First impressions are largely determined by eyelids. Overhanging eyelids and bags under the eyes often give an impression of tiredness. Eyelid surgery is intended to remove the excess skin and fatty tissue. The fatty tissue acts as a pad around the eyeball and is normally held in place by a connective membrane.
When there is an excess of fatty tissue (often hereditary) or in the case of an undeveloped membrane, the adipose tissue bulges and causes bags under the eyes.
A blepharoplasty is usually not painful. On the first day you might experience a slight burning sensation on the eyelid.
Recovery time is primarily determined by the bruising around the eyelids. The lesser the bruising, the faster the healing. Swelling and bruising may be limited by avoiding anticoagulants (alcohol consumed within 7 days before surgery also acts as an anticoagulant). To prevent too much swelling, it is recommended to sleep in a semi-seated position and to wear sunglasses. Sutures remain in place for a week and make-up can be used to hide the bruises after 7 days.
After an upper blepharoplasty, an overall sensation of tightness can be felt on the scar, but it is perfectly manageable. For lower eyelids, swelling and an inability to close the eyelid may occur. These are temporary phenomena that can be remedied with a massage or lymphatic drainage. Medication is rarely necessary. The eye may become dry but drops and an ointment can be used.
Artificial tears against dryness of the eye and sunglasses will be prescribed to relieve swelling. It is best not to lean forward or to do heavy work in the early days. The scar can be massaged with cream for a few weeks.