Causes of Swelling after Asian Eyelid Surgery & How an Eyelid Specialist Reduces Recovery Time

A female is 3 months post-op and her eyes are still swollen. She wants to know if this is normal.
Oculofacial plastic surgeon Dr. Amiya Prasad explains that surgical healing involves the areas where the surgeon has done surgery whether it’s a simple laceration closure or a more complex surgery. This recovery timeframe which can take up to a year. Incision healing and swelling are not correlated. Swelling is caused by a variety of reasons, one being reactive swelling or swelling that occurs after surgery. Another cause is fluid stasis where there’s fluid just sticking around in the circulation or in the lymphatic system.
Wound remodeling is a dynamic process that takes place on a cellular level. The results of any surgery can take as long as a year for any patient to fully appreciate. Fortunately, this doesn’t mean that patients can’t look good after surgery. In Dr. Prasad’s practice, when he does Asian eyelid surgery, most of his patients get back to work in a week and most of them can look pretty good within a month. There’s a mild degree of swelling which he checks at 3 months, and again if the swelling persists, but in his practice swelling rarely lasts that long. He has developed a process to minimize the active swelling in procedures such as Asian eyelid surgery using the non-incisional method or the excisional method. He also does more complex procedures such as ptosis surgery where he works on the levator muscle and advances it and it is a longer procedure. In these procedures, he still gets his patients to look pretty good faster, but swelling and other factors can take a little time.
Dr. Prasad thinks that she must communicate with her surgeon who she must have chosen based on her research on the level of his experience, and he will be able to guide her on what to expect. 3 months is still a little premature to anticipate or to project that this is the appearance she’ll have beyond a year. It’s important that she make observations. At the same time, she must keep an open line of communication with her surgeon so that she can be evaluated, examined and understand where she’s heading.
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[@TheEvashop]

Hi, thank you for your videos. I watched all your videos. I have done my upper eyelid surgery he’s been three months now I still get very sensitive of my eyes. Every afternoon is feels like it’s something stuck in my eye left eye please if you can respond thank you.

[@AmiyaPrasadMD]

Hi @TheEvashop,
Sorry to hear about your problem. It isn't clear what the cause of this could be, so I suggest you follow up with your surgeon to diagnose the problem. To give you a proper second opinion, I would have to examine your eyelids, and also review the medical records of your past surgery. I hope you understand, and thanks for watching.