Recovery After Upper Blepharoplasty Surgery

07 Jan Recovery After Upper Blepharoplasty Surgery

If you’re considering upper eyelid surgery, understanding the process of recovery after upper blepharoplasty surgery is just as important as learning about the procedure itself. At our West Perth clinic, Dr Guy Watts, Specialist Plastic & Reconstructive Surgeon, regularly sees patients across Perth and regional Western Australia who are exploring their options in relation to upper blepharoplasty.

This article is designed to guide men and women aged 20 to 70 through what recovery after upper blepharoplasty surgery typically involves. Whether you are addressing upper eyelid heaviness that interferes with vision or considering upper eyelid surgery for other reasons, the healing phase is an important part of your overall experience.

Understanding Upper Blepharoplasty

Upper blepharoplasty involves the precise removal of excess upper eyelid skin and, in some cases, a small amount of muscle or fat to change the shape of the upper eyelid crease. For some patients, this procedure addresses upper eyelid skin that can obstruct the visual field or contribute to a feeling of heaviness. For others, it may be considered as part of a broader conversation around age-related changes in the upper eyelid area.

As we age, the skin around the eyes may stretch and lose elasticity. This may lead to the upper eyelid resting lower or forming folds that extend toward the lash line. In some individuals, especially those with a family history of eyelid laxity, these changes can appear earlier. Factors such as sun exposure, genetics, and lifestyle choices all play a role. In some situations, eyelid heaviness may contribute to eye fatigue or a habitual lifting of the brows to assist vision.

Dr Guy Watts will assess your facial anatomy, skin condition, general health, and the relationship between your brows and eyelids before advising whether this procedure is appropriate. It is also important to differentiate between excess eyelid skin and brow descent, which may require a different approach. All procedures are tailored to individual clinical presentations at our West Perth clinic.

Why Recovery Matters

Although upper eyelid surgery often takes less than an hour, recovery is an important aspect of the overall process. The eyelid region is anatomically delicate and has a rich blood supply. Swelling, bruising, and sensations of tightness are expected in the early stages and may vary between individuals.

Supporting the healing process with appropriate care, including recommended exercise after eyelid surgery, can assist in reducing early symptoms and promoting gradual recovery. Planning ahead for time away from work, social engagements, and driving can also help. Patients who understand what to expect often find the experience more manageable. It is important to rest, limit eye strain, and follow the aftercare instructions provided by Dr Watts and his team in Perth.

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What to Expect: Recovery Timeline After Upper Blepharoplasty

✓ Day 0 to Day 3: Immediate Post-operative Period

Swelling and bruising usually develop within the first 48 hours. Some patients experience eyelid tightness, light sensitivity, or minor irritation. Temporary blurred vision can occur due to post-operative ointments or swelling.

Cold compresses and sleeping with the head elevated are generally recommended during this stage. Patients should avoid bending forward and reduce screen time. All medications and ointments should only be used as directed.

✓ Week 1: Early Recovery

Bruising typically peaks early in the week and begins to fade by the end of the first week. Wearing sunglasses may help with comfort. If non-dissolving sutures are used, they are usually removed between days five and seven at the Perth clinic.

Most patients can resume light activity such as walking or basic household tasks, but strenuous activity should still be avoided. Returning to desk-based work may be suitable for some after one week. Driving should only be resumed when vision is clear and no sedating medications are being taken.

✓ Week 2 to Week 4: Intermediate Healing

Swelling and skin discolouration (bruising) often continue to improve. The shape of the eyelid begins to settle. Mild dryness or temporary sensitivity may occur as local nerves adjust.

At this point, eye makeup, contact lenses, and moderate screen use may be reintroduced if cleared by Dr Watts. Scar care and sun protection become important as the skin begins to recover.

✓ Month 2 Onwards: Ongoing Healing

Most visible effects of surgery tend to resolve within four weeks. However, subtle swelling and scar changes can continue for several months. Final outcomes are often observed between three and six months post-operatively.

Dr Watts may recommend silicone-based products or gentle massage to assist with scar management once appropriate. Consistent sun protection is important in Western Australia due to high UV levels.

Incisions are typically positioned within the natural eyelid crease. These may initially appear pink or slightly raised before blending with the surrounding skin. Healing varies from person to person and is influenced by individual factors and adherence to aftercare.

Factors That May Influence Recovery

Recovery outcomes can vary based on:

• Age and skin quality
• General health conditions such as thyroid eye disease, diabetes, or hypertension
• Lifestyle habits including smoking, nutrition, and rest
• Adherence to post-operative instructions
• Environmental factors such as sun exposure and air quality in Perth

Recovery may also differ if upper blepharoplasty is combined with other procedures such as a brow procedure or facial surgery. Patients sometimes ask about Medicare coverage for additional muscle procedures, like Split Muscle Surgery

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Supporting Your Recovery

Dr Watts provides detailed instructions tailored to your individual needs. Strategies that may support recovery include:

• Keeping your head elevated during rest and sleep
• Using cool compresses for the first 48 to 72 hours (avoiding direct ice contact)
• Using prescribed drops or ointments exactly as directed
• Protecting the eyes from wind, dust, and sunlight with wraparound sunglasses and a broad-brimmed hat
• Staying well hydrated and consuming a nutrient-rich diet with adequate protein and vitamins

Organising support with meals, household tasks, or childcare during the first few days can reduce unnecessary strain. Some people in Perth may take 7 to 10 days off work, while others may return earlier depending on their job type.

Avoid applying makeup, wearing contact lenses, or rubbing the eyelids until you have received clearance from Dr Watts.

Habits and Activities to Avoid During Recovery

To support the recovery process and reduce the risk of complications, avoid:

• Heavy lifting, strenuous exercise, or bending forward during the initial two weeks
• Rubbing or touching the eyelids
• Smoking or using nicotine-containing products
• Applying non-prescribed skincare or cosmetic products
• Exposing healing tissues to direct sunlight or bright environments without protection

Wearing front-opening clothing and avoiding accessories near the eye area can help reduce irritation.

Monitoring Your Recovery and When to Seek Advice

While most individuals recover without issues, certain symptoms should prompt contact with the clinic:

• Increasing redness or heat around the incision
• Discharge
• Sudden swelling or discomfort
• Visual changes or difficulty fully closing the eyes

Some individuals may temporarily notice mild difficulty in eyelid closure. Lubricating drops or ointments are often helpful, and symptoms typically improve as swelling subsides.

Upper and Lower Blepharoplasty Surgery Before and After Photos

Photo disclaimer:
Each surgical procedure produces unique outcomes influenced by factors such as body composition, skin tone, laxity, age, and genetics. The before-and-after photographs displayed are of actual patients and are provided for informational purposes only.

Considering Recovery in Perth’s Climate

Perth’s high UV environment and dry conditions mean that sun protection and hydration are important considerations. Many patients coordinate surgery with quieter times in their personal or professional schedules.

Access to Dr Watts‘ West Perth clinic helps facilitate follow-up and continuity of care. Some individuals choose to schedule procedures in cooler months to reduce sun exposure and support rest.

Emotional Aspects of Recovery

Changes in routine, appearance, and physical sensation can result in a range of emotions during early recovery. This response is not uncommon. Some people find it helpful to reduce social interaction or take time away from online activity during this period.

If emotional concerns arise, Dr Watts and his team can provide appropriate support or guidance.

FAQs About Recovery After Upper Blepharoplasty