Puffiness 3 Weeks After Blepharoplasty procedure Tri Valley Plastic Surgery

Three weeks after my lower blepharoplasty surgery, my right eye became puffy and "bubbled". Last week, they were still looking great; smooth, tight, no circles, bruising gone. Then I woke up yesterday and they were puffy with circles, the right eye worse, looking as if I never had surgery. Today, the left eye went down and has improved, still a bit puffy but the right eye is worse. It looks as if I were punched in the eye, but without bruising. I don't understand why last week they looked great and now look as if I never had the surgery. What happened, and what can I do about this?

Time is your friend

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 my San Francisco practice 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.