Not Able to Ice Lower Eyelids Sufficiently After Surgery and Now Seem to Have Festoons

Icing helps with discomfort and a little with swelling.  However, the swelling still comes and due to the anatomy of the lower eyelid, this swelling give the classic look of a festoon for many.  With time this will all return to normal.  Ice, don't ice, it makes little difference.

Post-op festoons are related to fluid accumulation from blockage of the lymphatic system and some people have them naturally.  Sometimes when you have surgery they become worse transiently.  You shouldn’t have permanent festoons from the icing, but you certainly can have festoons after the surgery if you do not ice as much.

Lower eyelid swelling is common post op after eyelid surgery.  The adjacent area lateral to the lower eyelid is where the festoon lives and it is not caused by this swelling although it may be aggrivated by the post op swelling. Ice early after surgery helps decrease pain and swelling but the final outcome will be the same whether or not if you use ice.

You will have a certain amout of swelling after blepheroplasty. The edema often will head south before it resolved. Be patient you will be fine if you didn't have them pre-op

I am not certain what procedure you had and how long ago you had it. It is not uncommon to have lower eyelid swelling and bruising for upto a week after a lower lid blepheraplasty. It is important to have any hypertension well controlled to minimize post-operative edema. This is not a "festoon" which is frequently a term used to refer to excess or redundant Orbicularis Occuli muscle in the lower lid. This appears as overlapping curved layers or rings of tissue under the eye and managed by excision of excess muscle and suspension. If you are not yet a week out, just be patient. If it persists, you may need to talk to your doctor about treatment with a short course of steriodal or non-steroidal anti-inflammatories. In rare cases, such an appearance may be due to persistent herniation of peri-orbital fat which may need to be resected. Most likely, your case will gradually improve over 7-10 days post-operatively without any intervention. It is best to have your doctor evaluate you within the first week to make a decision on how to expedite your recovery.