Chemosis 10 months after Facelift

Question

I had a face and neck lift over 10 months ago. My recovery was extremely long with my swelling last several months. I also ended with chemosis in one eye. I ended up having to see an ophthalmologist who treated me with some steroids. over several months the chemosis did get better but at 10 months it's still there. From what it sounds like this is very unusually and I am worried it never going to go away. ? Should I be concerned?

James M. Economides, MD, FACS · Answer

It's understandable to be concerned, especially given your prolonged recovery and the lingering chemosis. While some swelling and minor complications can occur after a facelift and neck lift, lasting chemosis at 10 months is not typical.

Chemosis, which is swelling of the conjunctiva, can sometimes take longer to resolve, especially if there was significant trauma or inflammation. However, most patients see improvement within a few months. Since you’ve already consulted an ophthalmologist and received treatment, it would be wise to follow up with them again to discuss your ongoing concerns. They can evaluate your eye and recommend further options if necessary.

In the meantime, try to stay in touch with your plastic surgeon as well. They should be aware of your situation and may have insights or treatments that could help. While it’s natural to worry, many patients do see improvement over time. Getting a thorough evaluation can provide you with more clarity and peace of mind.

Mats Hagstrom, MD (license on probation) · Answer

Would you describe is fairly unusual. Was there any other procedure performed at the same time like eyelid surgery or facial fat grafting? This can happen if corneal protectors are used for long periods of time during surgery, but more commonly, if corneal protectors are not used, and the cornea gets damaged by being rubbed with gauze, or some other abrasive substance during the procedure.
Typically the condition settles down, and you are correct by getting the care of an ophthalmologist. This is not sound usual but other than following up with the ophthalmologist I’m not sure what else you can do at this point.
Best,
Mats Hagstrom, MD

James Hoyt, MD (retired) · Answer

Chemosis is a condition characterized by swelling of the conjunctiva, the transparent membrane covering the white part of the eye, and can be associated with irritation, redness, and discomfort. While chemosis is not a common complication after facelift surgery, it can occasionally occur due to various reasons.If you are experiencing chemosis 10 months after a facelift, it's important to consult with your surgeon for a thorough evaluation. Here are some potential reasons for chemosis after a facelift:1. Lymphatic Drainage Issues:• Swelling can persist due to issues with lymphatic drainage in the facial area. This can sometimes result in fluid accumulation, including in the eye area.2. Inflammation and Allergic Reactions:• Inflammation or allergic reactions to medications, dressings, or other substances used during or after surgery could potentially contribute to chemosis.3. Positioning During Surgery:• The positioning of the head during surgery might affect blood flow and fluid drainage, potentially contributing to postoperative swelling.4. Underlying Eye Conditions:• Pre-existing eye conditions or vulnerabilities may become aggravated during the healing process, leading to chemosis.5. Infection or Irritation:• In rare cases, infection or irritation in the eye area could contribute to chemosis.It's crucial to have a comprehensive examination by your plastic surgeon and, if necessary, involve an ophthalmologist to assess your eye health. Treatment options for chemosis may include:• Topical Medications: Your surgeon may prescribe eye drops or ointments to reduce inflammation.• Warm Compresses: Applying warm compresses can sometimes help improve blood circulation and reduce swelling.• Elevation: Keeping the head elevated, especially during sleep, can aid in fluid drainage.Remember that this information is general, and your specific situation should be evaluated by your healthcare provider. Always communicate openly with your surgeon about any concerns or unexpected symptoms you may be experiencing.

Chemosis 10 months after Facelift

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Chemosis 10 months after Facelift

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Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.