Case #2001
Upper Blepharoplasty
This 46-year-old woman had excess eyelid skin that made it difficult for her to wear makeup and gave her a fatigued appearance. Dr. Azadgoli performed an upper blepharoplasty, precisely excising the excess skin to restore the youthful contour of her eyelids.
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Pre-op preparation
What to do before surgery. Specific to this case.
- Stop NSAIDs, aspirin, and high-dose fish oil two weeks before surgery; the surgical team provides a full medication list at the pre-op visit.
- Nicotine in any form — cigarettes, vapes, patches, gum — paused six weeks before and six weeks after surgery. Nicotine narrows blood vessels and slows wound healing.
- Set up an elevated sleeping arrangement — extra pillows or a wedge — to keep the head above the heart for the first week. Stock soft, low-sodium foods.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
First week is rest, elevation, and ice. Expect the most swelling on day 3, then a steady downhill from day 5 onward.
- Week 2
Visible bruising is mostly resolved by day 10. Sutures out by day 7. Patients return to indoor activities, low-impact only.
- Week 4
Facial contour 70–80 percent settled. Light cardio, yoga, and gentle facial massage cleared by the surgical team.
- Week 6
Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.
- Month 3
Final swelling resolves on the deeper tissue planes. Most aesthetic refinements emerge between months 3 and 6.
Continued care
Recommended aftercare, skincare, and MedSpa services for Upper Blepharoplasty.
- Cold compresses for the first 48 hours
- Head elevated for sleeping for 1 week
- No strenuous activity or heavy lifting for 2 weeks
- Sutures removed at 5–7 days
- Lubricating drops as directed for temporary dryness
- Gentle eyelid hygiene as directed
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ around the eyes once healed
- LED light therapy weekly for the first 8 weeks
- Lymphatic drainage if swelling persists
- Hold eye-area treatments until fully healed
- Skincare
Skincare ramp-up: vitamin C and barrier repair at week 3, retinoids reintroduced at week 6.
Active skincare resumes on a healing-friendly ramp after facial surgery.
