My Eye Wont Shut Completely After Surgery?

One of my eyes does not shut well after my LSL Blepharoplasty 3 weeks post op and is the only place that is still bruised- will this eventually relax? It actually hurst to try to close my eyes tight and when I am in the shower washing my face with my eyes closed water seeps in and I can not stop it so I know my eyes are not shutting tight. I can not upload a picture at this time-

Doctor Answers 9

Problem after Blepharoplasty

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I recommend seeing your surgeon right away as your eye not closing is a problem. By not closing properly, your eye can dry out leading to corneal abrasions or even blindness. You need to use artificial tears and keep your eyes moist in the meantime.


Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Tightness will improve with time.

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Surgical scar will evolve and soften over a period of months. I would not consider revision surgery on anyone until the 3 month post operative visit, and sometimes even longer than that. So lets put to bed the idea that you need a skin graft right now. No need to get you more anxious than you already are.

First and foremost, this discussion should be had with your surgeon.

But to get you less anxious:  Things will improve with time. Massaging can help accelerate that process [Talk to your surgeon about the technique]. And in the meanwhile, lubricating ointment and drops will help keep your eyes more comfortable.

If after three months things are still bothering you, seek a second opinion.

 I would recommend consultation with an ASOPRS trained Oculoplastics surgeon. You can find one close to you on the ASOPRS dot org website.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 42 reviews

Eyelid closure problems after surgery

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Since you are only three weeks out of lower eyelid surgery, this condition generally resolves but not always. I would discuss with your surgeon about massaging the lower lid upwards and also the use of eye lubricants to keep the eye moist in the interim. Good luck.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Eyelid closure problem after surgery

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The eyelid healing process after surgery undergoes various stages.  In the first stage (weeks), the eyelid is swollen and weak and may not close well.  Therefore, your eyes may close after this stage.  However, it may be possible that they won't close even after this peroid, caused by various factors including mechanical eyelid problem, weak muslce, etc.  You should consult an oculoplastic surgeon.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

Eyes don't shut 3 weeks after surgery

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  One of the dangers of this forum is that you will get conflicting advice.  None of the docs who have replied thus far is an oculofacial specialist so it is likely that they do not do the volume of eyelid procedures done by those in my specialty.  I think that it is very likely that A. Not too much skin was taken  B. That things will get better with additional time  C.  That I agree with the need to protect your corneas while you are healing with over the counter tear drops, gels, and ointment.  See your doctor for reassurance.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 140 reviews

Inability to close eyes

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If at three weeks you are not able to completely close your eyes, then I suggest you see your surgeon for evaluation.  

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Unable to close eyes after blepharoplasty

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If you can't close your eyes after a blepharoplasty 3 weeks ago, this is a big problem and you need to see your plastic surgeon right away. You will need to protect your eyes with lubicating ointment or drops, and you may also need a revisional surgery. If too much skin was removed - which is the most common reason for not being able to close your eyes - you may need a skin graft.

You Need To Start Putting Saline Drops in Your Eyes and See Your Surgeon ASAP

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In order for your eyes to lubricate properly, the eyes must completely close.  If your eyes do not close, then the eye can dry out leading to a corneal abrasion or worse, blindness.  You need to place artificial tears in your eyes to keep them moist and see your surgeon immediately.  




Won't Shut

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The most important issue for you right now is to protect the eye that will not close.  You could sustain a very painful corneal abrasion, or worse.  Contact your surgeon now or see a Facial Cosmetic Surgeon immediately!

Robert Shumway, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 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.