How Long for Double Eyelid Surgery with Muscle Lift to Show Results? - Ophthalmology

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After undergoing double eyelid surgery combined with a muscle lift, it is common to have questions about the timeline for seeing results and the healing process. Generally, the initial results of the surgery may not be immediately apparent due to swelling and bruising, which can obscure the final appearance of the eyelids. Typically, the most significant swelling occurs in the first few days post-surgery, and as the swelling subsides, the results become clearer. This process can take several weeks, and most patients begin to see a more defined shape and symmetry in their eyelids around the two to four-week mark. However, full healing and stabilization of the eyelid shape can take up to three months or longer.

In your case, it sounds like you are experiencing significant asymmetry and drooping in the right eyelid, which can be concerning. It is not uncommon for one eye to heal differently than the other, especially if there was a pre-existing condition, such as habitual eyebrow raising, which may have affected the muscle tone and positioning of the eyelids. The tightness or tension you feel in one eyelid compared to the other can be attributed to the surgical technique used and how the muscles were manipulated during the procedure.
Your surgeon's recommendation to wait three months before making any definitive judgments about the results is standard practice. This waiting period allows for the majority of swelling to resolve and for the tissues to settle into their new positions. During this time, it is essential to follow any post-operative care instructions provided by your surgeon, including exercises to help strengthen the eyelid muscles and improve their function.

If, after the three-month period, you still find that the right eyelid is significantly drooping and not responding to the exercises, it may be worth discussing the possibility of a revision surgery with your surgeon. However, it is crucial to allow adequate time for healing before considering any additional procedures. Revising the surgery too soon could lead to further complications or an unsatisfactory outcome.

As for your question about whether the sutures were placed too tightly, this can indeed affect how well the eyelids function post-surgery. If the eyelid muscles are too tight, it can lead to difficulty in closing the eyes or an unnatural appearance. Conversely, if they are too loose, it can result in drooping. Your surgeon should be able to assess the situation and determine if any adjustments are necessary.

In summary, while it is understandable to be anxious about the results of your surgery, patience is key. Allow your body time to heal, and keep an open line of communication with your surgeon. If you have ongoing concerns or if the asymmetry does not improve, seeking a second opinion from another qualified ophthalmic or plastic surgeon may provide you with additional insights and options for your situation.