21 days since my upper bleph. Is there any chance that things will get better in a couple of months? (photo)

Question

21 days ago I had upper bleph. My lids look horrible, at least it is how I feel. The incisions are so asymmetrical, visible even with my eyes open. My lids look wrinkled, "rumpled", no smooth there. What should I do? Do I have to take into account the revision? What does it mean? Will revision be able to do things right? Or the things will get better in a couple of months? Now I use Contractubex and Strataderm. Is it ok? Thank you so much!

Kenneth D. Steinsapir, MD · Answer

The incisions are, as noted by others, much too high.  However, this is not at all the only issue with this surgery.  The surgery has profoundly disinserted your anterior levator aponeurosis tendon, which is the fascial expansion of  the muscle that lifts the upper eyelid open.  The tendon is still in the eyelid, which is why you are able to open the eyelid.  However, it is not in the right place.  It is disinherited deep in the eyelid.  This accounts for what is causing your upper eyelid ptosis. It is also the basis for why the upper eyelid is now too thin and hollow appearing.  Additionally, the tendon which should extend well in to the upper eyelid platform and support the skin and the upper eyelid lashes, no longer performs this function.  This make the upper eyelid skin crepey and accounts for the eyelash ptosis.  The cure is a careful dissection of the upper eyelid making an incision at the proper location of the upper eyelid crease.  In your eyelid this should be at about 7.5 mm above the eyelashes.  I would like to tell you that I have the name of a surgeon who can carry out this repair.  However, I do not have one.  View the accompanying video.  It is graphic so be advised.  It shows someone with a very similar eyelid being repaired.  The principle difference is that this individual,s eyelids have healed for 2 years before she had surgery.  I would recommend letting your eyelids heal for several months before having the eyelid repaired.  The scar creams you are using are not helping and I recommend that you stop using them and stop manipulating your eyelids. So not let this surgeon revise these eyelids.  They do not know what they are doing in my opinion.

John J. Martin, Jr., MD · Answer

Your incisions are too high.  Would be good to see a pre-op picture.  With this high crease you have some bunching skin.  This may all settle down in the next few weeks so that it will look smoother.  You have a very deep sulcus, without much fat.  So the crease is going to be pretty well hidden posteriorly when your eyes are open.

Sara A. Kaltreider, MD (retired) · Answer

The appearance of the eyelid incisions may be concerning to patients after having blepharoplasty, particularly if there is no previous experience with healing incisions elsewhere on the body. Initially there may be intense bruising and swelling. As this resolves, small bumps from the sutures, thickening and redness may be seen. If you don't know what to expect, this may be concerning or scary. From the photographs that you submitted, the incision lines are healing in a normal fashion. You may expect the redness and the ridge/ thickening to disappear with time. I would suggest reading the labels very carefully on the products that you are using. If these products are not made for the eyelids, you could potentially experience ocular irritation and corneal damage if those products enter the eye. It is important to follow up with your surgeon and report your concerns as he or she should be able to answer your questions and reassure you that you are on the proper path to recovery. You have very beautiful eyes!

21 days since my upper bleph. Is there any chance that things will get better in a couple of months? (photo)

Answers (3)

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Everything you need to know about Eyelid Surgery

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21 days since my upper bleph. Is there any chance that things will get better in a couple of months? (photo)

Answers (3)

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Everything you need to know about Eyelid Surgery

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