What are these puffy pouches that have formed after upper blepharoplasty. (photo)
Doctor Answers 6
Swelling inner corner of eyes
Swelling in this region of the upper eyelids is very common after upper eyelid blepharoplasty. Reason being The lymphatic channels are located laterally. Swelling coalesces in the inner corner of the eyes and has difficulty getting to the outer part. Speak with your surgeon but what I usually recommended patients is they gently massage the eye from inner corner to the outside pushing the swelling laterally. This seems to help tremendously. If for whatever reason after six months the swelling and the redundancy of skin is still there, you may need to speak with your surgeon about the possibility of a revision.
Double crease after upper blepharoplastydouv
Healing after blepharoplasty
Your incisions are prominent which suggests that your surgery was performed within the past week or two. Often there is a double crease early after surgery. It is likely that when the swelling resolves above and below the incision, this may flatten out/ smooth out nicely for you. If your results are not pleasing to you in 4-6 months, revision is an option. I agree with Dr. Martin that removal of the skin between the two creases is an option to eliminate the double crease appearance later if it persists. The epicanthal area might settle back into the contour of the medial canthus. Don't jump in too quickly with additional surgery - it might look a lot better to you in two more weeks. As an oculoplastic surgeon, I don't recommend massage of incision lines in the eyelids - or anywhere around the eyes for that matter. The tissues are very delicate - massage can widen the incision, dehisce the eyelid crease and have bad effects on the levator. You definitely don't want to massage now with fresh incisions. If your surgeon is an oculoplastic surgeon, he/she should advise you appropriately. If you are still not comfortable with how things are going, you could seek a second opinion. Best wishes.
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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.