Chapter 4 of 6 · Patient & Family Education
Pain level
Myth 4: Eyelid surgery is very painful
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
In the past, only older people had blepharoplasty done for functional reasons when the upper eyelid weighs down on lashes and impairs vision.
Nowadays people pursue blepharoplasty cosmetically for tarsal show or a younger, less tired appearance.
More people are undergoing blepharoplasty at a younger age.
Upper eyelid surgery results are visible right away, though stitches and settling time are required.
Lower eyelid surgery swelling lasts longer because lymphatic drainage in the under-eye area is slower.
Well-done upper and lower eyelid surgery should not result in a significant or perceptible change in appearance; patients should just look less tired.
If lower eyelid surgery is done too aggressively or incorrectly, the lower lids can get pulled down, resulting in perceptible changes in appearance.
With proper recovery management, patients should not notice anything other than swelling as a sensation after eyelid surgery.
On the first day after upper eyelid surgery, patients feel a sensation like a paper cut.
Applying ointment to the upper eyelid incision makes the paper cut sensation go away.
Icing the eyelid area reduces bruising.
The acute phase of recovery is the initial six hours; managing it well makes future days much easier.
Upper eyelid recovery time is one week (six days).
Upper eyelid bruising in older individuals may last for two weeks and looks like purple eye shadow.
Lower eyelid bruising lasts about ten days.
Lower eyelid swelling in some individuals can last about six weeks, but should not be longer than that.
Upper eyelid surgery scars are hidden in the natural crease and are very imperceptible when healed.
Most people forget they had upper eyelid surgery done, and no one can find the scar because of how the skin heals there.
If the lower eyelid scar is not placed well, it can sometimes pull down and be more visible.
Trained observers can recognize lower eyelid incision sites, but untrained people typically cannot identify where the scars are, though they may tell that lower eyelid surgery was performed.