What is blepharoplasty and in which cases is it performed?
The area of the eyelids is one of the most important aesthetic units of the face. Time, fatigue, lack of sleep, sun exposure, and prolonged use of electronic devices leave their first signs in this area. For this reason, blepharoplasty is often the first procedure requested to combat aging, frequently even before a full Facelift.
Blepharoplasty aims to correct eyelid laxity and the “bags” under the eyes caused by aging, as well as hereditary, neurological, or other factors.
The procedure is mainly performed for aesthetic reasons; however, in some individuals it is necessary to improve vision problems or other eye-related conditions. The correction may involve the upper eyelids, lower eyelids, or both.
Incisions are made in such a way that they are not visible. It is a procedure that satisfies both patients and the plastic surgeon. The results are often impressive and at the same time predictable.
Basic surgical techniques: how is blepharoplasty performed?
Upper Blepharoplasty
This procedure is usually performed under local anesthesia, allowing cooperation between the patient and the plastic surgeon, and lasts approximately one hour. The incision is made along the natural crease of the upper eyelids, removing excess skin, muscle laxity, and fat. Additionally, with specialized techniques, it is possible to achieve a permanent lift of the outer brow, resulting in a more refreshed appearance and, over time, reducing the need for Botox in the forehead.
In individuals with a degree of ptosis, either due to age-related weakening of the levator muscle or congenital causes, advanced techniques can restore its function, achieving better eye opening and a more rested look.
Patients are discharged on the same day, sutures are removed on the 5th postoperative day, and any swelling or bruising gradually subsides.
Lower Blepharoplasty
Over time, the eyelids lose firmness both at the skin and muscle level. As a result, the fat located behind them protrudes forward, creating the well-known under-eye “bags.” This occurs due to fat displacement rather than an increase in its volume.
In the lower eyelids, the goal is to remove under-eye bags and correct skin laxity and wrinkles. Dark circles are also significantly improved.
An incision is made 1–2 mm below the eyelashes, with a small oblique extension at the outer corner.
In some cases, a lateral canthopexy (tightening of the outer corner of the eye) may also be required.
The procedure is usually performed under local anesthesia or sedation and lasts approximately one hour. The final result becomes visible in about two months and is long-lasting.
Which procedures can blepharoplasty be combined with?
It should be noted that through the incision of the lower blepharoplasty, a Midface Lift can be performed, providing access to an area that cannot be directly corrected even with a traditional facelift. The result is impressive and long-lasting.
Blepharoplasty Before and After
