Getting eyelid surgery, also known as blepharoplasty, is an important decision to improve your appearance and your vision. However, the Upper Blepharoplasty recovery process is often the main focus of interest and concern. Knowing what to expect during your blepharoplasty recovery and understanding the timeline is essential for a smooth and effective healing process. While recovery experiences can differ from person to person, being aware of the general stages can help you prepare both physically and emotionally for what lies ahead.
In this blog, Consultant Plastic Surgeon Anca Breahna will provide you with a detailed blepharoplasty recovery timeline, giving insight into the day-to-day changes and milestones you can expect during your eyelid surgery recovery.
On the first day following your upper blepharoplasty, it is normal for you to experience some immediate post-operative symptoms. You may notice significant swelling and bruising around the eyes, which is a natural response of your body to the surgery. The eyelids might feel unusually tight and tender, and this can contribute to a sensation of discomfort. It’s important to understand that these are typical symptoms and generally improve within the first few days.
To alleviate the initial discomfort, swelling, and bruising, applying cold compresses is highly recommended. You should rest with your head elevated to reduce swelling—using two pillows or a recliner can be effective. It’s important to minimise activities and avoid any strenuous tasks to facilitate healing. Anca might have provided pain medication, and it is essential to follow the dosage instructions carefully to manage discomfort effectively.
Blurred vision is a common temporary side effect on the first day after blepharoplasty. This can be due to the swelling impacting your eyelids and sometimes the ointment used during the procedure. To ensure safety and comfort during this period:
On your first full day of recovery from upper blepharoplasty, you may notice an intensification in swelling and bruising. This is a normal part of the healing process, as the tissues around your eyes adjust and respond to the surgical procedure. Swelling typically reaches its peak around this time due to factors such as tissue manipulation and the body’s natural response to healing.
Continue using the eye drops and any prescribed ointments to prevent infection and keep the eye surface moist. It’s important to follow the exact instructions provided by Anca regarding how and when to apply these medications. For pain management, avoid aspirin or ibuprofen to reduce the risk of bleeding. Instead, use the recommended pain relievers such as paracetamol or codeine-based medications if you experience discomfort.
Maintaining head elevation is vital to effectively manage swelling. Sleep with your head raised using two to three pillows or rest in a recliner to keep your head elevated. This position helps in reducing swelling and promotes faster recovery.
By the third day post-upper blepharoplasty, you may start to notice a significant reduction in swelling and bruising. It’s typical for the swelling to have reached its peak around the second to third day, so seeing it begin to subside can be reassuring. You might find that the eyelids are less puffy and the bruising starts to change colour, transitioning from dark blue or purple to lighter shades like green or yellow. This colour change is a normal part of the healing process, indicating that the blood is being reabsorbed by your body.
Continuing with cold compresses can still be beneficial during this phase. Applying these intermittently—on for 10 to 15 minutes and off for the same duration—can help further reduce swelling. Remember to use a clean cloth each time to maintain hygiene.
Proper wound care remains crucial on day three. You should continue to use any prescribed antibiotics as directed by Anca. It’s important to complete the full course of antibiotics, even if you start feeling better, to prevent any potential infections.
If you were prescribed eye ointments or drops, continue applying them as instructed. This helps keep the eye area lubricated and free from infection. Avoid pulling on your eyelids when applying these medications, as gentle handling is essential to avoid disturbing the healing tissues.
For any nausea or vomiting experienced, it is advisable to avoid taking anything by mouth for at least an hour, including the prescribed medications. After this period, sipping on flat coke, tea, or ginger ale can be soothing for the stomach.
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During the initial healing phase, usually one week post-surgery, you may still experience some residual swelling, but it should be noticeably less than the first few days. Bruising might also persist, transitioning from darker shades to lighter tones such as yellow, indicating healing. It is common for sutures to be removed during this period, usually between the fifth and sixth day post-operation. This procedure is straightforward and performed during a follow-up visit, significantly reducing discomfort and aiding in the healing process.
By the end of the first week, you might feel ready to slowly resume some light daily activities. It’s important to avoid any tasks that could strain your eyes or cause dryness. Walking around the house is encouraged, starting with short durations and gradually increasing. However, heavy lifting and strenuous activities should still be avoided to prevent any complications or increased swelling. Adhering to these guidelines ensures a steady and safe recovery.
As you transition into weeks 2 and 3 post-blepharoplasty, you may feel ready to return to work, especially if your job does not require heavy physical exertion. However, it’s important to manage expectations and modify your working conditions to support your recovery:
By the second and third weeks, significant improvements in comfort and physical appearance become evident:
Incorporating light exercise into your routine can be beneficial for your overall well-being and aid in your recovery:
By adhering to these guidelines, you can ensure a smooth transition through the critical weeks of recovery, setting a solid foundation for the continued healing process.
By the fourth and fifth weeks post-upper blepharoplasty, you will likely observe more substantial improvements in the appearance of your eyelids. The majority of the swelling should have subsided, revealing the final results more clearly. It is common to notice your eyelids appearing refreshed and well-proportioned, as the delicate tissues and muscles continue to adjust to the effects of the surgery. At this stage, the natural crease of your eyelids becomes more defined, enhancing the overall aesthetic outcome.
As you progress into weeks four and five, most patients find it possible to reintroduce more strenuous activities into their daily routine. It is crucial, however, to proceed with caution and heed Anca’s advice regarding exercise. Start with low-impact exercises and gradually increase the intensity, ensuring you do not strain the healing tissues around your eyes. Activities such as light jogging or yoga can be beneficial, but it is advisable to avoid heavy lifting and high-impact sports until you have fully recovered or have been cleared by Anca.
Continuing proper post-operative care is essential during this phase to ensure optimal healing and maintain the aesthetic results of your surgery. Protecting your eyes from direct sunlight is crucial; wearing sunglasses with UV protection and applying a broad-spectrum sunscreen can minimise the risk of scarring or pigmentation changes at the incision sites. Additionally, you may begin scar massage, if recommended by Anca, to promote a more supple and less noticeable scar. Employing gentle techniques and suitable products like silicone gel sheets can aid in managing and reducing scar visibility effectively.