Why Did Eyebags Remain After Blepharoplasty?

If your concerns are small crescents of swelling below the orbital rims .. these are malar crescents which are caused by different factors and are more common in Smokers. If you are a smoker and continue to smoke you can expect little improvement in this area other that that which will occur with longer post op recovery times.

Dear Voodoo
Three months after blepharoplasty, there is likely no bruising left. However, changes in the lower eyelid as a result of eyelid surgery can alter the appearance of the lower eyelid dark circle giving the suggestion of a bruise. In either case, this and a new lower eyelid bag is not such a great thing after lower eyelid surgery.
You are at a point after surgery where you might still have some residual swelling but you are also at a point were you close the final result. So this is a good time to decide if you are happy with the result.
I certainly think it is reasonable to open a dialog with your surgeon regarding how thing are going and your concerns. Most surgeon will want to wait about 6 months before entertaining a revisional procedure.
If you are experiencing a lack of confidence with you original surgeon, it is not unreasonable to look around for a second opinion. The ASOPRS website is a good place to find a well qualified eye plastic surgeon.
Dr. Steinsapir

Hi Voodoo,
Unlike the men sited in The Constitution of the United States of America, not all blepharoplasties are created equal. The procedure is not a commodity, but rather an operative procedure that is very dependent upon the surgeon.
The results not only depend upon the surgery and the surgeon's expereince and skill, but most importantly on the pre-operative examination, evaluation, and diagnosis.
Usually after 3 months after lower blepharoplasty most bruising and swelling has resolved. Best to discuss your concerns with your surgeon. If you still have concerns or questions then consult with qualified eye surgeons in your area.
Good luck and be well.
Dr. P

Bruising at 3 months after eyelid surgery is highly unusual but not impossible. However, what appears to you as bruising may very well be a dark shadow as a result of hollowing from too much fat removal in certain areas. The persistent eyelid bags could be due to swelling from allergies, etc that could be a pre-existing problem. It could also be too to uneven fat removal or a fat pad that was missed or not fully removed during surgery. If your surgeon performed fat transposition, the persistent bags could also result if the fat was not repositioned properly. You may need to have revision surgery after a consultation to determine the cause.

I would ask another doctor in your area to take a look at you. It may be that you had festoons or edema under your eyes prior to surgery that are more noticeable now. It would important to bring a before picture with you to a consultation appointment. Usually by three months all the swelling and bruising is resolved.