Blepharoplasty Recovery

Deciding to have eyelid surgery is only the beginning of the journey. Once the decision is made, most patients turn their attention to a single question: “What will recovery actually be like?” Understanding the healing process week by week — what is normal, what is not, and when you can return to the activities you love — is one of the most powerful ways to reduce anxiety and achieve a smooth result. This guide walks you through the entire blepharoplasty recovery timeline from the perspective of an oculoplastic surgeon, so you know exactly what to expect from the recovery room through the final refinement of your result.

Blepharoplasty is a remarkably well-tolerated operation. The eyelid skin is thin and its blood supply is rich, which means it heals quickly and hides scars beautifully. But that same delicacy also means the eyelids swell and bruise easily in the early days. The good news is that nearly every part of the early recovery is temporary and predictable. Knowing the pattern in advance turns those first alarming-looking days into a normal, expected part of the process.

Immediate Post-Op (Days 1–3)

The first 72 hours are the most active phase of healing and the period where your habits make the biggest difference. Immediately after surgery your eyelids will feel tight, mildly sore, and slightly numb along the incision lines. Most patients describe the discomfort as pressure or a dull ache rather than sharp pain — and it is typically well controlled with acetaminophen (Tylenol®) alone. Prescription narcotics are rarely needed.

Swelling and bruising

Swelling peaks around days 2 to 3, not on the day of surgery. This surprises many patients, who feel fine leaving the surgical center and then look puffier the next morning. Bruising may appear as pink, purple, or yellow discoloration that can migrate downward with gravity onto the cheek. Both are completely expected and reflect normal tissue response, not a complication.

What to do in the first three days

• Cold compresses: Apply cool (not frozen) gel packs or clean cloths to the closed eyelids for 15–20 minutes at a time during waking hours. This constricts blood vessels and limits swelling.
• Head elevation: Sleep with your head raised on two or three pillows, or in a recliner, for the first week. Keeping the head above the heart reduces fluid pooling around the eyes.
• Lubricating drops and ointment: Dr. Fountain will prescribe artificial tears during the day and a lubricating ointment at night. Temporary incomplete eyelid closure and mild dryness are common early on, and lubrication protects the surface of the eye.
• Antibiotic ointment: A thin layer along the incisions keeps them moist and reduces crusting.
• Taping (when used): Some surgeons apply thin skin tapes or Steri-Strips to support the lower lid or reduce tension. Leave these in place until instructed to remove them.

Mild blurry vision from ointment, a gritty or scratchy sensation, and light sensitivity are all normal during this window. Sunglasses are helpful both for comfort and for shielding the healing skin from UV exposure.

The First Week

By the end of the first week, the most dramatic swelling and bruising have usually begun to settle, though you will still look noticeably “operated on.” This is the week when most sutures are removed and when patients transition from active swelling control to simple protection and patience.

Suture removal

Most external eyelid sutures are removed between days 5 and 7. Upper eyelid incisions heal so predictably that suture removal is quick and nearly painless. Some surgeons use dissolvable sutures that require no removal at all. Lower eyelid incisions placed inside the eyelid (the transconjunctival approach) have no external sutures to remove.

What normal looks like

• Yellow-green bruising that is fading and migrating downward
• Firm swelling along the incision lines that softens daily
• Small amounts of dried crust on the incisions
• Mild asymmetry — one side almost always heals slightly faster than the other
• Intermittent watering, dryness, or a “sticky” feeling in the morning

Many people take the first week off from work and social activities. You can read, watch television, and walk gently around the house, but you should avoid straining, bending, and heavy lifting during this time.

Weeks 2–4: Returning to Normal

This is the phase where life gets recognizably back to normal. By the start of week two, most bruising has resolved or can be easily covered with makeup, and the incisions have sealed. Residual swelling remains — especially in the mornings and along the lower lids — but it is far less noticeable to others than it feels to you.

Returning to work

Patients with desk or remote jobs often return to work between days 7 and 10, once sutures are out and bruising can be concealed. Those in physically demanding roles — construction, nursing, athletics — may need two weeks or more before resuming their full duties because of activity restrictions on lifting and straining.

Makeup and camouflage

Eyelid makeup and concealer can usually be applied once the incisions are fully sealed and sutures are removed, typically around day 7 to 10. Mineral-based concealers with a green or yellow color-corrector are excellent for neutralizing residual bruise tones. Avoid tugging on the delicate healing skin when removing makeup.

