I had a lower transconjuctival blepharoplasty with fat repositioning along with a primary rhinoplasty three days ago. I expected the swelling that has come since, but was NOT expecting the location of the swelling - in the lowest part of my face. It's like my face is filled with fluid that settled downwards giving me insane low-set chipmunk cheeks. Is there a problem here? My doc seemed unconcerned but of course I'm freaking out. Is this swelling from the bleph or the rhino?
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Having the upper eyelid open a couple on mm's is typical the first postop day or so after combining a Brow Lift with upper eyelid surgery. The eyes should close during the first week postop. If they don't you might want to discuss this with the plastic and cosmetic...
Yoash R. Enzer, MD, FACS - Account Suspended says:
It is certainly normal to see the eyelid droop more after Mullerectomy (aka, Muller Muscle Resection, Conjunctivo-Muller Muscle Resection, Putterman Procedure, Posterior Ptosis Repair) in the first week after surgery. This is due to swelling, which creates a mechanical heaviness to the lid...
For eyelid surgery to be deemed medically necessary, eyelid skin must actually touch the eyelashes or cause lash ptosis. This is also known as dermatochalasis. Most insurance companies require approximately 30% restriction of visual field, which must be documented by a visual field o...