Bruising after a Lower Blepharoplasty?
Doctor Answers 7
Treatment for Lower Blepharoplasty Bruising
Now your postoperative bruising resolution is still facilitated by the bromelain in pineapple and the Arnica Montana placed under your tongue a few times a day. If you should have some discoloration after your surgery, this is something that I carefully counsel patients about by using sunblock as this can lead to some pigmentation that occurs from your sun exposure in your early peri-operative period.
Lower blepharoplasty skin change
This sounds like you have hyperpigmentation changes in the operated area. Sometimes after a blepharoplasty where there has been significant swelling and bruising a residual color change brought on by both melanin production and blood breakdown products can leave a dark "cast" for 6 months or more. A combination of warm soaks and bleaching creams are the therapies of choice. You also have to be sure that some color change is not simply looking through the skin to venus (bluish) vasculature under the skin.
I agree with the suggestion for "bleaching creams". Speak with your surgeon about this option.
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Bruising would be uncommon this far out after surgery.
Long term bruising after blepharoplasty?
Consider reposting with photographs.
Some patients are more prone to bruise following lower eyelid surgery. If you have the surgery done from inside the lid (transconjunctival approach), you can still bruise, as a small amount of blood can come up to the surface during healing and color the skin. The main issue with bruising for darker skin patients is the bruising forming pigmentation of the skin. For my patients at risk for this, I start them on a bleaching cream. This reduces the chance that the bruise can stimulate pigmentation and turn the lower eyelid skin darker over time. In the meantime, arnica cream may be of some limited help.