What are these puffy pouches that have formed after upper blepharoplasty. (photo)

Question

I have no idea what these puffy pouches of skin above the scar are ? Are these permanent or will they go away in time? They look disgusting and make me look old (I'm only 24). I never had these before the surgery, I only had the surgery to make my epicanthic fold look less but it did nothing for my epicanthic fold. I'm really unhappy and am hoping it doesn't stay like this.

Roberto E. Garcia, MD, FACS · Answer

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.

Andrew Campbell, MD · Answer

You don't mention when you had your surgery, but if it was in the last couple of months, I'd recommend patience. Discuss your concerns with your surgeon. They may recommend massage and/or a steroid injection.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

John J. Martin, Jr., MD · Answer

It looks like you have a double crease at this point. When was the surgery?  It looks like you are early in the post-op healing phase.  So as the swelling goes down this may flatten out.  Give it time to heal.  If it still is uneven at about 6 months you can have the excess skin between the 2 creases excised.

Richard O. Gregory, MD · Answer

Presuming from your post that you had epicanthal folds (Asian type) eyelids, this appears to be a soft tissue fold, likely skin and muscle.  It also appears that your surgery was recent and thus some of this is swelling.  You should be massaging this frequently and give it alt least 6 weeks to improve before undertaking any other treatment.  Steroid injection after a few weeks might help.  Excising these could cause a lack of skin in the upper lid, so this should not be done until exhausting other possibilities.

C. Coleman Brown, MD, FACS · Answer

Hello and thanks,It looks like you have some swelling in the upper skin flap above the incision that is not terribly unusual. However, i am not sure how long ago your procedure was, so it may be something that resolves easily or could need to be addressed. I would definitely stay in close contact with your surgeon to make sure your outcome is to your liking. Good luck,

What are these puffy pouches that have formed after upper blepharoplasty. (photo)

Answers (6)