Blepharoplasty
Eyelid Correction
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About this procedure
Removal of excess skin and fat tissues on the upper or lower eyelids. It revitalizes the tired, old look.
Who is it for?
Suitable
- People with upper eyelid drooping and enough excess skin to create a hooded appearance, resulting in a tired look
- Patients with under-eye fat pockets (bags) or fine wrinkles in the lower eyelid area who are unhappy with the puffy appearance under the eyes
- People whose upper eyelid skin descends far enough to obstruct the field of vision and who also experience a functional vision problem (assessed separately in this case)
- Candidates whose general health is suitable for surgery and whose conditions such as dry eye or thyroid disease are under control
- Patients with realistic expectations of the outcome — wanting the eyes to look more refreshed and rested, without aiming to fully change the shape of the eye
- Non-smokers, or those willing to quit before surgery, who will follow the doctor's recommendations during recovery
May not be suitable
- People with uncontrolled active eye conditions (glaucoma, severe dry eye syndrome, thyroid eye disease/Graves' ophthalmopathy)
- Patients with a bleeding disorder or who cannot stop blood-thinning medications before surgery
- Candidates with suspected body dysmorphic disorder or unrealistic expectations from a very small change
- People whose complaint mainly stems from brow drooping (brow ptosis) and who actually need a brow lift — a separate assessment is needed in this case
- Patients who recently (typically within the last 6 months) had another eye surgery in the same area and whose tissues have not yet stabilized
- People with uncontrolled chronic illnesses (uncompensated diabetes, severe cardiovascular disease)
Suitability is confirmed only at a doctor's examination. Results are individual.
The process step by step
- 1
Initial consultation and eye examination(30-40 minutes)
The plastic surgeon listens to the patient's complaints, and the skin elasticity, fat tissue, and muscle condition of the eyelids are evaluated. Vision function and dry eye status are also checked.
- 2
Additional examination and documentation(1 day)
An ophthalmologist consultation is obtained if needed, and a visual field test may be performed. Blood tests and a general health assessment are carried out.
- 3
Surgical planning(1 session)
It is decided whether the upper, lower, or both eyelids will be treated together, and incision lines are marked along the eyelid's natural creases.
- 4
Anesthesia(15-20 minutes)
Local anesthesia with light sedation is usually administered; in some cases, depending on the patient's preference and the scope of the surgery, general anesthesia may also be used.
- 5
Surgery(45 minutes - 2 hours (depending on one or all four eyelids))
A small incision is made along the eyelid's natural crease, excess skin and fat tissue are removed, and muscle support is applied if needed. The incision is closed with fine sutures.
- 6
Initial recovery and observation(2-4 hours)
The patient can be discharged home the same day after a short period of observation. A cold compress and eye drop regimen are prescribed.
Recovery process
Swelling around the eyes, blue-purple discoloration, and a mild feeling of tightness are most pronounced during this period. Watery eyes and light sensitivity are normal.
Restriction: Reducing screen time (phone, computer), keeping the head elevated, and avoiding pressure on the eyes are recommended.
Sutures are usually removed on day 5-7. Swelling gradually subsides, blue-purple discoloration begins to lighten, and it becomes possible to cover it with makeup.
Restriction: Wearing contact lenses, aggressive eye rubbing, and direct sun exposure are not recommended during this period.
Most of the visible swelling and discoloration resolves, and most patients return to daily life and their work routine. Any sense of asymmetry between the eyes gradually decreases.
Restriction: Avoiding heavy physical activity and vigorous eye rubbing, and using sunglasses, is recommended.
Fine swelling fully resolves, incision lines fade, and blend into the natural creases. The final shape becomes clearer during this period.
Restriction: No special restrictions; daily life is fully normal.
Risks and transparency
Every surgical procedure carries risks. Transparency is the basis of trust for us.
- Swelling and blue-purple discoloration — seen in nearly every patient, gradually fades
- Temporary dry eye or a heavy eyelid sensation (usually lasts a few weeks to months)
- Temporary change in sensation or a feeling that the eyelid does not fully close (rare, self-resolving)
- Risk of bleeding or infection (rare, but present in any surgical operation)
- Possibility of asymmetry or deviation from the expected aesthetic result
- Very rarely, a change in vision — this is explained in detail during the consultation
- How long the incision line remains visible can vary depending on skin type
What does the price depend on?
- Whether the upper, lower, or both eyelids are included in the surgery
- Type of anesthesia (local sedation or general)
- Whether muscle support or additional procedures (Botox, filler) are combined
- Clinic equipment and observation conditions
- Surgeon's experience
- Whether the surgery is primary or revision
Frequently asked questions
How much does blepharoplasty cost, and what does the price depend on?
The price varies depending on whether the upper, lower, or both eyelids are treated, the type of anesthesia, and the clinic. An exact price can only be given after an in-person consultation and examination — you can book a free consultation for this.
Is blepharoplasty painful?
Since the operation is performed under local anesthesia and sedation, no pain is felt during the procedure. In the following days there may be mild tightness and discomfort, which is easily managed with prescribed pain medication.
When can I return to work after the operation?
Most patients can return to work within 7-10 days, especially after the sutures are removed. For work involving heavy screen use, waiting a few extra days is recommended.
From what age can blepharoplasty be performed?
It is generally recommended after age 30-40, when wrinkling or excess fat tissue develops in the eyelid skin, though genetic factors can make it necessary at an earlier age. The decision is based on an individual examination.
How long-lasting is the result?
Since the removed skin and fat tissue do not return, the result lasts for a long time. However, as the natural aging process continues, the area around the eyes may gradually change over the years.
Are there any visible scars after the operation?
Since incisions are made along the eyelid's natural creases, the scar becomes nearly invisible over time. A line that appears reddish in the first weeks gradually fades.
What is the best season for blepharoplasty?
Medically, a specific season is not a requirement; the operation is performed safely year-round. Some patients prefer the autumn-winter months to cover the swelling period with sunglasses.
What is the difference between upper and lower blepharoplasty?
Upper blepharoplasty targets sagging eyelid skin and excess that obstructs the field of vision. Lower blepharoplasty corrects under-eye bags and fine wrinkles. In many patients, both can be combined in the same session.
Can blepharoplasty be combined with Botox or filler?
Yes, in some patients Botox for fine lines around the brow or filler for the cheek area can be added at the same time or afterward. This is assessed individually during consultation.
Is dry eye normal after the operation?
Yes, temporary dry eye is fairly common during the first weeks to months. Moisturizing eye drops and the doctor's recommendations gradually reduce this sensation.
Can contact lens wearers have blepharoplasty?
Yes, but using glasses instead of lenses for the first few weeks after surgery is recommended so that the eyelid tissue can heal comfortably.
Get an exact price and plan for Blepharoplasty
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2 certified specialists perform this procedure
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