (2 weeks post op) before I wear any makeup on the incisions. Reason being I'm to keep that area clean so as not to get anything in the incision or it could cause blackheads, or millia (whiteheads), which may go away on their own, or need to be removed by the doc. I don't wear eye shadow, but I do where foundation on my eyelids. I will have to be patient, which I am not real good at.

Swelling: I have been healing very fast with little bruising, but I have had swelling, but I've reached the one week mark and I am already getting anxious. I've known all along that it'll take about 2 months to look "normal" again with the final results being about 6 mos. away, but I really wish I could see what those results will be. I read that people tend to get "The Blues" after about 1 month due to this (realizing how long it actually takes to heal completely), and I feel like I may get them a little earlier than that just because I'm healing at such a quick pace. I am still very happy with the results, and I will try to patient, which as noted above will be tough.

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Lindsay, you really look great. I know you just mentioned your swelling, but from your photos, I don't notice much swelling. Are you talking about your uppers or lowers being swollen? Maybe it's the front angle of the camera, but it looks smooth. In terms of the fat repositioning, you said you can only feel it, not see it, right? So, my plan is to have the same procedures done to my lowers that you had, minus the upper bleph. If you put make-up on your lowers right now and went out, do you think anyone would notice? I have two kids that I shuttle around constantly, I guess I'm always trying to figure out how long it will take before I will be about to be out in the world again without everyone noticing. Your review has been absolutely wonderful, and I'm printing it out for my files so I know what to do when my time comes. I tend to get anxious easily, and I'm concerned I won't be able to emotionally manage the ups and downs of the recovery process. Please keep those pics and reviews coming...they are a Godsend to those of us trying to navigate this!
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Oh thank you thank you for telling me that. I have been worrying myself about that. I thought why in the world would I have the bags removed only to replace them with much more wrinkling! I got two separate opinions prior to you. The first said the same as you, then a doctor said I'd always had that wrinkling and I just hadn't noticed it before...I don't think so! How long did it take for your obvious swelling to go down? Then you said a couple weeks more for the wrinkling right?
Thanks so much for your response. That has really been scaring me. Another gal commented similarly to this and I feel much better. I am so pleased with the results so far, and that would have driven me crazy. Thanks again.

Day 8

Day 8 - I feel great and I'm happy as usual with the surgery. One eye is always different than the other, healing differently, which I was aware would happen.

NOTE: Just to mention to anyone who has noticed, my left eyebrow (right in photos) has always been higher than the other. This is not due to surgery, as you can see in my before photo. I may have that evened out in the future with another procedure, but I think I'll let this one sink in first, as this was my first cosmetic procedure.

QUESTION?: Yesterday, I mentioned the fat that had be repositioned into my tear trough was a bit hard like a lump that wasn't visible, but only to touch, and the doc said that was normal and it was soften and smooth with time. I think I can see them now and it's a little worrisome. I trust my doc, and believe him when he says they'll smooth out, but has anyone else had this happen? If so, how long did it take to soften up and smooth out?

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LindsayD74, Thanks for your ongoing pre and post surgical story. The word that comes to my mind, when comparing your pre and post pictures, is "cute." Before, you looked stressed , like you had a long day at work. Now you look younger, like you're on your way to the beach! I've not yet had any blephs (I'm the one who had a not-so-successful filler procedure, under my eyes). As it's only a week since your surgery, and considering your progress, listen to those who also had a bit of wrinkling and repositioned fat--it will smooth and settle. I did have a chemical peel (TCA) about four years ago, under my eyes. It went well, same healing process as you had. I don't remember if you mentioned in your above notes, but, after a peel you MUST immediately begin using a high SPF sunscreen. Even if you're indoors. Sun through windows, believe it or not, gets to the skin. It's like having "new, baby skin" -- With my peel, I just used my usual moisturizer with sunscreen, once or twice a day. Being fair and blonde, as you appear to be, it wasn't enough. I developed some areas of hyperpigmentation along my lower orbital bones. My doc gave me a script for hydroquinone, but it was so drying, I couldn't use it. So, for the following year, I was super crazy about applying sunscreen, and it finally started to fade. Not to mention, it was annoying to apply layers of the best concealer I could find. Just thought I'd share this with you! From researching, apparently many develop some sun-related brownness with peels. And some have the exteme opposite effect. Depends on your skin type/tone, I guess. So, long before you "hit the beach" in a few months, start protecting your skin! You look great!
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I just wanted to thank you for all of the info. I did my under eye surgery April 19th, and I'm still recovering. All of your tips were great and I have one to add. Cold compresses were simple, I kept a bowl of ice water next to my bed and dipped washcloths in there. When it was time to switch to warm washcloths, the warmth lasted for about 2 minutes at most. Here's my helpful hint: line the inside of a heating pad with aluminum foil, turn the heat to high and fold in half. Wet and ring out 3-4 washcloths with hot water. Fold in half and put all of the washcloths in the middle of the heating pad. They'll stay warm for hours.
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My swelling mainly went down in 2 weeks, it continued to go down over the next several weeks. Once the swelling went away, within another week the crepey wrinkling look went away. I kept taking the bromaline to stay on top of the swelling and I still sleep on 3 large pillows just so I don't get swelling in the am. I ohave no wrinkling or crepiness now at 7 weeks. I was nervous too and thought the exact same thing as you, now I look back and can say to u to stay patient.

Day 9

Day 9

TINY SCARE: I woke up this morning though and the sclera (clear layer over eyeball) was bubbled out in the corner of my right eye. I thought something was in my eye upon waking, and went to the mirror and saw that the sclera was raised up like a blister, but clear. I used my corticosteroid eye drops and it immediately went back down. Scared me for a minute, but I'd done my research and new this happens sometimes, and that my sclera was just a bit swollen. I was happy it went right away, or I would have called the doctor.

Otherwise, healing is coming along great. The fat repositioned under my left eye has already softened up quite a bit, but it is still a little harder under the right eye. My incision lines across my upper lids look good. They are a bit red and bumpy, as was expected, and I know this will fade and soften over time. I'm not worried about it at all as it really isn't bad now to begin with. I have heard it can get thicker, bumpier up to 1 month though before it begins to improve so I am hopeful it doesn't. Only the remnants of yellowish bruising left now and a red line bruise remains at the outer corner of my left eye due to my lower lid being pulled down and held during surgery. I had them in both corners initially. I am feeling better everyday. I still have some swelling under both eyes directly, but the areas where the fat bags were looks great. I also have some swelling on both upper lids but too little to know where and what. I'm sure they will improve. My eyeballs still feel a bit heavy I guess is how I'd describe it due to swelling all around them, which isn't very bothersome.

I've been very happy from day 1 with my results. I could tell I'd made a good choice, and each day confirms this. I only have a few more days until I can wear make-up. I am looking forward to going out with friends next weekend, hopefully. I want to get ready makeup and all. I haven't gone anywhere fun since before surgery, because I wanted to take really good care of myself so I wouldn't disturb the healing process.

I will probably update my photos weekly now. I doubt there will be much improvement seen through photos day to day. I will continue to update with my progress as it changes.

