Overcorrected Upper Bleph and Swelling at 14 Months Possible? (Photo)

Question

Hi there, I had an upper blepharoplasty 14 months ago and was swollen for a LONG time. It actually took months for the swelling to go down. One of my eyelids still looks a bit swollen - is this normal? Permanent? Also wondering if maybe too much skin was taken out. I like the result, just wonder if it is the final look. Thank you.

Zoran Potparic, MD · Answer

It is unusual for swelling after upper blepharoplasty to last that long but not impossible. In same cases lymphatic drainage in the area is reason for much longer resolution of swelling after lower and upper blepharoplasty as well. Hope this helps.

Matthew Zeiderman, MD · Answer

Hi, thanks for the question and photos. This is likely your final result from the blepharoplasty alone. It doesn't appear too much skin was taken out. Prolonged swelling like you had can certainly happen. The reason you still look swollen (more on your right side I think) is because you have what is called brow ptosis. This is when you have a low sitting eyebrow. You would benefit (or would have benefited) from a browlift in addition to your upper blepharoplasty. This is more surgery and a bit more invasive, but would take care of that residual swollen appearance if it can still be safely performed, which requires a physical examination.

Mats Hagstrom, MD (license on probation) · Answer

To me, your outcome looks textbook. Perfect.
If you donTo me, you’re outcome looks textbook. Perfect.
If you don’t like the outcome, maybe you need to spend a little more time looking at your before picture.
You’re right upper eyelid appeared very swollen before your surgery and I would say that side the swelling looks less than it did before the procedure.
In my opinion it is not in fact swelling, but you still have an appropriate amount of excess skin and hooding of your eyelid, which is normal for your ethnic background.
 Your surgeon could’ve taken more skin and the swollen appearance may be less, but it also wouldn’t look as natural.
Your left upper eyelid did not have the appearance of being swollen before the procedure and now appears to have a bit of swelling. This far out from Sergio really shouldn’t be swollen at all.
I think this is simply the outcome of your procedure, which to me is quite excellent.
Your upper eyelid symmetry is almost perfect. Compared to where it was before and in my opinion you look 10 years younger.
It doesn’t look like you had the surgical procedure and I doubt anybody is giving you funny looks because you had a procedure.
I’m guessing, if anything, you’ve only received compliments on the outcome.
I Liz are very dynamic and to make a good assessment. We usually need to do it in person because movement of your eye, eyelid, or frontalis muscle can change the appearance quite a bit.
Single pictures only tell a partial story.
It’s not uncommon for people to have droopy upper eyelids to also have some droopiness of their brow physician.
For many patients a brow lift can give a better more natural outcome without getting a surgical look.
Sometimes the combination of both our ideal.
There is definitely some changes in your eyelid but overall to me, it looks like a pretty good results.
I suggest scheduling a few in person second opinion consultations with other providers in your community.
 For a proper second opinion consultation, come prepared, breaking with you a complete set of proper before and after pictures and a copy of your operative report.
These are all available from your current providers office if you request them.
It may be helpful for somebody, making an assessment regarding the outcome to know if that was removed from your eyelids, if it was done so evenly and how much?
There may be some information in the operative report that could help get a better assessment.
What does your provider have to say? 
Best,
Mats Hagstrom, MD

Overcorrected Upper Bleph and Swelling at 14 Months Possible? (Photo)

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