Blepharoplasty After Care Instructions

After surgery it is best for you to keep your head elevated on 2 pillows when in bed.

Apply the Swiss eye masks for the first 48 hours to reduce the amount of swelling you will have after surgery (make sure you keep these masks cold and wet and change them every 15-20 minutes).

If you have discomfort in your eyes, take the pain medication every 3-4 hours. It is best to take pain medication with crackers, jello, etc. Apply Refresh Plus eye drops (available over the counter) in each eye (2-3 drops) as often as you need them. If you have no pain, do not take the pain medication. Do no drink alcohol until you have stopped the pain medication.

A light diet is best on the surgery day after you get home. Begin by taking liquids slowly and progress to soups or jello. You can start the next day with a regular diet.

You can expect some bleeding from the stitch lines and swelling of the eyelids. However, you should the office (573-882-2275 between 8-5 and 573-882-4141 after hours and ask for the plastic surgery resident on call)you have a continuous bloody drip, significantly more swelling on one side than the other, or any severe eye pain.

If your eyes burn or remain partially open when sleeping apply the Refresh P.M. ointment (available over the counter) inside the eyelid as long as needed. This will make your vision blurry but it will clear as the ointment is absorbed.

Use Tobradex eye drops in each eye (2 drops) 3 times per day for the first 3-4 days.

The 2nd day after surgery you can begin washing your face (but not your eyelids) gently with a mild soap (Ivory or Neutrogena) and rinse with water. It will not hurt to get water on the stitches or in the eyes.

Smiling, yawning, or pulling on the eyelids should be avoided for 1 week after surgery. This is especially important the first few days following removal of the stitches.

Strenuous activities should be avoided for 3 weeks (keep your heart rate under 100 beats per minute). After the 2nd week you should gradually increase your activities so you are back to normal by the end of the 3rd week.

If you experience itching in the eyes or any discomfort after a few days post operatively, warm compresses will help relieve your symptoms.

If your eyes become red and irritated or if you form yellow matter in your eyes, discontinue the ointment and call our office at 573-882-2275 between 8 a.m. and 5 p.m. Monday through Friday. After hours call 573-882-4141 and ask for the plastic surgery resident on call.

General Instructions

  1. Tearing often occurs after surgery. This will stop as the swelling goes away.
  2. Tightness of the eyelids is a normal feeling after surgery. This may make it hard to close the eyelids completely. This will relax with time. There may be a feeling of numbness of the eyelids that will subside with tiem.
  3. Red discoloaration of the eyes may occur if there is a lot of swelling. This is painless, will not harm your vision, and will disappear completely. This swelling may also cause the lower lid to pull away from the eye. This will subside as the swelling goes down.
  4. Contacts can be worn when the eyes starting feeling normal and the majority of the swelling has subsided. This is usually about 10 days after surgery. If it is necessary to pull down your eyelid to insert then, they should not be worn for 2 weeks. Wear glasses until then.
  5. Cosmetics can be worn on the face as early as 5 days after surgery. However, eyelid or eyelash cosmetics should NOT be worn until the eyelid sutures have been removed.
  6. Strenuous activity/ lifting of objects heavier than 10 pounds should be avoided for 3 weeks.
  7. All incisions will be extremely sensitive to sunlight during the healing phase. Direct sun is to be avoided. When going out, even on a cloudy day, use a sunscreen with SPF 20 or greater that has both UVA and UVB protection for at least 6 months.
  8. Please take medication only as directed.
  9. If you have nausea, vomiting, rash, shortness of breath, or diarrhea after taking your medications please call the office at 573-882-2275.
  10. If you develop a fever (oral temperature of greater than 101) and/or have redness or increased pain at the site of your surgical incisions, please call the office immediately.