- By Admin
- Blepharoplasty
- December 29
Does Blepharoplasty Hurt? A Complete Pain & Recovery Guide
Written from a Plastic Surgeon's Perspective
Introduction
One of the most common concerns patients have before eyelid surgery is simple and honest:
"Doctor, will it hurt?"
Blepharoplasty (eyelid surgery) is actually one of the least painful aesthetic procedures when performed correctly. Most patients are surprised by how comfortable the experience is—both during the procedure and recovery.
This guide explains exactly what you will feel before, during, and after blepharoplasty, so there are no surprises.
What Type of Anesthesia Is Used?
Blepharoplasty is usually done under local anesthesia, sometimes combined with mild sedation.
You remain awake but relaxed, the eyelids are completely numbed, and pain perception is effectively blocked.
Does the Anesthesia Injection Hurt?
During the injection, you may feel a small pinprick or mild burning for a few seconds.
Once the anesthetic takes effect, the eyelids become fully numb. This brief injection is usually the only uncomfortable moment.
What Do Patients Feel During Surgery?
Most patients feel only pressure or mild pulling sensations.
There is no sharp pain, cutting sensation, or discomfort from sutures.
Upper vs Lower Eyelid Surgery Pain
Upper eyelid blepharoplasty causes very minimal discomfort.
Lower eyelid blepharoplasty may cause slightly more swelling and tightness, but true pain is uncommon.
After Surgery – First 48 Hours
Patients may experience tightness, heaviness, mild soreness, watering, dryness, or a gritty sensation.
These symptoms are temporary and well controlled with medication and cold compresses.
Days 3–7: Healing Phase
Swelling and bruising gradually reduce.
Mild itching and light sensitivity may occur.
Severe or worsening pain is not normal.
Why Blepharoplasty Is Usually Not Painful
The eyelid skin is thin, tissue trauma is minimal, blood supply is excellent, and precision techniques reduce inflammation.
When Should Pain Be a Concern?
Contact your surgeon if you notice increasing pain after day three, severe one-sided swelling, vision changes, persistent redness, discharge, or severe headache.
Final Thoughts
Blepharoplasty is not a painful surgery.
Most patients describe the sensation as pressure, not pain.
Discomfort is temporary and manageable, especially when performed by an experienced plastic surgeon.
