Blepharochalasis surgery treatments? (Photo)

Question

I have been diagnosed with blepharochalasis still currently have eye lid swelling. I know wish to know what surgeries can be done to thicken the surrounding skin in addition removal of the spongyness/swelling if possible and give the best possible appearance. All surgical/non surgical teatments appreciated. Before and after photos included. Many thanks

Kenneth D. Steinsapir, MD · Answer

Recent studies suggest that individuals with blepharochalasis (BC) have an autoimmune process that damages the elastin fibers in the eyelid.  A biopsy can be nonspecific. Recurrent angioedema can also present this way.  In 50% of these cases, there are systemic findings including swelling in the arms and legs, urticaria, and itching.  Systemic steroids can be beneficial which is consistent with an allergic phenomena.  Because recurrent bout of swelling takes a toll on the eyelid tissue, I would not be in a big hurry to have eyelid surgery.   You swelling should be observed at first to document the activity of the condition.  If surgery is performed, it is essential that it be done conservatively.  A consultation with a rheumatologist and an allergist is also reasonable.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the question and photos. As you already know, treatment is very difficult for your condition. Oral steroids and cold compresses are beneficial for some patients. Conservative blepharoplasty might be helpful as well. After surgery you will probably still have bouts of swelling. You need to be monitored closely by a board certified Oculoplastic Surgeon. Good luck.

Darryl J. Blinski, MD · Answer

Not sure you have the correct dx. Appears as swelling edema related issues over excess skin and fat......

Blepharochalasis surgery treatments? (Photo)

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Blepharochalasis surgery treatments? (Photo)

Answers (3)

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