Why are eyes are still swelling after 2 weeks from double eyelid surgery? (photos)

Question

Hi, I had double eyelids surgery 2 weeks ago. The swelling definitely went down since post op day 1 till today, 2 weeks mark. However my eyelids are still swollen and the crease are still very high and unnatural looking. My eyelids feels puffy and soft when i gently massage it. Will this be permanent? I'm panicking and depressed. I never stepped out of my house without shades. Are everything fine with my eyes?

Donald B. Yoo, MD, FACS · Answer

Based on your photos there is still quite a bit of swelling, and once that resolves you will have a nice result.  Give your upper eyelids time to heal, and follow up closely with your surgeon for best results.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

It looks like your eyelids are swollen still. Don't panic. In some patients residual swelling can take several weeks to resolve. In patients with thicker skin, healing can take a long time.

Ross Stutman, MD · Answer

Thank you for your question.Any surgery on the face, especially areas with significant vascularity like the eyes will have swelling post operatively. It is not unusual at all to have significant swelling 2 weeks out from surgery. Try to be patient, this swelling will resolve with time. You can help the swelling with ice packs, keeping your head elevated at night, and refraining from strenuous activity.It is important to have frequent follow up with your surgeon to discuss any of your concerns.Best Regards,Dr. Stutman

Cory Torgerson, MD, PhD, FRCSC - Account Suspended · Answer

With double eyelid surgery, it's important to be patient to see the final results. Each patient heals at a different pace, so for some it takes longer for the swelling to subside than for others. The
scars will heal in the coming weeks and months, so the whole process is more
like a marathon than a sprint to the finish line. If you still have concerns in the future, consult the surgeon who performed the surgery.

Amiya Prasad, MD - Account Suspended · Answer

I don’t
think you have any reason at all to panic. Swelling being present at this time
is typical. I do a lot of Asian eyelid surgeries and I can certainly share with
you over 20 years of doing this surgery that there is certainly some degree of
variability between patients regarding the amount of swelling they have. Asian
eyelid surgery requires a particular type of method that involves the fixation
of the eyelid crease to the muscle that lifts the eyelid called the levator
muscle. In order to create that crease, there has to be a connection made
between the skin and the levator muscle. This can be performed both in an
incisional or a non-incisional procedure.

After
surgery, there is crowding in the tight space. Fluid has the tendency to back
up between the eyelid crease and the eyelid margin. That swelling can take time
to resolve. In fact, that swelling is very often the reason for many patients
to panic because they feel that the eyelid crease is too high. This type of
swelling in two weeks is normal and that swelling can linger and be variable in
the course of several months and can go on to as long as one year. True
surgical healing can take up to a year to resolve.

The swelling
you are experiencing is likely to be normal and the only things that I advise
my patients is manage any allergies particularly eye allergies. In addition,
managing any sinus issues, getting adequate sleep and doing things that are
healthy.

I
recommend that you contact your doctor's office and speak with them. Judging by
the photo you submitted, it doesn’t appear that there’s anything unusual about
your situation. Understand that the body takes its time to heal and swelling
does eventually gets better, but how long it takes varies between individuals. I
hope that was helpful, I wish you the best of luck, and thank you for your
question.

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