2 months post op Eye lift surgery, I still have bruised and blood bags. Will it go away? (photos)

Question

i have high blood pressure and now my eyes have blood bags that don't go away and is very dark. will it go away? please help . i am 55 years old!!!!!!!!!

Evan Ransom, MD, FACS · Answer

Thank you for the picture and your question. It is relatively uncommon to have residual bruising after 2 months. Some swelling may still be present, depending on the type of eyelid surgery that you had and any other medical conditions (e.g., low thyroid). For the bruising, a laser that specifically treats the pigment in blood can be used to reduce the discoloration. The swelling may require steroid shots. In some cases, this is actually just part of your anatomy (festoons) and is not reliably treated with surgery. Medical management may help.

John J. Martin, Jr., MD · Answer

You do have some bruising at 2 months which is unusual, but can occur.  Those do not appear to be blood "bags".  They are swelling of the malar fat pad on the cheek - called a festoon.  In some patients this fat pad will swell quite a bit after surgery and can take a few months to go down.  The bruising has just made it look dark.  Talk to your surgeon to see if they have any lasers which can sometimes help speed up the bruising process.  If they don't have any lasers, they should be able to recommend someone who does - either an IPL or pulsed dye.

Stephen Prendiville, MD · Answer

Although bruising generally resolves within 2 weeks after any facial procedure, it can last longer in some patients.  Prolonged bruising can be associated with anticoagulants like coumadin, plavix, aspirin, ibuprofen (or any NSAID), vitamin E, green tea, or a previously undiagnosed mild coagulopathy.  If you are taking any of these medications on a prescription basis, you might want to check with your Doctor for guidance.  In rare cases, bruising can lead to hemosiderin deposition in selected areas which can take several months to resolve. As with all postoperative isseus, it is best to seek the help and reassurance of your Surgeon.  Good luck!

Parker A. Velargo, MD, FACS · Answer

I'm sorry you still have bruising this far out.  Have you seen your surgeon about this to see if there is a small hematoma (blood collection) that needs to be aspirated?It is not uncommon to have bruising around the eyes following blepharoplasty, but it is typically gone in a few weeks. Of course, certain medications and medical conditions can make you more prone to bruising.  I tell all of 
my patients to use topical Arnica Montana, which is a natural over the 
counter gel, the moment that they see a bruise forming.  It helps with 
swelling as well and gets rid of the bruising many days prior to not 
using anything at all.  You can buy sublingual tablets as well.  Pineapple tablets, which contain bromelain, can be used to both prevent bruising and help speed the resorption process.  Bromelain is also 
found in papaya and fresh pineapple, though it is most concentrated in 
the pineapple core.   I think you are beyond the aid of cool compresses at two months.In patients that have persistent bruising in my practice, I often zap them with an IPL machine to help break up the bruising and speed resorption (often in a matter of 1-2 days).  Some lasers are great for bruising as well.  I sure there are doctors in your area that have such technology.  In terms of covering bruises, I recommend a makeup called dermablend.  It conceals things quite naturally and nicely. Again, though, I would make sure that you don't have something like a small hematoma first by going to your surgeon for an evaluation.  I wish you the best!

Joseph A. Eviatar, MD, FACS · Answer

It is difficult to tell from a photograph but these appear to be festoons (or cheek bags) which are due to fluid buildup in the area around the cheeks.  See your doctor but lymphatic massage can be helpful in the early post op period as can a water pill in select patients.  After several months, we find skin tightening procedures helpful.  Specifically, ThermiRf smooth can help this condition and if severe, ThermiRf Tight may be helpful.  Lasers can help but not in dark skinned patients as they may induce pigment problems.   Seek out a second opinion from a specialist in this area if you are not satisfied with what you are hearing from your doctor.  An oculoplastic surgeon who specializes in aesthetic treatments around the eyes may help offer some solutions.  Best of luck!

Darryl J. Blinski, MD · Answer

Can not tell in poorly posted dark photo... Either re post photoS. Or seek in person second opinions.......

2 months post op Eye lift surgery, I still have bruised and blood bags. Will it go away? (photos)

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