How Long Does Eyelid Surgery Take and What Is the Recovery Process Like?
A detailed guide to the duration, stages, and healing process of blepharoplasty—what to expect before and after surgery.How Long Does Eyelid Surgery Take and What Is the Recovery Process Like?
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- 9 August 2025
What Is Eyelid Surgery (Blepharoplasty)?
Blepharoplasty is a cosmetic surgery that corrects sagging upper eyelids or puffy lower eyelids caused by aging, genetics, or environmental factors. It enhances both aesthetic appearance and, in some cases, visual field by removing or repositioning excess skin, fat, and muscle.
How Long Does the Surgery Take?
The duration of eyelid surgery depends on whether the upper, lower, or both eyelids are treated:
Type of Procedure |
Approximate Duration |
Upper eyelids only |
30 – 45 minutes |
Lower eyelids only |
45 – 60 minutes |
Upper + Lower combined |
90 – 120 minutes |
The surgery is usually performed under local anesthesia, but sedation or general anesthesia may be preferred in some cases. Patients are typically discharged the same day.
Preoperative Preparation
Proper planning and preparation are essential for a successful blepharoplasty:
- Blood thinners (e.g., aspirin) should be stopped 5–7 days before surgery.
- Smoking should be avoided or reduced.
- Notify your surgeon of any dry eye, allergies, or vision problems.
- Facial and eyelid measurements are taken to plan the incisions precisely.
Recovery Timeline After Eyelid Surgery
The recovery process progresses in distinct stages, and following the surgeon’s aftercare instructions is key to optimal results.
First 24–72 Hours
- Swelling and bruising are at their peak
- Keep the head elevated and apply cold compresses on the eyes
- Pain is usually mild and well-controlled
First Week
- Swelling and bruising start to subside
- Stitches are usually removed between day 5 and 7
- Avoid eye makeup and keep the area clean and dry
Weeks 2–3
- Most swelling resolves
- Redness or minor incision marks may remain
- You can resume social activities comfortably
Months 1–3
- Scars begin to fade
- Eyelid contour becomes more defined
- Contact lenses and makeup can usually be resumed
Month 3–6 and Beyond
- Final results are visible
- The eyes appear more refreshed, youthful, and natural
Note: Recovery for lower eyelid surgery tends to be slightly longer than upper eyelid healing.
Important Aftercare Tips
To ensure a smooth recovery:
- Avoid rubbing your eyes during the first week
- Wear sunglasses when outdoors to protect from sun and wind
- Refrain from intense physical activity, sauna, or tanning for 2–3 weeks
- Use scar creams or silicone gel as recommended by your surgeon
- Avoid direct sun exposure on the incision for at least 6 weeks
Key Advantages of Eyelid Surgery
- Brighter, refreshed facial expression
- Improved vision in cases with droopy upper eyelids
- Reduces signs of aging around the eyes
- Natural, subtle results
- Scars are usually well-hidden in eyelid creases
Frequently Asked Questions (FAQ)
Not usually. It’s performed under local anesthesia, and post-op discomfort is mild and manageable.
No. Incisions are typically hidden in the natural crease of the eyelid and fade over time.
Blepharoplasty offers long-lasting results. However, aging continues, and slight changes may occur over the years.
Most people feel comfortable returning to daily life within 7–10 days.
Usually after stitch removal and once healing begins—typically around 2 weeks post-op.