Blepharoplasty is surgery to improve the appearance of the eyelids. It reduces the tired look of the lower lids and removes drooping skin from the upper lids. It usually involves removing excess skin, muscle and underlying fat, although tissue can sometimes be repositioned instead. Although mainly cosmetic, it can also improve the field of vision in people whose sagging upper lids block their sight.
Before surgery
- For two weeks before surgery, avoid aspirin, ibuprofen, naproxen and other anti-inflammatory drugs, vitamin E, herbal remedies and similar products.
- Do not smoke for two weeks before and after surgery; nicotine and tobacco delay healing and make scarring more likely.
- Avoid direct sunlight for two weeks before the procedure and wear good-quality sunglasses.
After surgery
- Recovery takes 10 to 14 days; plan to rest at home for two to four of them.
- Redness and swelling around the eyes are very common; cold compresses help reduce them.
- To ease swelling and bruising in the first few days, keep your head as high as possible, including while sleeping, and avoid bending to the sides.
- Sensitivity to sunlight is normal after surgery; wear sunglasses outdoors for at least 4 weeks.
- Dry eyes are common afterwards; use the ointments your surgeon prescribes.
- If you wear contact lenses, do not use them for a week.
- Use any eye drops your surgeon prescribes for the full course.
- Avoid bending, strenuous activity and sport for at least 10 days, as these raise blood flow and pressure in the eyes.
- For the first week – and possibly for 3 to 4 weeks – avoid anything that strains the eyes, such as long periods of reading, watching TV or using a computer or phone.
Tests and consultations needed before surgery
- Laboratory tests: CBC, PT, PTT, INR
- Consultations: Cardiology consultation if there is a history of heart disease