Ongoing swelling

Fine, subtle swelling can persist for several weeks, giving the eyelids a slightly “full” look and occasionally a temporary sense that the eyes feel different when blinking. This is a normal part of tissue remodeling and continues to improve steadily.

Months 1–3: Final Results

While you will look presentable within two weeks, the final refined result takes longer to reveal itself. Deep tissue swelling resolves gradually over one to three months, and the incision scars mature over three to six months — and sometimes up to a year.

Scar maturation

Eyelid incisions typically heal to nearly invisible lines hidden in the natural crease of the upper lid or just beneath the lashes of the lower lid. In the first several weeks a scar may look pink or slightly raised; this is the normal proliferative phase. Over the following months it fades, flattens, and softens. Gentle scar massage and diligent sun protection accelerate this process.

When you see your true result

• 1 month: Most swelling gone; result looks good but is still settling.
• 3 months: Contours refined; scars fading; the result is close to final.
• 6–12 months: Full scar maturation and complete resolution of subtle deep swelling.

Week-by-Week Recovery Timeline

Activity Restrictions

Activity limits exist for one primary reason: to prevent bleeding and excess swelling in the delicate healing tissues. Anything that raises blood pressure in the head — straining, bending, lifting, or vigorous exercise — can cause a bruise or, rarely, a more significant bleed. Following these restrictions protects both your comfort and your final result.

Sun protection

Ultraviolet light can cause long-lasting darkening (hyperpigmentation) of healing scars. Once incisions are sealed, apply a mineral sunscreen (zinc or titanium based) to the eyelid area and wear sunglasses and a hat outdoors for at least the first several months. This single habit makes a meaningful difference in how invisible your scars become.

Contact lenses and screens

Contact lens wearers should plan to use glasses for about two weeks. Screen use is fine as tolerated, but prolonged screen time reduces your blink rate and can worsen the temporary dryness common after surgery — take frequent breaks and use lubricating drops.

Warning Signs to Call Dr. Fountain

Serious complications after blepharoplasty are rare, but knowing the red flags allows you to act quickly in the unlikely event one arises. The most important concern is an orbital hemorrhage — bleeding behind the eye — which is a genuine emergency because it can threaten vision.

Less urgent but still worth a call to Dr. Fountain’s office: incisions that separate or open (note: bleeding that soaks through dressings warrants a prompt, same-day call to Dr. Fountain, and immediate care if accompanied by increasing pressure, a bulging eye, or any vision change), or any symptom that simply concerns you. Your surgical team would always rather answer a question early than have you worry alone. Reassurance is part of good care.

Upper vs Lower Blepharoplasty Recovery

Recovery differs meaningfully depending on which eyelids are treated. Understanding the distinction helps you plan your time off and set realistic expectations.

Lower eyelid surgery tends to produce more visible bruising because the discoloration migrates down onto the cheek, and the swelling can take slightly longer to fully settle. Upper eyelid surgery, by contrast, is one of the most forgiving procedures in facial surgery — the crease incision heals into a nearly invisible line and downtime is comparatively short.

Recovery After Combined Procedures

Many patients combine blepharoplasty with a brow lift, ptosis repair, or laser skin resurfacing in a single session. Combining procedures is efficient — one anesthetic, one recovery — but it does extend the timeline and typically increases early swelling and bruising.

• Brow lift + blepharoplasty: Expect more forehead and eyelid swelling and possibly temporary numbness or tightness across the forehead and scalp. Plan for roughly two weeks of visible recovery rather than one.
• Ptosis repair + blepharoplasty: Recovery is similar to blepharoplasty alone, but eyelid height and symmetry continue to settle over several weeks as swelling resolves, so patience is essential before judging the result.
• Laser resurfacing + blepharoplasty: Adding CO2 laser resurfacing introduces skin redness and peeling that heals over 1–2 weeks, along with a longer commitment to sun avoidance and skin care afterward.

When procedures are combined, follow the recovery guidance for whichever component has the longest timeline, and lean heavily on head elevation and cold compresses in the first few days.

Planning Your Recovery With the Right Surgeon

A smooth recovery begins long before surgery — with a surgeon who takes the time to explain what to expect, provides clear written instructions, and remains available to answer your questions during healing. ASOPRS fellowship-trained oculoplastic surgeons specialize in the eyelids and surrounding structures, and that focused training brings deep familiarity with eyelid anatomy, incision placement, and postoperative care. If you are preparing for eyelid surgery or want to discuss what recovery would look like for your specific situation, we encourage you to Find a Doctor near you to schedule a consultation and set yourself up for the best possible result.