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A woman had incisional double eyelid blepharoplasty, fat removal and muscle correction of her right eye. She wants to know if swelling after 3 months is normal. Dr. Amiya Prasad, an oculofacial plastic surgeon explains that when someone has Asian eyelid surgery, swelling in the space between the eyelash margin or eyelid crease, also referred to as the pretarsal area, is normal. The amount of swelling and its duration varies in individuals. From his experience, it is not unusual for someone to have this type of swelling at 3 months. He often tells his patients that this particular type of surgery almost creates a limitation in the displacement of fluid during the normal healing process and each individual will ultimately see a resolution of their swelling from 6 months to a year. Very often, the 3-month point is a transition point where the swelling can significantly change and diminish. The critically important thing is to have an ongoing dialogue with their surgeon. Although some patients can get concerned and it's understood that they may want to get additional perspectives about their healing process, only their surgeon was there for their surgery. Every surgeon has a particular style in how they do their surgery as well as their own experience in the healing process for their type of surgery. When Dr. Prasad does an incisional Asian eyelid surgery or any upper eyelid surgery, he always tells his patients that for the early post-operative period which is the first month or beyond, the collagen in their body that is being used is in a disorganized orientation. The body then goes through a process called wound remodeling or collagen remodeling. It goes from irregularly lumpy to parallel, soft and flatter. He monitors his patients closely; he sees them after 1 week, 1 month, 3 months and as often as needed. He observes the healing process and their feedback about what they are doing on their own. Patients should avoid using over-the-counter anti-scar medications because the oils, preservatives and other chemicals in those can actually make the scars become worse. Sometimes patients will do things which they think is good for them and end-up doing something that actually causes inflammation or irritation. When Dr. Prasad looks at the area between the transition of the eyelid and the epicanthal fold, it looks a little bit raised and thick. Her surgeon will know from their experience if this is typical. Someone other than her surgeon might interpret this as atypical or unusual. So if she decides to get additional opinions, she must be prepared for a different style in the approach to her healing process. Some may recommend a steroid injection or something to reduce the thickening of the incision line, but this is a process that takes time. Anybody looking at her from a different perspective will have their own ideas and it may confuse her even further. Dr. Prasad is pretty confident that she did her research before she chose her surgeon and so mostly likely her surgeon has proven to her that he has the necessary experience to do this type of surgery. Her surgeon can guide her as to what's going on and what to anticipate. For more information, visit our website: http://prasadcosmeticsurgery.com/pras...