Eyelid Aesthetic Surgery (Blepharoplasty)

Eyelid aesthetics, or blepharoplasty, is one of the most requested facial cosmetic procedures today, and for good reason. As we age, the skin around the eyes sags, fat pads become more prominent, and the overall appearance can look tired or aged. For some, this is purely an aesthetic concern; however, excessive sagging of the upper eyelid can sometimes advance to the point of affecting the field of vision.

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Eyelid Aesthetic Surgery (Blepharoplasty)

Blepharoplasty provides both an aesthetic and functional solution, restoring a youthful, refreshed appearance and, in some cases, improving visual comfort.

What Is Blepharoplasty?

Blepharoplasty is a surgical procedure targeting the upper and/or lower eyelids. Its purpose is to remove or reposition excess skin, fat, and sometimes muscle tissue that cause sagging, puffiness, or under-eye bags.

There are two main types:

Upper Eyelid Blepharoplasty
This procedure targets loose or sagging skin on the upper eyelid. It:

Improves appearance
Opens up the eye area
Helps achieve clearer vision if sagging skin obstructs the visual field

Lower Eyelid Blepharoplasty
This procedure focuses on:

Under-eye bags or puffiness
Wrinkled or sagging lower eyelid skin
A tired or aged appearance

Depending on the technique used, the fat in the area can be completely removed or repositioned to create a smoother contour.

Who Is Blepharoplasty Suitable For?

Blepharoplasty is generally preferred by:

Individuals over 35 showing signs of aging around the eyes
Those with genetically low eyelids or under-eye bags
Individuals experiencing vision issues due to heavy upper eyelids
Those seeking a refreshed and youthful appearance

Candidates should be in good overall health and have realistic expectations.

Blefaroplasti Ameliyatı Nasıl Yapılır?

The procedure is usually performed under local anesthesia, sometimes with mild sedation. General anesthesia may be used when both upper and lower eyelids are treated together.

Surgical Techniques:

Upper Eyelid Surgery
A small incision is made along the natural crease of the upper eyelid. Through this incision:

Excess skin
Fat pads
Occasionally a small amount of muscle tissue is removed or reshaped

The incision is carefully closed, and any scarring is hidden within the eyelid crease.

Lower Eyelid Surgery
There are two main approaches:

Transcutaneous (just below the lash line): Allows removal of skin and fat
Transconjunctival (from the inner eyelid): Leaves no external scar; typically used to remove or reposition fat without cutting the skin

How Long Does Blepharoplasty Take?

Duration of Blepharoplasty

Upper or lower blepharoplasty alone: 30–60 minutes

Upper and lower combination: 2–3 hours

The procedure is usually performed on an outpatient basis, allowing patients to go home the same day.

Recovery Process

First 3 days: Swelling and bruising are at their peak. Cold compresses and keeping the head elevated are helpful.

1st week: Most swelling and bruising subside. Non-dissolvable stitches are typically removed between days 5–7.

2–3 weeks: Visible healing continues. Makeup can be applied, and scars start to fade.

1 month and beyond: Final results become noticeable — eyes appear more refreshed, youthful, and vibrant.

Are Scars Visible?
In most cases, scars are hidden within the natural eyelid crease (upper eyelid) or inside the eyelid (lower eyelid, transconjunctival method). Over time, scars fade further and become nearly imperceptible.

How Long Do the Results Last?
Blepharoplasty results generally last 10–15 years or longer. While the natural aging process continues, most patients maintain a youthful appearance for many years.