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Thanks for the advice. I hadn't done that yet, although I've known I was to use a high spf sunscreen, but I thought sunglasses were enough. Great advice! In fact, just yesterday, I bought a roll-on 50 spf sunscreen for the face. I haven't gone outside much, but a few minutes in-out of the grocery store/wal-mart (where i bought the sunscreen). I will take your advice for sure! Thanks for the compliment. You cannot see what I look like from my pics, and I think you will all be a bit surprised when you see me. I'm going to do a before/after full body shot. Cute is great though!
That is an excellent tip! I've been struggling with peas..I knew I should have grabbed that heating pad I saw in the thrift store!! I put the frozen peas into lunch baggies with twist ties and they worked great frozen, over a gauze pad, but then when I had to switch to warm compresses, I decided not to "waste" the peas and I've been heating the same baggies full in the microwave and laying them over a warm washcloth. They don't want to stay in place though. I finally realized if I tied the tops of the baggies across my nose they'll stay (most of the time, if I place them just right...). I think I'll go ahead and invest in a heating pad. The tinfoil and warm clothes are a great tip. I think I'll give in and do it your way. Thanks! How are you healing? I still have swelling along my lower lids, just below the lash line (although I dont have incisions there as mine was transconjunctival). I'm just like everyone else now, chomping the bit to get on with this healing process and see my final results.
Christine, thanks for reading my review. I tried very hard to explain each step so those like you (I was like you before surgery) could educate themselves as that's the only way I was able to take the plunge! Really. I have extreme anxiety and was diagnosed with PTSD (Post Traumatic Stress Disorder) due to my husband of 10 yrs. death in a car accident almost 5 yrs. ago now, but I have medication for my panic attacks. Anyway, I don't know how severe your anxiety is, but this can be a nerve racking experience. As I noted above, when the tear drop of blood seeped out of the corner of my eye the evening after surgery I went into a full on panic attack (that's not rare for me), and had to take my fast working medication prescribed by my family (or lack there of, it's just our daughter and I now) doctor. I will admit that these "mother's little helpers" got me through this, but only because I am prone to panic attacks at any sign of danger, and I wouldn't want to suggest to anyone to use anything not prescribed to them, ever! It all depends on you, and the severity of your condition. My surgery and recovery were wonderful. I was a prime candidate (other than the fact that I smoke, but cut down to about 8 cigs/day), nothing went wrong, I'd done all my research, and I chose an "expert of the eyes" oculoplastic surgeon. So, that being said, the ups/downs of surgery aren't too hard. I highly recommend you have someone to wait on you for the first 3 days. Those will be the big "down" days. I stayed in bed, propped up with one of those propping pillows that has the short arms, and several other regular pillows placed comfortably around me. I slept in my lazy boy chair so I wouldn't be able to scoot off my pillows to lay down flat if I became uncomfortable while I was asleep. If you take proper care for the first 3 days, you should be able to get about on the 4th day, BUT do not over do it, and NO bending at the waist (my thighs are sore, because I've been squatting, which is a great workout during down time). As far as bruising/swelling, and not being noticed, everyone is different. I was very lucky with very little bruising, but others have lots of red/purple bruising. Mine, and most I've read about, went away on Day 10, today! Are you going to have the chemical peel done like I did? That makes a difference in healing time. I can go out today without even wearing makeup and I doubt anyone would notice. My bruising is gone for the most part (I see slight yellowing still at the outer corners). My swelling is minimal, but definitely still there. I have swelling on both my upper and lower lids mostly just above/below my lashes. On my lowers, the swelling is all over, but I notice it above where the fat bag used to be. The photos don't show it much. My under eye skin wrinkles now when I smile due to swelling, which scared me before I was assured that it would go away. Those 2 things (residual swelling and wrinkling due to swelling) take the longest to resolve. I've been told it takes up to 6 months to fully heal and get to see your final results. That's a little frustrating for me, because I want to get ready, makeup and hair, and look great now! But what's a few months when I've waited so long to have this surgery, and it will last a lifetime! How old are your children? Do you have to lift them? I wouldn't do any heavy lifting, or anything to raise the blood pressure for awhile. Walk slowly, stay calm, and take it easy on yourself. Your doctor will advise you about the length of time, but I'd guess at least 1-2 weeks. I recommend preparing your children before hand. I showed my daughter before and after pictures first then, once I decided to have the surgery, I showed her photos on this site of the healing process so she wouldn't be afraid when she saw me going through it. That helped my daughter a lot, but it also helped me, because I knew if my daughter got scared and mentioned how bad I looked that would cause me to panic. Maybe explain to your children that you have to stay in bed for some time. I hope I've answered all your questions, and haven't scared you. I am so happy I went through with it, and I think that it's a fairly easy procedure.

Day 10

Day 10 - I decided to go ahead and post photos today, because most of my bruising is gone. I see traces of yellowness still, but I thought it would be helpful for those researching to see me through to this stage.

I'm still feeling great about this surgery. I have some residual swelling as expected, more under eye than upper eye, but it's not very noticeable to others. I can see it though, and feel it as my eyeballs feel heavy, and when I look down it feels a bit strange, because I can feel the swelling. You sort of have to experience it to know what I'm talking about, but it's not scary or debilitating. Also, I've been advised that the wrinkling under eye due to this minimal, residual swelling will go away about 2 weeks after the swelling goes down, which is extremely relieving! I was very scared that I'd gone through all of this to rid myself of the under eye bags only to have wrinkling replace it. All others who've had this procedure have experienced the same thing, and they've advised me to be patient as it will subside. I am so happy!

I am going to post 2 photos at some point, probably at the end of the visibly noticeable healing process. The 1st photo will be of me dressed and ready with makeup and hair done, before the surgery, and then another of the same, but taken after the surgery. I think you will all be surprised at what I really look like, as the photos of one's eyes alone don't show you what a person looks like. I know I'm curious when I look at all the profiles on here so I thought you might enjoy that. Plus, I have looked less than attractive so far from before surgery with bags through bruising and swelling, and I'd like to show you.

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I continued to take my bromaline twice a day for 4 weeks, and still on occasion take it once daily depending if I wake up puffy. I just did these things on my own to minimize my skin swelling hence decreasing the chance to wrinkle and I'm totally smooth. My eyes look better than when I was in my 20s. The last couple of weeks I feel like my eyes are so wide open and clear. It's kind of crazy how perfect they are. To me, it didn't hurt to continue the bromaline, it's being proactive.

