A major milestone week. Stitches are typically removed around day 5-7, swelling is subsiding, and you're starting to see your new eye contours emerge.
What to Expect This Week
Week 1 brings significant improvements. The dramatic swelling from days 2-3 has reduced considerably, and bruising is beginning to change color (from purple/blue to yellow/green as it fades). You'll likely have a follow-up appointment to have your stitches removed, which is a quick and relatively painless process.
Major Milestone
Getting your stitches removed is a key moment. Most patients are pleasantly surprised at how much better they look once the sutures are out. The incision lines, nestled in the natural eyelid creases, are already beginning to heal beautifully.
Stitch Removal
Stitches are typically removed between days 5-7, depending on your surgeon's protocol. Here's what to expect:
Quick procedure - usually takes just 5-10 minutes
Minimal discomfort - most patients describe it as a gentle tugging sensation, not pain
Immediate relief - many patients feel less tight once the stitches are out
Continue gentle care - the incisions are still healing, so be careful not to rub or pull at the area
After Stitch Removal
You may be given a new eye care routine or scar care instructions
Continue using lubricating drops if your eyes still feel dry
Avoid makeup on the incision lines for a few more days (your surgeon will advise)
You can gently cleanse the area with mild soap and water
Swelling and Bruising Progress
By week 1, you'll notice:
Swelling is reducing - you can now see the shape of your new eyelid contours emerging
Bruising is changing color - from dark purple/blue to lighter shades of yellow, green, or brown
Less puffiness - your eyes are starting to look more natural
Vision clearing - any blurriness from early days should be resolving
Common Symptoms This Week
Itching (Very Common and Normal)
Many patients experience itching around the incision sites this week. This is actually a good sign - it means your body is healing. However:
Do NOT scratch or rub your eyes - this can damage the healing tissue
If itching is intense, use a cold compress for relief
Antihistamine eye drops (ask your surgeon first) may help
Keep your hands clean and resist the urge to touch the area
Other Normal Symptoms
Tightness - your eyelids may feel tight or "pulled," especially when blinking or looking up/down
Dry eyes - continue using lubricating drops as needed
Mild asymmetry - one eye may heal slightly faster than the other; this is normal
Sensitivity to wind and light - wear your sunglasses when outdoors
Residual bruising - particularly around the lower eyelids or cheeks
Activity Guidelines
You Can Now
Resume light daily activities - short walks, light housework
Return to screen time - but take regular breaks to rest your eyes
Shower normally - just avoid getting soap directly in your eyes
Gently cleanse your face - be careful around the incision sites
Sleep on your side - if comfortable, though elevation is still beneficial
Continue to Avoid
Strenuous exercise - no running, gym, heavy lifting
Bending over or straining
Contact lenses - stick to glasses for at least 2 weeks total
Eye makeup - particularly on or near the incision lines
Swimming or hot tubs
Alcohol and smoking
Pro Tip: The 20-20-20 Rule
As you return to screens this week, follow the 20-20-20 rule: Every 20 minutes, look at something 20 feet away for 20 seconds. This helps reduce eye strain and keeps your eyes comfortable during recovery.
Eye Care Routine
Continue lubricating drops - use preservative-free artificial tears as often as needed
Gentle cleansing - use a mild cleanser around the eyes, avoiding harsh rubbing
Cool compresses if needed - can still help with residual swelling
Sunglasses outdoors - protect from UV, wind, and dust
When to Contact Your Surgeon
Most symptoms at this stage are normal, but contact your team if you notice:
Increasing pain, redness, or swelling (should be improving, not worsening)
Signs of infection (pus, fever, warmth spreading beyond the incision)
Vision changes or vision loss
Excessive bleeding or oozing from the incision sites
One eyelid suddenly becoming much more swollen than the other
You're Over the Hump
Week 1 marks a turning point in your recovery. The worst of the swelling and bruising is behind you. From here, improvements happen quickly, and many patients feel confident enough to consider returning to work in the coming week.