Upper and lower blepharoplasty

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What is blepharoplasty?

Blepharoplasty is a cosmetic surgery procedure aimed at rejuvenating the upper and lower eyelids. It involves the correction of imperfections, lesions, and malformations of the eyelids, as well as the modification of the eye area for aesthetic purposes. It is a minimally invasive procedure, which is painlessly performed under local anesthesia.
You may consider blepharoplasty if you have drooping eyelids due to the aging process, muscle problems, or an incomplete field of vision, or are unhappy with the shape of your eyelids when you are experiencing puffiness and visible bags under the eyes or excess skin on the upper eyelid.
Upper eyelid blepharoplasty involves addressing problems such as loose eyelid skin, restoring the muscles responsible for opening the eyes and removing excess fat.

At a glance

The stages of blepharoplasty

Blepharoplasty surgery consists of the following stages:

  • 01

    Anaesthesia

    Before the surgery begins, the doctor will give you medication to make you comfortable during the surgery. The options include intravenous sedation or in some cases general anesthesia, with the doctor advising you on the most suitable option for you. Local anesthesia is applied in the majority of procedures, resulting in an immediate return to daily activities.

  • 02

    Making the incisions

    The surgical incisions are strategically planned by the doctor to hide the resulting scars within the normal structures of the eyelid area. Upper and lower blepharoplasty require different approaches to the strategy of making incisions, which we will discuss below.

  • 03

    Closure of the incisions

    Depending on the case, the eyelid incisions are closed using absorbable sutures, a special skin adhesive or non-absorbable sutures that are usually removed after a week.

    Upper blepharoplasty takes approximately 45 minutes, while lower blepharoplasty takes approximately 60 minutes.

  • 04

    Follow-up of results

    As the swelling (puffiness) and bruising gradually subside during healing, the results of blepharoplasty become more and more apparent. The final result will give a more symmetrical shape and youthful appearance to the eyelid and periorbital area, resulting in a more beautiful and rejuvenated facial appearance.

With age, a decrease in collagen and elastin production can lead to excess or "sagging" eyelid skin, a condition known as blepharoplasty. Fat can also seep into the thin tissue of the upper eyelid due to the weakening of the connective fibers, causing sagging and drooping of the skin.

Blepharochalasis can also result from eyebrow drooping, which requires lifting to correct it. Identifying the cause of eyelid drooping is important for the plastic surgeon to choose the appropriate surgical design. Your surgeon will also evaluate your dry eye, as this may require modifications to the procedure and post-operative care.

The lower eyelids also undergo changes with age. The skin in this area becomes thinner over time and the soft tissues under the eyes descend, creating unsightly bags under the eyes.

During upper blepharoplasty, the plastic surgeon makes an incision along the normal crease of your upper eyelids and will remove excess skin.

The excess skin is removed while fat can be removed or repositioned. The incision usually heals with a thin scar within the crease of your eyelids, which is not visible when the eyes are open, but even when they are closed it is very much indistinguishable.

This procedure helps create a more defined eyelid contour, opens the eyes, and restores a refreshed appearance.

The surgeon creates an incision along your lower lash line or within the pink mucosa (conjunctiva) of your lower eyelid without removing the skin. The fat can be repositioned or partially removed, achieving a smoother and more youthful under-eye area.

Depending on the degree of lower eyelid sagging, additional procedures may be performed on the outer corner of the eye, such as canthoplasty to support the outer corner of the eye (in the canthus) to prevent further sagging, or canthoplasty to reposition the outer corner of the eye when it is in a low enough position.

The combination of blepharoplasty and canthoplasty is a dynamic approach that transforms the appearance of your eyes and improves their overall aesthetics. While blepharoplasty focuses on rejuvenating the eyelids by removing excess skin, fat, and muscle, canthoplasty complements the procedure by addressing issues related to the outer corners of the eyes. Canthoplasty involves tightening or repositioning the lateral canthal tendon to achieve a more youthful and harmonious eye shape. This combined procedure can provide comprehensive results such as improved eyelid contour, improved eye symmetry, and a refreshed overall appearance. Also, with canthoplasty or canthoplasty, we prevent any senile ectropion that may occur even in people who have not undergone lower blepharoplasty.  If you wish to rejuvenate your eyes and achieve a balanced and refreshed appearance, a combination of blepharoplasty and canthoplasty may be the ideal solution for you.

The combination of upper blepharoplasty and brow lift is a powerful duo that can provide remarkable results in rejuvenating the upper face. Upper blepharoplasty focuses on addressing sagging or excess skin on the upper eyelids, removing it to create a more refreshed and youthful appearance. At the same time, brow lift targets the position and shape of the brows, lifting them to a more youthful position and smoothing out forehead wrinkles. By combining these procedures, you can achieve a harmonious rejuvenation of both the eyelids and the brow area, resulting in a more open, alert, and vibrant look. If you wish to restore a more youthful and rejuvenated upper face, the combination of upper blepharoplasty and brow lift is the perfect solution for you.