Day 11 - WEAR YOUR SUNGLASSES & SUNSCREEN

Day 11 - Well ladies, and gentlemen, I experienced my first very small issue late last night on Day 10. I've been so good following all instructions and then some staying down, relaxed, and pampering myself for over a weeks, but I was getting stir crazy not getting ready and going out to see friends. So, yesterday, Saturday, was such a beautiful day here on the Central Coast so I decided to get about. I showered and got ready very carefully putting makeup on so as not to get any makeup on my incision scar (no concealer, foundation, eyeliner, nada). Before applying any makeup, I applied SPF 50 sunscreen to my eye area (noted as a "must have" item below), and with sunglasses in tote I headed out. First to Wal-mart to grab Vanilla Soy Milk & Green Chai Tea for home-made Vanilla Soy Chai Lattes (chilled and delicious), where I walked across the parking lot without sunglasses on, but, due to the wind/sun, I returned to my car wearing them. Then, on to a friends place where I stayed inside most of the time. We periodically sat outside on her exotically decorated deck. I sat in an area shaded with in thin, pale drapery, but after awhile I noticed the wind was stirring up a bit of dust and dirt. I hadn't been wearing my sunglasses as I had on my 50 SPF, but decided to put them on. I was gone about 4 hours (1-5 pm). I returned home and relaxed for awhile, and around 8 pm I watered my lawn and retired for the evening satisfied that I hadn't "over-done it". Around 11 pm I felt like something was in my left eye. Fairly sure it was another sclera "bubble" that would resolve with one steroid eye drop, I went to the mirror to see. No sclera swelling, no sunburn (my sunscreen worked wonderfully), but the rims of my eyelids were a bit red and slightly irritated. My swelling seemed normal, and I saw nothing too alarming so I used my corticosteroid eye drops, took 4 Arnica pills (I'm out of Bromalain now), used some Cortisone under eye then added some Real Tears eye drops; however, I could not shake the "gritty" feeling in my eyes, the left especially. After awhile, I looked again, this time behind my eyelids, without pulling them open too much, for a stray eyelash, or possibly a "lost" stitch, but I'd only had 3 stitches: 1 straight across each upper eyelid, and 1 at each tear trough, and all 3 came out in 1 piece smoothly so I wasn't expecting that), and that's when I saw an enlarged pore just below the rim inside my eye's conjunctiva. I'd noticed this poor a couple years prior when it turned into a blackhead, and I couldn't squeeze it then either due to it's position, and had to just wait for it to resolve itself, which it did after about a week. How weird is that having a pore/blackhead on the rim of your eyelid? I thought it had gone away, or, at least, shrunk small enough to not be an issue again, but there it was, and it was probably enlarged due to swelling. I thought maybe a bit of dirt had gotten inside it from being out in the elements without my sunglasses, but it was probably just the enlarged pore itself rubbing against my eyeball that was causing the bothersome feeling. I washed my hands to attempt to clear the pore out just in case something was inside that needed to come out to allow the pore to settle knowing from previous experience that probably wouldn't be fruitful, and I pushed lightly at each side just once with my clean fingernail. A tiny bit of blood came out and I immediately stopped hoping anything that may have been inside came out with the tiny bit of blood. It was late on a Saturday night so I didn't call my doctor. I then flushed my eyes with my simulated tear drops, and I added a dot of the Bacitracin ointment directly onto the pore. Bacitracin is a anti-fungal/antibiotic, and I'd read it can be applied directly to the eyeball in the included pamphlet from the drug store. I tried sleeping, keeping my eyes closed, hoping it would resolve itself by morning; however, it was extremely hard to sleep as the gritty feeling was maddening. I took a sleep aid and eventually drifted off to sleep. I awoke this morning feeling much better, no gritty feeling, and the poor smoothed down and just looks like a tiny red line instead of a round pore now and I'm so glad. What a pain in @#$%! I believe that, because I wasn't meticulous about wearing my sunglasses (because I had this great SPF sunscreen), the wind allowed dust, dirt, and allergens inside my eyes irritating the pore, which was probably already enlarged from swelling.

So the moral of the story is WEAR YOUR SUNGLASSES! They don't just protect your eyes from the sun they protect them from wind, dust, dirt, allergens, and whatever else the wind may carry on it's journey...into your eye!

MUST HAVE THIS PRODUCT: Sunscreen: "Dab-On Spot Stick" by Ocean Potion with SPF 50+, and 80 minute Water Resistant. This product is amazing, because it's clear, drys immediately, non-greasy, and it doesn't sting due to it being Fragrance, Oxybenzone, & Paraben Free with Vitamin D3! It doesn't feel like you have anything on at all so you can apply it under makeup without notice. It's fabulous! It's in a small tube you can keep in your pocket, and it's only $3.95 at Wal-mart. All you do is press the flat cloth covered top with your fingertip and a small amount comes out clear, and just dab it on the "new" skin (if you've had a chemical peel), and along any incision scar.

NOTE: Always use sunscreen on any scar for at least 6 months. The sun causes a scar to stay red and raised, and disallows it to heal properly.

Other than that little incident, which actually happened on Day 10, Day 11 is going very well. I'm staying in today to ensure the pore heals, and I am going to relax. I've added 2 new photos, but you cannot see the pore; however, some greenish bruising developed around that eye today probably from me messing with it. The pore now just looks like a tiny red line, not a pore/tiny hole, and I'm hopeful it will stay that way and never bother me again.

BE PATIENT - EYES ARE SENSITIVE I've learned to be patient again. I am only 1 1/2 weeks out, and just because my eyes looked pretty normal with just minimal swelling they are still healing with a long way to go. The eyes are extremely sensitive, but I've never worn glasses/contacts, or had many issues with them so I forget this, and surgery is very invasive so I have to take care of them for a lot longer than 1 1/2 weeks! Take care everyone.

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Hey Lindsay! Just checking in to see how you are doing. Great advice on the post care for us bleph girls...... I am back to playing golf and keep my Mederma Scar Cream SPF30 in my bag and apply it religiously. Looking forward to next weeks report and pics!
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Hey mama, thanks! I'm doing fine. Took a couple days off the computer and actually did spring cleaning around here so I worked solid squatting, bending, reaching, scrubbing for 2 1/2 hrs. then took it down a notch and spent a couple more hours watering, laundry, tidying up. My quads are killing me since I've been squatting rather than bending at the waist and I love it! Great workout. How are you? I'll wonder on over to your profile and see if you've updated. I'm gonna go check out the ingredients for Mederma Scar Cream now, online. How do you feel about it? I started using a Vitamin C Eye Cream with all natural ingredients (big on no fillers/parabens, needless/useless oils/alcohols, etc.) and it claims to "lighten". I know it's a great anti-oxidant, but I wonder if it's the right product for the job. Have you used Mederma before, or know someone who did, and seen final results?
No, I just went on Amazon and found a scar cream with spf 30+. Living in Africa we do not have the same luxury of 'feeling' a certain way about some products and the ingredients. Most times I just feel lucky to have found something to do the job! LOL! But hey - if you are coming over my way I would LOVE to try "Dab-On Spot Stick" by Ocean Potion with SPF 50+...... (giggle) I just gotta improvise with what's available. My mom is coming next month so I might look to see if I can Amazon it to her... I already ordered some Burt's Bees stuff as I LOVE all that they make. What else should i look for?

Day 14 - 2 Weeks

It's been exactly 2 weeks since surgery and everyone is saying I look "normal" again (if I ever really looked normal, lol), and great, but I still see slight swelling, and mostly slight wrinkling under eye, but that is also subsiding now, thankfully. I was more than happy to get ready yesterday with makeup and hair as the doc instructed "no makeup" on the incisions for 2 weeks, as noted above, so I post new pics above. The last pic is a full face pic of me before surgery, as by the eyes alone it's hard to tell what a person really looks like. I will post a full "after" shot when I've healed comfortably and have no wrinkling/swelling so it will be a true final results shot. Sorry about the bangs! I don't have many current photos showing both eyes.

