Is Jowl Swelling After Blepharoplasty Normal? (Photos)

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?

Doctor Answers 9

Swelling after blepharoplasty, eyelid surgery

It is actually quite normal. The swelling is from both the rhinoplasty and the lower lid blepharoplasty. In the 2-3 days following either surgery, swelling moves down the face under the effect of gravity. It will likely move down your neck next. It will surely disappear, most likely in the next 3-4 days. Don't be alarmed. Mark Samaha, MsC, MD, FRCSC

Montreal Facial Plastic Surgeon
4.8 out of 5 stars 77 reviews

It is completely normal!


Your rhinoplasty is the cause of the jowl swelling.  You will reach max swelling typically by day 5 and then watch as it reverses itself.  Staying cool and using a cool compresses will help this resolve.  Keep your salt intake low and your protein intake high.  You can relax and just enjoy watching your progress.

Good luck,

Dr. Shah

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
4.8 out of 5 stars 56 reviews

Jowl swelling after blepharoplasty

It is not unusual to have swelling in the lower part of the face with a Blepharoplasty.  Keep your head elevated and this should resolve quite quickly.  Don't freak out.

All the best,

Talmage J. Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

Lower face swelling

The swelling is as likely if not more due to the Rhinoplasty with osteotomies as it would be due to the lower Bleph procedure. Genle compression, keeping the head elevated and possibly a short course of medrol dose pack can help expedite the resolution of post-operative facial swelling but frankly, it will likely resolve spontaneously in a about a week if you avoid physical exertion. Be patient. Nothing appears abnormal or worrisome at this point.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon
4.4 out of 5 stars 20 reviews

Swelling after eyelid or nose surgery

don t be concerned..  swelling will move to the lowest point by gravity,  in this case  your jowels.

this may be more from the nose surgery.

most will resolve in 3-4 days..   ice and elevation help

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Swelling caused by both

The swelling could be caused by both. Maximum swelling is usually at about 5 days and goes away over a few months. You should sleep with your head elevated and cut back on salt to help the swelling.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Multiple procedures may increase swelling

In my post-operative instructions to my patients, I explain that if there are multiple procedures performed in the same anatomic area (in your case the central face), that patients may expect to have increased swelling and sometimes bruising.

Studies show that at 7-10 days the results are similar to more isolated procedures. For most people, it is a prudent choice to do multiple procedures at the same setting as long as they are healthy.

Edward Szachowicz, MD, PhD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Is Jowl Swelling After Blepharoplasty Normal?

From the photos, that you provided, you seem to have undergone mutiple plastic and cosmetic surgeries together that increase the swelling to the face including the jowls.  You should discuss this with the plastic and cosmetic surgeon that did your eyelid surgery and Rhinoplasty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Blood can travel down

The response you are seeing is not unusual. Very often blood and fluid can travel down the face. This does not mean your surgery was in anyway unsuccessful. If these findings do not resolve soon you should consult your physician. All the best

Ebby Elahi, M.D.
New York Oculoplastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.