Blepharoplasty: eyelid surgery (lower, upper, circular)

Blepharoplasty is a surgical procedure aimed at correcting the shape of the eyes and eliminating age-related changes. Blepharoplasty serves more than just an aesthetic function; it also helps improve vision if the loss of sight is caused by drooping eyelids. The essence of this intervention involves the excision of skin and fat, as well as tightening the muscles around the eyes. Various blepharoplasty methods are designed to address specific eyelid concerns.

Upper blepharoplasty eliminates fatty hernias and makes the gaze more open. Lower blepharoplasty allows for the removal of bags and dark circles under the eyes. Circular (quad) blepharoplasty comprehensively improves the condition of both the upper and lower eyelids. The procedure can also be combined with a facelift.
The periorbital area has very delicate skin. With age, it can become coarser, sag, darken, and lose its elasticity. Blepharoplasty is capable of correcting this situation, visually “rejuvenating” the face and fixing issues related to the eye shape.

Author of the article: Davyd Keyan

There are many types of blepharoplasty: upper or lower eyelid surgery, transconjunctival, laser, or circular (quad) blepharoplasty. The doctor will advise which specific type of eyelid plastic surgery will be most beneficial for you. Everything is highly individual and depends on the condition of the skin and the desired result. The price of blepharoplasty also depends on the technique chosen for the surgery.

Upper Blepharoplasty

Upper blepharoplasty is a classic operation. After patient preparation and anesthesia, the doctor makes an incision in the natural fold of the eye. They excise excess skin and fatty hernias, then apply sutures. Once healed, the scars will be invisible. The procedure itself lasts from 30 to 45 minutes. The discharge time is adjusted depending on the type of anesthesia chosen: local anesthesia with sedation or general anesthesia. The result: an open gaze and the elimination of a tired look, all thanks to the ability to remove the drooping eyelid.

Lower Blepharoplasty

Lower blepharoplasty is recommended for those who have bags under the eyes, puffiness, dark circles, and wrinkles. Once the anesthesia takes effect, the doctor makes an incision just below the lash line or uses a transconjunctival approach to reach the fatty hernias. In the latter case, the eyelid skin is not cut; instead, a small incision is made through the conjunctiva inside the eye. It is often recommended to combine lower blepharoplasty with lipofilling, where the patient’s own fat is evenly redistributed under the eyelids. This results in firmer and smoother skin around the eyes. The surgery lasts 40–60 minutes. The result: a refreshed look and the elimination of signs of fatigue. For both lower and upper eyelid surgery, sutures are typically removed after 3–5 days. If self-absorbable threads are used, this step is skipped.

Circular (Quad) Blepharoplasty

Circular blepharoplasty is a comprehensive approach to eyelid surgery, involving the simultaneous correction of both upper and lower eyelids. Significant age-related changes on both eyelids are the primary indication for this procedure. The operation lasts 1.5–2 hours, which is considerably longer than surgery on a single eyelid. While the price for full eyelid surgery is higher, it has its advantages. The benefits of circular blepharoplasty include a harmonious result where both eyes look perfectly symmetrical, and the patient only needs to go through a single rehabilitation period.

Transconjunctival Blepharoplasty

Transconjunctival blepharoplasty is a minimally invasive technique where the incision is made inside the eyelid. The primary indications for this procedure are fatty hernias without excess skin. This is typically seen in younger patients (under 40) with good skin elasticity. The advantages of transconjunctival blepharoplasty include the absence of external scars and a rapid recovery. However, this method is not suitable for everyone; if the skin is already sagging, a different technique should be chosen.

Laser Blepharoplasty

Laser blepharoplasty is a surgery where a laser is used instead of a scalpel. This is a less traumatic intervention, as the excision of excess skin is more precise. Healing occurs faster compared to classic surgery. Indications for laser blepharoplasty include minor wrinkles and mild skin laxity. A non-surgical version of this method, known as laser resurfacing, is also available. This is a modern technique that affects the upper layer of the eyelids, smoothing the skin texture underneath.

Author of the article: Davyd Keyan

During the first few days after eyelid surgery, swelling, bruising, and discomfort are possible and considered normal. It becomes easier after the sutures are removed (usually in 3–5 days), but full recovery takes more time. Bruising typically subsides in a couple of weeks, and swelling goes away within 2–4 weeks. At this stage, the first results become noticeable. The final effect can be seen after 1–2 months.

Until then, temporary side effects may occur, such as tearing, light sensitivity, and dryness. Follow-up visits to the clinic are required on the 14th and 30th days after the procedure.
During the first week after blepharoplasty, you should not wash your face or apply makeup; it is also advisable to sleep only on your back to prevent further swelling. For the first two weeks, physical exertion should be avoided. Physiotherapy treatments may be recommended to speed up the healing process.

Author of the article: Davyd Keyan

Blepharoplasty is an excellent procedure, but it is important to realistically evaluate the results. Eyelid surgery guarantees the elimination of sagging, bags, and wrinkles. However, it does not remove dark circles or change skin color. To properly assess the result, it is worth taking “before and after” photos — this gives you a clear point of comparison.

Duration of the effect: The results of blepharoplasty typically last 7–10 years. Much depends on individual characteristics and how well the doctor’s recommendations are followed.

The effect of eyelid surgery will last longer if you:

• use only specialized products for eye makeup removal;
• ensure timely hydration and nourishment of the skin using antioxidants;
• always apply SPF cream before going outside to protect against UV rays and prevent photoaging;
• regularly perform exercises for the eye muscles;
• avoid stress and maintain a consistent daily routine;
• consume foods that are beneficial for the skin;
• walk regularly and perform exercises to improve blood circulation;
• quit smoking and limit alcohol consumption.

The psychological impact after blepharoplasty is impressive. Patients feel more confident and satisfied with their appearance. Blepharoplasty in Kyiv is performed by the professional staff at the Med-Deo Center.

Author of the article: Davyd Keyan

Risks and complications in blepharoplasty are rather the exception, but they are possible. Swelling, bruising, and tearing during the postoperative period are normal. However, other symptoms should be a cause for concern:

• severe bleeding;
• infectious inflammation;
• conjunctivitis;
• high fever.

Complications can prolong the recovery process, making the final effect noticeable after six months rather than 1–2 months. Risks also include hypercorrection, under-correction, and asymmetry. Vision impairment or incomplete eyelid closure may occur, necessitating a secondary blepharoplasty. This usually happens if the surgeon lacks the proper qualifications or sufficient practice. Reoperation is also prescribed if inflammatory processes begin, scars form, tissues change structure, or granulomas and cysts develop.

Such complications are rare, but why risk your eyes? It is better to take the choice of a plastic surgeon and a reputable clinic seriously. Blepharoplasty at the cost of your health is not worth it. Eyelid surgery requires a special approach. How much does blepharoplasty cost? Many years of a happy and beautiful life. The price of blepharoplasty depends on the chosen method and the condition of the eyelids. While an eyelid lift won’t stop age-related changes entirely, its effect is long-lasting. Currently, it is one of the safest surgeries available.

Author of the article: Davyd Keyan