Is this swelling under my left eye normal 3 months after Blepharoplasty? (photo)
Doctor Answers 3
Lower lid blepharoplasty
You do have some swelling in the area of the muscle, and also some hollowing right below it. Swelling can last for 4-6 months, although this asymmetry is a bit unusual. If you still see this at 6 months you may need to consider some filler to decrease the hollowing. Was fat excised?
Lower Lid Swelling
Thanks for your question. Based on the photo you provided, I can appreciate some lower lid fat prolapse (bags under the eyes). There may also be some malar edema (swelling over the cheek bone). Lower lid fat prolapse and malar edema is rarely exactly symmetrical and we see it quite frequently. Typically, the lower lid fat prolapse responds nicely to a lower lid blepharoplasty with fat transpositioning. The malar edema may be more difficult to treat.
I would recommend you seek a second opinion with a skilled oculoplastic surgeon in your area if you have questions regarding your care. Hope this helps, good luck!
Post op swelling vs. asymmetry
We would really need two things to answer this question thoroughly.
# 1 we need the operative report to see what exactly was done. Was this a 4 lid bleph? Was the lower lid manipulated? If so, was the orbital fat was repositioned or removed? Repositioning is taking the fat from the orbit and repositioning it over the orbital rim. In my hands this is the best way to treat lower lid bags. Often times I also combine it with laser to tighten the skin and/or a lower lid skin pinch.
# 2 I would need to do a physical exam to see if it was muscle swelling or fat malposition.
This is very treatable and asymmetries are the most aggravating part of ocular surgery as any imperfection shows.
Hope this helps.
Best of luck,