Case #2006
Upper Blepharoplasty
36 year old female who was bothered by her heavy eyelid hooding, which gave her eyes a tired and older appearance. Dr. Azadgoli performed a lateral brow lift and upper blepharoplasty to open up her eyes without distorting their natural features.
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Why this approach
The decisions that shaped this surgical plan.
- Brow-lift added to the primary procedure to address a specific finding identified during planning.
Pre-op preparation
What to do before surgery. Specific to this case.
- Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
- Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
- Wedge pillow or recliner for the first 7 nights. Low-sodium, easy-chew meals reduce both swelling and effort in the first few days.
- Day-of transport and an overnight companion (24 hours minimum) are required for discharge.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Cold compresses, head elevated, low-talking the first 72 hours. Most bruising peaks at day 3 and starts to soften by day 5.
- 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
Residual swelling continues to refine. Most patients return to normal social and work life; light cardio begins.
- Week 6
The "back to normal" week for most patients. Final compression schedule transitions to optional.
- Month 3
Tissue settles into final position. Subtle technique details (jawline definition, tip refinement) become visible now.
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.
