Can a lower bleph bruise last 7 weeks? I've read about hemosiderin staining, is this a possibility? (photos)

Question

7 weeks after a lower blep and I still have a black eye, I read about hemosiderin staining. Does this look like a possibility? Thanks

Mitesh Kapadia, MD, PhD · Answer

Hemosiderin staining after eyelid surgery is uncommon but definitely possible. If one side is much darker than the other, this is the most likely explanation. The color will return to normal slowly but can take as long as 6-12 months.

James H. Rogers, MD · Answer

Bruising after any surgery can last seven weeks or longer. Some patients experience more bruising than others for a variety of reasons. There are medications, such as arnica , that can help speed the resolution of the bruising. From your photo, i would be concerned about a problem called post inflammatory hyperpigmentation. This is a problem of  darking of the skin that can occur after surgery, and is best treated as early as possible. Have your surgeon evaluate you at your earliest convience.

John J. Martin, Jr., MD · Answer

Some people can get some darkening of the skin after lower lid surgery.  It may be from a bruise, and can also be some hyperpigmentation from inflammation, especially if any laser resurfacing was done.  There are a few things you can try:Intense pulsed light treatments can help to lighten the skin.Topical vitamin C creams or other anti-oxidant  creams bleaching creams if there is a component of hyperpigmentation.

Can a lower bleph bruise last 7 weeks? I've read about hemosiderin staining, is this a possibility? (photos)

Answers (3)

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