It has been two months since my double eyelid surgery, but there is still swelling. What should I do?

Generally, double eyelid surgery refers to the procedure of creating double eyelids. This type of surgery can visually enhance the eye contour, achieving the purpose of making the eyes more three-dimensional and aesthetically pleasing. The general reference price for double eyelid surgery ranges from 8,000 to 20,000 yuan per session. Improvement is typically noticeable 1-3 months after surgery, although symptoms such as hematoma and scar hyperplasia may occur. If swelling persists two months after the surgery, it may be due to slow tissue recovery, poor blood circulation, blepharitis, meibomian gland cysts, allergic conjunctivitis, or other related factors. It is recommended to seek timely medical attention and follow the guidance of a physician for general treatment, medication, or other appropriate therapies. Detailed analysis is as follows:

1. Slow Tissue Recovery

Some patients may experience prolonged swelling due to individual differences in postoperative tissue recovery rates. Laser therapy can be used under a physician's guidance to stimulate collagen regeneration and promote tissue repair, accelerating the resolution of swelling. The general reference price for laser therapy ranges from 1,000 to 3,000 yuan per session, with improvement typically noticeable 2-4 months after surgery. However, mild redness, swelling, or pigmentation may occur.

2. Poor Blood Circulation

Postoperative blood circulation around the eyes may be affected, leading to localized bruising and swelling. Microneedle roller therapy may be recommended by a physician to treat this condition. The tiny needles on the roller stimulate the skin, promoting local blood circulation and accelerating the resolution of swelling. The general reference price for microneedle roller therapy ranges from 500 to 1,500 yuan per session, with improvement typically noticeable 1-2 months after surgery. However, mild pain, redness, or swelling may occur.

3. Blepharitis

Blepharitis may be caused by bacterial infection. Inflammation of the eyelid margin and surrounding skin due to bacterial infection can lead to eye swelling and pain. It is usually accompanied by conjunctival congestion, photophobia, and tearing. Medications such as compound zinc sulfate eye drops, levofloxacin eye ointment, and erythromycin eye ointment may be used as directed by a physician.

4. Meibomian Gland Cyst

A meibomian gland cyst may be caused by excessive secretion from the meibomian glands. Blockage of the gland's outlet leads to retention of secretions, forming a cyst that causes eye swelling accompanied by a foreign body sensation and pain. Symptoms generally include blurred vision and a heavy feeling in the eyelid. Medications such as cefaclor capsules, amoxicillin capsules, and tobramycin eye drops may be used as directed by a physician.

5. Allergic Conjunctivitis

Allergic conjunctivitis may be triggered by allergens such as pollen or dust mites. Allergic reactions in the conjunctiva can cause eye swelling, congestion, and itching. Symptoms may also include tearing, photophobia, and increased secretions. Medications such as loratadine tablets, levocetirizine hydrochloride tablets, and diphenhydramine hydrochloride tablets may be used as directed by a physician.

Maintaining good hygiene habits is important. The eyes should be cleaned regularly after surgery to prevent the accumulation of secretions and reduce the risk of infection.