Transconjunctival blepharoplasty. How long is bruising visible after this particular surgery?

Question

Hi I'm looking into getting Bleph done on my lower eyelids soon. As I am the sole carer for my child I'm trying to find out how long before I can resume driving. How long will bruising be visible and if this type of surgery will suit my particular (genetic) eyebags. Thanks.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photograph. The eyelids typically are no longer bruised by 2 weeks. You can go back to normal activities (other than exercising) after 5 days. Make sure to see an experienced eyelid expert for comprehensive evaluation and discussion of treatment plan.Good luck,

Evan Ransom, MD, FACS · Answer

Thank you for the question. The recovery is generally pretty fast after transconjunctival blepharoplasty. Most patients can expect 5 to 7 days of fairly mild bruising and minimal swelling. This is easily camouflaged with makeup in most cases. Good luck!

Mehryar (Ray) Taban, MD, FACS · Answer

There is much less bruising/swelling from transconjunctival lower blepharoplasty (vs transcutaneous). See following website link and video below for an example of recovery patient.

James Shire, MD · Answer

You look like an excellent candidate for a transconjunctival blepharoplasty. Your results are completely dependent on your surgeon's technique and your ability to heal. If you avoid substances that cause bleeding such as aspirin, ibuprofen, fish oil, vitamin E, and alcohol, bruising with a transconj. bleph  should be rare and minimal. As an example bruising occurs in about 10-20% at most. Are patients are usually driving within 3 days. Consult with an experienced facial plastic surgeon and discuss your concerns and issues.

Prashant Soni, MD · Answer

based on your photo, you appear the right candidate for a transconjunctival blepharoplasty. If your skin quality is smooth, then no skin removal or external peels would be needed. Bruising varies but usually lasts 10 days. I use steroid eye drops is appropriate patients and have patients use oral antihistamines if they are prone to seasonal allergies. Using arnica to decrease bruising can be helpful. Speak to your surgeon about his or her post op protocol to minimize swelling and bruising.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, you may be a candidate for either a transconjunctival blepharoplasty or under eye fillers.  For surgical blepharoplasty, the bruising can last up to one week.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Ira D. Papel, MD · Answer

You look to be a perfect candidate for transconjuctival lower eyelid blepharoplasty. You should expect some bruising for 7-10 days afterwards, with some swelling as well. makeup can hide some of this after the first few days. There is always some swelling inside the eyelid as well, with some tearing whcih can affect your vision for the first few days. This clears quickly, but is a factor.

Reza Momeni, MD, FACS · Answer

In my experience the bruising can last about 7-10 days, and the results settle in nicely around 3 weeks, but full results are around 3 months.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Karen Leong, MD · Answer

Hello, thank you for your question.
You are a good candidate for transconjunctival blepharoplasty. You appear to hat fat pseudohernation of your lower eyelids lending to that fatigued look with bags under your eyes. This approach would remove or reposition the fat to give you a smoother contour. 
Recovery after transconjunctival blepharoplasty is about a week. There are certain steps you can take to help reduce swelling and bruising. Before surgery, stop any NSAIDs (aspirin, Advil, Motrin, etc), red wine intake, garlic/tumeric/krill oil/fish oil/Vitamin E supplements as these can all thin the blood and lead to bruising. After surgery: ICE, keep your head elevated when sleeping, arnica montana supplement, bromelain supplement (or fresh pineapple juice), and if your surgeon has it - go under RED light (Omnilux or equivalent) the day after surgery and a second time during that first week. There are no sutures to remove. If you wear contact lenses, I recommend my patients to wait 2 weeks before they resume use to allow the tissues to heal.
I hope this helps! - Dr. Leong

Scott C. Lindsay, DO · Answer

Thanks for your question!  Generally, bruising can last for a week or two following the procedure.  I would suggest looking into Bromelain and Arnica Montana as supplements to take around the surgery to help with bruising and swelling.  Also, be sure to consult with a board-certified plastic surgeon.  Good luck!

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