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Blepharoplasty recovery: the timeline and what practices tell patients

US eyelid surgeons tell patients to expect about 10 days off work, sutures out after about 1 week and swelling settled in about 2 weeks. The final result shows after about 3 months.

What the research shows

Days after surgery, from the published studies.

DayWhat the evidence shows
Hours 0-3
  • Bleeding behind the eye is most likely in the first 3 hours after surgery. About 1 in 2,000 cosmetic eyelid operations has it, and about 1 in 22,000 leaves permanent visual loss. PMID 15599241
24 hours
Day 0-1
  • Ice packs did not reduce swelling, redness or bruising under the skin in a randomized trial. Pain was slightly lower on day 1. PMID 25626811
  • Tranexamic acid injected under the skin, apart from the numbing shot, reduced bruising at day 0 in a randomized trial. PMID 38624153
Days 1 to 7
  • Corneal scratches and bleeding behind the eye cluster in the first week. PMID 20195127
Day 3
  • Oral bromelain lowered swelling scores on days 3, 7 and 11, and bruising on day 3 only, in a randomized trial. PMID 42728656
Day 3-5
  • In lower blepharoplasty with fat repositioning, the suture holding the fat in place comes out after 3 to 5 days. PMID 10697189
Day 5
  • A delayed bleed behind the eyelid was reported on day 5, in a patient with uncontrolled high blood pressure. PMID 25797846
Day 7 (1 week)
  • Patient satisfaction was highest at the 1-week visit after a non-scalpel plasma technique; eyelid swelling was the symptom most reported at this point. PMID 33252188
  • Tranexamic acid injected under the skin also reduced bruising at 1 week, in the trial above. PMID 38624153
  • Tranexamic acid mixed into the numbing shot itself, a different method, showed no difference in swelling or bruising by day 7, in a separate trial. PMID 38789809
Day 8
  • A second delayed bleed behind the eyelid was reported on day 8, also linked to uncontrolled blood pressure. PMID 25797846
Day 9 (average)
  • A wound that reopens after upper blepharoplasty does so about 9 days after surgery on average, anywhere from the day of surgery to day 30. About 1 in 70 eyelids reopened. PMID 32852369
Day 11
  • The swelling benefit of bromelain, from the trial above, lasted through day 11. PMID 42728656
Weeks 1 to 6
  • Lid malposition, corneal exposure and tearing cluster in this window. PMID 20195127
2 weeks to 1 month
  • Scar scores (Vancouver Scar Scale) showed their largest differences between patients at 2 weeks and at 1 month, in a study of blepharoplasty in patients with ptosis. PMID 39388768
Day 30
  • Itching was the symptom most reported at day 30 after the plasma technique above. PMID 33252188
  • Wound reopening can occur as late as day 30, the far end of the range in the review above. PMID 32852369
1 to 2 months
  • In lower blepharoplasty with fat repositioning, lid texture and contour settle over 1 to 2 months. PMID 10697189
After week 6
  • Changes in lid height and contour, asymmetry, scarring and lasting swelling show up after week 6. PMID 20195127
3 months
  • Satisfaction after upper blepharoplasty was high, 86% to 96% across patient groups. Among the dissatisfied, more scarring than expected and longer swelling than expected were the leading reasons. PMID 42625725
  • Scar scoring in the ptosis study above continued to this point. PMID 39388768
6 months
  • Scar scoring in the same study ran through 6 months. PMID 39388768

