Blepharoplasty - plastic on the eyelids

Blepharoplasty is one of the most common procedures for facial rejuvenation. It significantly helps the eyes to look more relaxed and the face refreshed and youthful.

Candidates for blepharoplasty

The passage of time, stress, late night, even daily exposure to different weather conditions are just some of the factors that can alter our appearance and make us seem constantly suffering.

Aging of the upper and lower eyelids is normally due to a combination of loose skin and the protrusion of fat, as this causes the appearance of eye fatigue and bags

In the upper eyelids aging produces a "hood" on the face of the skin. In the lower eyelid the most common complaint is swelling of the eyes or bags. These problems can be surgically corrected in the eyelid itself by removing or regulating excess skin and fat (blepharoplasty).

Blepharoplasty is the appropriate procedure for all those who:

  • You want your look to look more vibrant and your face rested at all times of the day
  • You have bags under your eyes that make you look constantly distressed and older
  • Due to the relaxation of the upper eyelids, your eyesight becomes difficult and causes a problem in your daily life

In some patients, the main problem may be due to relaxation of the eyebrows with age and not the eyelid itself, in which case it may refer to the forehead lifter. This can usually be done using a "keyhole" technique that leaves no visible marks on the eye or forehead. The need for surgery on the forehead either alone or in combination with blepharoplasty will be discussed with you in your consultation.

Purpose of blepharoplasty

The purpose of blepharoplasty is to provide a natural appearance. You are usually guided by looking at photos of your face when you were younger, to ensure that you still look yourself.

Before the operation

  • It is important to avoid taking aspirin or products containing aspirin for 2 weeks, since aspirin has a negative effect on bruises. The same goes for non-steroidal anti-inflammatory drugs (such as Brufen and Nurofen).
  • If you are a smoker, it is useful to stop for two weeks before surgery and for a week afterwards, so as not to restrict circulation to the skin.

What kind of anesthesia should be used?

Blepharoplasty is usually done under local anesthesia, but can be done under general anesthesia as well.

Upper blepharoplasty

  • In the upper eyelids the incision is performed in a natural folding line, located about 8-10 mm above the eyelashes, in order to correct both excess skin and excess fat.

Thanks to incisions, excess skin and muscle are hidden from the upper eyelids, along with any fat.

The incisions are then closed with very thin stitches that pass under the skin, without leaving external marks.

Lower blepharoplasty

In the lower eyelids, the technique is done in 2 ways. The choice of technique depends very much on the individual circumstance and the needs of the patient.

  1. If the problem is mainly prominent bottom bags, without loose skin, it can become the so-called transconjuctival blepharoplasty. During this procedure the incision is made inside your eyelid, removes the excess fat that is responsible for your bags and leaves no visible scar.
    Alternatively, when in addition to bags there is loose skin the incision is made just below the eyelashes, where it is very well hidden, so that it does not appear. The skin is then lifted up and out and after removing excess fat the skin is s sewed carefully so as not to leave any marks.

After blepharoplasty?

  • Returning home is on the same day
  • Pain is minimal, up to zero
  • There is some mild swelling and bruising that lasts from 3 days to 2 weeks, depending on the case and the patient
  • Cool soothing patches should be placed in your eyes.
  • It is good to rest for the first few days, with your head on 2-3 pillows.
  • During the first week you should avoid touching and bending the gaze downwards, as this tends to increase swelling.
  • After about a week your sutures will be removed and you will be able to wear make-up to hide any bruises.
  • Most patients can return to work after about 7 days, although it will probably take at least 14 days to be ready for a major social event.
  • Intense sports activity should be avoided for 3-4 weeks.
  • It is best to avoid wearing contact lenses for at least two weeks after blepharoplasty and in some people this is best avoided for about a month.


The effect of blepharoplastics


What is certain is that the final results of your blepharoplastics will leave you satisfied, your look will come alive and your face will be re-ezogenic, it will look fresher and younger. However, be aware that the results may not be apparent immediately, it may take up to 6 weeks for the final result. Blepharoplasty will erase the tired appearance of your eyes and benefit self-respect, self-confidence for many more years to come.

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