7.5 weeks post transconjunctival lower blepharoplasty. Some days I love my result, other days I feel very swollen. Option?

Question

Good Morning. I had conservative fat removal via transconjunctival lower bleph 7.5 weeks ago . Every day is an emotional roller coaster. Some days I love my result, other days i still feel very swollen and have dark circles. Is this normal? I have attached photos from this morning and today is one of those days i am not happy . My surgeon is great and he assures things will settle. I hate bothering him so frequently and want other opinions on my healing . Thursday will be week 8.

Brian S. Biesman, MD · Answer

Thank you for your question.  It is not unusual to have episodes of swelling at this point after surgery.  You will notice more swelling after you eat salty foods or are retaining fluid.  Allergies or sinus issues can also cause increased eyelid swelling.  Be patient and continue to follow your doctor's advice.  Best of luck

Kenneth D. Steinsapir, MD · Answer

In my opinion, you did not need a lower transconjunctival lower blepharoplasty. I think you would have done fantastic with properly done under eye fillers.  Your are still a bit early from your lower blepharoplasty. This means that volume will fluctuate but eventually you are likely to end up with a volume deficit in the lower eyelid from fat removal.  It is likely that this fluctuating swelling will be resolved over the next couple of months.  That process is actually pretty normal.

Camille Cash, MD · Answer

Congratulations on your surgery!  Healing can take time and you won't see your final results for up to six months.  I recommend following your surgeon's advice and keeping all follow up appointments.  Watch contributing factors such as lack of sleep, allergies, and salt intake.

Amiya Prasad, MD - Account Suspended · Answer

Thank you for your question. You state you had a conservative transconjunctival blepharoplasty 7.5 weeks ago to remove your eye bags, and some days you love the results, and some days you have dark circles and feel swollen. You’re asking if this is normal.
I can certainly help you based on your photos alone, and give you some guidance in the absence of a physical exam. I’m Dr. Amiya Prasad. I’m a Board Certified Cosmetic Surgeon and Fellowship-trained Oculoplastic Surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. I perform under eye bag surgery every day with the transconjunctival method, as well as other primary and revision eyelid surgeries, as well as non-surgical treatments for the eyelids such as injectable fillers and platelet-rich plasma. 
You indicate the pictures you sent are from one of your bad days, but there are days you love the results. It is possible for temporary swelling to fluctuate during the recovery period, which should resolve with time. It is also possible that you have an allergy or sinus issue that makes your under eye area intermittently puffy and dark. I suggest you also take pictures of your good days to show to your surgeon, and be ready to see a different doctor if fluctuating puffiness recovery is ruled out, such as an allergist to determine the cause of the intermittent dark circles and puffiness. Since the darkness and puffiness don’t occur all the time, they could be due to an allergy you are unaware of, so you will need testing to determine what it is. 
I suggest you include recent pictures of your good days and your bad days, and follow up with your surgeon. Your surgeon can examine where you are in the recovery process, and also refer you to an allergist for further evaluation of the puffiness and darkness if they are not related to the surgery. I hope you found this information helpful. Thank you for your question.

7.5 weeks post transconjunctival lower blepharoplasty. Some days I love my result, other days I feel very swollen. Option?

Answers (4)

More Eyelid Surgery Questions

Golf competition 6 days after blepharoplasty? How soon can I golf and/or should I withdraw from the competitions?

Is epicanthoplasty a good option for me? (Photo)

Is it advised to do lower blepharoplasty without fat repositioning?

Did I damage skin by using hydrogen peroxide for too long after upper bleph? 2.5 weeks post-op.

Would I be a better candidate for unilateral blepharoplasty of my upper right eyelid or bilateral blepharoplasty? (Photo)

Blepharoplasty maintenance past mid-30s? (Photo)

WE SEND PRETTY
EMAILS