NOTE: BROMALAIN IS GREAT! I bought more Bromalain as suggested by a fellow bleph patient KFRNP. I finished my first bottle and it's not cheap at $20/bottle, and I hadn't been instructed by the doctor to continue on any longer (he isn't a man of many words, but I do not want to slander him in anyway). However, I began to see purple/red bruising at the corner upper lid on Sunday. I don't believe any longer that it was due to the pore incident I wrote about above, as it was the other eye, lol. It may have been some of that "deep" bruising that comes to the surface unexpectedly after a couple weeks, or who knows. Anyway, I bought more Bromalain and spent the $20 and now I swear by this stuff! Everyone was saying that Arnica was the fabulous herb/flower (whatever), but Bromalain surpasses Arnica two-fold in the bruising department. BUT Arnica may be playing a big roll in the swelling so I don't want to discredit it, I just don't know.

As you can see by my photos, I had hardly any bruising only slight green under eye for about 2 hours day of surgery, then 2 days of a red upper eyelid, and then immediately the bruising turned yellow (last stage of a bruise), which last several days as I believe the Bromalain lessened the severity of the bruising, just not the longevity, as well as the severity of swelling. I cannot tell whether the Arnica had anything to do with that, but I do know that within 2 days of not taking Bromalain, but still taking Arnica, I developed a red/purple bruise at the corner of my upper eye lid on Sunday. I started back on the Bromalain on Tuesday afternoon and the bruising subsided fairly quickly skipping the whole fading process once again: red, the dark purple, then red and purple speckling surrounded by green then onto yellow. I was hardly even yellow, if at all. Who knows, I suppose, as I did have red eye lids on Days 2 & 3 then went straight to yellow before, and if this were a deep bruise surfacing then it did the same thing, although the Arnica didn't seem to be working on it as quickly as the first time. It could be coincidence that I bought the Bromalain on the 3rd day and it was going to begin to subside anyway with the Arnica. At any rate, either Bromalain or Arnica, the moral of the story is it's wonderful! I'm looking into herbalism for sure.

NEED (ADJUST TO POST OP CARE LIST): Bromalain comes in 2 bottles: a small with only 30 pills; a larger with 60 pills. I highly recommend you purchase 2 larger 60 pill bottles and continue to take the Bromalain for I'm guessing per patient KFRNP, 3 weeks. After the first week of taking the Bromalain in doses of 2 pills every 4 hours you will finish the first bottle of 60 pills, then reduce the dose to 2 pills 2x day and that will extend your 2nd bottle out the 3 weeks. Don't worry about the Arnica as it's inexpensive at $9/bottle and comes with 250 pills, which should last you a long time.

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I love the web, and Amazon! I would love to come for coffee/tea, lol! Well that Dab On Spot Stick is awesome. It doesn't sting, and that's amazing! I can tell you from personal experience that just plain old Vitamin E oil works like magic - either from the bottle or the little pill (the pill is like an applicator though if you prick it with a needle). I used it on a stitched wound at the corner of my eye at my nose (car accident) from the minute it sealed shut (stitches still in) for 6 mos. along with sunscreen (kept the sun off of it completely - well the best I could), and after that it became so light, hairline in size, that everyone had to look right up close to barely see it after that (maybe a 8-12 mos. later). Today, I can't even see it. I've decided to purchase Vit E pills rather than another expensive cream. I use Pevonia Botanica products - doctors working with earth based ingredients - on my face, but they're expensive ($28 face wash, $78 for face cream). I use these creams on my upper eye scars as well. I used Lancome for years, but then I became aware of the cancer causing ingredients, preservatives that break down your organs on a cellular level (slowly of course, over time), and "fillers" in products that did nothing for my skin but clog my pores (mineral oil), and I learned how to read ingredients labels, and you must do an online search on some of the costly name-brand products as they don't list ingredients on the packaging. Since then, I've chosen organic products without those ingredients, but it's very hard to find a product that doesn't have at least 1 or 2 in them. Do an online search for "cancer causing ingredients in face care products". There is a WordPress blog called "Ingredients to Avoid" by Organic Beauty Talk and this person lists a handful of very common ingredients and explains what each does to your body. Even my Pevonia Botanica has some...As you said, however, you don't have much choice in Africa, but can you purchase online from other stores?

Day 17 - 2 weeks 3 Days

I'm only at 2 1/2 weeks post op I know, but I'm getting a bit worried...I think my surgeon may have been a bit too conservative either with the chemical peel strength as it was a very low percent, or, alternatively, he may have performed the more conservative blephoraplasy procedure and should have removed some lower eyelid skin via the transcutaneous method. The transconjunctival method was recommended for me with a chemical peel as the doc said no extra skin needed to be removed and the chemical peel would take care of tightening up any left over loose skin, but my under eyelids do not look smooth and "bag" free yet.

At first that skin was wrinkling due to swelling subsiding before skin's elasticity was reshaping, which worried me but a few others assured me that would resolve due to skin elasticity and it has somewhat, but now I feel like the remaining skin didn't "tighten up" enough and maybe should have been removed as it looks like a "bag", just not as severe as the original fat bag. Either it's loose skin, or, remaining fat, or, I'm not being as patient as I should be as it has only been 2 1/2 weeks (I know this is a wait, and then wait some more situation) and I'm hoping that is the case.

In addition to that worrisome issue, just in my right eye (left in photo), I'm afraid the newly positioned fat isn't positioned correctly in the tear trough. It doesn't feel as though it is truly placed along the tear trough in it's entirety - on down to the lowest point of the tear trough. It only feels like the outer-most edge of the fat strip is touching on the outer-most edge of the tear trough, and the bulk of the fat strip is resting just above the bottom area of the tear trough. Therefore, the deep tear trough I had before remains in the lower region. However, the right eye's repositioned fat lump has always been harder than that in the left eye (that issue was noted above and the hardened lump is a normal issue that resolve/smooths down over time). I'm hoping the fat really is covering the whole tear trough and this will become apparent when the hardness subsides and everything will smooth out. I have posted some new photos.

My left eye gives me hope, because it looks good to me although the wrinkling is still apparent when I smile (possibly elasticity, possibly some skin needed to be removed). The repositioned fat never hardened into as big of a lump as it did in the right eye, and it appears to be nice and even, smoother, without signs of a bag or deep tear trough. Therefore, I am hopeful that the right eye will look as good as I heal, as each eye has healed at a different pace.

I am aware that I am only at 2 1/2 weeks post op, but this is causing me too worry a bit that my under eyes aren't going to look as I'd hoped. Has anyone else experience this, or something similar that changed as you healed?

