Is Under Eye Swelling Normal After Upper Lid Surgery?

I had upper eyelid blepharoplasty 2 weeks ago my swelling in lids is almost gone but I have quite a bit of swelling under the eyes like I now have festoons is this normal? What can I do to resolve the under eye swelling?

Doctor Answers 9

Normal swelling after upper eyelid surgery

Soft tissue swelling seeks the path of least resistance.  It is not unusual to have swelling of the lower eyelids and bruising of the lower eyelids after an upper eyelid blepharoplasty.  Light massage and alternating warm and cool compresses can help with this swelling and briusing

Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Swelling after upper lid blepharoplasty

Hi, don't worry, the swelling will get better. After upper eyelid surgery because of gravity, swelling can temporarily settle in the lower eyelids by the orbital rim. Things you can do to speed the swelling to resolve are arnica, limit salt intake, and limit activities which elevate your blood pressure. Most of all be patient. It will take time to see the final result, but it will be worth it.

Michael Horn, MD
Chicago Plastic Surgeon
4.4 out of 5 stars 54 reviews

Lower eyelid swelling after upper eyelid surgery

Gravity causes swelling that begins in the upper eyelids to descend and reveal itself in the lower eyelids.  Have patience; it will go away with time.  You can help to a degree by limiting salt in your diet and avoiding heavy exercise until the swelling resolves.

John Q. Cook, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 12 reviews

Swelling around eyes

It is very common to have swelling after a blepharoplasty. The swelling should improve with time.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Lower Eyelid Festoons after Upper Eyelid Blepharoplasty

The swelling of your lower eyelids after the upper eyelid procedure is normal.  The swelling is just settling with gravity into the lower lids.  The things that you can do are icing, elevation, and allowing for time to let the swelling resolve.

Michael Sundine, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 18 reviews

Normal swelling after upper eyelid surgery

Actually swelling in the lower lid is quite typical after upper eyelid rejuvenation. Gravity will take it to the lower lid, and ice and elevation will help it resolve.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Lower lid swelling after upper lid blepharoplasty

Lower eyelid swelling and even brusing is usual after upper eyelid procedures because of gravitational forces.  These changes usually resolve in a few weeks after the procedure. Cold compresses are more helpful in the first two weeks after surgery and my help a little now.  Be patient as the swelling resolves.

Joseph N. Togba, MD
Oakland Plastic Surgeon
4.6 out of 5 stars 17 reviews

Swelling Normal After Upper Lid Surgery

Yes, swelling under the eyes can be normal after an upper blepharoplasty. The reason for your swelling under the eye is most likely associated with a small amount of your upper lid edema (swelling) gravitating downward. Although lying in an upright position is recommended after quite a few facial procedures, it can also be the culprit of your swelling. Continue to sleep in this upright position until your doctor advises that it is okay to lie regularly. It will slowly dissipate as it keeps gravitating down and should resolve on its own within 1 - 2 weeks.


Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 118 reviews

Eyelid swelling after surgery

It is not uncommon to get some swelling around the eyes after blepharoplasty (eyelid surgery).  Even though you only had upper eyelid surgery, the swelling normally travels downward as it subsides.  So, it is not unusual to have some swelling in the lower eyelids after upper eyelid surgery.  Generally, this should resolve in a few weeks after the surgery.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.