What Could Be Causing Discoloration After Asian Double Eyelid Surgery?

After Asian double eyelid surgery, it’s been a month since then, both my eyes are purple-blackish discolored. My surgeon says it’s edema that’s causing some slight swelling, but this doesn’t account for the blackish-purple color (he says it will return to normal skin texture/color in a few months). I’m just wondering whether it could be hyperpigmentation (hemosiderin staining? The color’s not consistent). (or maybe the veins are showing now?)

Doctor Answers 1

Discoloration after Asian Double Eyelid Surgery

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Based on your photos, it is hard to tell what is the cause of the discoloration. There are two possible scenarios

1) residual ecchymosis (bruising) which should resolve within a month, but there is the occasional patient whp has persistent bruising,

2) post-traumatic hyperpigmentation which can occur after any surgical intervention.

In both cases it should resolve with time. You should be extra careful about sun exposure. However other options can include steroid treatment (topical or injection) which can help post-traumatic hyperpigmentation if the eyelids appear inflamed or bleaching creams (hydroquinones). 

Monterey Oculoplastic Surgeon

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