Eyelid surgery

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 of skin and also 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, normally inherited, or in the case of an undeveloped membrane, the adipose tissue bulges and causes bags under the eyes. Swelling is then sometimes visible to the median area at the level of the upper eyelid.

In Practice:

Pain: A blepharoplasty is not usually painful. On the first day there might be a burning sensation on the eyelid.
Convalescence: 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 ceasing 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-sitting 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.
Risks: For an upper blepharoplasty, a tightening sensation 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 ointment can be used.
Post-operative care: Artificial tears against dryness of the eye and sunglasses will be prescribed against swelling. You will not be able to lean forward or to do heavy work in the early days. The scar can be massaged with cream for a few weeks.