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Why do my eyes look smaller after blepharoplasty?

After blepharoplasty, my eyes look smaller. Is it normal? Should I see a doctor?

5 Answers

Without seeing a picture, it is hard to comment on this question. That being said, eyes may look smaller, because of scar contracture following your blepharoplasty. If additional procedure procedures were also used, this could further change the shape of the eye.
It's not uncommon for patients to observe changes in the appearance of their eyes following a blepharoplasty, and the perception of your eyes appearing smaller could be attributed to several factors.

First, it's important to understand that blepharoplasty is a procedure intended to remove excess skin and fat from the upper and/or lower eyelids. The aim is to alleviate the sagging and drooping that can occur with age, which can obstruct vision and give a tired appearance.

The changes in the structure of your eyelids after the procedure could potentially give the illusion of smaller eyes, especially if you're used to seeing them with the additional skin and fat.

Secondly, swelling is a common post-operative effect of blepharoplasty. This might make your eyes seem smaller initially but should resolve over time as the swelling decreases.

Your perception of smaller eyes might also be a result of canthopexy if it was performed during your procedure. Canthopexy is a technique to tighten the lower eyelid, which could make the eye appear smaller. However, this appearance usually settles over time.

Lastly, it's worth noting that everyone's response to surgery is unique, and personal anatomy, surgical techniques, and healing responses can all affect the final aesthetic outcome. In some cases, if the eyebrows were low pre-surgery and weren't addressed during the procedure, this could also contribute to a smaller eye appearance.

Despite these possible explanations, if you feel concerned about your results, it's important to communicate these feelings with your surgeon. Remember, post-operative healing and final results can take several months to be fully apparent, and it's important to be patient during this time. However, if there's a dramatic change or if you experience any discomfort, please do contact your surgeon or seek a second opinion to ensure everything is progressing as it should.
It depends upon which type of blepharoplasty you had..ie. muscle/skin removal, pseudo fat herniation, upper/lower, etc..you should engage with your surgeon or seek a second opinion from a Facial plastic surgeon which is a subspecialty of ENT (NOT general plastic surgeon.
This is a hard question to answer without before and after pictures. It may be attributable to swelling around your eyes giving that initial impression. Also if you had a canthopexy at the time of your procedure that may also be a contributing factor. The canthopexy often settles over time and your opening should be very close to your original. Roger Friedman, MD
Most people have a combination of a low brow and hooding of the upper eyelid skin. If the brow is not treated with the eyes then you can get smaller appearing eyes. Choose a surgeon that is board certified in Plastic Surgery and your surgeon has the knowledge and skill to correct your total problem. Not just remove skin in a blepharoplasty.