Blepharoplasty Recovery: A Guide to Safe Healing

Creator: Facemed Clinic
Published: 2025-12-01 13:56:00

Blepharoplasty Recovery: A Guide to Safe Healing

You’ve decided to undergo blepharoplasty to rejuvenate your eyes, and now you’re wondering what to expect during recovery. Understanding the healing process is key to achieving the best possible result and returning to your daily routine with confidence.

How long does blepharoplasty recovery take?

Recovery time varies slightly depending on the type of procedure performed. Generally, the initial healing phase lasts one to two weeks, during which the most visible symptoms gradually diminish.

Full healing and the final aesthetic result become noticeable within three to six months, once the skin has settled into its final texture and the post-surgical marks have significantly faded.

Upper blepharoplasty recovery

Upper blepharoplasty removes excess skin from the upper eyelids. Recovery is usually milder because the incision is placed within the natural crease of the eyelid, where the scar becomes almost invisible. Most patients notice a significant improvement in swelling and bruising after the first week.

Lower blepharoplasty recovery

Lower blepharoplasty treats under-eye bags and laxity. Swelling in this area can be more pronounced and recovery may take slightly longer. Bruising is often more noticeable but typically subsides gradually within two weeks.

What to expect in the first days after surgery

Immediate reactions

Right after blepharoplasty, it is normal to experience swelling, redness, and bruising around the eyes. You may also feel slight discomfort or tightness in the eyelids, which is completely expected.

First 24–48 hours

The first two days are the most crucial for minimizing swelling.Apply cold compresses for 15–20 minutes every two to three hours. Sleep with your head elevated on two or three pillows to promote fluid drainage and reduce swelling.

Aftercare instructions during recovery

Medication

Follow the medication regimen provided by your surgeon precisely. This usually includes pain relievers and possibly antibiotics to prevent infection. You may also be prescribed specific eye drops or ointments to hydrate and protect the eyes.

What to avoid

Avoid intense physical activity, heavy lifting, strain, and sudden movements such as bending over for at least one week. These activities increase blood pressure and may worsen swelling or cause bleeding.

Do not consume alcohol for at least 48 hours, as it increases swelling and delays healing. Also avoid aspirin and other anti-inflammatory medications for one week unless instructed otherwise.

Eye protection

Your eyes may feel more sensitive to light in the first days. Wear dark sunglasses outdoors to protect against UV rays and reduce discomfort.

If you wear contact lenses, avoid them for 1–10 days and opt for prescription glasses instead to prevent irritation during this sensitive period.

When can you return to daily activities?

Work & daily routine

Most people return to work after one week, especially if their job is sedentary. If your work involves physical effort, you may need up to two weeks.

Driving

Do not drive for the first few days. You must feel completely comfortable and should not be taking strong pain medication before getting behind the wheel.

Makeup & cosmetics

Makeup can typically be used after the removal of stitches — approximately 5–10 days post-procedure. When you resume cosmetics, apply them gently and choose mild products that won’t irritate the area.

Exercise

Light activity such as walking is allowed after one week. For more intense workouts — running, gym training, weight lifting — wait at least 2–3 weeks and only with your surgeon’s approval.

Long-term care and protection

Sun protection

Sun protection is crucial during the first 3–6 months after blepharoplasty. Apply SPF 50+ daily around the eyes and wear UV-protective sunglasses whenever you're outdoors.

Sun exposure can cause hyperpigmentation of scars and delay healing, so protection is essential for the best aesthetic outcome.

Hydration

Keep the skin around the eyes well-hydrated using gentle, fragrance-free creams recommended by your surgeon. Proper hydration supports faster healing and maintains skin elasticity.

When to contact your surgeon

Although blepharoplasty is a safe procedure, it’s important to know when to seek medical attention. Contact your doctor immediately if you notice:

Severe pain not relieved by medication
Persistent bleeding
Sudden worsening of swelling
Blurred or double vision that does not improve
Intense redness, warmth, or discharge
Fever

These symptoms may indicate complications requiring prompt evaluation.

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Δρ. Δημήτρουλας Νικόλαος, πλαστικός χειρουργός

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Frequently Asked Questions

How long does swelling last after blepharoplasty?

Swelling is most noticeable in the first 48 hours and gradually decreases. Most patients see major improvement within the first week, with residual swelling resolving in 2–3 weeks.

When will I see the final result?

The final outcome appears within three to six months, once swelling has fully subsided, scars have matured, and the skin has settled.

Is dry eye normal after blepharoplasty?

Temporary dryness is common. Use the artificial tears recommended by your surgeon until symptoms improve — typically within a few weeks.

Can I smoke during recovery?

Smoking should be avoided before and after surgery. It reduces blood flow to the tissues, significantly slows healing, and increases the risk of complications.

How long do bruises last?

Bruising usually begins to fade after the first week and resolves fully within two to three weeks. Cold compresses and avoiding blood-thinning medications can help speed recovery.

Conclusion

Blepharoplasty recovery is a process that requires patience and proper care. By following your surgeon’s instructions, protecting the eye area, and giving your body the time it needs to heal, you can enjoy a beautiful, long-lasting result.

Remember that everyone heals at a different pace, so don’t worry if your recovery looks slightly different from what is described here. The team at Facemed Clinic is always here to guide you through every step.