Rest is advised initially, and you should sleep with 2 or 3 pillows initially so your head is elevated - this will help the swelling resolve. Most people are ready to go out and return to work after 7-10 days. Strenuous activity should be avoided for at least 4-weeks.
Contact lenses should be avoided for 2 weeks after surgery, as these will dry the eyes out. Reading, television and computer usage may also dry out the eyes, so should be kept to a minimum. Make-up on the upper eyelids or eyelashes should not be used until at least 2-weeks after the surgery.
The most important complication to be aware of is bleeding post-operatively. Small amounts of bleeding may be stopped with pressure on the eyelid. Rarely you may need to return to the operating theatre. The most serious, but fortunately extremely rare, complication relates to bleeding that occurs behind the eyeball. This is a surgical emergency, which requires certain medicines and an urgent return to the operating theatre - if not attended to as an emergency, it may rarely lead to blindness (the risk of this complication has fortunately been estimated to be as rare as 1 in 40,000).
Scars can occasionally take a while to settle down, and may benefit from regular massaging post-operatively. Infection occurs infrequently, as do small whiteheads around the scar, which can be usually be removed in the outpatient clinic.
Other complications that are reported include too much skin being removed, resulting in difficulty in closing the eye after the surgery – fortunately this is rare.
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