Upper eyelid surgery recovery guide

Upper eyelid surgery is a straightforward surgery with around a week of downtime. However, final results can take up to 3-6 months. Here is our full guide to what you can expect as you recover from your upper blepharoplasty surgery at McKeown Medical.

Dr Darren Mckeown

Published by Dr Darren McKeown

Date posted — 28.10.24

Clinician marking the under-eye area during a facial assessment

Day-by-Day Recovery Guide (Days 1-7)

Day 1 (Surgery Day)

  • Swelling and Discomfort: Swelling, bruising, and mild discomfort are common. As the local anaesthetic wears off, you may notice some blood oozing from the edges of your wound. This is normal and to be expected. Please use some gauze to gently dab any exudate.
  • Aftercare: Try to keep your head elevated at all times, even while sleeping. Apply the cold compresses we provided to the eyes for 10-15 minutes every hour to help reduce swelling and bruising.
  • Medication: If you have any discomfort, you can take simple over-the-counter medications like paracetamol. Before bed, use the chloramphenicol eye ointment. Try to use the ointment immediately before bed because it will likely blur your vision.
  • Restrictions: Avoid straining, bending over, or heavy lifting. Do not apply makeup or skincare products near the eyes.

Day 2-3

  • Appearance: Bruising and swelling may increase over the first 48 – 72 hours and start to peak around this time. We expect things to get worse before they get better.
  • Aftercare: Continue to use cold compresses intermittently throughout the day. Avoid touching or rubbing the eyes.
  • Medication: Continue to use the eye ointment before bed at night.
  • Rest: Get plenty of rest to help with healing.
  • Eyesight: You may experience blurry vision due to eye ointments or swelling—this is normal and should improve gradually.
  • Phone call: the practice nurse will call you to check on how you are getting on with healing and answer any questions you have.

Day 4-5

  • Healing: Swelling and bruising should start to decrease slightly around this time.
  • Warm Compresses: You should stop using cold compression at this stage. If you feel you would like some soothing relief, use warm compression with a clean cloth dipped in hot water.
  • Medication: Continue to use the eye ointment before bed at night.
  • Activity: You can begin light activities but avoid anything strenuous.

Day 6-7

  • Follow-Up: A follow-up appointment is usually scheduled around this time to remove your sutures. Although patients are often anxious about the removal of sutures, most patients find it to be a painless experience and reflect that they were worried about nothing!
  • Comfort: Discomfort should be decreasing significantly by this time.
  • Medication: you can stop using the ointment at night when the sutures are removed

Month-to-Month Recovery Guide (Months 1-6)

Month 1-2

  • Healing: Swelling will continue to subside gradually. The scars should start to lighten but will still appear pink.
  • Appearance: Most patients feel comfortable returning to social activities without makeup, as residual bruising and swelling are minimal.
  • Physical Activity: You may resume more intense workouts and activities.
  • Scarring: Continue using sunscreen to prevent pigmentation in healing scars. You can begin using some moisturiser to massage the scars. This will help to soften and flatten the scars.

Month 3-6

  • Final Results: Most patients see their final results within this time frame. Minor swelling may linger, but it typically won’t be noticeable to others.
  • Scarring: Scars should continue to fade to a faint, less noticeable line. Scar massage should continue to help.
  • Lifestyle: Patients can usually resume all regular activities without restrictions.

 

If you have any unexpected symptoms following your procedure, please contact the clinic by telephone on 0141 370 0509. In the event of a medical emergency, please call this number and speak to someone. The number is available 24 hours per day, seven days per week. In the event of a medical emergency, please do not contact us by email or social media because these messages can be missed.

Dr Darren Mckeown

Dr Darren McKeown

Our founder, Dr Darren McKeown, is renowned for his expertise and artistry with dermal fillers. As a peer-reviewed medical author, he is passionate about treatments that stand up to scientific scrutiny. Above all, Dr McKeown believes in a global approach; delivering flawless results – and rejuvenation that lasts.

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We have an exciting new addition to the clinic - Visia skin analysis. 

We’ve had a growing focus in the clinic on skin quality and skin health over the years with more and more investment in lasers and devices that improve skin quality as the foundation of what we do in aesthetic medicine. 

The Visia is a great tool for helping us to analyse the skin and track progress of treatments over time. As well as doing a thorough analysis of all the components of sun damage and skin health, it also gives us an estimate of our ’true age’, which is a reflection of the condition of our skin compared with average for our age. 

This is one of my own analysis images. It got my ’true age’ pretty much spot on with my chronological age, which is perhaps surprising given that I spent most of the 90s lying under a sun bed. What was interesting is that I scored really well on superficial pigment and redness, which is consistent with the fact that I love BBL and have a treatment a few times per year. I scored less well on deeper pigment and texture issues, which I guess is consistent with the fact that I’ve not had a Halo laser for nearly 4 years now. So I guess I will be booking another Halo for myself very soon!!!

We're offering the Visia skin analysis free as part of our laser consultation process. If you're interested in laser treatment, come in for a consultation with Dr Sharon and you’ll have your analysis done as part of planning your treatment strategy. 

You’ll also be scanned again after your course of treatment so we can track your progress. 

What do you think of this new addition to the practice?
Laser eye rejuvenation! Thank you to our lovely patient for allowing us to share her photos, just one week after her laser eyelid rejuvenation. 

Crepe skin, loose skin, wrinkles are all common signs of ageing around the eye which do not respond well to surgery. The optimal treatment for these problems is laser resurfacing - which is exactly what this patient had. 

We’ve been performing these treatments in the clinic for several years, although I’ve recently modified the technique to achieve incredible results with less downtime.

What do you think?
With darker evenings and  fewer social engagements, January is a great time to think about treatments which benefit from a little down time or those that will deliver their best results by spring. 

Here’s Dr Darren with his top recommendations for treatments to have over the winter months, including Sofwave, HALO, full-field resurfacing and varicose vein treatment, all of which will deliver beautiful results in time for the weather getting better and social calendars filling up! 

Which treatments are you planning?
Another year, another round of incredible transformations from our team at McKeown Medical! 

Eye bags banished, jowls lifted, skin refined, veins gone. Thank you so much to all of our patients who have allowed us to share their photos with you and thank you to our incredible team who work so hard to take care of every patient who trusts us with their care. 

Here’s to 2026 and another year of incredible transformations!
“But Daddies, WHEN is Santa coming? I want to wait up for him!”

Happy Christmas to all, and to all a good night 🎅🏻
Eyelid surgery is one of the most popular procedures we do in the clinic. It’s a great fix for hooded eyes! Excess skin on the upper eyelids can not only create a hooded, heavy appearance but often affects the vision too.

Here’s the very talented @bramhallplasticsurgery discussing  how upper eyelid surgery (blepharoplasty) can restore a more open, refreshed look by removing the excess skin and subtly redefining the natural eyelid crease. Scars are hidden within the fold of the eyelid, leaving eyes that look brighter, not “done.”

Do you have any questions about surgery? Ask in the comments or send us a message!

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