Elective lower eyelid surgery is a common cosmetic procedure. Facial swelling is a common
complication. Studies suggest that this facial swelling is part of a complex inflammatory
process. Topical tacrolimus has long been used to treat various inflammatory skin disorders.
By combining our knowledge of facial swelling and tacrolimus mechanism of action, we can
hypothesize that it can be used as a treatment to prevent this post-operative swelling. The
purpose of this project is to apply topical tacrolimus to one of the patient's cheeks
following facial surgery and compare the incidence of facial swelling to the opposite side
control cheek.