Is Upper Eyelid Surgery Painful?

Upper eyelid surgery is a popular cosmetic procedure that is meant to remove excess skin, fat, and muscle from the upper eyelids. Otherwise known as blepharoplasty, many people see it as their chance to rejuvenate their appearance or improve obstructed vision due to sagging eyelids. However, patients considering this plastic surgery procedure are concerned if this procedure is painful. The key to easing one’s anxiety is understanding what happens before, during, and after the surgery.

Is Upper Eyelid Surgery Painful?

Upper eyelid surgery is generally a minor outpatient surgical procedure that is performed under local anesthesia, with sedation, or, in some cases, general anesthesia. To minimize scarring, the surgeon makes precise incisions along the natural creases of the eyelids. He then continues to remove excess skin and fat. Then, they carefully close the incisions with sutures. The whole procedure usually takes 45 minutes to an hour.

Why Undergo Blepharoplasty?

It can help you solve:

• Droopy eyelids
• Blocked peripheral vision due to excess skin of the upper eyelids
• Excess skin on the lower eyelids
• Bags under your eyes

Is the Procedure Itself Painful?

Because of the anesthesia, patients normally do not feel pain during the procedure. Local anesthesia numbs the area and ensures that the patient remains comfortable throughout the procedure. Most patients experience a sensation of soreness or tightness rather than actual pain. But this is not something to worry about since it can just be usually managed by over-the-counter pain relievers like ibuprofen.

Common Post-Surgical Symptoms

Swelling and Bruising

Swelling and slightly discolored eyelids are natural for the first few days. It will naturally subside after 1 to 2 weeks.

Dryness and Irritation

Some patients experience itching, dryness, and sensitivity to light. Your surgeon can prescribe some medications to help alleviate these symptoms.

Tightness or Stiffness

Tightness or stiffness may be felt around the eyes. Expect that this will improve as the healing progresses.

Temporary Blurred Vision

Temporary blurred vision can occur because of swelling or the use of lubricating ointments applied during surgery.

How to Prepare for Blepharoplasty

Consultation

Consult with a licensed and experienced surgeon. Discuss your medical history and inform your doctor of any medicines or supplements you may be taking. Be honest about what you want to achieve. Feel free to tell your surgeon about any concerns you may have. Do not forget to ask the surgeon to discuss the risks involved in the procedure.

Medical Evaluation

Your surgeon will make a thorough evaluation of your health to ensure that you are well and fit enough for the surgery you are contemplating.

Quit Smoking

Smoking can negatively affect wound healing, so if you are seriously considering undergoing a blepharoplasty, or any surgery for that matter, stop smoking weeks before the surgery.

Avoid Certain Medications

Blood-thinning medications are usually to be avoided. Ask your surgeon about medications that you should not take while you wait for the day of your surgical procedure.

Recovery Plan

You will not be able to drive after the procedure, so arrange for a family member or a close friend to drive you to and from the surgery. Request that they stay with you for at least 24 hours after the surgery so that you will have the necessary assistance during recovery. You also need to prepare your home. Make sure that cold compresses, pillows, and comfortable clothes are readily available at home.

Managing Discomfort and Enhancing Recovery

The following are good practices that may help you manage your discomfort and promote smooth and fast recovery.

• Apply cold compress or ice packs during the first 48 hours to help reduce the swelling and discomfort.
• Sleep with your head slightly elevated. This can prevent excessive swelling and help you heal faster.
• Use pain relievers, ointments, and lubricating eye drops that have been prescribed by your surgeon, and make sure you use them as directed.
• Avoid lifting heavy objects, bending over, and engaging in strenuous activities for at least one to two weeks.
• Protect your eyes by wearing sunglasses outdoors.
• Attend follow-up appointments to help ensure optimal results and smooth recovery.

How Long Does Discomfort Last?

Patients usually say that discomfort greatly diminishes within a week, while swelling and bruising usually subside after two weeks. The majority of patients are comfortable enough to resume normal activities after three to four weeks. However, it will take months for complete healing to happen.
And since the incisions are on the natural eyelid crease, they become almost invisible over time.

Ask Us About Blepharoplasty

Upper blepharoplasty is a safe and effective procedure. Although some post-surgical discomfort is expected and normal, it is usually mild and easily managed through over-the-counter pain relievers and proper care. The benefits that you get from blepharoplasty far outweigh the mild discomfort that you are expected to feel after the procedure. If you are seriously thinking of undergoing a blepharoplasty to enhance your appearance or improve your vision, a consultation with a skilled board-certified oculofacial plastic surgeon can help you make an informed decision.
Schedule a consultation with us today so we can create a plan to help you.