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I had a small limp area under my right eye and swelling at 2.5 weeks. I attributed to where my sister hit me by accident. The point is, I worried about this and my surgeon told me to continue to massage the area with upward motions, and this worked and it went away. I know it's hard to look at the wrinkling and feel like you can't be patient, but I can honestly tell u, I have no wrinkles at all now at 8weeks. I did have mine done transcutaneous, but my ps told me he didn't take any skin. The best advice is stop looking, limit yourself, or you will drive yourself crazy. Call your ps and ask if ok to massage, as crazy as it sounds it works. Your eyes are healing the way they are suppose to. It's hard to realize that, but all of us can tell u, we all had the same doubts and fears at all different stages. Its normal to want to look healed yesterday. Only time will get u there. Hang on Lindsay.
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Thanks so much. I needed to wake up to this msg saying this. I know in the back of my mind that as much as I've been telling myself I'm being patient, I'm not. The swelling went down a couple 4 days ago and I have been advised by you and others it takes an additional week or 2 for the skin to go back into shape. I really do need to stay out of the mirror. I got ready and went out this weekend each day I got ready so it was difficult not to lay back and stay out of the mirror. I'm gonna do myself a favor and relax for awhile again, and stay out of the mirror - up close and personal like, haha. You are a life saver.
Lindsay, now that I'm researching, once again for myself, possible reactions post blephs, I came across a surgeon's comment that may apply to you: If you had a concurrent fat augmentation or TRANSPOSITION PROCEDURE to fill in the tear troughs, it might take even longer for the swelling to go down. (And, being slender as you are, I know that fat should only be repositioned and never removed. And the location of the repositioned fat can seem "off" at this early stage, with so much healing and de-swelling going on. So don't second guess your more conservative procedure. It's best when you consider the nasty complications that can occur with more dramatic surgery.) I long for the old days when a little Botox in my forehead made me happy enough!
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21 Days = 3 weeks

I cannot post pics as my battery died. Will do that later. I'm feeling more confident about my healing process mainly because of all the positive feedback telling me it's quite normal. My eyes do look different after just a few days (since last photo's taken) so that makes it easier to believe they will smooth out again as they were around Day 8 while still swollen, but smooth. For those following my review to gain knowledge (or courage) to get this procedure I would like to say that I am still happy I did this and in no way do I feel the doctor messed up. I still think he did a great, if conservative (yet to be determined) job. I am still happy and everyone I see face to face (who knows) is giving me reassurance saying I look great.

You all should enjoy this one...I woke from an afternoon nap yesterday and a friend strolled up to visit. After a few minutes I mentioned my eyes and she was like "oh! My gosh I'm sorry I totally forgot. I just thought you looked well rested from your nap"! I bet none of us ever got told how well rested we looked before, huh?

I will take photos again when my camera charges up. Thanks everyone for your comments, questions, and support! It's been really helpful to have something to do through all of this, and a positive journey thankfully. This site is an excellent forum for anyone planning surgery to discuss and de-stress.

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Hey Lindsay - KRFNP is so right on this one. My eyes change every week. In some photos a few weeks ago my eyes were quite lopsided - one round, one almond shaped. I spoke to my PS a couple of weeks ago and he emphasized how important patience is with upper and lower bleph. He said not to make ANY judgements until 4- 6 MONTHS. My scars are quite red now, but will fade. I am having some weird post-bruising- bruising where you had your lower stitches to 'tack' your fat in place. I thought that I was done healing, but my PS is right, things are still changing. He also mentioned that I am NOT 25 years old. (!) So at my age things are going to take a bit more time. We want to see a pic with make-up on now! That always made the tough week for me a bit better! :)
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3 Weeks + 1 Day

I just got back from a visit with Dr. Stallman. We discussed the hardened fat lumps (transpositioned fat) and he prescribed me to massage them rather hard (press down directly on the fat lump firmly and jiggle my finger slightly) for about 10 seconds 3x a day. OMG! When he did it I felt light headed and slightly nauseous for a little while after. My anxiety level rose. It wasnt too painful just shocking I guess. He said that this was common and that it usually goes down on it's own, but it begins to form some scar tissue and that I could help decrease it. I feel sick just explaining it. I'm gonna put my big girl pants on and do it though, because this is my face (eyes) we're talking about. KFRNP, you were right!

I also showed him the pore on the rim of my left eye and he said we have pores all along this area and to put heat on the eye then massage upward to push out any oils that gather there.

Otherwise, things are healing good.

PS: I would have photos for you today, but as noted above I had to charge the battery in my camera, and it would have helped if I'd plugged the charging dock in too...I will post pics asap.

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Well that confirms it then. Thank you. You guys are great. So the word for the day (for the next 5 mos.) is PATIENCE. Did you read I have to massage the "tacked" fat lump down? Ugh! I read about deeper bruising coming to the surface after thinking you are healed, and my doc warned me about that being a possibility and not to worry. Healing is strange...I am thankful that these minor things are all we have to worry about and I am counting my blessings. Sending you good healing thoughts.

3 Weeks + 3 Days

I've added the photos now. But I wanted to update on the repositioned fat (transpositioned fat). At my doctor's appointment Friday I was instructed to massage the lumps firmly as scar tissue was begining to form and I was told it was not only ok, but that I needed to press and slightly jiggle my finger on top of the lump to press it down into place. I've done that now for 2 days at 3 times a day and I am noticing a difference. Thank you, thank you. The wrinkles are still evedent under my eyes and I'm staying patient

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Photos

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Side Photos added

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Hey Girl Last Friday went to have field vision tests and photos, so I will find out this week if the Insurance will cover it.. Nervous with the waiting, I have my list started with all your helpful hints and things I will need, Arnica and Bromalain etc. Will keep you posted
Ohhh, I hope your insurance covers it. I'll keep my fingers crossed. Are you going to forward with surgery if it doesn't? The things I remember most helpful were definitely the meds/herbs/drops, ensure your doc prescribes the corticosteroid drop initially so you don't have to wait to "see if something goes wrong" before you get it, but also have several pillows or a recliner to sleep on, frozen peas with lunch baggies and twist ties (1 for ea. eye) and fill about 6 to swap out the first 2-3 days, no bending at waist - do squats to pick up stuff, this will help you lose weight if you want - I lost the last 4 Ilbs I was trying to shed by summer, and I swear by that as my eating didn't change but my legs (quads) hurt, and find a good heat source for when you swap cold compress for heat. I have a heating pad, but it covers my face (can't breath ha ha). After the cold almost constant for 2 -3 days (2 1/2) swap to just heat. The heat helps circulation and blood flow keeping area oxygenated and aids healing time. Last, don't over do it. Also, in my experience, everything looked great, healed great, then on the 14th day or so wrinkles! So remember to stay out of the mirror. Keep in touch and let me know how it goes and feel free to ask any questions. The other ladies on here have been very helpful too and I'm sure they'd be available as well. Mamachichi and KFRNP both had the procedure before me, thankfully, and they've been very helpful to me as you can see, and LydiaNJ has done her research and has helped with suggestions.
I forgot to add Mcat to that list of helpful people...she's already over a year post op and had several procedures including upper & lower blephoraplasty.

4 Weeks - So happy I had blephoraplasty! I have 10 yrs. back.

Tomorrow will be 4 weeks - Last Friday at my 2nd post op appointment the doc suggested I massage the hardened transposed fat that was growing scar tissue and forming a lump so I've been doing that and it's working. I posted new pics to show. It hasn't been as hard as the first time when I became nauseated from the shock of the doc pressing down on the lump as I suppose I was prepared after that, and knowing I had to do it for my face/appearance.

My incision lines were cut very symmetrically (not perfect, but very good), and they are healing very well. I haven't had any problems or changes with them. They continue each day to improve.

