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Minor bruising and swelling excluded."},"contraindications":["Active eye infection or inflammation","Uncontrolled hypertension or other uncontrolled systemic disease","Bleeding disorders or inability to manage anticoagulation safely","Unmanaged severe dry eye","Pregnancy (elective surgery usually deferred)","Active smoking (relative; impairs healing)","Untreated thyroid eye disease or unstable ocular disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usually discharged the same day after observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise once surgeon permits."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and scars mature; may take longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Flying is usually fine after the day 5-7 check and suture removal; marked swelling may mean waiting 2 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":1,"max":3,"unit":"days","qualifier":"Early check of swelling and wound healing."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":7,"unit":"days","qualifier":"Only if non-absorbable skin sutures were used (transcutaneous approach)."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Assessment of healing and eyelid position."}}],"indications":["Lower eyelid bags from herniated fat","Excess lower eyelid skin","Mild lower eyelid laxity (selected cases)"],"main_risks":["Bruising, swelling and temporary dryness or irritation","Infection","Hematoma, including rare retrobulbar bleeding with risk to vision","Asymmetry or contour irregularity","Eyelid retraction or ectropion","Dry eye","Visible scarring","Temporary blurred or double vision","Need for revision"],"pain":"Mild to moderate discomfort, tightness and swelling, usually controlled with simple analgesics.","preparation":["Surgeon consultation and eye and eyelid assessment","Medical history and medication review with surgeon guidance","Stop smoking in advance as advised","Arrange transport home and help for first days","Fasting per anesthesia instructions if sedation is used"],"recovery_timeline":[{"phase":"First 48 hours","description":"Swelling, bruising and tightness; cold compresses and head elevation.","restrictions":["No heavy activity","Avoid bending and straining"]},{"phase":"Days 3-14","description":"Bruising and swelling gradually decrease; sutures removed if used.","restrictions":["Avoid contact lenses and eye makeup initially","No strenuous exercise"]},{"phase":"Weeks 2-6","description":"Return to most activities; residual swelling fades.","restrictions":["Avoid intense exercise until cleared"]},{"phase":"Months 3-6","description":"Final contour and scar maturation.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Daily activities resume once sutures are out and swelling settles. 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