A woman had upper blepharoplasty 8 weeks ago. At present, the creases look asymmetric. She wants to know if she needs a revision.
Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that one important part of a pre-operative and initial post-operative discussion is the maturation of the surgery. For any type of surgery like eyelid surgery, there is an initial impression where the surgeon can conclude that the overall surgery was successful. That means that the incision lines look like they're healing well. Naturally, there's going to be swelling because true surgical healing can take 6 months to a year.
As a doctor, Dr. Prasad follows his patients closely. He tries to keep an open communication with them and his door's always open if they have any questions. He thinks that this woman may be projecting too quickly about what her final result will be. It is natural for variability in swelling between the two eyes. It is not unusual to have an appearance of asymmetry during the early phases of healing. Two months is not long after surgery. Dr. Prasad always distinguishes to his patients that there is functional recovery after one week where people can go back to work, but swelling and healing will take 6 months to a year.
Dr. Prasad says that it is important that she maintain faith and communicate with her about her concerns. Dr. Prasad has been a practicing surgeon for 20 years and he can say that any doctor who has experience doing this type of work can able tell what the patient is going through based on a physical examination. A photo is good but it is not enough in comparison to a physical examination of a 3-dimensional appearance.
Dr. Prasad suggests that she continue meeting with her doctor on regular visits. He suspects that her doctor will be more than willing to do any type of enhancement if necessary. Every cosmetic surgeon is generally comfortable and understands very well that the human body is elastic and there is some stretch and variability in healing, and enhancements may be necessary. He thinks it's too early at the two month point to draw any conclusions. Dr. Prasad suggest that she communicates with her doctor and hopefully, as time goes on, her appearance will improve and she will have a result that she'll be satisfied with.
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