DISSOLVING STITCHES VS. REGULAR STITCHES (BEST IN MY OPINION): Most sutures leave little holes in the skin along the sides of the incision that eventually smooth out as you heal. A family member of mine had the dissolvable sutures, but they did not dissolve and the skin healed around them. We removed them upon noticing the area was irritated and red. This left those holes open for dirt and oil collection. They became "pores" even 11 yrs. later, and the impurities, if not properly cleansed become blackheads and then pimples. Some surgeons use these "dissolvable" sutures during blephoraplasty. My doctor explained that different areas of the body heal faster and he uses dissolving sutures on the inside of the eye (conjunctiva) to hold the transposed fat in place. He said it shouldn't be a problem because that area was not seen on the outside skin; however, I asked him to use the removable sutures instead (the two blue stitches below my eyes in my 1st week post op photos). This may be something to discuss with your surgeon if you are planning on having surgery. I'm mentioning this now, because my suture "holes" are still healing and they are a bit indented still, and the other night, after washing my face, some black eyeliner remained in the holes at the outer edges of each incision on my upper eyelids, and I thought they'd become blackheads. Luckily, it was just that I needed to wash the makeup out of them again with a wash cloth. The removable suture holes fill in as they heal and there is a small dot scar, but it's closed and cannot fill up with impurities that cause blackheads and that is my preference.

I HAVE CONFIDENCE NOW! I can look people directly in the eye without makeup on. I realized I hadn't been able to do that before after this surgery. I wouldn't have considered myself unconfident before, but over the last week I have felt real confidence when interacting with the public and it feels good.

I AM SO GLAD I HAD BLEPHORAPLASTY. As vain as it may sound, it's difficult for me to accept the aging process, and having had these under eye bags for years, knowing they were getting worse with time, this procedure has given me, at least, 10 yrs back.

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Hi Lindsay, how are you doing? How is the hard lump under the right eye? Is it going away? Hope all is well...
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Things are going great! I'm really enjoying my eyes! I have been out enjoying them so much that I haven't been posting so I just did above. I'm so happy.
Hey Lindsay. How is it going? Is everything evening out now? I talked to a plastic surgeon I know who retired and he said that the longer the healing goes, the suture line will eventually scar enough that it will pull the eyes and decrease a lot of the wrinkling. He said he used to charge $1000 for his blephs, wow. Hope all is well.
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Day 38 = 5 1/2 weeks post op

I have been out enjoying my appearance for a couple of weeks now. I am very happy at this point with my blephoraplasty results. After pressing on the hardened lump as instructed for approximately 4 days the lump went down and looked even with my lower lids so I stopped. I haven't spent much time in the mirror inspecting, only getting ready as usual so that helped me get used to my eyes at a normal distance and how other people would view my eyes. I love my results. My lower lids have evened out.

As far as the wrinkling goes there are about 3 wrinkle lines that I didn't notice I had before, but they aren't very visible any longer. Although they are now present due to the under eye "bag" being gone the wrinkles aren't as deep as they were when my skin was still "stretched" out after swelling and the under eye bag was gone. I am very pleased at my doctor being conservative as the results thus far seem to be as good as it gets. I believe that I did not have enough under eyelid skin to have any removed so that was a very good judgement call on my doctor's part. If anything needs to be done after I'm done healing I believe I may need another chemical peel to soften out the minimal wrinkling that may remain. I do not want, nor do I need, to go the botox route in regards to the wrinkles, which was mentioned. I am fine the it is now, however, I would be interested in another chemical peel if the doctor feels that would decrease the depth of the wrinkles that remain. The only reason I will proceed with another chem peel, if it will, in fact, help, is because I paid $4,900 to have great looking eyes and I am so very close to being extremely happy with the results. I took some photos that I will attach in a moment.

I feel very thankful right now that I look so much better, and there were no complications. This experience has given me back my confidence. I feel great!

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Day 38 (5 1/2 weeks) Photos

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This has been really informative- thanks, and you look heaps younger!
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I wanted to say thank you to you and Jill! I am having my lowers done tomorrow, Friday! I'm very scared and nervous. However, I appreciate every single detail you provided, along with all the wonderful pictures. I feel more ready after reading your two posts. I am stocked up on all of the things I need and anxious to get it done. I've looked tired my whole life and ready to look awake. :)
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That's very exciting. Glad to help out. Wishing you great healing, and patience.

2 Months + 9 Days = 9 1/2 Weeks

I have posted updated, up close, photos as well as an updated full makeup/hair photo. My eyes have improved slightly since the last post at 5 1/2 weeks post op. I am very happy that I had blephoraplasty, however, I now have wrinkles under my eyes that I don't believe will smooth out any further. They are nothing frightening looking, and very natural, but I just spent $4,900 for ten years to be taken off my eyes appearance and I am not ready to settle for wrinkles replacing fat bags. The wrinkles are natural due to my age, and the fat that formed under the skin, and I believe its the loose skin (bags that developed around protruding fat) that remain, because I did not have any skin removed during blephoraplasty. I don't believe I would have the wrinkles if I'd had some skin removed (subcutaneous blephoraplasty), rather than just fat (transconjunctival blephoraplasty). The doctor suggested a chemical peel rather than removal of any skin: however, I don't believe it was a very strong percentage of chemical as I had no pinkness or redness after the peel came off. This was a sign to me that it may not have been strong enough. I've just discussed all of this with the nurse who indicated that I had a couple of options: botox (which I do not want, it is too expensive and doesn't last plus in my mind why would I want that after paying for bleph surgery), or a second chemical peel, which I will do if the doctor thinks it will improve the wrinkling, but the nurse didn't seem to think it would make much of a difference indicating they were smile lines and would be there when smiling anyway. I scheduled an appointment to see Dr. Stallman this Monday to discuss my options, and I'm hopeful that it won't cost me much. This is disheartening to me, and I question whether I should have had a small amount of skin removed, but then I tell myself that it could be much much worse. Having a doctor who was a bit too conservative is much better than the alternative as nothing bad happened, I didn't receive a botched surgery by any means, and my eyes do look better. I tell myself that I should be happy that I no longer have the bulging fat. The wrinkles only deepen enough for others to notice when I smile, as you can see in the new photos I've posted, but I smile all the time. I've posted several photos taken today of myself not smiling, smiling, both sides, and eyes closed to show you. When I'm not smiling, my under eyes look very good with only light wrinkle lines that only I notice and makeup covers pretty well (at this point, with age that probably will change sooner than later if I'd had skin removed); smiling, there are about 3 deeper wrinkles under each eye. I suppose that I should wait and see what the doctor says. All in all, if there is nothing I can do to be rid of these new wrinkles, I will go away from this experience happier than I was before. I will not be angry at the doctor for being too conservative, and I will be thankful that he did the best job anyone could have done without removing skin and I will accept that his judgement was fair and honest. I will not pay for skin to be removed at this point, but consider it an option in the future and I will definitely go back to Dr. Stallman to do the procedure as I trust his experience, and believe he would do a great job.

