Blepharoplasty Post Op Care
Blepharoplasty Post Op Care
The goal of blepharoplasty surgery is to reduce excess skin, wrinkles and puffiness
around the eyes to give a more rested, relaxed and youthful appearance. The
surgery will most often involve the removal of some skin and/or protuberant fatty
tissue around the eye as well as possibly tightening the remaining skin. Occasionally
fat transfers to the area to build up hollowness will also be performed. With the eye
being more "open" and with the skin more tight, it is possible for the eyes to have
too much evaporation and become too dry. Hence aftercare after eyelid surgery is
designed to
3) occasionally, eye drops to decrease the risk of swelling and infection in the eye.
1) Starting day of surgery, keep the head elevated above the heart and continue this
for 48 hours after surgery.
2) Crushed Ice packs (or a bag of frozen peas) to the eyes to reduce the swelling
(When awake: 10 minutes on, then 10 minutes off the eyes for the first 48 hours).
Do not leave ice on the eyelids for prolonged periods due to the risk of cold damage
or frostbite.
3) Use liquid, preservative free artificial tears, two drops per eye every 2 hours
during the day (Refresh plus is one of several products than be used).
5) If you have external incisions on the eyelid (not everyone will) apply the
ophthalmic ointment prescribed by the physician to the incision twice daily (most
commonly polysporin ophthalmic ointment).
6) If your doctor has prescribed drops for your eyes (most commonly, Tobradex),
place two drops in each eye 4 times per day.
7) Starting day after surgery, it is important to gently wash the eyes at last once
daily. We recommend a clean washcloth with a small amount of Johnson's baby
shampoo, to gently wash the outside of the eye and then warm water to wash off the
soap. If one does not wash the eye, the ointments can clog the glands around the
eyelashes resulting in a "stye" or eyelash follicle infection. Re apply the ointment to
the eyelid incisions after washing.
8) Commonly the eyelid sutures will be held in place with a steri-strip (see above
photo). Do not remove this tape: it holds the suture in place to make it easier for the
staff to remove the suture.
9) Blurry vision due to the ointments and even due to the tightness of the skin is
very common the first 3 days after surgery. Do not drive until the vision has
normalized (for most of our patients that means no driving the first 3-5 days or even
longer).
10) Mild discomfort from the eyelid incisions is very normal. Please call if you are
having severe eye pain, if the light hurts your eyes or if you have sudden loss of
vision (again, blurry vision is common, loss of vision is a medical emergency).
11) Non-impact aerobic light exercise can resume 72 hours after surgery (walking,
elliptical, or stationary/recumbent bike). Avoid impact aerobics (jogging) for 7 days.
Do not completely immerse the eyes in pool/hot tub, lake etc until 24 hours after
eyelid sutures removed.
12) Bruising of the eyelid skin and extending to the cheek is normal and can take up
to 2 weeks to resolve.