Dr. Massry’s Dos/Don’ts after Eyelid Surgery

Dr. Massry tells all his patients that having facial surgery is a big decision which requires a commitment of time, energy and money. It should not be taken lightly. This is especially true when it comes to eyelid surgery (blepharoplasty).

Delicate structures

The eyelids are delicate facial structures which are more prone to bruising, swelling and prolonged recovery than other areas of the face. This is because the eyelid tissue is thin and there are many small, yet vital layers and structures within the eyelids which must be manipulated during all types of surgery (blepharoplasty, canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.). The surgical procedure is a form of trauma (although controlled) and the eyelids do not handle trauma as well as other arrears of the face.

Healing from cosmetic eyelid plastic surgery

So what can you, the patient, do or not do to attain the best final result from blepharoplasty or other kinds of eyelid surgery(canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.). These are Dr. Massry’s recommendations.

Ice the eyelids

Firstly, you want to do all you can to reduce bruising and swelling. This is important so as not to stretch or potentially stain (discolor) the thin eyelid skin. The most important thing you can do to achieve this is to apply ice to the eyelids at frequent intervals the first two days after the eyelid surgery. I feel 10 minutes/hour while awake is an appropriate icing regimen. I prefer frozen peas as they contour to the eyelids well.

Refrain from strenuous exercise

I ask patients to refrain from strenuous physical activity for the first week after eyelid surgery. Obviously this means absolutely no gym activity. In fact, my basic tenant is no bending, stooping or lifting for this time period.

During sleep

In addition to reduced physical activity, sleeping with two pillows at the head of the bed is also of benefit as it reduces swelling gin the surgical area during sleep.

Over the counter treatments

There are a number of over the counter homeopathic medications which may quicken the post-operative recovery (and reduce bruising/swelling) after blepharoplasty and other forms of eyelid surgery. In the preoperative discussion the use/benefit of these products can be discussed in detail by Dr. Massry and his staff.

Preventing infection

It is also important to reduce the risk of infection after surgery. The eyelids are such a well vascularized area (good blood supply) that infections are rare. That being said, Dr. Massry feels applying topical ocular (appropriate for eyes) antibiotic ointment (with a Q-tip) three times a day and at bedtime to the stitches is important. Dr. Massry prefers Erythromycin ophthalmic ointment, but others are also useful. Obviously washing your hands before applying ointment to or touching the eyelids is important.

Showering after cosmetic eyelid plastic surgery

Dr. Massry does not feel taking a shower is a "don't", as long as care is taken not to put pressure on the eyelids or get them overly wet. Use similar judgment when washing your face.

Other activities after cosmetic eyelid surgery

Dr. Massry feels it is ok to go out, watch TV and read as you feel comfortable. You should only drive a car when it feels safe. In this instance, refrain from applying ointment to the eyelids for a few hours before driving as this can blur vision.

Finally following the postoperative instruction regimen, informing the Dr. Massry of any questions or concerns about surgery or healing, and using common sense in regards to wound care is important.

When all that is stated above is followed closely, Dr. Massry feels recovery from surgery becomes easier. Remember, having surgery is a big deal, so be diligent about healing so that the outcome will be what you expect.

About the author

Cosmetic eyelid plastic surgery is a practice which requires a specialist to get the best results. Beverly Hills cosmetic eyelid surgeon, Dr. Guy Massry, has years of experience with eyelid surgery (blepharoplasty, canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.) and would be happy to evaluate your specific needs for enhancing your appearance. He practices reconstructive and cosmetic eyelid surgery, reconstructive ophthalmic plastic surgery, cosmetic wrinkle treatment, and more in Los Angeles, West Hills, and Beverly Hills, California.