Blepharoplasty: What it is, Photos & Cost

Blepharoplasty removes excess skin from the upper and lower eyelids, reducing puffiness and bags for a more rested look.

Blepharoplasty

The eye area is one of the most sensitive parts of the face and often the first to show signs of aging. Over the years, the skin of the eyelids loses its elasticity, leading to sagging, wrinkles, and bags that give a tired look to the eyes.

What is blepharoplasty? Blepharoplasty is a surgical procedure for the aesthetic and functional improvement of the eyelids. It removes excess skin, repositions or removes fat, and tightens tissues, restoring a more rested and youthful appearance. The surgery can be purely aesthetic, aiming to improve appearance, or functional, when the sagging of the eyelids restricts the field of vision and affects daily life.

Upper eyelid blepharoplasty The upper eyelid is often the first area to show signs of aging. Excess skin forms folds that fall over the eyelashes, giving a heavy, tired expression. In some cases, the sagging can be so severe that it affects vision, especially in the peripheral visual field. Upper eyelid blepharoplasty accurately addresses this problem. The incision is made in the natural crease of the eyelid, where the eye closes, making the scar almost invisible after recovery. Excess skin is removed to create a natural and rested look. The result is an eyelid that opens up the gaze and highlights the eyes.

Lower eyelid blepharoplasty Bags under the eyes and dark areas create an appearance of chronic fatigue that is not corrected by sleep. These are due to the protrusion of fat surrounding the eye, as well as the sagging of the skin and tissues in the area. Lower eyelid blepharoplasty intervenes either externally, with a delicate incision precisely below the eyelashes, or through the conjunctiva, when the problem is primarily fat and not excess skin. In the latter case, there is no external scar. Fat is removed or repositioned to fill any hollows, while the skin is tightened where necessary.

How blepharoplasty is performed The process begins with a detailed assessment of your condition. The plastic surgeon evaluates skin quality, the amount of excess skin, fat position, and eyelid structure to design the appropriate approach. The procedure is usually performed under local anesthesia with mild sedation, although in some cases general anesthesia may be preferred. It typically lasts one to two hours, depending on whether both eyelids are treated. Incisions are meticulously planned in the natural creases of the skin to minimize scar visibility. After removing excess skin and redistributing or removing fat, the incisions are closed with fine sutures. In most cases, you can return home the same day.

What is Non-Surgical Blepharoplasty? Non-surgical blepharoplasty is a non-invasive method that uses plasma or laser technology to tighten the skin of the eyelids without incisions or sutures. The procedure creates microscopic dots on the skin's surface, which cause immediate tightening and activate collagen production. It is suitable for mild skin laxity and fine wrinkles, but not for significant excess skin or fat protrusions. Recovery is faster than surgical blepharoplasty, although the results are more subtle and temporary. It offers a good alternative for those seeking improvement without surgery, but it does not replace surgical intervention when the problem is more pronounced.

Blepharoplasty Before and After Photos: What to Expect The difference that blepharoplasty makes is visible but natural. It is not about a dramatic change but a subtle rejuvenation that makes your eyes look more youthful. Heavy eyelids are lifted, bags are eliminated, and the expression becomes more rested.

The results are permanent, although the natural aging process continues. Most individuals enjoy the benefits of the procedure for many years, often for decades. Maintaining a healthy lifestyle, sun protection, and proper skin care help to preserve the results long-term.

Blepharoplasty Complications: What You Need to Know Like any surgical procedure, blepharoplasty carries certain risks that should be considered. Most complications are rare, especially when the procedure is performed by an experienced surgeon in an appropriate environment. Common side effects (temporary): Transient dry eyes: You may feel your eyes drier in the first few weeks, which is easily treated with artificial tears. Sensitivity to light: Eyes are more sensitive to light during the recovery period after blepharoplasty and require protection with sunglasses. Blurred vision from swelling: Swelling can temporarily affect vision, which resolves as the edema subsides. Difficulty closing eyes completely: In the first few days after surgery, there may be tension that restricts eye closure, which gradually improves. Rarer complications: Hematoma: Blood collects in the area and may require monitoring or, in rare cases, drainage. Infection: Treated with antibiotics and is rare when hygiene instructions are followed. Asymmetry: A small difference between the two eyelids that may require a corrective procedure. Scar healing problems: In rare cases, scars may become more prominent or hypertrophic. Ectropion: Outward turning of the lower eyelid, a more serious complication that occurs if too much skin is removed or tissue laxity is not properly addressed. Realistic assessment of your condition and adherence to pre- and post-operative instructions significantly minimize these risks.

Who is an ideal candidate? Blepharoplasty is for individuals who have: Excess skin on the upper eyelids that covers the natural fold Bags and puffiness under the eyes Drooping that affects vision Realistic expectations for the procedure It is not a solution for dark circles under the eyes caused by skin color (hyperpigmentation) or visible blood vessels through thin skin. For these, there are other treatments that can be combined with blepharoplasty for comprehensive results.

Brow ptosis (drooping eyebrows) is an entirely different condition from blepharoptosis (drooping eyelids). For an accurate diagnosis, you should consult a specialized doctor, who will recommend the appropriate treatment.

Conclusion Blepharoplasty is an effective solution for those who want to restore a more rested and youthful look. The results are natural and long-lasting, without changing your features. When the procedure is performed by an experienced surgeon and you properly follow recovery instructions, you can enjoy a significant improvement that lasts for years. If you feel that your eyelids are affecting your appearance or even your vision, book an evaluation appointment at Facemed Clinic.

Does blepharoplasty hurt?

The procedure is performed under anesthesia, so you won't feel pain during it. Afterwards, there might be some discomfort and tightness, which is effectively managed with pain relievers.

How long do the results last?

The results are long-lasting, often 10-15 years or more. Natural aging continues, but your eyelids will remain in better condition than they would have without the surgery.

When will I see the final result?

You will see significant improvement after 2-3 weeks, but the final result appears gradually over 3-6 months, as the swelling fully subsides and scars mature.

Can I combine blepharoplasty with other procedures?

It is often combined with other facial procedures such as a facelift or non-surgical treatments like lasers and fillers for a comprehensive rejuvenation effect.

Will the scars be visible?

Scars are designed to be hidden in the natural creases of the eyelids. Over time, they become almost invisible, especially with proper care during recovery.

Will I be able to drive after blepharoplasty?

Driving is usually permitted after a few days, provided that any discomfort and significant swelling have subsided. We never advise driving immediately after the surgery; therefore, you should arrange for someone to accompany you or make other transportation arrangements to get home.

Will I be able to wear makeup after blepharoplasty?

You can use makeup after the stitches are removed. However, for the initial period, makeup removal should be done carefully, with gentle movements, to avoid injuring the new, delicate skin that has formed.

When can I return to work?

Most people return to office work after 7-10 days. If your job requires physical activity, a longer recovery time is needed.

What is the cost of blepharoplasty?

The cost of upper eyelid blepharoplasty starts from €1500, while lower eyelid blepharoplasty starts from €1800. For combined upper and lower blepharoplasty, the price starts from €2500. The final price may vary, as it is determined after an evaluation appointment with the doctor.