Recovery After Blepharoplasty (Eyelid Surgery): Guide & Timeline

Blepharoplasty, commonly referred to as eyelid surgery, is a cosmetic procedure aimed at modifying the appearance of the eyelids. This surgery can involve removing excess skin, fat, and muscle from the upper and/or lower eyelids, eliminating the appearance of hooded, baggy or tired eyes. Whether performed for aesthetic purposes or to improve vision obstructed by drooping eyelids, recovery from blepharoplasty requires careful attention and management. In this detailed guide, we will explore what to expect during the recovery process, milestones to look forward to, and tips for ensuring a smooth healing journey. 

Understanding Blepharoplasty

Before delving into recovery, it’s essential to understand the procedure itself. Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both. The surgery typically takes one to three hours and can be performed under local anaesthesia with sedation or general anaesthesia, depending on the complexity of the surgery and the patient’s preferences.

Types of Blepharoplasty

• Upper Blepharoplasty: This procedure focuses on removing excess skin, fat, and muscle from the upper eyelids. It can help eliminate the appearance of hooded eyes and improve peripheral vision.
• Lower Blepharoplasty: This involves addressing bags under the eyes and removing excess skin and fat from the lower eyelids. It can reduce puffiness and create a smoother appearance.

The First 24 Hours Post-Surgery

The initial 24 hours after blepharoplasty are critical for setting the foundation for a successful recovery.

➔ What to Expect:

• Anaesthesia Recovery:
  Once the procedure is complete, you will be taken to a recovery area where medical staff will monitor you as the anaesthesia wears off. It is common to feel groggy and disoriented during this time. You will need someone to drive you home after the surgery, as you should not operate a vehicle while under the influence of anaesthesia.
• Swelling and Bruising:
  Swelling and bruising around the eyes are expected following blepharoplasty. The extent of these symptoms varies among individuals, but they can be significant during the first 48 hours. Bruising may extend down the cheeks, leading to a ‘raccoon eyes’ appearance.
• Cold Compresses:
  Applying cold compresses can help manage swelling and discomfort. Use a clean cloth or a gel pack wrapped in a towel and place it gently on your eyelids for 15-20 minutes every hour, as needed.
• Pain Management:
  Your surgeon will prescribe pain medication to alleviate discomfort. Most patients report feeling pressure rather than severe pain. Over-the-counter pain relievers may also be recommended if you prefer not to take prescription medications.
• Rest and Elevation:
  Rest is essential in the first 24 hours. Elevate your head with extra pillows when lying down to help minimise swelling and improve comfort. Avoid strenuous activities, bending over, or lifting heavy objects during this time.

Days 1-7: The Initial Recovery Phase

The first week after surgery is often the most challenging. It is crucial to follow your surgeon’s post-operative instructions diligently during this period to ensure proper healing.

➔ Key Points to Consider:

• Swelling and Bruising:
  Swelling will peak around the second day post-surgery before beginning to subside. Bruising may take longer to fade, often lingering for one to two weeks. You may find that using cold compresses, especially in the first few days, may help reduce these symptoms.
• Eye Care:
  Your surgeon will provide specific instructions regarding eye care. You may be advised to use artificial tears to keep your eyes lubricated, as they can feel dry or irritated post-surgery. Avoid rubbing or touching your eyes during this phase to prevent complications like infection.
• Follow-Up Appointment:
  Your surgeon will likely schedule a follow-up appointment within the first week to assess your healing process. They will remove any sutures if they were used and evaluate your swelling and overall recovery.
• Activity Level:
  During the first week, it’s important to rest as much as possible. Avoid any strenuous activities, including exercise, heavy lifting, and bending over. These actions can increase blood flow to the eyes, exacerbating swelling and discomfort.
• Sleeping Position:
  Continue to sleep with your head elevated. A reclining chair can be beneficial during the first few nights if you find it uncomfortable to lie flat in bed.

Days 8-14: Transitioning to Normal Activities

As you enter the second week of recovery, you will notice significant improvements in your swelling and bruising. By this time, you will likely feel more comfortable and ready to resume some normal activities.

➔ What to Expect:

• Reduced Swelling and Bruising:
  By the end of the second week, most patients report a noticeable reduction in swelling and bruising. While some residual swelling may persist, the majority of visible effects will diminish significantly.
• Return to Work:
  Many patients are able to return to work or engage in light activities by the end of the second week. However, if your job involves heavy lifting or prolonged screen time, it may be beneficial to take additional time off to avoid strain on your eyes.
• Makeup and Cosmetics:
  In most cases, you can begin wearing makeup to help conceal any residual bruising after about ten days. It’s essential to use gentle products and avoid any irritants. Your surgeon will provide guidance on when it is safe to resume applying makeup.
• Continued Care:
  Continue using artificial tears to keep your eyes moisturised, and avoid any harsh chemicals or irritants around the eye area. Follow any additional care instructions provided by your surgeon.

Weeks 3-4: Continued Healing and Gradual Resumption of Activities

By the third and fourth weeks post-surgery, most patients have returned to their normal routines, though some degree of swelling may persist. Patience is key as your eyes continue to heal and the final results become clearer.

➔ During This Period:

• Finalising Results:
  While significant improvements will be visible, it’s important to remember that full healing can take several months. Minor swelling, especially in the eyelids, may linger, but this should gradually resolve.
• Exercise Resumption:
  Most patients can return to light exercise, such as walking, by the third week. However, high-impact activities or sports should still be avoided until cleared by your surgeon. Strenuous exercise can increase blood flow to the face, potentially leading to complications.
• Protecting Your Eyes:
  As your eyes heal, they may be sensitive to light and irritants. Wearing sunglasses when outdoors is advisable to protect your eyes from sunlight and dust. Additionally, avoid swimming pools, hot tubs, and saunas for at least three weeks, as these environments can introduce bacteria and irritate healing incisions.

Months 2-3: Refining Results and Full Recovery

By the second and third months after blepharoplasty, most patients have returned to their normal activities and have a clearer picture of their surgical results. Continued healing will occur beneath the surface, leading to the final appearance of the eyelids.

➔ Key Considerations: 

• Final Results Taking Shape:
  By the two-month mark, you will likely see the majority of your final results. Any remaining swelling should continue to diminish, revealing the final appearance achieved through surgery.
• Follow-Up Care:
  Regular follow-up appointments with your surgeon may still be necessary to monitor your recovery. Discuss any concerns or questions you may have about the healing process during these visits.
• Emotional Adjustment:
  Adjusting to the changes in your appearance can take time. Many patients experience a range of emotions, from excitement to frustration over lingering swelling or other concerns. Be patient with yourself as you adapt to your new look.

One Year Post-Op: Evaluating the Final Results

After one year, most patients will have fully recovered from blepharoplasty, with their final results visible. By this stage, any swelling should have resolved completely, and you can assess the long-term effects of the surgery.

➔ What to Expect:

• Assessing the Final Outcome:
  At the one-year mark, you’ll have a comprehensive understanding of your blepharoplasty results. Any concerns regarding asymmetry, residual swelling, or scars should be addressed with your surgeon, as this is the ideal time for a discussion about potential revision procedures if needed.
• Long-Term Care:
  To maintain the results of your blepharoplasty, it’s important to protect your eyes from sun exposure and other environmental factors. Applying sunscreen around the eyes and wearing sunglasses can help preserve the delicate skin in this area.