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Eyelid Surgery (Blepharosplasty)

Eyelid Surgery – Blepharoplaty

The area around the eyes plays an important role in the overall impression of the face, performing eyelid surgery is one of the most common plastic surgery procedures. However, an eyelid surgery is often also performed for practical reasons, especially for older people where the eyelid skin can hang so much that it disturbs the eyesight.
Having bags under the lower eyelids can also have a psychological effect where you could be perceived as older and more tired than you feel or really are. Eyelid surgery removes excess skin, muscle and fat tissue in both the upper and lower eyelids, resulting in the loss of bags or heavy eyelids. For younger patients with bags under the eyes, it may sometimes be sufficient to remove only fatty tissue, which is done through an incision on the inside of the eyelid. The operation is simple and the result is a younger and more focused look.

Incisions and technique

At Shape Medical Center we prefer to perform eyelid surgery or blepharoplasty using a CO2 laser. The exact technique will depend on the problem, the excess fat and skin in the eyelid areas, and the position of the eyebrows. In the upper eyelid the incision is hidden within the natural fold and extends to the outside corner of the eye. Excess skin and fat are removed. The incision is performed with laser and there is no bleeding. The lower eyelid fat pockets are removed through an incision placed inside the lower eyelid. There is no need for stitches. If there is a need to remove excess skin and muscle another incision is hidden just below the lower lashes, easily camouflaged by natural creases. The laser may be used to tighten the lower eyelid skin. Operating time is between one to three hours and usually with local anesthesia with sedation or general and on an outpatient basis.


Reading after 2 or 3 days. And possible to be back to work after 7 to 10 days. Wear of contact lenses after two weeks. Exercising after about 3 weeks. Bruising and swelling may take several weeks to disappear, but usually simple to hide with makeup or dark glasses


There is usually no pain, just temporary discomfort, swelling, bruising, itching of the eyes, tearing and sensitivity to light for a few days. Hematoma (accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Temporary blurred or double vision. Bleeding, dry eyes, slight asymmetry in healing or scarring. There might be a temporary difficulty in closing eyes completely (rarely permanent). If there is a pulling down of the lower lids it may require further surgery. Blindness is extremely rare.


Besides the normal preoperative consultation and exams you will be asked to do an eye test. The first evening after surgery, you should rest quietly with your head elevated. You should apply cold compresses to your eyelids to increase comfort. Stitches are usually removed after five to seven days.

Duration of the results

Several years and sometimes permanent.