Lower Blepharoplasty Recovery: Returning to Work after Lower Eyelid Surgery

Lower Blepharoplasty Recovery: Returning to Work after Lower Eyelid Surgery


Hallo, welcome to our
frequently asked questions, today I’m answering a
frequently asked question about blepharoplasty,
when can I return to work after lower
blepharoplasty or lower eyelid surgery? This is a common question that patients ask me, and
in answering this question, we’ll talk about the
average time of recovery. How long you should
take off work and how your profession
maybe relevant to that. We’ll talk about how
you will look 1 week after the surgery
and what measures you can take in order to
enhance your recovery. To give you the fastest
possible healing and enabling you to go back
to your daily activities as soon as possible. My name is Dr. Julian De Silva
and I’m a London based Facial Cosmetic and
Plastic Surgeon. Blepharoplasty is the
commonest procedure that I complete for my patients and the information
that I’m discussing with you today is information that I share with my
patients on a daily basis. So, first of all, what
is the average time of recovery after
lower blepharoplasty? Well, the average time
that I advise patients to take off is 2 weeks after
lower blepharoplasty. And for most people the
majority of the recovery will happen over the
first 2 weeks and so, that is sufficient
in order to go back to work for most professions. If you work in a
profession where there is a lot of HD
cameras or video footage. Well, then I would
generally recommend a minimum of 6 weeks period
just to allow further swelling and further recovery
to take place. To ensure that those
cameras which hide very little detail will,
you’ll feel comfortable and relax about doing your work
profession in a normal way. So, let’s now look at how well you’ll look
1 week or 2 weeks after the surgery in
terms of your recovery. Well, the 3 main aspects
of recovery are swelling, bruising and any scar. And so, swelling well
generally 80% to 90% of all swelling will go in the
first 2 weeks after surgery. Yes, there’re some exceptions
to this if you have certain medical conditions such
as thyroid eye disease. Well there maybe a little
more additional swelling that will take
longer to resolve. But for the majority
of patients, the most of the
swelling will be gone between the 1st and
2nd week after surgery. The second aspect is bruising and most patients don’t
have a great deal of bruising after
lower blepharoplasty. But this is certainly a
part that its technique dependent and if you need
additional techniques with lower blepharoplasty
such as fat transfer, well, the chance of bruising
is between 10% to 30%. So, a 1/3 of patients
may have bruising and most bruising
is relatively minor and can be covered with
camouflage makeup. But rarely there can
be more bruising and bruising, complete
resolution of bruising, usually occurs by the
end of the second week, but can take as long as
6 weeks in rare cases. However camouflage makeup
can be used before then in order to conceal this. The third aspect is scarring, and this is very much
technique dependent and when I complete
lower blepharoplasty, more than 90% of the time
there’re no visible scars. I use a scarless
technique where the scar is hidden on the
inside of the eyelid which means that even a
week after the surgery there is absolutely
no scar to be seen. However, certainly worldwide, there is still the more
conventional technique that does involve the
scar in the lower eyelid. Any scar that is completed
with lower blepharoplasty will be a little bit pink,
it will be a little bit lumpy bumpy, and
it will a little take some time in order
for that to resolve. Generally most scars heal well, however, no scars
heals instantaneously and it can be several
weeks before that scar is relatively
fine and difficult to see. However again, it can be covered
with some concealer makeup. Let’s move on to what measures
can you take in order to ensure that you have the fastest
possible recovery. Well, first of all
there’re measures that you can take before surgery and so, there’re
certain medicines which include a
prescription medicine such as aspirin, herbal
medicines, such as fish oils. Well, these really can thin
your blood and increase the chances of bruising
and swelling. I give all patients quite
detailed instructions on how to avoid this
for 2 weeks before and after the surgery
in order to ensure you have the fastest
possible recovery. In addition to this,
if you suffer with any medical conditions, for
example high blood pressure, well, it’s very important
that your blood pressure is well controlled
before the surgery. As this will ultimately ensure that you have the fastest
possible recovery and minimize any
chance of bruising. In addition to the
surgical technique is of substantial importance in order to define how
fast your recover will be. And completing lower
blepharoplasty on the inside of the eyelid
called trans-conjunctiva blepharoplasty, well,
this hides the scar and gives you a
much faster recover. This is a technique
that I would prefer for most patients
who come to see me. However, the more
conventional way of doing the surgery
through the skin called trans-cutaneous surgery. But this can give you
a more visible scar and will take a little
longer for this to heal. In addition to this,
well, other measures can be used in order to,
speed up your rate of recovery. This include
meticulous technique in terms of reducing bleeding, the use
of state of the art technology, including electro cautery, including platelet rich
plasma technology. Which uses your own
growth factors to heal the parts of
the eyelid faster. So, you have a faster recovery
from lower blepharoplasty. So, choosing your surgeon, well, I would take
time in, in invest in this in order
to ensure you have the fastest possible recovery. And there’re measures
that you can take such as researching
your surgeon, going for consultations
and discussing various aspects of the surgery in order to ensure you
have the fastest possible recovery after surgery. After the surgery, 2 important
aspects are following your doctor’s instructions
and I give all my patients quite detailed post doctorative
instructions. These are important
because all these are designed to
enhance your healing and speed up your recovery. I find in my patients, patients
who follow these instructions, for example avoiding exercise in
the immediate week after surgery. Well, these patients
heal much faster than patients who take
it in their own hands and do things slightly outside
the instructions advised. In addition to things
like using cold compress the first 3 days after
surgery this will definitely reduce the level of
swelling enhance the recovery from
lower blepharoplasty. So, in summary well, we’ve
talked about what the average recovery time is after
lower blepharoplasty and when you can return to work which is generally 2
weeks after surgery. We’ve talked about
exceptions to that, including certain professions where high definition
cameras are required. We’ve also talked about
how you will look 2 weeks after the surgery, and we’ve
talked about measures that you can take in order
to speed up your recovery and give you the
best possible result from lower blepharoplasty. I hope this information
has been useful for you, thank you for watching.

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