Is Brown Bruising Normal Five Weeks After Lower Eyelid Surgery? (photo)

Hello. I had lower eyelid surgery 5 weeks ago. I now have a dark brown bruise where I had really bad red/purple bruising. How long will this last?

Doctor Answers 9

Dark brown discoloration after bruising

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Dark brown discoloration after bruising caused by surgery, injections, trauma, or any other reason.  It is caused by iron staining of the skin.  Topical products such as bleaching creams are not usually helpful in treating this condition but Q-switched lasers are highly effective.  Most of the discoloration usually clears after 1-2 treatments.  The risk of Q-switched laser treatment is very low as long as appropriate eye protection is used.

Nashville Oculoplastic Surgeon
4.8 out of 5 stars 43 reviews

Bruising five weeks after blepharoplasty is most unusual.

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I'm a bit surprised of what I see in the photograph. I wonder if you had a small hematoma of the lid that would create prolonged discoloration. Resolution really determines on the cause of the problem the first place.

May Need More Time

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Thank you for your photo. It is not uncommon to have bruising several weeks after surgery. This brownish bruising may take several more weeks to resolve. Please be patient.

Dr. ES

Bruising after lower eyelid surgery

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This can occasionally happen after lower bleph, especially if you had significant bruising post op. You can be reassured that it will go away, the area where the bruise has collected is where there is an attachment/sling to the underlying bony orbit which is why the bruising has not dropped any further. 

Dilip D. Madnani, MD, FACS
New York Facial Plastic Surgeon
4.9 out of 5 stars 105 reviews

Hemosiderin deposition causing discoloration

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This is uncommon but occasionally significant bruising can lead to deposition of the hemosiderin from the broken blood cells into the surrounding tissue. This "staining" causes a deep brown hue that can persist for months. Fortunately, it will ultimately resolve with time. Be patient and talk to surgeon about camouflage makeup that the aesthetician can show you how to apply.

Kristina Tansavatdi, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Bruising after a lower eyelid blepharoplasty

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Bruising is expected after eyelid surgery and it usually resolves after 7 to 10 days.  Persistent bruising and discoloration of the soft tissues can occur.  There is really no magic cure as this will ultimately resolve on its own.  Occasionally alternating warm and cool compresses can help as well as on over the counter herbal product, Bromelean.  The usual antibruising dose is 500 mg twice a day between meals.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Dark colour after #lowerlid surgery

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Thank you for your question.  You likely had some bruising port-op and in itself, bruising can take several weeks to disappear.  Occasionally, the hemoglobin found in the red blood cell metabolized into hemosiderin, an iron component, and this can give a greying hue to the skin for several weeks, sometimes a few months. In my experience, it ultimately resolves but one has to be patient.  In the interim, make-up is likely your best solution.  Hope this helps!  Best regards,  Toronto plastic surgeon and eyelid specialist, Dr. Marc DuPere 416.929.9800

Marc DuPéré, MD
Toronto Plastic Surgeon
4.8 out of 5 stars 71 reviews

It is possible for a bruise to permanently stain the tissues.

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Having said that, in 20 years of doing eyelid surgery, I have never seen this in the eyelid area.  I have seen bruises persist for 6 weeks.  I would discuss your concerns with your surgeon.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Is Brown Bruising Normal Five Weeks After Lower Eyelid Surgery?

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    If you had a hematoma or fluid collection in this area along with the bruising apparent through the skin, this may take quite a while to improve.  It is a bit difficult to assess this with a picture alone, and I would recommend you return to your surgeon for a followup exam.  Kenneth Hughes, MD Los Angeles, CA

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.