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Still have prominent eye bags after lower bleph (5 weeks post surgery)? (Photo)

I had a bilateral lower bleph (transconjunctival) 5 weeks ago. I still have eyebags and bags that appeared 3 weeks post surgery. My doctor offered to do a re-do. I am feeling disappointed and apprehensive having to undergo a second one. Are these residual bags that were not removed/not re-positioned properly? Or are my eyes still recovering from swelling? Why did the bags return? I am a non-smoker and in good health. Is it safe to have the revision 8 weeks post surgery? When is an ideal time to do it?

Doctor Answers 4

October 3rd, 2016

Lower lid bleph

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It looks like residual retroseptal fat has remained and a revision to remove additional fat would be beneficial.  As far as when to proceed,  swelling has to be fully resolved.  It varies from patient to patient but eight weeks should be fine on average.  Best wishes, Dr. T. 

Learn more: http://www.thomassenplasticsurgery.com

John Michael Thomassen, MD


Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 55 reviews

October 2nd, 2016

Timing of lower eyelid revision

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You are best to wait at least 3-6 months after the initial surgery, before considering a revision. You should take pictures to monitor the progress or to see if anything settles further. 

Dilip D. Madnani, MD, FACS

Dilip D. Madnani, MD, FACS
New York Facial Plastic Surgeon
4.9 out of 5 stars 105 reviews

October 2nd, 2016

Repeat lower blepharoplasty

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It appears you still have under eye bags/fat but best to wait about 3 months after first surgery before doing second surgery. See following link.

Learn more: http://tabanmd.com/lower-eyelid-blepharoplasty/

Mehryar (Ray) Taban, MD, FACS

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

October 2nd, 2016

Eye issue

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You are too early in the post-op period with swelling being the most common thing to determine whether a revision or not is necessary.

Learn more: https://www.stevenwallachmd.com/face-procedures/eyelid-surgery/

Steven Wallach, MD

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