Ptosis Surgery: Recovery Timeline & Tips
Ptosis occurs when one or both upper eyelids droop and their edges fall towards or above the pupil. It can range from subtle drooping to severe cases that partially obstruct or block the field of vision. Fortunately, this condition can be effectively corrected through ptosis surgery, which involves lifting the eyelid, and in some cases, removing excess skin to help rejuvenate the area and improve function.
If you are considering ptosis surgery, this guide provides information to help patients know what to expect at each stage of recovery.
Ptosis Surgery Recovery Timeline
The healing timeline after ptosis surgery varies for each individual, but full recovery typically takes approximately 3 months to complete. The post-op recovery progresses through various stages, each requiring specific care instructions to ensure better outcomes and a more comfortable experience.
Immediate Post-Surgery
Immediately after surgery, patients may experience several postoperative side effects, such as:
- Slight to moderate swelling and bruising
- Sore or tight eyelids
- Temporary blurred vision
- Increased light sensitivity
- Watery, itchy, or dry eyelids
- Temporary eyelid asymmetry
These reactions are normal and typically improve as the swelling subsides and healing progresses.
Several measures can be taken to facilitate recovery during the initial stage, including:
- Cold Compress – For the first three days, patients must apply a cold compress to the affected area for 10–15 minutes to help minimise swelling and soothe discomfort.
- Eye Protection – An eye shield or bandage may be recommended, particularly while sleeping, to protect the surgical site and reduce swelling.
- Head Elevation – Keep your head elevated using pillows during sleep to lessen blood flow to the area and further minimise swelling.
- Avoid Eye Strain – Limit screen time for the first few days to prevent eye strain.
- Maintain Hygiene – Use a damp cloth or cotton swab to clean the eyelids and surrounding area. Additionally, keep water, soap, or other irritants from entering your eyes when showering or washing your hair.
- Follow-up Appointments – Attend all scheduled follow-up appointments with your doctor to monitor healing and address any concerns, such as suture check or removal.
One Week After Surgery
At the one-week mark following ptosis surgery, patients may still experience some residual swelling and bruising, although these effects will be less noticeable than they were initially. Sutures will then be removed between 4–7 days after surgery, either in the clinic or they may dissolve naturally on their own.
Once the sutures are removed, patients must clean the surgical site as advised by their doctor, typically several times a day. Most patients may be able to return to work or carry out light daily activities, but it is advisable to stay away from vigorous exercise, which may strain the eyes or affect areas with incisions.
Remember these postoperative tips a week after your surgery:
- Focus on Resting – Getting enough sleep helps with the body’s healing process and overall well-being.
- Comply with Prescribed Medications – Apply antibiotic ointments and lubricating eye drops as directed to prevent infection and dryness.
- Avoid Irritants – It is best to avoid wearing contact lenses or applying eye makeup and facial cream for about two weeks to reduce swelling or infection in the sensitive post-surgical area.
Several Weeks After Surgery
As weeks progress, significant improvements in swelling and bruising are often observed. Patients can gradually reintroduce normal activities and exercise with caution, approximately three weeks post-surgery. Check with your doctor about when it is safe to resume activities like driving or strenuous exercise, as this can vary based on individual recovery. Although vision may stabilise, it would be better to refrain from wearing contact lenses to prevent irritation.
During the fourth and fifth weeks, patients may notice further improvements in the appearance of their upper eyelids. To ensure optimal healing, maintain the doctor's prescribed care regimen and attend any scheduled follow-up visits.
Long-Term Results and Expectations
Individuals can expect to see initial results within one to two weeks after ptosis surgery. The final results, however, will become apparent only after three to six months, when all post-surgical swelling has completely subsided.
Ptosis surgery delivers long-term results, though several factors such as natural ageing, skin elasticity, and overall health may still affect the upper eyelids over time. A good skincare routine, sun protection, and regular follow-up appointments will likely make a significant difference in maintaining surgical outcomes.
What if I Notice Unusual Symptoms?
Seek medical attention if you experience any of the following:
- Severe pain or prolonged swelling in the eyelid area
- Signs of infection (e.g., redness, pus, fever)
- Excessive bleeding
- Persistent dry or itchy eyes
- A sudden change in vision
- Loss of eyelid movement
These symptoms may signal surgical complications that require immediate medical intervention.
Will I Need Revision Surgery?
In some cases, a ptosis revision surgery may be necessary to correct these problems:
- Prolonged Asymmetry – There may be noticeable differences in eyelid height or contour after healing.
- Under/Overcorrection – The eyelid was lifted too high, causing difficulty closing the eye, or the surgery did not lift the eyelid enough, leaving it droopy or asymmetrical.
- Poor Crease Formation or Irregular Contour – Certain problems with the eyelid’s shape or fold may occur post-surgery.
- Scarring – Scar tissue from the initial surgery can affect eyelid movement.
- Visual Problems – Difficulty closing the eyes, excessive tearing, or other post-surgery issues can impact vision or comfort.
If you have concerns or would like to learn more about ptosis surgery, please reach out to us today for a personal consultation. Every recovery journey is unique. By staying patient, following your doctor’s instructions, and attending follow-ups, you can help ensure the best outcome from your ptosis surgery.
Our experienced oculoplastic surgeon in Singapore, Dr Elaine Chee, will guide you from your preoperative consultation to recovery, making you feel supported throughout your journey. Contact us today to schedule an appointment.
References and Other Helpful Links
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Stabilisation of Eyelid Height After Aponeurotic Ptosis Repair
https://www.sciencedirect.com/science/article/pii/S0161642099901100 -
Upper Lid Ptosis Surgery: What Is the Optimal Interval for the Postoperative Review?
https://pmc.ncbi.nlm.nih.gov/articles/PMC5898869/