Lower eyelid droop 3 weeks post quad blepharoplasty (Photos)

At this point, it is best to 1) do squinting exercises; 2) massage your lower eyelids upwards; 3) use lubricating eye drops, for about 3 months after surgery to allow healing. If there is still lower eyelid ectropion/retraction at that time, see an oculoplastic surgeon for possible revision surgery.

While it is not uncommon after a quad blepharoplasty to have some mild degree of lower lid retraction, you definitely need to have your surgeon follow this to make sure that it improves over the next few weeks.  We ask our patients to begin light lymphatic massage by applying a single finger with pressure to the lower lid and massaging the lower eyelid skin laterally and upwards to help milk out some of the swelling.  When performed for a few minutes 4-5 times per day, this can often be extremely helpful in speeding up recovery of the lower lid and effectively allowing this lid to "stick down" as it did before surgery.  I hope that helps and wish you the very best.  

Hello not30anymore - Thanks for your question. I'm sorry for your troubles. Unfortunately what you are experiencing occurs on a regular basis. It could be due to swelling, poor lid support, and/or too much skin removal. I'm not sure what was done during your surgery but I see the properly performed sub ciliary incision. You have some mild lid lag at this point. It might benefit you to perform night time vertical taping to taking gravitational tension off the outer part of each lid. If this doesn't fix the problem, you will need a lid suspension procedure. Time and patience are necessary at this point.  Good luck, Dr. Shah

I do not think for a minute that your issues will resolve with more time.  However, it is too early for surgical intervention and you may or may not ultimately choose to have the complex surgery needed to revise this type of an eyelid.  You started out with a negative vector eyelid and a downward tilt of the lower eyelids.  Surgery has foreseeable cause an issue with these.  However, time can soften some of these changes.  If you are having eye irritation and discomfort, get help from your ophthalmologist.  It is reasonable to get a second opinion if you feel your relationship with your surgeon has broken down.  Generally these types of issues are not surgically managed for at least 6 months.  However, you could get a second opinion consultation at anytime.

3 weeks after surgery, your eyelids likely still have healing to do. Eyelid retraction usually resolves with time. At this point, we recommend to our patients gentle upward cheek massage, eye lubrication with ointment at night and drops during the day and the tincture of time. If you would like a second opinion, I recommend an oculoplastic surgeon who specializes in eyelid surgery. Hope this helps.