I had lower lid blepharoplasty 9 weeks ago. I have hyperpigmentation as a result

Thank you for a great question and for sharing your experience.  Darker skin is more prone to hyper pigmentation.  I would recommend following your surgeon's instructions and following up closely.I hope you find this helpful. Best wishes!Consult with a Board Certified Fellowship Trained Facial Plastic Surgery Specialist."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Thank you for sharing your concerns. It would help if you could post your photographs. The discoloration in your skin could be due to hyperpigmentation or the breakdown products of blood in the skin. It is worth trying the medication your doctor recommended, wearing sunglasses and applying sunblock. Make sure to follow up with your doctor regularly. Good luck,

these changes are common among darker skin patients. They do respond to time and the medications that your doctor prescribed to you, HQ and RA. Please be patient and use what your doctor prescribed to you.  All of the hyperpigmentation will resolve but may take time. 

Thank you for posting your question.  Would you be able to provide a photo to better assess your case?  After surgery, the most important thing to do is to keep the area covered with sunscreen, a hat, and/or sunglasses.  If there is any bruising contributing to the hyperpigmentation, hot compresses and/or Arnica may be a good option.  Bleaching creams can also be considered.  Good luck!

Dear Farah07,

Lower lid blepharoplasties can be
performed with skin removal techniques, removal of fat pads as well as laser
treatment of the lower lid. Any one of
these techniques can result in hyperpigmentation. Increasing pigmentation of the inflammation
of lower lid surgery especially if laser was involved or significant bruising
occurred is relatively common especially in darker skin types. Darker skin types such as Mediterranean,
Latino and Hispanic individuals. The
treatment for hyperpigmentation are bleaching agents such as the use of
retinoic acids, Hydroquinones and Kojic acids followed with laser light devices
such as the PicoSure and intense pulsed light.
Not all eyelid surgeons are familiar with these techniques and you may
need to be referred to a high-tech laser centre that deals with
hyperpigmentation following surgery.

Regardless, seek out the expertise of
your operative blepharoplasty surgeon and if they’re not in a position to offer
these treatments you may seek out the advice of someone with more
experience. I’m sure you’ll end up with
an excellent result.

To find out more, please visit the
link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto