Is it normal for one of the eyelid incisions to develop additional wrinkles twenty days after double eyelid surgery?

Jan 25, 2025 Source: Cainiu Health
Dr. Chen Lu
Introduction
The time required for the wound to return to normal after twenty days post-surgery for full-incision double eyelid procedure, depends on the duration of the wrinkling and accompanying symptoms. If the wrinkling is short-lived, mild in symptoms, and not accompanied by other discomforts, it may be related to postoperative edema and considered a normal phenomenon. However, if the wrinkling persists for a long time, is associated with significant symptoms, and accompanied by redness, swelling, pain, or other symptoms, it may be abnormal.

Generally, double eyelid surgery refers to blepharoplasty, a procedure that creates a crease in the eyelid by making incisions and removing excess tissue. The general reference price for blepharoplasty ranges from 3,000 to 20,000 yuan per session. Noticeable improvement is usually seen within 1 to 3 weeks, and swelling, numbness of the eyelids, and similar symptoms may occur after surgery. Whether the appearance of additional folds on one eyelid 20 days after blepharoplasty is normal mainly depends on the duration of the fold and whether other symptoms are present. If the fold lasts briefly and no other symptoms are present, it may be considered normal. However, if the fold lasts for a prolonged period and is accompanied by other symptoms, it may not be normal. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

If the fold lasts briefly after blepharoplasty, and the symptoms are mild without other manifestations such as localized pain or burning, it may be a normal phenomenon, often related to postoperative edema. Since blepharoplasty is an invasive procedure, localized edema can form temporarily, resembling a fold. This situation can be observed without special treatment, and the swelling usually subsides gradually within 3 to 7 days.

However, if the fold persists for a long time after blepharoplasty, with obvious symptoms accompanied by local redness, pain, exudation, etc., it may indicate an abnormal condition. This is often associated with inadequate postoperative care and bacterial infection. Inflammatory reactions can cause similar symptoms. It is recommended to timely apply medications such as erythromycin ointment, mupirocin ointment, or fusidic acid cream as directed by a physician.

It is advised to observe temporarily, and if the fold persists long-term, targeted treatment should be sought promptly. Additionally, maintaining good postoperative habits, such as regular sleep patterns and appropriate eye use, is important for recovery.

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