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October 09, 2025 | Blepharoplasty

Eyelid Surgery Recovery Timeline: What to Expect Week by Week

A person is lying down while a medical professional in gloves uses surgical tools and gauze near their closed eye in a clinical setting.

Eyelid surgery, also known as blepharoplasty, is a popular procedure designed to rejuvenate the eyes by addressing concerns like sagging eyelids and under-eye bags. This procedure can significantly improve one’s appearance, but understanding the recovery process is important to make sure optimal results are achieved.

Knowing what to expect week by week helps you prepare mentally and physically for the healing process, making it less stressful and more manageable. At Sadeghi Center For Plastic Surgery, we are committed to providing personalized care and support throughout your recovery. 

If you have any questions or need guidance during your recovery, contact us today. Our team is here to guide you every step of the way.

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Key Takeaways

  • Understanding what to expect week by week is essential for a smooth recovery after eyelid surgery. This will help you manage swelling, bruising, and other common postoperative symptoms.
  • Swelling and bruising are most pronounced in the first week. Cold compresses, head elevation, and avoiding physical strain are key to reducing discomfort and promoting healing.
  • By week two, swelling and bruising begin to subside, and stitches may be removed. Sun protection and gentle care for the incisions are important.
  • Most swelling and bruising will be gone, and scars will begin to fade. Light activity can resume, but strenuous exercise should still be avoided.
  • At this stage, you can return to normal activities, and scars continue to heal. The final results begin to show, with minimal swelling and discomfort.
  • Complete recovery takes several months. Scars continue to fade, and sun protection remains important to prevent pigmentation changes.
  • Ongoing Support: Sadeghi Center For Plastic Surgery offers personalized care throughout your recovery journey. If you have any questions or need guidance, don’t hesitate to contact us.

Week 1: Immediate Post-Operative Phase

	
Close-up of a human eye with brown iris, visible eyelashes, and a reflection of light on the pupil.

The first week after eyelid surgery is often the most challenging, as it marks the beginning of your body’s healing process.

Here’s what you can expect during this time:

Physical Changes

  • Swelling and Bruising: Swelling is common and can be quite noticeable in the first few days. Bruising may occur around your eyes, often peaking on day 2 or 3. The swelling should start to subside after 48-72 hours, although some minor puffiness may linger.
  • Discomfort: Mild discomfort is typical, especially in the first 24 to 48 hours. You may experience a feeling of tightness around the eyes, but pain should be manageable with prescribed medications.
  • Dry or Blurry Vision: Some patients experience blurry vision or eye dryness due to the surgical process or post-surgical ointments. This is temporary and should improve in a few days.

Care Instructions

  • Cold Compresses: Apply cold compresses to reduce swelling and bruising, especially during the first 48 hours.
  • Head Elevation: Keep your head elevated, even while sleeping, to reduce swelling. Use extra pillows or a recliner to keep your head propped up.
  • Avoid Rubbing Eyes: Don’t rub or apply pressure to your eyes, as this can hinder healing and increase the risk of complications.
  • Avoid Physical Activity: It’s crucial to avoid strenuous exercise or activities that increase blood flow to the eyes, as these can worsen swelling.

Emotional Considerations

  • It’s normal to feel anxious or self-conscious about the visible effects of surgery, especially in the first few days. Keep in mind that swelling and bruising are temporary, and these symptoms will begin to improve within a week. Reassure yourself that these changes are a part of the healing process.

Week 2: The Healing Process Begins

By the second week, much of the initial swelling and bruising will have subsided, and you should start to feel more comfortable with your appearance.

Physical Changes

  • Decreasing Swelling: The majority of swelling will have diminished by now. You might still notice some puffiness around the eyes, especially in the mornings.
  • Scars and Healing Incisions: Your incisions may appear pink or red, but they should begin to heal and flatten out as time goes on. Some scarring is inevitable, but it will fade gradually.

Care Instructions

  • Stitch Removal: If your surgeon used non-dissolvable stitches, they will likely be removed during this week (around day 7-10). This appointment is important to ensure that the incisions are healing well.
  • Sunscreen and Sun Protection: Protect your eyelids from the sun, as the skin is more sensitive post-surgery. Wear sunglasses and apply sunscreen around your eyes as recommended.
  • Gentle Skin Care: Continue following your surgeon’s instructions for cleaning the surgical site and applying any prescribed ointments or medications.

