Blepharoplasty is a functional and cosmetic surgical procedure aimed at correcting the upper or lower eyelid by removing excess stretched skin and strengthening the connective tissue and muscles.
In cases of significant stretching of the upper eyelid skin, it hangs over the eyelashes and causes a decrease in peripheral vision. A significant narrowing of the field of vision causes difficulty in reading and driving. In this case, upper eyelid blepharoplasty is performed to improve peripheral vision. For patients with less pronounced skin stretching, the same blepharoplasty is performed for cosmetic purposes.
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Lower eyelid blepharoplasty is always performed for cosmetic purposes to remove herniated “bags” under the eyes and excess skin. Blepharoplasty is performed using an external incision along the natural line of the eyelid, namely in the fold of the upper eyelid, or the incision runs along the outer edge of the lower eyelid, slightly below the lash line, or from the inner side of the lower eyelid (from the side of the mucous membrane of the eye – this is called transconjunctival blepharoplasty).
Postoperative hematomas and swelling resolve within 1-2 weeks, but the final aesthetic result of blepharoplasty can be assessed one month after the operation. The duration of the operation depends on the technique chosen and the complexity of the clinical case. Usually, such an operation lasts 1-2 hours.
The structure of the patient's skin, their anatomical features, age, and the structure of the bone cavity in which the eyeball is located and the surrounding tissues affect the cosmetic and functional results after blepharoplasty. Factors that can cause complications after surgery:
- Previous dry eyes can cause damage to the mucous membrane of the eyes;
- Excessive stretching of the lower eyelid edge can cause its outer part to be positioned incorrectly;
- Protruding eyes relative to the cheekbones can cause the lower eyelid to be positioned incorrectly.
The average cost of blepharoplasty is about $25,000. Keep in mind that some clinics only list the cost of the surgery and do not include additional expenses such as anesthesia, hospitalization, tests, and dressings. The most qualified blepharoplasty is performed by plastic surgeons, maxillofacial surgeons, and ophthalmologists.
Upper blepharoplasty, which is performed on people of Asian descent, is called Asian eyelid blepharoplasty or oriental eyelid surgery. This is the most popular cosmetic surgery performed on people in East and Southeast Asia. Due to anatomical differences between the structure of European and Asian eyelids, more than half of the Asian population is born without an upper eyelid fold and is referred to as “narrow-eyed.” The surgery is performed to artificially create an upper eyelid fold.
Transconjunctival blepharoplasty is performed to remove fatty tissue in the lower eyelid area through an incision on the inner surface (through the mucous membrane) without an external incision of the skin. That is why transconjunctival blepharoplasty is not intended to remove excess skin. However, this eyelid plastic surgery technique is often combined with chemical peeling or laser rejuvenation of the periorbital skin.
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FAQ
In short, pain is manageable. Severe pain after surgery today is the exception rather than the norm. Modern anesthesia, pain management, and recovery protocols make the first days much easier than most patients expect. Most often, discomfort is felt as pressure or tightness. However, it is important to understand that complete absence of sensation is an unrealistic expectation. My position is clear: if a person is afraid of any discomfort, it is better to postpone surgery. The decision must be conscious and well considered.
No. Rehabilitation is part of the surgery, not a separate stage afterward. It is during the recovery period that the final result is formed, tissues stabilize, and the risk of complications decreases. Without proper rehabilitation, even a technically perfect operation may produce a weak outcome. There are procedures with an easier recovery (for example, “weekend lifts”), but surgery without rehabilitation does not exist.
The final result does not appear immediately. It develops gradually over time. Swelling, tissue firmness, and sensations change step by step. During the first weeks, the result is definitely not final, and this is completely normal. The timeline depends on the treated area, the extent of surgery, and individual characteristics of the body. Plastic surgery does not tolerate haste. A good result takes time.
It depends primarily on the type of work you do, not only on the surgery itself. After some procedures, it is possible to return to work within a few days (for example, after “weekend lifts”), while others require weeks of recovery. It is important to consider not only how you feel, but also the safety of the healing process. Returning to activity earlier than recommended increases the risk of complications. It is better to return later than to deal with the consequences of rushing.
Yes, scars always remain. This is part of the natural healing process. However, their appearance changes over time: they become lighter, softer, and less noticeable. Their location and proper care play a crucial role. Careful planning and patience are essential.
When the risks outweigh the benefits, or when the decision is driven by emotions. I refuse if I see that the body is not ready, expectations are unrealistic, or the person does not understand the recovery process. Refusal is also part of treatment. Safety is more important than any desire.
Yes, and it has a significant impact on the outcome. Honest answers, a list of questions, and a willingness to listen save time and help you make the right decision. A consultation is a diagnosis, not a sales pitch. A good consultation is half the success.
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