When a patient is considering an incisional double eyelid with ptosis correction, the question they worry about most is how long the swelling will last.

What does the eyelid look like at the one-week mark?

Today's topic.

Incisional Ptosis Correction · Swelling at One Week
Eye photo from a Ptosis Correction case

One week post-op.

Bruising is still present.

Eye photo from a Ptosis Correction case

Pre-op view. There is mild side-to-side asymmetry, with a Mongolian fold at the medial canthus (arrow).

Probably one of the most common presentations we see.

Ptosis correction with medial and lateral epicanthoplasty. One week post-op.

Eye photo from a Ptosis Correction case

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

Swelling and bruising track downward with gravity.

For medial epicanthoplasty, I prefer to control the degree of caruncle exposure rather than fully open the canthus. See my earlier post.

The thumbnail above shows a case where I closed an over-aggressive medial trim performed by a colleague at a previous practice.

Pre-op video.

Things still look slightly raw at one week, but it should give a useful sense of one-week swelling. The lid will settle further at one month, two months, and especially by six months.