Fluid Retention Due to Blepharoplasty?

I recently had a lower Blepharoplasty done 8 weeks ago. Just the removal of fat tissue, nothing elese. I hardly had any bruises after the procedure but the lower lids have always been a little puffy.

My surgeon, after examined them, said it was due to fluid retention and would get better over time. However, my eyes have been looking the same, 3 days post operation. If they haven't changed after 2 months, how would I expect them to ever change? Or, could my problem due to something else?

My surgeon said he cannot tell the condition will be permanent or not and there is nothing I can do. Can I do something to improve my condition? Any response will be appreciated.

Doctor Answers 13

Fluid retention after blepharoplasty can be problematic in some patients.

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Fluid retention after blepharoplasty can be problematic in some patients. Altitude, air pressure changes, hormones, and allergies can all affect fluid retention. A low-salt diet would be recommended at this point. At three to four months after the surgery if there is still fluid retention, one has to consider whether or not there is residual fat that was missed at the original surgery.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Swelling post blepharoplasty not uncommon

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It is not uncommon to have swelling post blepharoplasty. As more time goes by, you will notice somedays they will be swollen and some days they will be less swollen.

This happens anytime you remove fat from the body. When I do VASER Liposuction on the body, I remove the fat. Swelling happens amost every time because that is the way the body works. I tell all my patients that they must wear their compression garments for a full 4 to 6 weeks to get a really good result. By wearing compression garments, it minimize the swelling.

Unfortunately, there is no good way of minimizing the swelling post blehpharoplasty. I would suggest that you try to keep your head up at night when you are sleeping. This sometimes can minimize the swelling.

Eventually as more time goes by, you will see the swelling go down. I always tell my patients that they will not get the finale result for at least 3 to 12 months.

Hope this helps.

Andrew Y. Kleinman, MD
Westchester Plastic Surgeon

Wound healing is long term process

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Your results are satisfactory and the effects of surgery can take as long as a year to settle. I have seen mild edema (swelling) in lids past six months, so be patient.

Richard D. Gentile, MD
Youngstown Facial Plastic Surgeon
4.5 out of 5 stars 45 reviews

Your Blepharoplasty results look nice

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It looks like your surgeon did a nice job. He seems to have removed the appropriate amount of fat. Although it's difficult to tell from the pictures it does appear that you have a small amount of SOOF fat. This is okay and will keep you looking young. However, this is likely what you are referring to. So take heart and enjoy this nice outcome.

Some edema normal after Facial Surgery

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It is unlikely to to get significant general body fluid retention after head and neck surgery, BUT some edema or fluid retention in the areas in which surgery was done is normal. After eyelid surgery, some swelling of the face is normal and can last up to two weeks, some swelling of the eyelids will persist for three or more months depending on what kind of surgery was done. Some eyelid surgery is combined with a cheek lift (or mid-face lift) and then the swelling can last even longer.

Raj K. Gupta, MD
Pontiac Plastic Surgeon

Your after picture looks very nice.

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In comparison to your before picture, your after picture looks very nice. You have a smooth lower lid and lid/cheek junction. Unless there is something that is not apparent in the picture, you should be very happy with the result.

Swelling around eyes can last months

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It looks like you a very nice result. The swelling around the eyes can take months, even up to a year to completely resolve. I would be patient.

Revision surgery this early is most likely to create more swelling, not less. It should get better on its own.

Robert M. Jensen, MD
Medford Plastic Surgeon
4.8 out of 5 stars 46 reviews

Wait for the Blepharoplasty swelling to resolve

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I agree with Dr. Beraka. You have a very nice result, and I think it would be easier to mess it up than improve it.

You may try head elevation on an extra pillow to sleep. Another noninvasive idea is to wear a sleep mask that will put gentle pressure on the lids to help swelling.

Minimal swelling after Blepharoplsty will resolve

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Looks like you have a really good result. Minimal swelling that you may still have and may be hard to see in photos will probably gradually go away over time. Enjoy the results of your surgery.

Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon

Lower Blepharoplasty Swelling

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From your pictures and description, it sounds like you had a subconjunctival lower blepharoplasty. The amount of swelling in your lower lids appears to be normal for the 8th week after surgery. The swelling should continue to decrease over the next several months. I will occasionally give methylprednisolone over 6 days if the swelling is significant.

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.9 out of 5 stars 51 reviews

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.