Eyelids Won't Shut After Blepharoplasty procedure

I had upper Blepharoplasty procedure 6 weeks ago. My eyelids still do not shut all the way. I can make my eyelids shut if I "muscle" them down, but if I shut them gently then about 2 mm of sclera shows, particularly from the center of the eyes to the inner corner. My eyes also open now when I sleep. My plastic surgeon said that the amount of sclera showing is mild and will correct itself over time. Is this normal, and is he being honest? I really worry that I'll need to have skin grafts or some sort of corrective surgery.

Upper Lid Blepharoplasty

There are two different questions open right now... the first from aching eyes who has had a bleph approximately six weeks ago. The important issue for you at this point is your ability to protect your cornea. A small amount of lagopthalmos (inability to fully close your lids over the globe) is not unusual immediately after a blepharoplasty. This typically resolves within the first few days and can be related to the local numbing medication and swelling. Lagopthalmos that lasts beyond that can be a concern in terms of full resolution. Certainly most of these issues should resolve at six weeks. The critical issue if you can't close your lids is are you providing adequate lubrication and protection to your cornea. If the white parts of your eyes are not red and injected and you are not having pain this may indicate that you have adequate protection. You should, however, have a conversation with your plastic surgeon. To the second question posted in the comments section, 4 years is a long time to be unable to fully close your lids and you may need some form of intervention to correct this. A complete evaluation by a board certified plastic surgeon or occuloplastic surgeon is indicated. There can be many issues including that your upper lids are don't have enough skin or laxity to close or that your lower lid is somewhat loose and needs attention to correct. I hope this helps.


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