Neil Modi, MBBS

Protecting the surface of the eye is the priority as if the ocular surface dries, it can become damaged and compromise vision. If your surgeon was an Oculoplastic/Ophthalmic specialist then they should be able to advise about this, other wise it would be worth consulting one regarding the ocular surface. Lubricants would be worth taking and perhaps try taping the eyelids shut at night to protect the eyes. The eyelid surgery looks to have been done recently given the bruising. Further treatment depends on the ocular surface in the short term rather than the cosmesis. Best of luck! Neil

The recovery time is around a week to return to normal activities and around 2 for most bruising to settle. You do have excess upper eyelid skin and would be a good candidate for blepharoplasty. Prices vary considerably but you need to be happy with whoever you choose and certainly being local is important as aftercare is an important part of surgery.

I am sorry for the trouble you are having. It would be very unlikely to be bruising this long after the operation. Swelling is possible if it fluctuates and changes with time of day. More likely is that there is excess fat in this area, perhaps excess tissue moved during fat draping. Photos would be useful but most importantly, you need so see your surgeon to review this as it can be fixed.

Thank you for your question. By 2 weeks you would certainly have reached the peak effect of your Botox treatment and any complications would have become apparent. 

I hope you had the desired effect and for the future, it is useful to keep a log of the dose and effect to help tailor future treatments.

Usually, patients see the results of Botox within 3-5 days. A similar product, Dysport typically works 1-2 days earlier. The full effect is seen within 2 weeks.

There is no limit to how long one can keep having it - the medical evidence goes back 20 years. It does wear off over 3-4 months and the exact duration for repeat injection can be varied depending on how much function you are happy to see return.