8 week post upper/lower blepharoplasty - is this as good as it gets? (Photo)

Question

It’s been over 8 weeks since I had upper and lower blephoplasty. I’m pretty happy with upper lids but is this as good as I can expect with the lowers? I still have tear troughs and it’s either fat directly under my eyes or swelling. But I’ve not seen much change in the last few weeks, and I am very aware of stating away from salt intake etc.

Kenneth D. Steinsapir, MD · Answer

However, I suspect that your surgeon made your upper eyelid creases high and did not address the underlying upper eyelid heaviness. This can be revised and the crease can be lowered. An anchor blepharoplasty is a surgery detail that supports the upper eyelid platform and upper eyelid lashes. Generally I would recommend plan on letting these eyelid heal for a few more months. Have you discussed your concerns with your surgoen? I encourage you to consider reposting here in a couple of months and giving us an update.  Fillers can be helpful for the lower eyelid but this is fussy work-some doctors are better at this than others.

Brian Maloney, MD, FACS · Answer

Healing after eyelid surgery generally takes about six months for most patients. Some a little less and some a little longer. At this point patience is the only remedy. Once all the healing is complete then you can discuss and plan for any fine tuning if necessary.

J. Phillip Garcia, MD, FACS · Answer

The short answer to your question is no.  You are still in a relatively early phase of recovery and will likely improve even more in the next few weeks.  Recovery is faster at some points and slower at others.  Allow your surgeon to reassure you regarding your particular recovery. Best of luck.

Thomas Trevisani, MD · Answer

Even though you're 8 weeks post-op and it's still early to pass final judgement- I would expect a greater degree of skin removal from the upper lid blepharoplasty. The lower lid result may still show improvement with resolution of post-op swelling.

Prashant Soni, MD · Answer

at this stage, you appear to be healing well. Swelling will continue to recede up to 4 to 6 months after surgery. After that, it is often useful to use fillers such as Belotero in the tear trough. Residual fine lines may benefit from a chemical peel. More skin removal is not usually helpful for that. Lastly, any lower lid buldging or wrinkling that happens when smiling can be smoothened with Botox placed in small doses at the tear trough level. Give it time before you try these steps.
Best Regards,Prashant Soni M.D.

Katrinka L. Heher, MD · Answer

No worries you are still healing! Swelling pools in the lower lids and it can take 3-6 months for them to fully heal. I think this looks like fluid and will resolve. Also the bagginess of the lower lid skin also improves over this same time frame. Try to be patient as your results are going to continue to improve. Best of luck!

Ahad Mahootchi, MD · Answer

Lower lids can take a long time to heal to the final result.If you go for great early on, you often don't get the result you want long term. I would give it a few more months.You surgeon has options if they want to touch up the lower lid / cheek area later.

Jeffrey T. Steitz, MD · Answer

In general 2 months after surgery is too soon to say a result is final.  Swelling can persist for several months after surgery and is dependent on many different factors including salt intake like you mentioned.  
Based on your photos it does appear that you still have some residual swelling of the lower eyelids and your swelling should continue to resolve.  You can expect continued resolution with more of a "final result" closer to the 4-6 month mark, with all patients being different.  Make sure you continue to followup with your surgeon so they can monitor your concerns.  Good luck!

8 week post upper/lower blepharoplasty - is this as good as it gets? (Photo)

Answers (8)

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