Instructions for an eyelid patient
1. Sleep from your half-seat for the first nights.
2. Apply a greasy cuticle to the wounds for the first week.
3. Use sunglasses outdoors to avoid eye scratching and wound tightening.
4. Treat the scars as long as they are red.
Bleeding and swelling
The anesthetic causes small blood vessels to constrict and act
after cessation, blood vessels may open causing bleeding at the edges of the wound. Usually
is a matter of a few drops of blood and this bleeding is never dangerous.
You can gently apply pressure on the eyelid for a couple of minutes so that you bleed
usually ceases. No exercise during the first 24 hours, may cause blood
leaks from the surgery area.
For the first few hours after surgery, you should sit comfortably in a recliner with a damp towel over your eyes. Keep the towel cool. Do not use any frozen substance as this may cause frostbite of the skin. The supine position may increase bleeding and swelling of the eyelids. It is good if you can sleep the first night in your half-seat to reduce swelling of the eyelids.
When you lie down, your eyelids may swell so that you cannot open your eyes in the morning. The eyelids are less swollen after the second night and after the third night the swelling is almost completely gone. After a couple of days, the bruises you get during surgery will slowly go down under the eyes. The color of the bruises will turn yellow over time. It may take up to a week before they are gone. It is possible to shorten this time by using a latch called Hirudoid to treat bruises – see latches.
There is no knot in the sewing threads. This is to avoid the skin marks they cause. The yarn is a thin nylon yarn. The eyelids are not sewn with a self-melting thread, as these threads are susceptible to an inflammatory reaction, adding scar tissue. You have 4 thread ends in each eyelid and the thread ends are fixed to the skin with a thin tape, ie three small patches on each side. If you remove these patches during the first few days, it is possible that the yarn will go along. Avoid this!
If the patch is rubbed, it is usually possible to remove it on the third or fourth day, but do not try to pull the patch.
The sewing threads should be removed after 5-6 days by an experienced caregiver. Once the yarns have been removed, the skin may show redness and “swelling” which disappears within a few days. The scars can be concealed.
Once the wires are removed, the scar healing process begins. It is very individual how long this process takes, but usually it is a couple of months. At first, the scars are red and slightly raised, then they lighten and lower. Finally, the scars become thin, pale lines that sink into normal skin folds. In order for the healing process to take place as quickly as possible and for the end result to be as good as possible, the scars should be covered with either a thin layer of grease (eg oily skin lip) or silicone. Silicone latch is available for sale on the Internet and in some pharmacies. The name of the latch is Dermatix, Kelo-Cote.
Avoid sunbathing as sunlight can sometimes cause scarring. Occasionally, tiny white dots may appear near the scars after a couple of weeks. These dots are small sebaceous glands whose corridors are closed due to scar tissue. There are hundreds of sebaceous glands in the eyelids that lubricate the eyelid skin through small openings. When the scar tissue is at its maximum, some openings may close, preventing the sebum from escaping. This is visible as a small white dot under the skin. As scar tissue shrinks and scar eruption pales, the sebaceous glands usually open and the points disappear.
Shower and bath
You can shower after the first day if you have a greasy ointment on the wounds. Be careful with the towel! Carefully hold the towel over your eyes or allow the area to air dry. Avoid bathing until 2 days after stitch removal.
Oily Skin Latch: When the surgery is complete, you will have a thin layer of Vaseline on top of the surgical wounds. Petrolatum is used instead of dressing and petrolatum protects wounds. Continuing to lubricate the oily skin lump several times a day keeps your skin soft and protected, and the healing process goes smoothly. The greasy latch also prevents hard scar formation.
This latch speeds up the bruising a little faster, but you need to use this latch. You can buy Hirudoid lips without a prescription at a pharmacy and it costs around 60 kr / 6 €. Avoid getting the latch in your eyes, but if you use the latch gently and lightly lubricate it will usually not be a problem. You can buy Kelo-Cote latch at a Finnish pharmacy without a prescription.