Where are the scars following blepharoplasty?

The scars following blepharoplasty surgery are variable and depend on the extent of surgery. Generally they are hidden in the eyelid creases. It is uncommon for abnormal scars to form and the scars usually follow the skin creases.

When does the swelling go down?

Following blepharoplasty there is often swelling during the first few weeks. The swelling following lower lid blepharoplasty takes significantly longer to improve as compared to an upper blepharoplasty. The final results of lower blepharoplasty take around 2-3 months whereas the recovery from upper blepharoplasty is significantly sooner than this.

When can I go back to work following blepharoplasty?

After a blepharoplasty your recovery and your job will dictate when you can return to work. I usually would advise patients to leave at least a week before returning to work although this does vary depending on each individual.

When can I get the wounds wet?

I normally advise patients to keep the wounds dry for the first week following surgery. Occasionally patients do get the wounds wet and this does not seem to be detrimental to healing. After the first week one is able to shower and bathe normally. For blepharoplasty I would recommend avoid swimming pools until the wounds have healed. This is usually between the 1-2 week phases.

When can I fly following a blepharoplasty?

For all general anaesthetics I would recommend not flying for 4 weeks following any surgery requiring general anaesthetic. In certain scenarios it may be possible to fly sooner than this but the risks and complications e.g. DVT are increased if one flies sooner following a general anaesthetic. The risks are reduced if one wears thrombembolic stockings, drink plenty of fluids, mobilise during the flight and are only going on a short flight, but flying within 4 weeks is not recommended and patients wishing to fly before this should weigh up the pros and cons and alternatives. If the procedure is under local anaesthetic then there is no real limitation to flying although I would always suggest to patients that they should remain locally for the first two weeks after any operation.

When can I exercise following a blepharoplasty?

I would usually not recommend exercising in the first week. Walking is always encouraged although lifting should be limited. Following review at one week I would usually discuss what exercises would be best for you. Gentle exercise such as running and cycling can often be commenced after 2 weeks and swimming is encouraged once the wounds have healed. Often it is necessary to massage the scars once healed on order to soften the scars.

What is the recovery following upper blepharoplasty?

Recovery is generally quick following upper lid blepharoplasty. It is usual for bruising and swelling to have reduced by a week and almost have healed by that time. Occasionally one can have bruising that takes time to settle although this is unusual

I have had noticed that at the edge of my blepharoplasty scars that there is a hardened area – what is this?

At the end of the scars on the outer side excess skin often accumulates. In order to reduce the length of the scar the excess skin is brought together at this point. It is called a dog ear and it can feel irregular and can lead to a feeling of an irregularity. Massage of these scars will help these settle. It can take a number of months for them to reduce and it is rare to have to consider surgery. The only way to improve these is to remove a little more skin and thus make the scar longer. This is not preferable and it is worth waiting for 6-12 months before considering this.

Is there a disruption in sensation following a blepharoplasty?

There will always be a disruption in sensation following blepharoplasty. Often this is minimal in the upper eyelids but it can take some weeks to months for sensation to return following lower lid blepharoplasty. It is uncommon to have permanent sensory loss and massage in the postoperative phases can help.

I want to get rid of the excess tissue of upper lids?

There are number of ways of achieving this and this depends on whether the main issue is skin excess, fat excess of drooping of the brow. The pros and cons of the different techniques can be discussed at a consultation.