By Posted on behalf of John J.W. Lee, MD, FACS
If you’re thinking about eyelid surgery, it’s completely normal to wonder how long the procedure actually takes.
Most patients are pleasantly surprised to learn that eyelid surgery is relatively quick, especially compared to many other cosmetic procedures.
The exact time depends on whether you’re having upper eyelid surgery, lower eyelid surgery, or both eyelids treated at the same time.
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Quick Answer: How Long Does Eyelid Surgery Take?
Eyelid surgery typically takes 30 to 60 minutes for upper eyelids, 45 to 90 minutes for lower eyelids, and about 1.5 to 2 hours when both upper and lower eyelids are done together.
Including preparation and recovery time, most patients spend 2 to 3 hours total at the surgical center.
At a glance:
- Upper eyelids: 30–60 minutes
- Lower eyelids: 45–90 minutes
- Upper + lower eyelids: 1.5–2 hours
How Long Does Upper Eyelid Surgery Take (Blepharoplasty)?
Upper eyelid surgery is usually the shortest eyelid procedure.
Upper eyelid surgery typically takes about 30 to 60 minutes.
This procedure focuses on removing excess skin and, when needed, small amounts of fat or muscle that cause drooping or heaviness.
Because the upper eyelid area is more straightforward anatomically, the surgery can be performed efficiently while still allowing careful attention to detail.
Upper eyelid surgery is often done using local anesthesia, sometimes combined with light sedation to keep you comfortable.
How Long Does Lower Eyelid Surgery Take?
Lower eyelid surgery generally takes a bit longer than upper eyelid surgery.
Lower eyelid surgery usually takes 45 to 90 minutes.
This procedure may involve removing or repositioning fat, tightening skin, or improving under-eye puffiness and bags.
The lower eyelid area often requires more detailed work, which can add to the overall procedure time.
Lower eyelid surgery is commonly performed with local anesthesia and sedation, though general anesthesia may be used in certain cases.
How Long Does Eyelid Surgery Take for Both Eyes?
When both upper and lower eyelids are treated during the same procedure, surgery time increases but is still relatively efficient.
Combined upper and lower eyelid surgery typically takes about 1.5 to 2 hours.
Many patients choose to have both done together to address all concerns at once and avoid going through multiple recovery periods.
Does Anesthesia Affect How Long Eyelid Surgery Takes?
The type of anesthesia doesn’t drastically change the surgery itself, but it can affect the overall timeline.
- Local anesthesia: Often used for upper eyelids and keeps total time shorter
- Local anesthesia with sedation: Common for lower or combined eyelid surgery
- General anesthesia: May add some extra time before and after surgery
Many patients ask how long they are awake during eyelid surgery.
In most cases, patients are awake but relaxed, with little to no memory of the procedure.
How Long Are You at the Surgery Center Total?
While the procedure itself may be under two hours, your total time at the facility includes preparation and post-surgery monitoring.
Most patients spend about 2 to 3 hours total at the surgery center before going home the same day.
Eyelid surgery is typically performed as an outpatient procedure, so an overnight stay is not needed.
Surgery Time vs. Recovery Time: What to Expect
Eyelid surgery is short, but recovery happens over days and weeks.
- First few days: Swelling and bruising are common
- 7–10 days: Many patients return to work and social activities
- Several weeks: Swelling continues to improve
- Final results: Become more noticeable over the next few months
Although the procedure itself is quick, proper healing is essential for the best results.
When Can You Drive, Work, and Exercise After Eyelid Surgery?
Let’s take a look at when you can return to your typical activities:
- Driving: Often within a few days, once vision is clear and you’re off prescription pain medication
- Work: Many patients return within 7–10 days
- Exercise: Light activity may resume after about two weeks, with strenuous exercise delayed longer
Your surgeon will give you personalized guidance based on your procedure and recovery progress.
What Happens on the Day of Eyelid Surgery?
Knowing the timeline can help reduce anxiety.
A typical surgery day includes:
- Arrival and pre-surgery preparation
- The eyelid surgery itself
- A short recovery period for monitoring
- Discharge with post-care instructions
Most patients are able to go home shortly after surgery with a responsible adult.
What Factors Can Affect How Long Eyelid Surgery Takes?
Several factors can influence the length of your procedure, including:
- Whether one or both eyelids are treated
- The amount of excess skin or fat
- Previous eyelid surgery or scarring
- Individual anatomy
- The specific techniques used
An in-person consultation is the best way to get an accurate estimate for your situation.
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When to Talk With a Surgeon About Your Timeline
If you’re planning eyelid surgery around work, travel, or a special event, it’s important to discuss your goals and schedule in advance.
A personalized plan helps ensure safe surgery and natural-looking results.
Dr. John Lee Surgery, located in Margate City, NJ, offers individualized consultations to help patients understand their eyelid surgery timeline from start to finish.
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FAQs: How Long Does Eyelid Surgery Take
Do they put you to sleep during eyelid surgery?
Eyelid surgery is often performed with local anesthesia, sometimes combined with light sedation. This means many patients are awake but relaxed and comfortable. General anesthesia may be used in certain cases, depending on the procedure and patient preference.
How long does it take to look normal after upper eyelid surgery?
Most patients start to look more like themselves within 7 to 10 days as swelling and bruising improve. Minor swelling can last longer, but many people feel comfortable returning to work or social activities after about a week.
How long do you stay in the hospital after eyelid surgery?
Eyelid surgery is typically an outpatient procedure, so you do not stay in the hospital overnight. Most patients go home the same day after a short recovery period at the surgical center.
What can you not do after upper eyelid surgery?
After upper eyelid surgery, you should avoid strenuous exercise, heavy lifting, bending over, and rubbing your eyes for at least a couple of weeks. Your surgeon will give you specific instructions based on your recovery.
What is the fastest way to recover from upper eyelid surgery?
Following your surgeon’s post-operative instructions is the best way to support healing. Using cold compresses, keeping your head elevated, resting your eyes, and avoiding strenuous activity can help reduce swelling and speed recovery.
Can you watch TV after eyelid surgery?
Yes, you can usually watch TV after eyelid surgery, but it’s best to keep screen time limited during the first few days. Taking breaks helps prevent eye strain and dryness while your eyelids heal.
