Blepharoplasty is a cosmetic surgery that is performed to improve the appearance of the eyelids by creating more character, definition and a more rejuvenated look. It is often requested by those whose eyelids have drooped significantly due to aging and to those who are of Asian descent whose eyes have are more characterized to be hooded severely without any creases.
Most of the time it renders successful outcome, but there are cases where poor results occur. Here is a list of the possible
Blepharoplasty problems that you could encounter with their respective solutions.
Asymmetrical Results
There are instances where some patients complain about asymmetry of their eyelids after surgery or what is known to be ptosis of the eyelids. Honestly this is too early to decide to make any long-term conclusions. There is a high chance that this is brought about by post-surgical swelling, lymphatic obstruction which prevents the interstitial fluid from draining, and poor positioning while sleeping. This can be evaluated four months after surgery and if it still doesn't resolve, a revision surgery can be considered. But some surgeons would suggest waiting it out further until the sixth month before any corrective surgery is done.
Excess Eyelid Fold
This is also another post-surgical concern that would also require some waiting to see if it resolves. This just might be caused by swelling which eventually subside around six weeks. Only then can a proper assessment be done to see if any excess skin needs to be removed or restructured. You might consider a brow lift, especially if the excess skin sag is a result of poor skin laxity due to aging. Discuss this thoroughly with your surgeon to prevent any unnecessary drastic action.
Eyelid Folds Too High
There are instances where patients observe the creases to be placed a bit too high. But it might be too early to decide if this is something permanent, because the height of the crease could fluctuate over the following weeks after surgery. This would depend on the volume of post-operative bleeding, the type of sutures made, swelling and how the procedure is performed. Try applying some cold compress gently over the area immediately after surgery to relieve the swelling much faster. If the eyelid folds remain to stay too high after six months at the most, this is the right time to consult for a corrective procedure.
Puckered Spots on Blepharoplasty Incisions
Sometimes patients experience problems due to puckered spots or minor bumps on the incision site. This could occur to one eyelid or both, but a week after surgery would be too early to make conclusions. Again, this could just be plain swelling so wait it out until it subsides. Remember to keep your head elevated and cold packs a day or two immediately after the surgery.
Blepharoplasty Scars
For those patients who are scar formers, this can create a problem because it might not result to a seamless eyelid. This can be repaired, but if you think that you are prone to forming scars, inform your surgeon ahead of time so that he can use certain techniques that would make it less visible. Also be very careful with your after care regimen because when you introduce the slightest chance of infection, this can lengthen the healing time, increasing your chances of scar formation.
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