Why do I look worse after 5 weeks following blepharoplasty upper and lower blepharoplasty?

The botox most likely is causing a weakening of the lower eyelid.  That most likely accounts for the lower eyelid folds.  Honestly, you have got to get a hold of yourself and left your face heal.  The botox will eventually wear off.  I agree that you need to let every thing heal for a couple of months.  It is far safer for you to work with a therapist right now than to have more botox or do anything else to these eyelids as you heal.

It can take 2 months or more to completely heal from blepharoplasty. There is some swelling noted in your lower lids. Importantly your eyelid position looks fine, no infection, no serious complications.Keep in touch with your surgeon regarding your concerns and be patient. You will improve.

Botox in the corrugates should not impact your lower eyelid. You may be having more swelling this point as your activity level increases. If concerned, speak with you surgeon.

Dear Gingirica,

The upper and lower eyelid tissues are very delicate and take
time to heal and resolve. The additional
swelling under the left moreso than the right eye can be occurring for a number
of reasons. The Botox placed in the
outer aspect of the eye may weaken the overall eye closure muscle and may have
increased some of your lower lid swelling and edema. At this point in time no further treatment
should be instituted until there’s been time for your upper and lower lids to
heal. Seek the advice of your operative
physician and in general the use of topical silicone gel strips, not the oil,
but the strips, as well as lower lid massage to help with the swelling.

Intense Pulse Light photo rejuvenation treatment for the
redness and allowing the Botox to wear off will give you a better sense of the
overall aesthetic contour. I would
follow this conservative approach for another 12 weeks and at 4 to 6 months
you’ll be able to more accurately assess the overall outcome. Allow the Botox and its muscle weakening
effects to resolve, institute conservative massage therapy and topical silicone
gel and perhaps photo rejuvenation for the redness and I’m sure that over time
your results will more approach the anticipated outcomes that you had hoped
for.

During this time it’s
very important to stay in very close contact with your operative surgeon as
they’re in the best position to understand what procedures are exactly
performed under the lower lid. If there
have been some degree of fat grafting or volume placement under the eye, this
could account for some degree of the swelling, but your operative physician and
you need to form a strong relationship during this stressful healing process.

I hope this information has been of some assistance and to
find out more please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto