Incisional Ptosis Correction Swelling: 1-Week Case Study (feat. Suture Removal Day)

When undergoing incisional ptosis correction and double eyelid surgery, the biggest concern for most people is likely how long the swelling will last.

What does the swelling actually look like about one week after surgery?

Today’s topic is:

Incisional Ptosis Correction Swelling: 1-Week Case Study

This is the appearance at the 1-week mark.

Some bruising is still visible.

This is the pre-operative state. Before surgery, there was slight asymmetry between the left and right sides, along with Mongolian folds (indicated by the arrows).

I believe this is one of the most common types of cases.

This specific case involved ptosis correction, epicanthoplasty, and lateral canthoplasty. Here is the 1-week progress.

A small breakout appeared on the bridge of the nose during that first week...

In any case, swelling and bruising tend to migrate downward due to gravity.

For epicanthoplasty, I prefer adjusting the degree of lacrimal caruncle exposure rather than over-cutting. Please refer to my previous post on epicanthoplasty:

https://blog.naver.com/medicdoctor/221352835866

If you look at the thumbnail in that link, it shows a case where I performed a reconstructive closure for a patient who had an over-extended epicanthoplasty done by a colleague at a previous clinic.

Pre-operative video

It still looks a bit awkward since it has only been one week, but this should serve as a good reference for swelling. Naturally, the swelling will subside much further at the 1-month, 2-month, and 6-month marks.

Frequently Asked Questions

What is the extent of swelling and bruising one week after incisional ptosis correction surgery?

Yes, at the one-week mark, swelling and bruising are still present. Due to gravity, the swelling and bruising tend to move downwards towards the lower part of the eye, and it is a time when the appearance may feel somewhat unnatural.

When does the swelling completely subside after incisional ptosis correction?

It usually subsides gradually over one to six months. While there is still significant swelling at the one-week mark, the swelling continuously decreases over time, such as at one month, two months, and six months, resulting in natural-looking eyes.

What is the most important consideration for epicanthoplasty (front canthoplasty) surgery?

It is most important to appropriately control the degree of caruncle (tear duct) exposure. Rather than excessively opening the inner corner of the eye unconditionally, it is crucial to naturally adjust the amount of caruncle exposure according to the patient's eye condition to prevent side effects.

What surgeries are performed concurrently for asymmetrical eyes and epicanthic folds?

Ptosis correction can be combined with epicanthoplasty (front canthoplasty) and lateral canthoplasty (back canthoplasty). The patient in this case study also underwent incisional ptosis correction along with epicanthoplasty and lateral canthoplasty to improve left-right asymmetry and epicanthic folds.