Eyelid Surgery (Blepharoplasty)

Leading Up To Surgery

MEDICATION & SUPPLEMENTS

Stop taking Aspirin, products that contain Aspirin, and all other supplements two weeks before surgery. This includes:

  • Alka-Seltzer
  • Anacin
  • Bufferin
  • BC or Goodies powders
  • Excedrin
  • Fish oil
  • CoQ10
  • Weight loss medication
  • Vitamin E
  • Herbal supplements
  • Meal replacements or protein shakes

PRESCRIPTIONS

Please make sure to get your prescriptions filled prior to your surgery date (if given). You will be expected to bring your prescriptions with you the day of surgery. 

Xanax should be taken as prescribed 1 hour prior to your procedure. 

You must have a responsible adult drive you to and from our office due to possible restricted vision. 

If pain medication is prescribed, please note that it can cause constipation. You can start prevention as early as two days before your surgery by taking Colace, or Activia yogurt. After your surgery, you can have things like MiraLAX or Milk of Magnesia, but these should not be taken before.

If you become ill or have to postpone your surgery for any reason, please notify us as soon as possible. 


Day Before Surgery

You will receive a call the day before your surgery with instructions regarding where and when to arrive.

This will include instructions regarding medications. 


Day Of Surgery Instructions

FOOD AND DRINK

If Blepharoplasty is done under a local anesthetic, patient may eat and drink prior to surgery. Try to avoid heavy meals close to the procedure time to reduce the risk of nausea.

CLOTHING

Do not wear jewelry or make-up to your surgery appointment. Wear loose, comfortable, and warm clothing. A top that zips or buttons up is preferred. Please wear glasses instead of contacts if applicable.

A responsible adult must take you home. If your procedure was performed under general anesthesia they must stay with you for the first night after surgery.

Note: If you are a minor, a parent or legal guardian must accompany you. 

WHAT TO EXPECT

Once you arrive in our surgery suite, the clinical staff will discuss the details of your procedure and ask you to sign an informed consent. If applicable, you will take a pregnancy test prior to surgery.

You will only need to undress from the waist up.

From there, your surgeon will come in, discuss the procedure, and create his markings before we get started. 

Once in the room, your surgical site will be numbed with local anesthetics, then we will start the procedure. 


After Your Surgery

What to Expect Physically

You will have swelling and bruising to your eyes. This can travel down your face due to gravity.

You should have mild pain and discomfort.

You may feel a burning a sensation to your incisions. This generally only lasts for the first 2-3 days after surgery.

You may experience dry eyes after surgery. You can use Artificial tears to help with this as needed.

After sleeping you may experience drainage that sticks to your eyelashes. Use a moist compress to help loosen it up.

What to Expect Visually

You may experience oozing for the first 2-3 days after surgery.

You may see redness to the white of your eye. Know that this is normal and will resolve within the first week after surgery.

You will have sutures beneath the surface of the skin. You will be able to see the ends and they will be taped in two different places, your forehead and temples.

  • These will be removed at your first post-operative appointment.

Care Instructions

Please keep your head elevated as much as possible, especially for the first 2-3 days after surgery to help with swelling. (If possible, sleep in a recliner)

You may shower the day after surgery. Please use mild soap to site. After showering gently pat tape dry.

To help with oozing, you can brew a bag of tea (black tea), allow the bag to return to room temperature then place directly to site of concern. Hold in place for 20 minutes.

  • This can be done 2-3 times a day.

After the first 2-3 days a warm compress may feel better and help hasten bruises to heal.

Avoid bending over, especially for the first week after surgery. This can increase swelling to site.

Resume your normal activities as you feel comfortable.

Pain Management

Use ice packs to site (crushed ice in a Ziplock bag or frozen peas- you may also find gauze sponges soaked in ice water to be more comfortable) for the first 2-3 days after surgery. Apply only for 30 minutes at a time then take at least a 30 minutes break in between. This will help to prevent frostbite to site.

You may take up to 600mg (3 tablets of 200mg over-the-counter) Ibuprofen in between your pain medication doses to help make it easier to move around.

Medications

Avoid Aspirin or Aspirin containing products for 2 weeks after your surgery.

Do not use alcoholic beverages while taking pain medication.

You may be prescribed 5 different medications, this will depend on if your surgery is done under local anesthetic or general.

  • Anxiety medication- Xanax
    • Take 1 tablet the night before your surgery and 1-2 tablets, 1 hour prior to your procedure.
  • Eye Ointment/Drops- Tobradex
    • Per MD order for about 2 weeks.
  • Pain medication –  Norco or Hydrocodone and Tylenol
    • Take 1 tablet every 6 hours as needed for pain.
  • Anti-nausea medication to be taken prior to surgery- Zofran or Ondansetron
    • Take 4 tablets 1 hour prior to your surgery.
    • After surgery take 1 tablet every 6 hours as needed for nausea.
  • Anti-nausea medication for extreme nausea- Phenergan or Promethazine
    • Take 1 tablet every 4-6 hours as needed for extreme nausea.
    • Note: This may cause drowsiness.

When To Call The Office

Call the office if you have a fever over 101 degrees, experience any sudden increase in swelling (especially on one side), or notice redness around your incision sites (especially if it’s warm to the touch).


Frequently Asked Questions

How long do I have to take off work?
5-7 days due to swelling/bruising. 

How long does the procedure last?
About 1.5 hours

How long will I have to be in recovery?
At least 45 minutes, if done under general anesthesia

How long will the bruising last?
Usually it will start to fade after the first week but can last up to 3 weeks.

When can I drive again?
When you are no longer taking pain medication and feel comfortable driving again. Always consider that you would need to be able to react in case of an emergency.

What can I do for scar care after surgery?
You will be given a scar gel from, Skin Medica, at your 6-week post-operative appointment.

When can I start exercising again?
2 weeks after surgery. Be sure to ease yourself back into everything.  

When can I get in a pool/Beach/Lake?
3 weeks post-operatively