Eyelid surgery (Blepharoplasty)

Ageing of human body causes loose and excess skin of the eyelids. Drooping lids develop and in many cases excess skin can interfere with one´s vision. It is not only an aesthetic but also a functional problem. Eyelid surgery offers you a solution.

What is eyelid surgery (blepharoplasty)?

Eyelid surgery is an operation to remove excess fat and so called fat bugs of upper and lower eyelids. Above all, the operation corrects droopy upper lids and bugs under eyes – features that make you look older and tired. If there are only fat bugs in lower eyelids and it is not necessary to remove excess skin, the operation can be done from the inner – conjunctival side of the lid. This is called the transconjunctival version of the operation.

If you have droopy or buggy lids, medical specialists recommend to undergo the operation as soon as possible. The results are then much better and last longer. Most often, the operation is done for clients older than 35 years of age, but in some cases, it can be done earlier, mostly because of genetic predisposition of the client. In case of younger clients, operation of lower eyelids is done mostly from the inner – conjunctival side of the eye.

Eyelid surgery can improve your look, but do not expect other people to treat you differently. It is therefore important to reconsider what you expect from the treatment. Eyelid surgery can be done together with face-lift or browlift.

How is the eyelid surgery done?

Before the operation

First consultation with the surgeon is very important. It is necessary to speak openly about the ground for operation and consult weather it is desirable to operate all four eyelids or just upper or just lower. The surgeon is going to explain you all the operational procedure and the process of anesthesia. Do not be afraid to ask anything, especially if you have any doubts.

Avoid to use medications as Acylpiryn, Aspirin, Alnagon or Mironal before the operation, because they can increase bleeding during and after surgery.

The operation can be done only if the patient´s general state of health is good. Your surgeon will define the extent of pre-operational examinations.

While making preparations, be sure to arrange for someone to drive you home after your surgery and help you out for a few days, if needed.


This operation is usually performed under local anesthesia. However, the surgeon or patient may prefer to use general anesthesia. In case of general anesthesia, you will be required not to eat, drink and smoke for about six hours before the operation. If local anesthesia is used, the patient leaves home after the surgery, general anesthesia requires the patient to stay for necessary time in hospital.

The surgery

Blepharoplasty usually takes approximately one hour. The incision of the upper lids is made on a place to allow the scar to be hidden in eye´s natural folds. The incision of the lower lid is made approximately 2 mm under the eyelashes along the edge of the eye. On the base of prior measurement and layout, excess skin and partly fat bags are removed during the treatment. Then the cut is closed with precise stitches. After the operation, the eyes may be covered with pads and slight elastic compression. According to your needs, the surgery is done on the upper and lower lids simultaneously or separately and can be combined with other plastic surgeries of the face.

After eyelid surgery

Before you go home, you will be instructed in detail about necessary care and respectively receive some painkillers. It is recommended to keep your head higher than the body while sleeping. For at least a week, you should avoid physical activities which raise your blood pressure. It is undesirable after the operation. During the first days after the surgery, the lids will be swollen and small bruises may occur, especially in the area of lower lids. Eyes may be more sensitive to light with excessive lacrimation. That´s why it is recommended to wear sunglasses. Most people are able read and perform usual activities within few days.

The stitches will be removed at the latest ten days after surgery, depending on the way of suturing. Most swelling disappears during first days after surgery, if you carefully apply the compresses. Most clients return to work after seven or ten days.

What results can you expect?

The scars, which are delicate and discrete, may be slightly pink during first weeks. Later, they fade out and become almost invisible. Surgery of upper lids is repeated mostly not sooner then after seven or ten years, in most cases there is no need to repeat surgery of lower lids.