Case #2011
Upper Blepharoplasty/Brow Lift
A woman in her 60s had a brow lift and upper blepharoplasty with her facelift, then a transconjunctival lower blepharoplasty with fat transfer. These close views compare her brows and eyelids.
A woman in her 60s had a brow lift and upper blepharoplasty as part of a full facial rejuvenation. She later had a transconjunctival lower blepharoplasty (no external lower-lid incision) with fat transfer to the lower eyelids. These close views compare her brows and eyelids before and after.
Why this approach
The decisions that shaped this surgical plan.
- Combination case planned end-to-end. Each component was sequenced to support — not compete with — the others, and recovery is timed off the longest piece.
Pre-op preparation
What to do before surgery. Specific to this case.
- Discontinue blood thinners (NSAIDs, aspirin, fish oil, vitamin E) two weeks out. Acetaminophen remains safe; the full list is reviewed at pre-op.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- Wedge pillow or recliner for the first 7 nights. Low-sodium, easy-chew meals reduce both swelling and effort in the first few days.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
- Combined procedure: recovery support extended to two weeks of household help when possible. Multiple procedures stack early-phase demand.
- Pre-op medical clearance from the patient's primary physician is required. Cardiology clearance added when indicated by history.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Sleep elevated, gentle cold therapy, and quiet voice for the first 3 days. Bruising peaks midweek; swelling is at its most visible.
- Week 2
Stitches removed, residual bruising fading, social comfort returns. No lifting, no straining, no exercise yet.
- Week 4
The "I look like myself again" milestone for most. Camera comfort returns. Light cardio and yoga added back.
- Week 6
Recovery sequenced around the longest-component procedure. Full clearance may extend to week 8.
- Month 3
Final swelling resolves on the deeper tissue planes. Most aesthetic refinements emerge between months 3 and 6.
- Month 6
Reconstruction or combo result reaches its mature appearance. Any planned refinement step is timed for this window.
Continued care
Recommended aftercare, skincare, and MedSpa services for Upper Blepharoplasty/Brow Lift.
- Cold compresses for the first 48 hours
- Head elevated for sleeping for 1 week
- No strenuous activity or heavy lifting for 2 weeks
- Sutures removed at 5–7 days
- Lubricating drops as directed for temporary dryness
- Gentle eyelid hygiene as directed
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ around the eyes once healed
- LED light therapy weekly for the first 8 weeks
- Lymphatic drainage if swelling persists
- Hold eye-area treatments until fully healed
- Aftercare
Mobility ramp slowed; physical therapy consultation at week 4.
Older patients benefit from a guided return-to-activity plan.
- Aftercare
Recovery plan tracks the longest-recovery procedure; assistance at home is the working assumption for 2 weeks.
Combination procedures stack recovery demand.
- Skincare
Skincare ramp-up: vitamin C and barrier repair at week 3, retinoids reintroduced at week 6.
Active skincare resumes on a healing-friendly ramp after facial surgery.
