Lower Eye Lid Blepharoplasty Surgery 20 Days Ago - Healing Normally or Brewing Complication?

Difficult without pictures to say. Trust your highly qualified surgeon's opinion combined with close monitoring . Your incisions will continue to improve.

Dr. ES

It's difficult to say what is occurring without an exam. If your surgeon is not available there should be someone filling in during the absence. New swelling and pain warrants further evaluation. The scar will fade in time. Be sure to keep it protected from the sun.

All of these issues sound like normal healing after a lower blepharoplasty. It takes longer than 3 weeks to heal after this surgery and such events as minor swelling, an area of discomfort, and some asymmetry are all part of the process. Most of these issues will have gone away 6 weeks after surgery but expect full healing in every aspect to take up to 3 months. 

Without an exam, I can not say for sure what is going on. Best to follow closely with your surgeon. Good luck.

Without having a photo or knowing the particular surgical technique that your surgeon performed, it is very difficult to comment. That being said you may have some residual swelling that sometimes takes longer to resolve or this could be some inflammation around a suture ("suture granuloma") that the nurse alluded to. The stabbing pains if not severe or constant may be due to normal healing, particularly of the nerves. This is sometimes described as "prickly/ pinecone/ shooting pains". If the pain is severe and /or constant, you need to be seen by your doctor or another surgeon who should be covering his patients while he/she is away. All scars become less noticeable over time yet this visibility of scars varies considerably based on surgeon technique, patient's healing/health. A patient can help minimize the appearance of scars by massaging the eyelid incisions with Vitamin E, starting 3 weeks after your surgery IF your doctor gives you permission to do so.