Swollen Bags After Lower Eyelid Blepharoplasty

I am 39 years old. I had a lower eyelid Blepharoplasty done 2 weeks ago. My tear troughs were apparent and also the bags above. Im only two weeks into this, but it appears that I have new swelling bags on the area on each side under the tear troughs. Should I be concerned? My second consultation is scheduled in five weeks.

Doctor Answers 13

No, you shouldn't be concerned

It definitely takes longer than 2 weeks, probably more like 6 weeks. However, in more extreme cases (those with festoons) the swelling can last up to 3 months before all of the swelling resolves. It's very common for patients to be doing well at 4-6 weeks, and then one morning they wake up and have a lot more swelling for no apparent reason. This will resolve with time as well.

Worcester Facial Plastic Surgeon

Blepharoplasty two weeks out

I would not be concerned at this point. Two weeks out is a very short period of time after eyelid surgery. I would give it a good 2-3 months to see how things end up. most likely that this will go away.

Chris Thiagarajah, MD
Denver Oculoplastic Surgeon
4.9 out of 5 stars 9 reviews

Wait and see

Since it has only been two weeks since your lower blepharoplasty, it is impossible to tell anything at this point. The eyelids are still swollen. The bags from where the surgery is performed and the malar cheek pad area are both swollen and bruised at this point. A person should wait at least two to three months to determine whether or not there are any further residual fat bags in the lower lids before contemplating revision eyelid surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Still Healing after Blepharoplasty

At two weeks it is too early to tell what the source of the swelling is due to so it is most likely due to your recent surgery.  Frequently the lower eyelid continues to resolve swelling and post operative changes for up to one year.


Richard D. Gentile, MD
Youngstown Facial Plastic Surgeon
4.4 out of 5 stars 36 reviews

You are recent post op.

No need to get worried for now. You are fairly recently post-op and there is most likely residual swelling and the tissues have not settled. It usually takes several weeks to months for the swelling to completely resolve after blepharoplasty. That is why your appointment is five weeks away. However, if you have any concerns, then you should see your surgeon sooner. Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Concerned, not worried.

Some swelling is going to persist for weeks after the bleph. I can' t tell if yours is a little more than usual, or about what is expected.

As a surgeon, I always want to hear from my patients when they have a concern. Going on that, I suggest that you schedule an appointment with your doctor. One thing that he may recommend is massage. Don't try to figure this out on your own, follow his instructions.

Never be shy about communicating with your doctor, it is your right, and is the path to a great outcome.



Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.7 out of 5 stars 101 reviews

At two weeks this is likely just swelling. If after six wks bags persist they may be festoons

At two weeks swelling beneath the lower eyelids is likely post operative edema or swelling and should go away.

If you hjad noticeable swelling or bags on the cheek bones beneath the lower eyelids you may have festoons or bags beneath the lower eyelid bags.

Festoons often appear worse after a blepharoplasty removes the puffiness of the lower eyelids.

Festoons are very difficult to correct and may require a lateral upper cheek lift through a lateral skin muscle lift through an extension of the lower eyelid blepharoplasty incision out on e outside corner of the lower eyelid.

Your'e doctor shou;ld be able to sort tis out by your 5 week visit. In the meantime, just massage the areas that look swollen and hopefully they will go down.

You need time to heal after Blepharoplasty

Dear Kjeans,

Two weeks after a lower eyelid surgery is not very much time. It is completely expected that at this time frame you will have residual swelling in the lower eyelids and at the top of the cheek. This could account for the fullness you are describing. It may be that with enough time, this will resolve.

How long should you wait? Typically, we tell patients that the most obvious swelling will settle in about 6 to 8 weeks. However, there are always exceptions to every rule. You should not be concerned about this swelling at this time frame. The issue should be much better possibly resolved by the time of your next visit. Remember it is very hard to be patient while the body heals.

If your swelling persists after this time frame, consider recontacting the Realself community and include before and after photos.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Early Post-operative Swelling

It's not unusual for patients to develop swelling in the periorbital region after upper lid blepharoplasty. In the vast majority of patients, this swelling is transient and resolves in about one to two weeks following surgical intervention. Unfortunately, in some cases, swelling may be persistent lasting several months following surgery.

It's not uncommon for this swelling to extend into the surrounding soft tissue. When this happens, gravity can have a significant impact upon the location of the swelling. This often results in dependent edema which explains the swelling below your tear trough area.

When this situation arises, it's important to avoid strenuous activity, maintain head elevation and avoid salt intake. When these steps are taken, resolution of swelling is facilitated.

If you're concerned about post-operative swelling, it's important to consult your plastic surgeon. Your surgeon should be able to address your concerns and alleviate your anxiety.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Swelling in lower lids 2 weeks post op

You question is helpful for many patients who share the same concern. It is not unusual for some swelling to persist beyond 2 weeks after lower eyelid blepharoplasty. The full amount of swelling can take a few months to completely resolve. There is certainly no need to be concerned at the 2 week mark. Thank you for sharing your question.

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 140 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.