I developed chemosis in my right eye a few days after lower blepheroplasty. Advice?

Chemosis can occur after a lower lid bleph.  It can be quite irritating, but will eventually go away.  You need to keep it well lubricated:  artificial tears throughout the day, and then some lubricant ointment at bedtime.  I often will prescribe a steroid drop as well.  Patching at bedtime will also help.  If the lid is a little low in the outer corner, some massage upward over the chemosis may help.    Unfortunately there is nothing that gets rid of this in a day or two.    

Chemosis is common after transconj lower lids surgery.  I would start using artificial tears throughout the day to keep your eye moist.  I like the use of steroid drops, but only if your doctor agrees.  Contact him so he may evaluate you and prescribe what you need.  

Thank you for sharing your question. Steroid drops such as Prednisolone are useful in treating chemosis (swelling) following Blepharoplasty. Use chilled (from the refrigerator) artificial tears as well. Good luck,

Chemosis can occur after lower blepharoplasty but photographs or an examination of you would be needed to determine if that is what you have after your procedure.  If you do have chemosis, your surgeon should be able to prescribe an eye drop medication that can help.  If you have not done so already, I would contact your surgeon and let him or her know about your problem.  

Hi Kannsky, Greetings from the UK. Chemosis following lower lid blepharoplasty is pretty common and often to be expected especially following multilayer blepharoplasties due to all the surgical planes being disrupted. I usually reassure the patient by saying that it is typically not due to any problem with the surgery itself but due to normal healing reaction and inflammatory oedema just tracking under the conjunctiva causing it to elevate. As you say though, when the surface of the conjunctiva elevates above the tear film, this can irritate even more due to desiccation of the top of the conjunctival blisters which in itself cause irritation. Most surgeons would recommend intensive lubrication with a good long lasting ocular lubricant such as a hyaluronate based lubricant or a carbomer type lubricant. Although some surgeons do think that a topical steroid drop,  there is not much evidence that it makes that much difference as the source of the inflammation itself isn't the ocular surface as such. So whilst you might give a topical steroid drop following squint, cataract or corneal graft surgery, most ophthalmologists nor oculoplastic surgeons would not routinely prescribe a topical steroid following their blepharoplasty surgery. Instead, most oculoplastic surgeons I think would recommend intensive ocular lubricants, sleeping upright, ice compresses only with the reassurance that chemises is  pretty normal and self limiting. 

Chemosis is fairly common after lower blepharoplasty surgery and is the extension of the fluid from the lid to the conjunctiva. The biggest problem is that the eye gets dry and causes a foreign body sensation. The blink can’t fully spread the tears evenly over the cornea. Lubrication is most important and ointment works best as it last longer than artificial tears. Hope this helps and best of luck.

Chemosis is an uncommon but possible issue that occurs after lower eyelid Bleparoplasty. Chemosis is a swelling of the thin layer of tissue that lies over the surface of the eyeball itself, almost like a blister. The key to treatment is to decrease the swelling and protect the tissue. This includes eye drops during the day to keep the tissue moist, and often eye ointment with a steroid in it for night time (I like Tobradex ointment). Light massage of the the lower eyelid (not the eye itself obviously) can also help alleviate the swelling on the eye tissue. In every case the chemosis has resolved with appropriate treatment. Please follow-up closely with your Plastic Surgeon to receive proper advice for your care.