You are likely to have swelling and bruising for several days after your surgery. Although you will notice a difference in the shape of your eyelids soon after surgery, the final result will become apparent gradually – starting from when the swelling resolves after 2 weeks and maturing over 2 months or so.
You will be given special cold packs to dress your eyes for 2 days after your surgery and for the first few nights after your operation I ask you to sleep with your head and chest propped up several pillows to help decrease the swelling.
Your vision may be somewhat blurred for several days after your surgery – in part because of your surgery and in part, from the ointment you will be given to apply to your eyes to moisten them just after the operation and when you go home. This ointment is necessary whilst post-operative swelling is present because during that period (usually less than a fortnight) your upper and lower eyelids may not close normally – especially when you are asleep.
You can expect to be up and about a day or so after the operation, but you should take life easy for a week or so and avoid strenuous exercise. Initially you may find it uncomfortable to read or watch television, but this will resolve after 2 – 3 days. You should not wear contact lenses for at least two weeks, and even then, wearing them may feel uncomfortable for a while.
Depending on your occupation, and whether your blepharoplasty was combined with other surgery, you should be able to return to work in 7 – 10 days. Bruising and swelling will resolve in 10 – 14 days and will usually be concealable with simple make up within a week.
The scars from your operation are positioned to be hidden within natural skin creases. Initially, during the inflammatory stages of healing they are red and visible, but ultimately, they will fade in colour. New scars benefit from friction-free massage (using Vaseline, for instance).
Beginning to massage the scars very gently 2 – 3 weeks after surgery, will help them mature, soften and flatten faster than if left to heal alone. New scars should be protected from sunlight for 2 years to avoid them pigmenting differently to the surrounding skin and becoming a different colour permanently. Factor 15 sun block should be applied whenever they are exposed – even to a British winter sun.