Case #1775 · 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.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin 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.
- Confirm a driver for surgery day and a companion who can stay through the first night.
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
Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.
- Month 3
Tissue settles into final position. Subtle technique details (jawline definition, tip refinement) become visible now.
