BLEPHAROPLASTY
Blepharoplasty (eyelid surgery) is a delicate plastic surgery procedure aimed at
correcting age-related changes or congenital features of the upper and/or lower eyelids.
This procedure allows for the removal of excess skin, fat pockets ("bags" under the eyes),
wrinkles, and other aesthetic defects in the periorbital area (around the eyes). The result of
blepharoplasty is a more open, youthful, and rested look, harmonizing the overall
appearance and restoring self-confidence. The surgery can be performed as a standalone
procedure or in conjunction with other facial rejuvenation surgeries.
How is the Surgery Performed?
Blepharoplasty is usually performed on an outpatient basis or with a one-night hospital
stay.
1. Anesthesia: The surgery can be performed under local anesthesia with sedation
(you will be relaxed and feel no pain, but will remain conscious) or under general
anesthesia. The choice of anesthesia method is discussed with the surgeon and
anesthesiologist.
2. Marking: Before the surgery, the surgeon makes precise markings on the eyelids
for the future incision lines.
3. Surgical Stage:
◦ Upper Blepharoplasty: The surgeon makes an incision in the natural
crease of the upper eyelid, excises excess skin, and, if necessary, removes
or redistributes fatty tissue.
◦ Lower Blepharoplasty: For the transcutaneous approach, the incision is
made just below the lash line. Excess skin and fat pockets are removed
through it. For the transconjunctival approach, the incision is made on theПРОЦЕДУРЫ / PROCEDURES
inner surface of the eyelid, through which fat pockets are removed (skin is
not excised).
4. Suturing: Incisions are closed with fine cosmetic sutures that minimize scar
visibility. Absorbable or non-absorbable sutures may be used.
5. Completion: Special sterile strips (plasters) and possibly an aseptic dressing are
applied to the suture area. A cooling dressing may be applied to the eyes to reduce
swelling.
The surgery typically lasts from 40 minutes to 2 hours, depending on the extent of the
intervention (e.g., only upper eyelids or circular blepharoplasty).
Frequently Asked Questions (FAQ) about Blepharoplasty
1. Is blepharoplasty painful?
The surgery is performed under anesthesia (local with sedation or general), so you will not
feel pain during the procedure itself. In the first few days after surgery, moderate
discomfort, a feeling of tightness, or fullness in the eyelid area is possible, which is easily
managed with pain medication prescribed by your doctor.
2. Will there be scars after blepharoplasty?
For upper blepharoplasty, the scar is located in the natural eyelid crease and becomes
almost invisible after a few months. For classic lower blepharoplasty, the scar runs just
below the lash line and is also well concealed. Transconjunctival blepharoplasty leaves no
visible skin scars as the access is from the inside of the eyelid. The skill of our surgeons
and the use of modern techniques minimize scar visibility.
3. How long is the recovery, and when will I see the final results?
Major swelling and bruising usually subside within 7-14 days. Most patients return to social
activities and non-strenuous work after 10-14 days. The initial result is noticeable after the
main swelling resolves, but the final eyelid shape and scar condition develop over 2-3
months. The effect of the surgery lasts for many years.
4. What is the best age for blepharoplasty?
Blepharoplasty is performed based on indications, not age. Most commonly, patients aged
35-40 and older opt for the surgery when significant age-related changes appear.
However, if there are congenital features (e.g., droopy eyelids) or early onset of "bags"
under the eyes, the surgery can be performed at a younger age.
5. Can blepharoplasty be combined with other surgeries?
Yes, blepharoplasty is often combined with other facial rejuvenation surgeries such as a
facelift, brow lift, or facial fat grafting. A comprehensive approach allows for a more
pronounced and harmonious rejuvenating result.
6. How long do the results of blepharoplasty last?
The results of blepharoplasty are quite durable and can last from 7-10 years or longer.
However, the aging process continues, and age-related changes may reappear over time.
Proper skin care, a healthy lifestyle, and modern cosmetic procedures can help prolong
the result.
7. Are there risks of complications?
Like any surgical operation, blepharoplasty carries certain risks (e.g., infection, hematoma,
temporary changes in sensation, dry eyes, asymmetry). However, when performed by an
experienced surgeon in a modern clinic and with the patient adhering to all
recommendations, the risk of complications is minimized. All potential risks are discussed
during the consultation.