What speeds or slows recovery

FactorWhat the evidence shows
Arnica ointment
  • Arnica ointment did no better than placebo for swelling, bruising, pain or satisfaction in a placebo-controlled trial. PMID 27348641
Blood pressure
  • Systolic pressure kept below 120 mmHg through the perioperative period was followed by no hematomas in patients having facelift with blepharoplasty. PMID 38714536
Blood thinners
  • Complications were about 6% in patients on aspirin, warfarin or apixaban, not clearly different from patients off them, with no major bleeding in either group. PMID 42236867
  • Oculoplastic patients who continued their antithrombotic medication had no major bleeding. PMID 41672423
Other bleeding risks
  • In a pilot study of oculoplastic patients, aspirin use, diabetes, kidney disease, general anesthesia and longer surgery were associated with bleeding. Continuing anticoagulants and high blood pressure before surgery were not. PMID 40695569
Wound reopening
  • Male sex, smoking history and fast-absorbing plain gut suture raised the risk of the wound reopening after upper blepharoplasty. PMID 32852369
Technique
  • Skin-only upper blepharoplasty had a shorter return to work than skin-muscle-fat excision. PMID 39856176
  • Adding a brow lift did not raise the major complication rate. PMID 29369102
Scar care
  • Silicone-based creams reduced hypertrophic scarring. Compressive dressings and over-the-counter scar products showed minimal benefit. PMID 41193896

Back to work

Practices say patients return to work in about 10 days.

7 days
“Lower blepharoplasty: most patients return to daily activities within 7 days.”
2 weeks
“Typically return to work 1-2 weeks after lower blepharoplasty.”
2 weeks
“Most lower eyelid surgery patients can resume work and light activities within 1 to 2 weeks.”
7 days
“A week off from work is advised after upper blepharoplasty; sutures come out 7 days after surgery.”
2 weeks
“Many patients are able to return to work within one to two weeks following blepharoplasty.”
7 days
“About one week off work for upper or lower eyelids alone; two weeks often recommended for upper and lower together.”

One quote per surgeon, each linked to the practice page it comes from.

Bruising

Practices say bruising fades in about 2 weeks.

3 weeks
“Ptosis repair: bruising is common and expected for one to three weeks, regardless of approach; can extend to lower lids or chin.”
2 weeks
“Upper eyelid surgery downtime is about one to two weeks for most bruising and swelling to recede.”
3 weeks
“Sunglasses often worn 2-3 weeks to conceal residual bruising and swelling after lower eyelid lift.”
7 days
“Eyelids and face will look bruised and swollen for about a week.”
7 days
“Lower eyelid: mild bruising and swelling should subside in about a week.”
7 days
“After one week, most of the bruising from an upper blepharoplasty will have most likely resolved on its own.”

One quote per surgeon, each linked to the practice page it comes from.

Swelling

Practices say swelling settles in about 2 weeks.

4 weeks
“Most bruising and swelling from lower blepharoplasty fade within 2-4 weeks.”
10 days
“Lower blepharoplasty recovery typically runs 7 to 10 days, with more first-week swelling than the upper procedure.”
3 weeks
“Lower eyelid surgery: most swelling and bruising healed in about two to three weeks.”
2 days
“Ice recommended on the eyes for the first 48 hours after blepharoplasty to reduce swelling.”
2 weeks
“Double eyelid surgery: swelling and bruising during the first 1-2 weeks; mild swelling may last 6 months or more.”
2 weeks
“Mild swelling, bruising and sensitivity after lower eyelid lift gradually subside within one to two weeks.”

One quote per surgeon, each linked to the practice page it comes from.

Sutures out

Practices take the sutures out after about 1 week.

7 days
“Ptosis repair: sutures usually dissolve within one week; some dissolving sutures are kept up to six weeks to hold the eyelid crease.”
7 days
“Upper eyelid surgery sutures are usually removed within 5 to 7 days.”
7 days
“Upper eyelid stitches are usually removed about one week after surgery during a quick office visit.”
6 days
“Double eyelid surgery sutures remain in place for around four to six days.”
2 weeks
“Upper blepharoplasty: sutures typically removed at first follow-up, 10 to 14 days after surgery.”
7 days
“Sutures from functional upper blepharoplasty are removed approximately one week after surgery.”

One quote per surgeon, each linked to the practice page it comes from.

Exercise

Practices allow exercise again after about 3 weeks.

