Incisional treatment for lower eyelid surgery has many merits
Most of lower blepheroplasties do require incision on eyelid to get good results. Transconjuctival approach is used infrequently. Thus your surgery was done right.
Lower eyelid scar after blepharoplasty
Dear mommygal: Rest assured that your eyelid swelling will improve with time. Even when a transconjunctival blepharoplasty is performed to remove the fat, many patients require a pinch of skin be removed externally for complete restoration of the lid. Removal of a pinch of skin does require an external incision. The combined approach gives you the best of both worlds. It removes the fat and preserves the middle layer of the lid which is the muscle. The muscle is not very strong, so a transconjunctival approach is safer for the muscle, since the approach is on the inside of the eyelid. The skin pinch is external to the muscle so once again, the muscle is preserved with less chance of lower lid weakness postoperatively. The swelling in your left lower eyelid is most likely the muscle swelling and should resolve with time and gentle massage. Total healing will be apparent in 3-6months. The external scar is in a natural laugh line and will fade with time as well. If the swelling doesn't subside, a steroid injection with 5FU can help soften it, or as a last resort, a conservative trim of the muscle can be considered. Good luck. John Standefer MD
Thank you for sharing your case and photos. I'm sorry to hear that you have had a slow recovery after lower blepharoplasty. Overall, you look pretty good and the symmetry should return with time. I'm glad that your surgeon is aware of your concerns. They will know your anatomy best. Good luck! Keep us in the loop with your progress.