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Post-Operative Instructions – Blepharoplasty Upper/Lower, Ptosis Repair

  1. Cold Compress: Apply cold compresses (e.g., ice packs or chilled gauze) for 2 to 3 days after surgery to reduce swelling and bruising – discontinue at bedtime.
  2. Head Elevation: Sleep with your head elevated on 2-3 pillows to minimize swelling for 5 days.
  3. Minimal Activity: Avoid bending over, lifting heavy objects, or straining for 2 WEEKS post operation. You may take walks, but no jogging or running.
  4. Avoid blood thinners like aspirin or ibuprofen for 3 days. You may take Tylenol.
  5. Clean Gently: Use prescribed eye drops or ointment as directed. 3 days after surgery you may use a gentle cleanser, but be sure to not rub/scrub aggressively.
  6. Showering: You may shower, but avoid direct water pressure on your face.
  7. No Rubbing or Touching: Avoid rubbing, touching, or applying pressure to your eyes.
  8. No Makeup or Contacts: Avoid makeup, false eyelashes, and contact lenses for at least 14 days.
  9. Limit sun exposure—wear sunglasses and sunscreen if going outside.
  10. No smoking for two weeks or alcohol for 24 hours and while pain medication is being used , as they delay healing.
  11. You can expect:
    • Swelling & Bruising: Peaks within 48 hours, gradually subsides over 1–2 weeks.
    • Mild Discomfort or Dry Eyes are common. Use artificial tears if needed.
    • Tightness or Numbness are common and temporary.
    • Possible bloodshot eyes.
  12. Call our office if you experience any of the following:
    • Excessive swelling or worsening pain after 48 hours that isn’t remedied with pain medication.
    • Sudden vision changes, severe eye pain, or excessive bleeding from the incision.
    • Signs of infection: Redness, warmth, pus, or fever over 100.4°F.

As time goes by and you are healing, the following guidelines apply:

  • Most patients return to work 7 to 10 days following surgery depending on the type of work done.
  • All normal activities can be resumed approximately 2 weeks post op.
  • Swelling, bruising and soreness may take up to several weeks to dissipate.
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