One year after lower blepharoplasty -- ongoing functional problems, permanent changes, and…read moreunresolved concerns
I waited a full year before posting this review because I wanted to give my eyes every opportunity to heal and because I repeatedly tried to resolve my concerns privately with Dr. Elluru's office.
I underwent lower blepharoplasty with Dr. Elluru on October 17, 2025. Before surgery, my concern was relatively minor. I had some under-eye hollowing and puffiness, particularly beneath my right eye. My eyes were otherwise healthy, functional, and one of the features I valued most about my appearance.
Within hours of surgery, I knew something was wrong. I contacted the office in writing and sent photographs because my lower eyelid appeared to be pulling downward, my eyes looked noticeably different from one another, and the change was already interfering with my vision. Over the following months, I continued experiencing and reporting altered eyelid shape, excessive tearing, burning, severe dryness, incomplete closure, irritation, scarring, hollowing, and visual interference.
I was repeatedly reassured that things would improve with healing. I am now one year post-operative, and they have not.
I eventually sought independent medical evaluations. Oculoplastic surgeon Dr. Tiffany Kent documented lower-eyelid retraction, tissue loss, inferior scleral show, and changes involving my left lateral canthus following the prior surgery. Reconstructive procedures were discussed to restore support to the lower eyelids, with estimates totaling more than $10,000. I also require ongoing treatment for dryness and exposure symptoms.
Dr. Elluru later suggested in writing that my use of a home radiofrequency device was "more than likely" responsible for the retraction. The timeline is important. I was documenting the downward change in my lower eyelid within hours of surgery in October 2025. I did not even purchase the RF device until April 23, 2026, approximately six months later. I purchased it in an attempt to improve the visible scars at the outer sides of my eyes, not to tighten the skin underneath my lower eyelids.
I also have serious unresolved concerns regarding my medical records. The blepharoplasty consent form included in the records mailed to me contains a signature that I know is not mine. I had never seen that document before receiving my records, I did not sign or initial it, and the spaces for patient initials throughout the document are blank. Other consent documents from the same surgical episode contain my actual signature and initials. I have preserved all of these documents and am seeking formal review of that issue.
I also repeatedly requested the original clinical before-and-after photographs taken by the practice. The original/native clinical photographs I requested were not included in the medical chart that was eventually sent to me. I raised concerns in writing about the versions that had previously been provided and requested the originals.
I attempted to resolve this privately. Dr. Elluru offered a partial refund in exchange for a release and restrictions regarding public discussion, but no specific refund amount or agreement was ever provided. I later requested reimbursement of the full $6,401.50 I paid so that it could be applied toward the reconstructive treatment I now need. My last written attempt to resolve the matter received no response.
I am sharing my experience now because I believe patients considering cosmetic eyelid surgery should know what my outcome has been. This has not simply been disappointment with a cosmetic result. I have lived for a year with persistent functional symptoms, altered eyelid anatomy, visible scarring and hollowing, and a change in the appearance of my eyes that has affected me profoundly.
I have photographs, dated emails, medical records, purchase receipts, independent medical findings, and other documentation supporting the timeline described in this review.
