Lower eyelids are droopy after Blepharoplasty. (photo)

Question

Dear Doctors, I am 2 weeks post-op lower and upper eyelid. The lower eyelids are droopy and the right lower eyelid is still very swollen . do you think it shall pass with time or will I need to fix it with more surgery? if more surgery, which one and how long should I wait before having it (my Doctor says canthopexy in one year but it is frustrating to wait so long) please kindly explain the surgery and healing process and how long it usually takes. Thank you!

Mehryar (Ray) Taban, MD, FACS · Answer

You have lower eyelid ectropion after lower blepharoplasty. Best to wait about 3 months for healing to complete and hopefully the lower eyelid will go back into normal position. If not, see an oculoplastic specialist for evaluation. In the meantime, do squinting exercises and use lubricating eye drops. See link below.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Derek Ford, MD · Answer

It can be frustrating waiting for the results of cosmetic surgery to really show, but 2 weeks after the procedure is too early to gauge your ultimate outcome. You may be disappointed now, but the appearance of your eyelids likely will change in the next week or 2 as the body continues to resolve the swelling you describe. If you remain dissatisfied after that point, you should wait at least 6 months before scheduling another procedure.

Kenneth D. Steinsapir, MD · Answer

However, it is very early after surgery.  It will be several months to know your final out come.  Do not accept a lateral canthal surgery from your surgeon.  This will not fix the lower eyelid contour but it will use up needed eyelid resources for definitive repair.  The upper eyelid are ptotic and it is possible the surgery made this issue worse.  You need to let the dust settle.  Gentle massage go the lower eyelid can be helpful but this needs to be done under the supervision of a surgeon to avoid damaging the eyelid.

Jordan Spindle, MD · Answer

I don't think you need to wait a year to see the final outcome.  If they still have that appearance around 3 months, then it is reasonable to want something done at that time.  There are different ways to fix this eyelid retraction problem, one of which is a canthopexy.  Make sure you are comfortable with the plan between you and your surgeon.

Lower eyelids are droopy after Blepharoplasty. (photo)

Answers (6)

Answer: The lower eyelids are pulled down and the upper eyelids are droopy.

Answer: The lower eyelids are pulled down and the upper eyelids are droopy.

Answer: Healing time

Answer: Healing time

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Lower eyelids are droopy after Blepharoplasty. (photo)

Answers (6)

Answer: The lower eyelids are pulled down and the upper eyelids are droopy.

Answer: The lower eyelids are pulled down and the upper eyelids are droopy.

Answer: Healing time

Answer: Healing time

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.