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I see someone else had new under eye wrinkles like i did. Good news my doc is going to re do the whole procedure especially since some of the fat has come back.
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Thanks for this detailed share. Continued success.
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Looking great. I think when you compare your before and after photos, there is such a big difference. Your bags are gone and you look awake and bright eyed. I think the wrinkling is kind of normal with anyone smiling, we are just more critical of ourselves. I'm very happy for you. I might update soon.
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5 Months Post Op - My eyes look GREAT!

All the wrinkling is gone, smoothed down and no weird indentations. I talked to my surgeon a couple months ago about a chem peel but put it off due to money and I'm so thankful I did. I was jumping the gun. It's so true that patience is a virtue when it comes to a surgery that had no signs of problems (big problems). I look 10 years younger, my eyes are bright and beautiful and I love it!!! I've added some pics, but as I warned before you can only see one eye. I wasn't planning this update so I just grabbed a couple recent photos, but I'm 39 yrs old and due to my surgery I don't look that close to 40 yrs. Hope you all have enjoyed the review.

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Hi Lindsay! Thank you very much for sharing your experience, I think the result is absolutely stunning! I may have missed that information but I would like to know what kind of peel did your surgeon apply to your lids. was that a TCA peel? A hetter peel? Thank you in advance for your kind reply.
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Lindsay, I am 7 weeks out from fat repositioning surgery. My skin under my eyes look terrible. How was your recovery 7 weeks out? I'm having anxiety attacks. Thanks in advance for your response.
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Skin under eyes has gained a lot of wrinkles and more skin after the lower bleph and lazer. I am one year out. Dr keeps saying he does not create wrinkles and has offered to do it all over at no cost but not because of that, he says the fat came back and he is not satisfied with that. My skin under eyes was very clear and no wrinkles pre surgery. Now when I smile I have all the extra skin under there that bunches up. He also said he does not want to take much skin out on the re-do because he is afraid I will have lower lid that pulls down to far under the iris part and would look terrible. I wonder should I trust that the second time will be better or worse?

Extremely unhappy with final results - Severe wrinkles I didn't have before and nothing was fixed

It's been a little over one year since I had the procedures and I look HORRIBLE!

As noted above, after I first noticed the wrinkling under both eyes that I did not have before the procedures as well as the lump where he had repositioned the fat that had created another "bag" under my right eye (left in photos), I scheduled an appointment to address it Dr. Stallman. The doctor offered only to charge me a few hundred dollars for Botox injections to freeze the muscles in my face so they wouldn't move and that would take care of the wrinkle problem under my eyes. He advised that the Botox would only be temporary and that I could continue to pay for these Botox injections every few months to keep the muscles frozen and wrinkles relaxed. That was completely unacceptable to me, and I told him I could not afford that. I asked him whether I had any type of revision options with him. Dr. Stallman then said no that I would have to pay for any procedure he did for me. I was rather upset, but polite, but I did say that I felt like I looked horrible and older than I was. Dr. Stallman then suggested that it would take a year or more for the final results and that my eyes should continue to look better as time went by and not to worry. I left hopeful that I hadn't just spent $5,000 to look worse than I did before the blepharoplasty. There was a short period of time when the swelling had not subsided and the under eye skin looked nice and smooth and I could not see the wrongly repositioned fat and I was happy, but that was short lived!

It's been over a year and my under eyes have only gotten worse, much worse. Both eyes look terrible. So I have now had second opinions and have been told that my eyes were definitely not considered satisfactory results for the procedures I had, and that I would definitely need revision surgery to fill in the tear trough, remove the wrongly repositioned fat in the right eye (left in photos), and several options regarding the terrible wrinkling. I was also told that the wrinkling may be so severe due to having the co2 laser resurfacing at the same time as the blepharoplasty procedure as my skin had already had been traumatized from laser surgery from the blepharoplasty (upper and lower transconjunctival).

It has been suggested that I do not pay for any revisions and that I do have recourse. I will contact Dr. Stallman immediately and express my concerns, remind him I tried to discuss revisions and my dissatisfaction, and advise him that I plan to initiate recourse. I will see how he responds to my proactive approach to this situation and hope for an agreeable outcome.

I want what I paid for, and I certainly did not want to look worse as $5,000 is a hefty fee for me. I went in with just under eye bags that weren't extreme and deep tear troughs, and I came out with both as well as severe wrinkling and I look much older whereas I only looked unrested before.

So, I wanted to come back on Real Self to rectify the positive review I gave initially, although I do note all these issues in my review along the way/over the months. I felt it was only right to let anyone reading my review know the final outcome and to post photos to show the final results.

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I'm so sorry about your final outcome. And to think that your procedure was done by an oculoplastic surgeon- I've always thought they were the best for eyelid surgery. I've been searching oculoplastic surgeons myself and I've always thought they are the best, but now I have my doubts. I do hope you can get things revised - I would b Leary to go back to this dr because I've heard revisions are more difficult than the original surgery. I hope all goes well for u - keep us posted. Thanks you.
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Lindsay, I haven't been on the site for a long time and happened to go on tonight. I feel so bad for you. The wrinkles in your pictures are unacceptable. I can't believe that you were left with this as your final result. I'd be almost afraid to go back to your surgeon in case he would be irritated with you as you mentioned. You were so careful with your research and did everything possible for a good outcome. You and I really had similar skin as we talked about last year, and thank goodness, I am lucky to be wrinkle free still. I hope you are able to rectify this somehow. My thoughts are with you.
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Thank you KRFNP so much for the condolences. I really did do a very thorough job in my research, planning, preparation, and following instructions to the "T", and you are right about being hesitant to go back to Dr. Stallman for revision surgery, and that is exactly how I feel. We are all human, and, although I would not hold a grudge against a customer being unhappy and requesting rectification (I own and operate a business myself), I get the gut feeling he would be "irritated" by me at the very least. If he would have offered to rectify the problems the first time I would feel much more comfortable allowing him to perform revisions, but he didn't so that leaves me with a bad gut feeling. As per our discussion last year, you told me I had every right to get more consultation time in with him, and I did not, so I am going to do things differently and listen to my gut (oh yeah, and my friends on here lol). More consultation time may have changed the outcome, although I did not know what else I would have asked to prevent what happened to me, but maybe something would have triggered me to do more research - like the fact that I was just told by this last surgeon (2nd opinion docs) that he wouldn't have performed the CO2 laser resurfacing (I refer to it as the chemical peel above) at the same time as the blepharoplasty due to too much laser to my delicate eye area at once. Therefore, I am going down a different path in my quest for rectification. I will keep my review updated, and thanks again for all your time and words of encouragement and helpful suggestions. I'm glad you logged on last night and saw my update. We had many discussions while I was going through my procedures and you were very important part of my recovery. This site is a wonderful place for us to give each other compassion, strength, and encouragement - and, of course, applause when one of us gets gorgeous! So, thanks again.

Completely unsatisfied with results after completely healed - update & photos

Thank you everyone for the condolences. A RealSelf.com friend commented this morning that she could see the poor results and gave her condolences, which were much appreciated. She also pointed out that it was such as shame as I had really done a thorough job in my research, planning, preparation, and following instructions to the "T". I agreed and I am so thankful for this site. I came to Realself.com to get information. I wanted, needed, to learn as much as I could before making a life changing decision to "go under the knife" as they say. I got that through the experiences of others and all of the helpful tips, and so did all of you who've interacted with me on my review. That was what prompted me to join in and be of assistance too by giving a detailed account of my experience. Therefore, I am going to continue with this review until I've reached a point that I can no longer share any new experience in hopes that anyone else who may be experiencing similar issues might find my information useful.