Emotional Considerations

  • As the bruising and swelling subside, many patients begin to feel more confident. However, some individuals may still feel sensitive about their appearance. Emotional support from loved ones or your healthcare provider can help you manage these feelings.

Week 3: Significant Improvements

Close-up of a woman's face showing her blue eyes, eyebrows, and upper part of her nose.
Close-up view of beautiful young woman with grey eyes

By the third week, the worst of the swelling and bruising should be gone, leaving you with a more natural and refreshed appearance. This is a time when you’ll notice significant improvements in your overall appearance.

Physical Changes

  • Continued Reduction in Swelling: By now, most of the swelling will be gone, though you might still experience mild puffiness, especially first thing in the morning.
  • Fading Scars: The incisions will begin to fade, and scarring will be less noticeable. While they may still appear red or pink, this is a normal part of the healing process.

Care Instructions

  • Resuming Light Activity: At this point, you can gradually resume light activities, but avoid heavy lifting or exercise that involves bending over.
  • Makeup Use: You may be able to use makeup to cover any remaining bruising, but be sure to apply it gently to avoid irritation or pulling on the delicate skin around the eyes.

Emotional Considerations

  • By now, you should start feeling more like yourself as you begin to see the final results of the surgery. It’s normal to feel more confident, but some patients may still be adjusting to their new look. The support of friends, family, or a counselor can help ease any lingering concerns.

Week 4: Returning to Normal Activities

The fourth week marks a significant milestone in the recovery process. At this stage, the majority of patients are ready to return to their normal daily activities.

Physical Changes

  • Minimal Residual Swelling: Any remaining swelling should be minor and may disappear within a few more weeks.
  • Scar Healing: The scars will continue to heal, becoming less noticeable. They may still be visible but will gradually fade and soften over the next several months.

Care Instructions

  • Resuming Normal Activities: By this stage, you should be able to resume normal daily activities, including work, as long as you don’t overexert yourself. Light exercise may also be resumed with approval from your surgeon.
  • Scar Management: If you are concerned about scarring, consult with your surgeon for options like silicone sheets or ointments that can promote scar healing.

Emotional Considerations

  • Many patients feel confident and excited as the final results become evident. There’s usually a significant emotional boost as the swelling and bruising are completely gone, and the rejuvenating effects of the surgery are clear.

Beyond Week 4: Full Recovery

A woman with short dark hair wearing beaded jewelry smiles at the camera with the ocean in the background.

While most of the initial recovery happens within the first month, the final results of eyelid surgery can take several months to fully materialize.

Here’s what to expect in the long term:

Physical Changes

  • Swelling and Bruising: Any remaining swelling should fade, and the final results will be visible.
  • Scar Maturation: Scars will continue to improve, typically becoming less noticeable over 6 to 12 months.

Care Instructions

  • Long-Term Skin Protection: Continue to protect your eyes from the sun to avoid hyperpigmentation and skin damage.
  • Regular Check-Ups: Keep up with regular check-ups as recommended by your surgeon to monitor the healing process.

Emotional Considerations

  • Once the final results are visible, patients often experience increased satisfaction and confidence. However, it’s normal to occasionally feel self-conscious about the changes, especially as you adjust to the new look.
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Supporting Your Eyelid Surgery Recovery Every Step of the Way

Recovering from eyelid surgery is a journey that requires patience and care, but with the right expectations and support, the process becomes much more manageable. By following the week-by-week recovery timeline outlined above, you can ensure that your healing process goes smoothly, with minimal discomfort and maximum results.

At Sadeghi Center For Plastic Surgery, we understand the importance of personalized care during your recovery. If you have any questions or need additional support, call us today. Our experienced team is here to guide you through every step of your eyelid surgery recovery.

Disclaimer: The information provided in this article is for general purposes only and not a substitute for professional medical advice. Always consult with your physician or healthcare provider for advice regarding any medical condition or procedure.