Blepharoplasty

Around the age of 30-35, people often begin to notice a decrease in skin elasticity. The first sign is usually an increase in excess skin on the upper eyelids.

In older patients, the eyelid skin can droop to the point of obstructing vision. Often, “bags” of excess skin containing fat also form. This fat normally surrounds the eyes but can shift due to reduced skin and connective tissue elasticity.

Blepharoplasty is performed under general anesthesia or local anesthesia, meaning you’ll be asleep and pain-free throughout the procedure.

The scars from blepharoplasty are placed very discreetly in the crease of the upper eyelid and, for the lower eyelid, either just below the lashes or internally via the mucous membrane. These scars are barely visible and almost impossible to detect. Patients can usually go home later the same day after the procedure.

Based on each patient’s unique features, we discuss and explain the different methods available to achieve the best possible result.

The assessment considers the appearance of the eyes, skin quality, the amount of excess skin, and where skin and fat need to be removed. We explain the different techniques and walk you through the procedure. We may also recommend complementing blepharoplasty with a brow or mid-face lift to achieve the most optimal result.

In an upper blepharoplasty, typically only skin and fat near the inner corner of the eye are removed, leaving the muscle intact. This preserves volume and creates a more youthful appearance around the eyes.

In lower blepharoplasty, excess skin and fat are usually removed. If the patient has hollowness under the eyes, the fat can be repositioned to fill this area in a technique called fat transposition. In cases where only fat removal is desired, this can be done from inside the eyelid through a transconjunctival incision.

The procedure is performed under general or local anesthesia, ensuring that you remain pain-free throughout and can return home the same day. During the first few days, you may feel some tightness and pulling around the sutures, but any discomfort can usually be managed with mild pain relievers such as paracetamol. You will be provided with all necessary medications to take home.

A follow-up appointment is usually scheduled one week after surgery with your plastic surgeon at the clinic. Post-surgery, the scars are typically very discreet, often fading nicely into small, thin white lines.

The final result will not be visible immediately. You will experience swelling during the first 72 hours, The final shape will become visible between three to six months after the surgery.

As with any type of surgery, there is always a risk of complications such as infection or bleeding. Occasionally, thicker, more visible scars may develop.