Ptosis surgery and double eyelid surgery are among the most sought-after cosmetic and medical eye procedures. While ptosis surgery corrects droopy eyelids that may be affecting vision, double eyelid surgery creates or defines a crease in the upper eyelid to enhance appearance. Both procedures serve different purposes, yet they share a common factor – the recovery process is just as important as the surgery itself. A smooth healing journey ensures the best results while minimising discomfort and complications.
Regardless of whether you’ve undergone ptosis surgery or double eyelid surgery, knowing how to manage the downtime effectively can make a world of difference. Swelling, bruising, and temporary discomfort are all part of the healing process, but with the right care, you can speed up recovery and enjoy your new look sooner than later. Here’s what you need to know about post-surgery care and how to make your recovery as seamless as possible.
The first 48 hours: Managing swelling and discomfort
The first two days after surgery are the most crucial for recovery. Your eyelids will likely be swollen and bruised, and you may experience mild discomfort. Hence, it is important to manage and take care of your wounds. Here are some essential steps to manage these symptoms:
- Apply cold compresses: Using a cold compress can significantly reduce swelling. Ice packs are to be avoided for the excess pressure on the eyelids. It is better to soak sterile cotton gauze with sterile cold normal saline, squeeze out the excess saline and apply the cold gauze directly to the upper eyelids. Apply the cold compress gently for 10 to 15 minutes at a time, with breaks in between. This is best done in an air-conditioned room.
- Keep your head elevated: Sleeping with your head propped up on a few pillows will help minimise the post-operative swelling and bruising.
- Avoid touching or rubbing your eyes: This is important to avoid disturbing the wound and the risk of infection. Ava Eye Clinic provides eye shields that are used at night to avoid inadvertent eye rubbing.
- Take prescribed medications: Your surgeon may provide pain relief or antibiotics to prevent infection – be sure to take them as instructed.
The first week: Promoting healing and preventing infection
By the third day, swelling and bruising may still be present but should start improving. During this period, it’s vital to focus on healing while keeping the surgical site clean and free from irritation.
- Stick to a gentle cleansing routine: Your doctor will recommend a saline solution to clean the eyelids gently. An ointment will also be prescribed and it will be important to apply this ointment three times a day to help the wound heal well.
- Avoid strenuous activities: Engaging in heavy exercise or activities that increase blood flow to the head can cause additional swelling or bleeding.
- Wear sunglasses when outside: Protecting your eyes from the sun and harsh environmental elements can prevent unnecessary irritation.
Weeks two to four: Gradual recovery and returning to routine
As your eyelids continue to heal, you may notice the swelling subsiding significantly, and your incisions beginning to fade. By the second or third week, you may feel ready to return to work or social activities. However, it’s still essential to practise caution.
- Resume light activities: Walking and other light exercises can improve circulation and promote healing, but avoid anything that causes strain.
- Continue sleeping with head elevated: Keeping your head elevated at night will still help with reducing residual swelling.
- Reintroduce skincare carefully: If you typically wear makeup or use skincare products, wait for your surgeon’s approval before applying anything to the eyelid area. When the time comes, ensure your products are gentle and non-irritating.
- Nourish your skin: Hydration and nourishment play a role in how well your skin heals. Stick to mild, fragrance-free products to prevent irritation.
What to avoid during recovery
Even as your eyelids start looking better, some habits and activities can slow down your healing process or lead to complications. Here’s what to steer clear of:
- Rubbing or pressing on the eyelids: Rubbing your eyes, even out of habit, can disturb the healing tissues.
- Smoking and alcohol consumption: These can slow down recovery by reducing blood flow and increasing inflammation.
- Skipping follow-up appointments: Your surgeon will want to monitor your progress and ensure there are no complications – it is highly recommended to attend all scheduled check-ups.
- Wearing contact lenses: Contact lens wear is a risk factor for eyelid droop and is best avoided for a few months after eyelid surgery. It may be a better idea to address the need for contact lenses wear prior to the eyelid surgery.
Signs you should see your doctor
While most people recover smoothly, it’s important to be aware of any signs that may indicate a problem. Contact your doctor if you experience:
1. Severe pain that doesn’t improve with medication.
2. Excessive swelling or bruising that worsens instead of getting better.
3. Signs of infection, such as pus, redness, or warmth around the incision.
4. Vision disturbances that persist beyond the expected recovery period.
Conclusion
By the one-month mark, your eyelids should be well on their way to healing, and your final results will become more apparent. The incision lines will continue to fade over time, and any residual swelling should be minimal. Patience is key; allow your body the time it needs to recover fully for the best outcome.
If you’re considering ptosis eye surgery or double eyelid surgery, knowing how to manage the recovery process is just as important as choosing the right surgeon. Dr. Looi is a well-reviewed and trusted oculoplastic surgeon, renowned for her expertise in ptosis and eyelid surgery. For expert advice, personalised care, and professional guidance, get in touch with Ava Eye Clinic to ensure the best experience from consultation to recovery.