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In our previous blog about Eyelid Surgery in India, we covered almost everything related to Eyelid, or some people say Blepharoplasty surgery.

Here we’ll be covering Frequently asked question (FAQ’s) when it comes to undergoing Eyelid surgery.

Let’s dig in.


Q: How long does an eyelid surgery take to heal?


A: An eyelid surgery takes several weeks to heal completely. But patients can start their normal life after 10 days of recovery. The surgical stitches from the operated eye are removed within a week of surgery but patients are advised to take complete rest for the first week. The objective of rest is to avoid exertion that increases blood flow towards the eyes and increase recovery time. Patients experience redness and swelling in the operated area of the eye but the complications subside with time.


Q: Can blepharoplasty be done under local anesthesia?


A: Yes, blepharoplasty surgery can be performed with a local anesthesia with or without sedation. It is called twilight anesthesia where a patient remains conscious but sedated. A mild dose of general anesthesia is applied to achieve a twilight state. It reduces bleeding/bruising in addition to making the affected area numb. When performed without sedation, the patients feel like stinging during injection and fat trimming.


Q: Is blepharoplasty dangerous?


A: No surgical process is risk-free and blepharoplasty is no exception to this rule. But it isn’t life-threatening. The biggest risk with eyelid operation is the loss of vision but it is extremely rare. Most risks with eyelift surgery like the inability to close eyes and dry eye syndrome are minor in nature and many of them subside with time.


Q: Does eyelid surgery make eyes bigger?


Blepharoplasty isn’t reshaping of eyes but refreshing the eyes. Hence it is difficult to say how much an eyelid operation affects the size of eyes. But you should stay hopeful of getting bigger eyes after surgery.


Here are the major benefits of blepharoplasty:


  • Restores youthfulness by removing excess fat from
  • Improves vision as a result of eye refreshment
  • Corrects drooping brow
  • Eliminates dark circles
  • Removes under-eye bags
  • Clears eyes of lines and wrinkles

Q: Can eyelid surgery change vision?


A: Successful blepharoplasty improves vision by removing excess skin from around the eyes. If the upper eyelid is droopy due to excess fat, it won’t open properly and would impair the vision. The surgery would trim the fat and allow the eye to open properly giving clear vision. But if the upper eyelid isn’t functioning due to weak muscles, the surgery won’t have much effect on the functioning of the eyelid and vision in the long run. The surgery could also result in loss of vision due to a serious complication of bleeding. But this condition affects only 1 in 30,000 surgeries.


Q: What is chemosis after blepharoplasty?


A: Chemosis is a post-operative medical condition of eyes. It affects the conjunctiva that lines the inner side of eyelids. It is a result of dry eye syndrome that is one of the risks of blepharoplasty. Dry eye causes the inner lining of an eyelid to swell and billow out exposing it to dust and sunlight. The swelled conjunctiva looks like a jelly and it obstructs eye function in many ways like half-closure of eyes and teary eyes.

Chemosis occurs more with lower blepharoplasty and it affects only 5-10% of patients. But it is rare with blepharoplasty. Most of the time, chemosis settles on its own but in severe conditions, it can take months to reside. The simplest approach to manage chemosis is treating dry eye syndrome. The affected area is closed to prevent exposure and artificial tears are used to cure the dry eye problem.

Recent inventions and technological advancements in blepharoplasty have made eyelid surgeries safer. Also, capable surgeons can deliver excellent results without causing much pain and suffering to the patients.


Q: When is blepharoplasty medically necessary?


A: If you are suffering from ptosis then you must get blepharoplasty. Ptosis is a medical condition of dropping of upper eyelids due to excess fat and weak eyelid muscles. The ptosis can impact your vision drastically making it difficult for you to drive, read and see properly. Blepharoplasty is the only treatment available for ptosis.

Other medical conditions that require blepharoplasty are:

  • Puffiness
  • Under eye bags
  • Deep furrows under eyes
  • Brown furrow lines
  • Downturned eyes


Q: How long blepharoplasty scars take to disappear?


A: Scarring is a common risk of all surgical procedures including plastic surgery and blepharoplasty. But surgeons can make sure that the scarring remains to its minimum and the healing process remains smooth. But the healing time of scars depend on many factors including age and skin condition of a patient.

The scar healing process in blepharoplasty starts after removal of stitches after 2-3 days of surgery and a young and healthy patient needs only a couple of weeks to get rid of scars. In plastic surgery, scars take much time in healing as the injury happens to dermis that is the deep skin under the epidermis.

Factors that affect scar healing process:

  • Smoking increases healing time
  • A healthy diet rich in iron, zinc and vitamin C can help in scar healing
  • Older people have less collagen in their skin hence the skin response to scars become slow
  • Obesity could increase the healing time
  • Chronic illness like diabetes slows down the healing process
  • Direct exposure to sunshine isn’t good for scars
  • Doing rigorous exercises could bring the scars under undue tension that would only aggravate the matter

The best thing you can do to increase your scar healing is to listen to your surgeon and follow his advice in letter and spirit.


Q: How long after blepharoplasty can I wear contacts?


A: Post blepharoplasty, you need waiting for a couple of weeks to wear your contacts. Most surgeons prescribe three-week resting time to wear contact lenses. But you should wear contacts only when you have completely recovered from the surgery and it could take more than three weeks. Some patients are allowed to go to work wearing contacts even after ten days of surgery but it depends on the overall response of the patient to surgery.


Q: Can blepharoplasty be done twice?


A: Yes, blepharoplasty can be done twice, if the medical conditions that led to the first surgery emerge. Plastic surgery doesn’t stop aging and nor does it stop the degradation of skin due to external factors. Its role is to roll back the clock for some time like a decade or more. But it is only a surgeon that can check the possibility of a corrective blepharoplasty after examining your overall health.


Q: How long does upper blepharoplasty last?


Blepharoplasty gives temporary relief from certain eye conditions like drooping eyelid but a repeat surgery can’t be ruled out after a couple of years or a decade depending on the physical health of a patient.