As far as I could tell Dr. Stallman was a great candidate to perform my 3 procedures: upper and lower blepharoplasty and CO2 laser resurfacing under both eyes, because he was an occuloplastic surgeon (eye specialist) with many, many years of experience; however, there was almost nothing about him online. The only reviews I found about him were on his website, but I assumed (you know what they say about assuming..) that because I could not find any bad reviews or complaints that there were none. You know the old saying: you have a good experience and you tell your friends, you have a bad experience and you tell everyone. As a matter of fact, I clearly recall Dr. Stallman being the one to tell me that old saying...hmmm.

So I was feeling as good as one can about the surgeon I'd chosen. However, last year that same Real Self online friend (KRFNP) I mentioned earlier pushed me to go with my gut feeling last year after I mentioned that I felt rushed through the consultation appointment suggesting I had every right to get more consultation time in with the doctor, but I did not ask for it. This time, I am going to push the envelope, and do things differently. I will listen to my gut, as more consultation time would have allowed me to do more research, and possibly something may have triggered me, maybe even during the potential second meeting with the doctor, to discuss the subject I was recently made aware of by this last “second opinion” surgeon who said he would not have performed the CO2 laser resurfacing (I refer to it as the chemical peel above) at the same time as the blepharoplasty due to too much laser (burning) to my delicate eye area at once. Maybe that would have changed the outcome I experienced who knows. Therefore, I am going down a different path in my quest for rectification.

I am very hesitant to go back to Dr. Stallman for revision surgery, if he does end up offering it or if it is offered by other means. We are all human, and, although I do not hold a grudge against a customer who comes to me with a complaint (I own and operate a business myself), and I am always more than happy to rectify the situation as fairly as possible, I get the gut feeling Dr. Stallman would be irritated by me. The doctor made it clear, when I asked him to amend the problems with the procedures as they began to appear, that he would not do anything for me as a courtesy (free of further charge), but instead would charge me for a completely different procedure. That is why I know that, at the very least, he does not want to try to correct the problems to ensure client satisfaction, and I was not asking for petty revisions. A courtesy revision would have been the right thing to do, and if he would have offered that the first time I would feel much more comfortable allowing him to perform revisions.

I have worked in law (defense in fact so I see from the doctor's side too), and, as you can all see, I am very thorough so having the truth on my side, and the proof in my face (no unprecedented or petty requests here) with many before and after photos, I am confident in my pursuit for a favorable resolution. I've spoken with other specialists in the plastic surgery and dermatology medical fields in addition to some of my own colleagues about the matter and I know I am in the right to seek justice. Doing so has calmed me a bit making a very unsettling situation much easier.

I am going to push the envelope here, because I am extremely unhappy with my eyes now and it has caused me so much anxiety and depression. I went in only looking tired due to the hereditary "bags" under my eyes, but no wrinkles, and I came out with a new "bag" and severe wrinkles. I was always told, and I could tell myself, that I looked around 28 years old and I was actually 37 years old. Now that has all changed and if I could go back to the way I was before I would in a heartbeat!! I would much rather look "tired" than "old". This was my worst fear about getting plastic surgery done on my face, just short of being maimed of course.

At this point, I am going to give Dr. Stallman the benefit of the doubt in hopes that he will respond favorably this second time I attempt to request redress. If he proves to be fair about this situation, and is an honest individual, I will amend my review and make the appropriate changes to my rating and commentary. I am very hopeful for this as I do not want this to turn ugly. Also, I am not here to make accusations or assumptions, only to walk all of you through my experience as this is what this site is for, but I am going to listen to my gut feelings and I will post about that.

I will keep everyone posted as to the outcome and my attempts at an honorable, or at least fair, resolution in case others find themselves in this predicament. So, I am going to continue to document my experience. Thanks for all your support and it means a lot to me, and I hope I can help others as well.

1 Comments

I'm having the same confusion. I was scared enough going in for the first surgery as it is my eyes and luckily I didn't end up with ptosis or maimed for life. I have been contemplating this over and over in my head. Do I try for more surgery or live with these wrinkles and one bag?? The skin under my eyes is so delicate that more laser resurfacing could make it worse. I think that originally the doctor should have removed some skin, just a little bit and not done the laser resurfacing, but that's when ptosis is a risk. So confused and such a waste of money. I am taking a break for a few days to relax from all of this. I just had my 2nd, 2nd opinion yesterday and got back on here so I've been researching all of my options and I'm exhausted. Thanks for your input. It only confirms that I really need to be careful about the choice I make.

Help, does anyone have suggestions?

I just received my second, second opinion yesterday and I've been going crazy with worry and research for recourse and posting pics etc. I am exhausted. I want so bad to have my eyes look smooth and fresh, but that did not happen for me, and since the skin under the eyes is so delicate I am afraid to do anymore harsh treatment such as more laser resurfacing. I was so afraid to have the surgery to begin with due to ptosis and other really horrible problems with eye surgery. I am so confused. Do I just deal with the wrinkles and chalk it up to a bad result but be thankful I wasn't maimed? Does anyone have any suggestions for me?

12 Comments

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I agree that some Oculoplastic surgeons are not the best choice for cosmetic eye surgery - especially lower blepharoplasties. I say some because I certainly can't speak for all. One doctor I'm thinking of focuses almost exclusively on fixing lids that droop enough so as to block vision. His job was not so much to improve the aesthetics of the eyes, but to make them optimally functional again.
I have serious bags and wrinkles under my eyes, and have researched how to deal with the empty bags when the fat is removed/repositioned. What doctors have suggested for me, may work for you. You could have a 3 or 4 mm skin pinch on the corners of your eyes. Also, you might consider incisions/tightening right at the hairline above your ears. Sounds drastic but it could help take up some of the extra skin. If I met you on the street I wouldn't think twice about the wrinkles under your eyes. The thought might occur to me, but you have "smiling eyes" and look like a happy, healthy, warm-hearted human being. Please keep that in mind. So, if you can't repair the "problem", know that you look just fine as you are.
  • Reply
San Luis Obispo Oculoplastic Surgeon

Dr. Stallman seemed to be great. He was very confident which came off slightly cocky, but he was friendly. He answered my questions and I felt somewhat at ease before the procedure. However, after the procedure I was not satisfied and looked worse than before and he did not offer to rectify the poor results of my upper/lower blepharoplasty that left me with some of the same issues plus severe wrinkling that was due to the procedure. I would not recommend him to my friends not only because the results were bad, but because he would not do any revision work at no cost and wanted to charge me for Botox as his solution. Definitely not what I paid for. His staff was very pleasant and friendly and my experience with them was great.

1 out of 5 stars Overall rating
3 out of 5 stars Doctor's bedside manner
3 out of 5 stars Answered my questions
1 out of 5 stars After care follow-up
4 out of 5 stars Time spent with me
4 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
5 out of 5 stars Wait times
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