Frequently asked questions – upper eyelid surgery

The upper eyelid surgery is always preceded by a qualifying examination. This is an important opportunity to discuss any concerns with an ophthalmic surgeon and receive detailed information about the procedure itself as well as the recovery process. To help you make an informed decision, we have put together answers to the questions our patients most often ask during these consultations.

‘Will I need to have the procedure repeated? How many times can it be done?’

As we age, the skin gradually loses its elasticity – for some people this happens more quickly, for others more slowly. In certain cases, a repeat blepharoplasty may be considered, but it is by no means always necessary. It is important to bear in mind that each additional procedure involves further intervention in the delicate eyelid tissues, which can affect their stability. For this reason, the decision to repeat surgery should be carefully weighed and always based on a thorough assessment of the tissue and any existing scarring during the qualification consultation. There is no fixed limit to the number of eyelid surgeries a person can have in their lifetime, but the need for repetition is always highly individual.

‘Is the healing process painful?’

Once the anaesthetic wears off, some discomfort may occur as a result of the tissues being disturbed. This usually lasts for 2–3 days. Until the stitches are removed (around 7 days after surgery), you may also notice a slight “tightness” at the incision site. Cold compresses and ointments prescribed by your surgeon can help to relieve these symptoms and make the recovery period more comfortable.

‘What about the bruises? Can I return to work a few days after the procedure?’

Bruising can occur after eyelid surgery, but not every patient experiences it. Its likelihood mainly depends on individual factors, such as a tendency to bleed, minor vascular issues, or fragile blood vessels. Bruises form as a result of small blood vessels being damaged and may appear immediately after the surgery or a few days later. To help reduce the risk of significant bruising, patients with a predisposition to vascular issues are often advised to take preventive measures, such as vitamin C and rutin supplements, as recommended by their surgeon.

‘Is general anaesthesia required for this procedure?’

Upper eyelid surgery is a minimally invasive procedure and does not require general anaesthesia. At our Centre, we use local anaesthetic injections to ensure the area is fully numb. After a short rest following the procedure, patients can go home the same day. The entire process – including preparation and immediate post-operative recovery – usually takes no more than 1.5 hours for both eyes.

‘Will there be any visible scars?’

The incisions are made along the natural crease of the eyelid, so any marks are almost invisible. Initially, the incision site may be slightly swollen and red, but as healing progresses, the scar gradually flattens and fades, becoming difficult to notice.

‘How long will I spend at the clinic if I decide to undergo the procedure?’

Upper eyelid surgery does not require hospitalisation. Your entire visit to the Centre – including preparation, the procedure itself, and a short period of rest afterwards – usually takes around 1.5 hours. It’s worth noting that after the surgery, the eyelids are covered with dressings that may limit your vision, so it’s best to have someone accompany you to help get home safely.

‘Do I need to take any special precautions before the surgery? Are there things I shouldn’t take?’

During the qualifying examination – which takes place before scheduling your surgery – you should inform your doctor about all medications you are taking, especially those that affect blood clotting. Any adjustments or temporary discontinuation of medication should be done only under your doctor’s supervision. Certain dietary supplements (for example, vitamin E), alcohol, and some foods, such as garlic or ginger, can also affect blood clotting and may increase the risk of excessive bleeding during surgery. Your surgeon will provide personalised advice to help minimise these risks.

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