2 weeks
“Avoid rigorous activity, bending and heavy lifting for the first 1-2 weeks after upper blepharoplasty.”
3 weeks
“Strenuous workouts and heavy lifting should be avoided for 2 to 3 weeks after lower eyelid surgery.”
2 weeks
“Avoid heavy lifting and strenuous exercise for 2 weeks after lower eyelid lift.”
2 weeks
“More strenuous activities should be avoided for around two weeks after upper eyelid surgery.”
10 days
“No bending, lifting or straining for 7 days after blepharoplasty; no strenuous activity for about 10 days.”
6 weeks
“Asian eyelid surgery: light cardio at 2 weeks, full cardio and weightlifting at 4 weeks, full activity at 6 weeks.”

One quote per surgeon, each linked to the practice page it comes from.

Contact lenses

Practices allow contact lenses again after about 2 weeks.

3 weeks
“Refrain from wearing contacts for approximately two to three weeks after surgery, or when cleared.”
2 weeks
“Most patients can safely resume wearing contact lenses about two weeks after the procedure.”
2 weeks
“Do not wear contact lenses for at least two weeks after eyelid surgery.”
7 days
“Contacts can be worn when swelling goes down enough to manipulate the eyelids; some patients can do this a week after surgery.”
10 days
“Contact lenses can be resumed 7-10 days after eyelid surgery.”
2 weeks
“Wearing contact lenses may be uncomfortable for the first week or two after eyelid surgery.”

One quote per surgeon, each linked to the practice page it comes from.

Makeup

Practices allow makeup again after about 2 weeks.

10 days
“Wearing makeup is prohibited for at least 10 days after the procedure.”
2 weeks
“Most patients can wear makeup about 10 to 14 days after surgery.”
2 weeks
“Most patients have to wait 10 to 14 days to resume wearing makeup.”
7 days
“Makeup may be applied over sunscreen beginning one week after surgery.”
2 weeks
“Patients can typically start wearing eye cosmetics, including makeup and false eyelashes, after the second week of recovery.”
2 weeks
“Eye makeup is usually safe to resume 10-14 days after surgery, once incisions have healed.”

One quote per surgeon, each linked to the practice page it comes from.

Final result

Practices say the final result shows after about 3 months.

6 months
“Final results of lower blepharoplasty visible at 6 months.”
3 months
“Final results become fully visible between 3 to 6 months as the eyelids settle and scars mature.”
3 months
“Final results reach their full effect 2-3 months after blepharoplasty treatment.”
2 months
“Around one to two months to see the full results of double eyelid surgery.”
3 months
“Eyelid malposition surgery: final results become clearer around 2 to 3 months after surgery.”
6 weeks
“Blepharoplasty full results are visible at the six-week mark.”

One quote per surgeon, each linked to the practice page it comes from.

Other statements

Travel, showering, sun and other instructions, in the practices’ own words.

“Patients need assistance getting home after Asian double eyelid surgery and are not allowed to drive.”
10 days
“Recovery takes about a week for the upper eyelids and 10 days for the lower ones.”
10 days
“Eyelid surgery: avoid travel for 7-10 days locally; longer for international travel.”
3 days
“Generally, you will be able to drive your car in about two to three days following your eyelid surgery.”
1 day
“You may shower 24 hours after an eyelid procedure.”
4 days
“Eyelid surgery: usually can get around independently by the second day; with sunglasses may go to the store by day 3-4.”

One quote per surgeon, each linked to the practice page it comes from.

Method

How the times are counted.

  • Each quote is printed as it appears on the practice's own website, from its blepharoplasty, eyelid surgery, brow lift or FAQ pages, with a link to the page.
  • A week counts as 7 days and a month as 30. Where a quote gives a range, the day count is one end of it and the quote shows the full range.
  • The typical time for a stage is the middle value across practices: each practice's own middle value first, then the middle of those. Two surgeons at one practice count once.
  • A statement with no time in it is left out of the typical time.
  • Times differ by operation (upper blepharoplasty, lower blepharoplasty, ptosis repair, brow lift) and by patient. The quotes name the operation where the practice does.

These are the practices' own statements to their patients. The surgeons named are from the Top 500; a surgeon without a profile page links to their practice's own site.