A quick look at the operation
Eyelid surgery aims to remove excess skin and to reposition or remove some fat in the upper lid, the lower lid or both. Incisions are usually hidden in the natural crease of the upper lid, just below the lower lash line, or on the inside of the lower lid in some cases.
The operation is often done under local anaesthesia with sedation or under general anaesthesia, usually takes between one and three hours depending on how many lids are treated and the nature of the case, and most patients go home the same day.
The first 48 hours: rest and cold compresses
It is normal to feel tightness in the eyelids and mild to moderate discomfort, usually controlled with the painkillers the doctor prescribes. You may also notice temporarily blurred vision from ointment or swelling, watery or dry eyes, and sensitivity to light.
Doctors usually advise applying cold compresses wrapped in a clean cloth to the eyes for short, repeated periods, sleeping with the head raised on two or more pillows to reduce swelling, and avoiding bending over and lifting heavy objects.
The usual stages of recovery
Recovery differs from person to person depending on skin type, age, the type of operation and how closely instructions are followed, but the timeline below gives an approximate picture of what usually happens.
Days 1–3
Swelling and bruising usually peak during this period, and the eyes may look puffy. Rest, head elevation and cold compresses are essential.
Days 5–7
Non-dissolving stitches are often removed around this time. Swelling starts to settle and bruises turn yellowish or light green.
Weeks 1–2
Most swelling and bruising fade, many people return to desk work and social activities, and light make-up may be allowed once the doctor agrees.
One month to several months
Residual mild swelling continues to settle gradually, and the scar fades and becomes less visible over time. The final result usually appears after a few months.
Practical eye-care tips
Simple habits during the early weeks of recovery help with comfort and protect the incisions. Always follow your own doctor’s instructions if they differ from these general tips.
- Use the prescribed drops and ointments regularly and clean the area gently as the medical team shows you.
- Avoid rubbing your eyes or pulling the skin around them.
- Wear glasses rather than contact lenses, which are usually postponed for about two weeks or as your doctor advises.
- Wear sunglasses outdoors to protect your eyes from light, dust and wind.
- Cut back on long reading and screen time in the early days if your eyes feel strained or dry.
- Avoid strenuous exercise and swimming, usually for two to three weeks.
Possible side-effects and risks
Like any surgery, eyelid surgery carries risks that should be discussed openly before you decide. Most side-effects are temporary, but some complications may need further treatment or a corrective operation.
General risks include bleeding, infection, anaesthesia risks, asymmetry between the two sides, visible scarring and the need for a revision procedure. Risks specific to the eyelids include dry or irritated eyes, temporary difficulty closing the eyes fully, the lower lid being pulled downwards, and temporary changes in vision. A rare but serious complication is bleeding behind the eye, an emergency that needs immediate treatment.
When to contact the doctor immediately
Contact the medical team or go to the emergency department without delay if you notice severe or increasing eye pain, rapid, sudden swelling on one side with tightness or bulging of the eye, any sudden change in or loss of vision, or bleeding that does not stop with light pressure.
You should also get checked for signs of infection such as fever, increasing redness or discharge, or for dryness and irritation that persists or worsens despite using drops.
Questions to ask at your consultation
Eyelid surgery is not suitable for everyone. People with severe dry eye, uncontrolled thyroid disease, blood pressure or diabetes, or unrealistic expectations may need treatment or further assessment first, or may be advised to consider another option. Drooping caused by a weak lifting muscle or by a low brow also needs a different diagnosis.
Ask your doctor: Is my problem in the eyelid itself or in the position of my brow? Where will the incisions be? What type of anaesthesia will be used? When can I return to work and drive? And what can I realistically expect in my case, knowing that results vary from person to person?
Golden rules for recovery
Keep your head up
Sleep on your back with your head raised for about the first week to reduce swelling.
Cold compresses
Use them regularly for the first two days, gently and without pressing on the eyes.
No rubbing, no lenses
Avoid touching your eyes and wearing contact lenses until the doctor allows it.
Keep your follow-ups
Attend stitch removal and review appointments so the doctor can check how you are healing.
Considering eyelid surgery?
The doctor assesses the shape of your eyelids, the position of your brows and the health of your eyes before recommending any procedure. Read more about eyelid surgery or brow lift, or book your consultation.