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Puffiness 3 Weeks After Blepharoplasty
For post-operative questions or problems it is always important to contact your treating surgeon. This may be within the range of normal healing since you're only 3 weeks out (although usually my patients have a large portion of the swelling resolved at this point). It sounds like the swelling had improved but some degree of swelling returned. After any surgery channels (called lymphatics) are disrupted imparing the body's ability to return fluid that may accumulate it tissue. Over time the body restores these channels. In our practice in Dublin, California it recommend my bleph patients to sleep with their head elevated, use cool compresses and of course contact me if swelling does not improve. Other causes could include reaction to suture or even seasonal allergies.
Clinical Context
Eyelid swelling that goes down and then comes back a few weeks after blepharoplasty is common and usually not a sign of trouble. It often reflects normal fluid shifts as the lymphatic channels continue healing, and can be nudged by sleep position, diet, or minor irritation near an incision. Swelling that keeps getting worse, or comes with increasing pain, vision changes, or redness, should be checked by your surgeon promptly rather than waiting it out.
