Cold Compresses After Blepharoplasty?

In the first 24-48 hours following blepharoplasty surgery, we recommend cold compresses. Our primary concern during this time period is bruising and swelling. We feel that cold causes the small blood vessels in the eyelids to constrict. This potentially minimizes bleeding and swelling and makes patients more comfortable in the early postoperative period. 

After 48 hours, we feel that the impact of cold compresses on bleeding and swelling is minimal. Despite this, many patients continue to use cold compresses because they find them soothing.
   
Swelling and bruising are potentially significant problems in the postoperative period. We therefore utilize cold compresses, elevation of the head, and avoidance of strenuous activities that can increase blood pressure. When these steps are taken, patients have lower complication rates and a more comfortable recovery.