Eyelids too big 1 month after upper blepharoplasty - what can be done? (photos)

Question

Unhappy about swollen areas under my eyes I went to a surgeon who said inflammations caused this problem and put steroid injections. Shortly after I developped atrophy, dents and decoloration. Another surgeon proposed fat grafting and under + upper blepharoplasty. 1 month after surgery I am not pleased with my big upper eyelids, making me look older and even more tired than before. Please tell me what changes I still can expect; will my upper eyelids still become smaller over time?

Kenneth D. Steinsapir, MD · Answer

It is essential that you let the eyelid tissue heal after this surgery.  The injection of steroids is not ideal in my opinion. Time is what is needed.  The steroids can actually cause permanent atrophy of fat. Don't double down with another bad surgery.  Fat grafting is a big mistake.  It is based on the wrong analysis of the nature of your problem.  You don't need grafted fat because it is highly likely that you have all the orbital fat you need matted down in the scar tissue in the eyelids.  The big problem here is that the upper blepharoplasty exacerbated your upper eyelid ptosis.  What you needed was an anchor blepharoplasty and an anterior levator resection ptosis surgery.  I am attaching a video that shows in details how I repair these upper eyelids.  I would recommend an early consultation and scheduling the right reconstructive surgery now. If you are clinically depressed over this untoward outcome, seek professional support for your emotional well being.  Stay way from surgery until these eyelids are more healed.  That will save you from more regret later.

Chad C. Zatezalo, MD · Answer

Sorry for your long adventure.  It looks as though you have been devolumized.  I wouldnt do any more injections or surgery for another three months.  Let everything settle down to see where things fall.  My guess is that you are still swollen in some areas...  you may end of needing filler injections in your upper lids and lower lids/midface as well.  I would stay away from fat at this point as you have already had a bad experience.
Good luck
Dr Z

Mehryar (Ray) Taban, MD, FACS · Answer

Consultation needed for accurate response. You may benefit from upper eyelid filler injection to treat hollowness, which is much more precise and predictable than fat injection. You may also have ptosis but need consultation to tell for sure.

Eyelids too big 1 month after upper blepharoplasty - what can be done? (photos)

Answers (3)

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