Stage 4 of 8

Week 1 Post-Operative

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.