Case #1774 · Beverly Hills, CA
Blepharoplasty
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This 43-year-old patient from Beverly Hills, CA complained of dark hollows under her eyes that were making her look tired. Dr. Cassileth repositioned fat in the area to give her a more rested look. This is called a lower eyelid transconjunctival blepharoplasty.
Continued care
Recommended aftercare, skincare, and MedSpa services for Blepharoplasty.
- Ice packs for the first 48 hours — 15 minutes on, 15 minutes off, while awake
- Head elevated for sleeping for the first week
- Lubricating eye drops for the first 2 weeks (transient dryness is normal)
- No contact lenses for 1–2 weeks; sunglasses outside for the first month
- Hyperbaric Oxygen Therapy to support healing when recommended
- Petrolatum-based ointment on the incision lines for the first week
- SkinCeuticals C E Ferulic on incisions after week 2
- SPF 50+ on the eyelids and surrounding area for 12 months
- LED light therapy weekly for 4–6 weeks
- Lymphatic drainage to resolve residual bruising
- Skincare
Cosmeceutical actives held until week 3; full program returns by the start of month 2.
Active skincare resumes on a healing-friendly ramp after facial surgery.
Pre-op preparation
What to do before surgery. Specific to this case.
- Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
- Nicotine in any form, cigarettes, vapes, patches, gum, paused six weeks before and six weeks after surgery. Nicotine narrows blood vessels and slows wound healing.
- Set up an elevated sleeping arrangement, extra pillows or a wedge, to keep the head above the heart for the first week. Stock soft, low-sodium foods.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
First week is rest, elevation, and ice. Expect the most swelling on day 3, then a steady downhill from day 5 onward.
- Week 2
Sutures or tape come off around day 7–10. Most patients are camera-ready for everyday life by the end of week 2 (lingering swelling, not bruising).
- Week 4
Facial contour 70–80 percent settled. Light cardio, yoga, and gentle facial massage cleared by the surgical team.
- Week 6
Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.
- Month 3
Final swelling resolves on the deeper tissue planes. Most aesthetic refinements emerge between months 3 and 6.