 The combination of lower blepharoplasty and mid-face lift owes its effectiveness to the fact that it effectively addresses multiple signs of aging on the lower face and rejuvenates your overall appearance. Lower blepharoplasty targets problems such as bags under the eyes, excess skin, and wrinkles in the lower eyelid area. The Mid-Face Lift, on the other hand, focuses on lifting and repositioning loose tissue in the cheek and mid-face area. By combining the two procedures, a complete rejuvenation of both the lower eyelid and mid-face area is achieved. If you want to address multiple signs of aging in the lower face and rejuvenate your appearance, the combination of lower blepharoplasty and midface lift is the perfect choice for you.

Asian eyelid blepharoplasty, also known as double eyelid surgery, is a specialized procedure commonly sought by people of East Asian descent. It involves creating a crease in the upper eyelid to achieve a more defined eyelid crease. Asian eyelid blepharoplasty improves the appearance of the eyes and increases the symmetry of the eyelids without altering the characteristics of the Asian race while offering a wider range of makeup options. A more extensive approach can be applied to individuals who are seeking to change the characteristics of the Asian eyelid, such as epicanthus, and create an eyelid crease to create a Caucasian eyelid.

Dr. Ioannis Dalianoudis is deeply knowledgeable about Asian blepharoplasty due to his experience in clinics abroad.

Recovery

Recovery from blepharoplasty usually involves minimal pain. The surgeon will prescribe eye drops or ointments with antibiotics to aid healing and prevent infection. On the first day, the doctor will recommend the use of ice packs immediately after the surgery. For the first few days, make sure that when you sleep you keep your head elevated to minimize swelling.

Non-absorbable stitches are usually removed 5-7 days after surgery and bruising usually resolves within 2 weeks. You can return to office work after a week or sooner. Driving is usually allowed 5 days after surgery. Physical activity can be done gradually 2-4 weeks after surgery. Wearing sunglasses may help hide the swelling.

Eyelid surgery results before and after

The results of blepharoplasty are natural and long-lasting, as the procedure removes the excess skin and fat that create a tired appearance and neutral eye expression. See some examples.

  • BEFORE
    AFTER
  • BEFORE
    AFTER
  • BEFORE
    AFTER
Photographs Face
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The cost

The cost of surgical blepharoplasty is usually around €1,000 per area. However, the cost can vary if the surgery is combined with other treatments such as canthoplasty, canthoplasty, or brow lift (I don’t know what to write here – I’ll leave it to you).

Useful questions

01

What is bloodless PlexR blepharoplasty?

PlexR non-surgical blepharoplasty is a non-invasive procedure used primarily for people who are unwilling or unfit to undergo surgery.

Plexr is a plasma light (plasma light) generator to sublimates the skin without causing damage to the underlying or adjacent tissues. The plasma formed by the device stimulates direct contraction and tightening of the skin fibers around the eye.

This method achieves a slight sublimation of excess skin at the loose points and a visible tightening of the skin on the upper or lower eyelid. A similar procedure can also be achieved with the Plexer device.

A topical anesthetic cream is applied before the procedure to minimize discomfort during the treatment.

A typical session usually lasts between 20 and 30 minutes and results are visible immediately after the session and improve over the next 2 to 4 weeks.

The disadvantage of Plexr treatment is that depending on the patient's case, 1 to 3 sessions may be required to obtain optimal results. Unlike the long-term results of blepharoplasty, those of the Plexr method last only 1-2 years.

In addition, Plexr is only indicated for minor relaxation problems generally at younger ages, while it has no place in more intense blepharoplasty. Also in cases of periorbital fat and lower eyelid bags, Plexr has practically no place, as it only acts on the skin and not on the deeper layers where the fat is located.

02

How long do the results of blepharoplasty last?

The results of blepharoplasty can be long-lasting (over 10 years), giving you a more youthful and refreshed appearance. However, it is important to understand that the natural aging process will continue and factors such as sun exposure and lifestyle choices can affect the longevity of the results. By maintaining a healthy lifestyle, protecting your skin from sun damage, and following a proper skincare routine, you can prolong the longevity of your eyelid surgery results.

03

Is blepharoplasty a painful procedure?

During blepharoplasty, anesthesia is used to ensure a comfortable experience. Although there may be some discomfort and tightness during the recovery phase, the overall procedure is usually well tolerated and any pain is managed with prescription medication.

04

How long is the recovery period?

The recovery period can vary from patient to patient, but most patients can expect the swelling and bruising to subside within 1 to 2 weeks. Full recovery, including resolution of any residual bruising, may take several weeks.

05

Will blepharoplasty leave noticeable scarring?

The incisions made during blepharoplasty are strategically placed within the natural folds of the eyelids or in inconspicuous areas. Over time, the scars usually fade and become less noticeable, blending in with the surrounding skin.

Are the results of blepharoplasty permanent?

While blepharoplasty can provide long-lasting results, it does not stop the aging process. The natural aging of the skin and underlying tissues can cause some changes over time. However, by adopting a healthy lifestyle and practicing good skin care, you can enjoy the benefits of blepharoplasty for many years to come.

06

Are the results of blepharoplasty permanent?

While blepharoplasty can provide long-lasting results, it does not stop the aging process. The natural aging of the skin and underlying tissues can cause some changes over time. However, by adopting a healthy lifestyle and good skin care, you can enjoy the benefits of blepharoplasty for many years.

07

Who should not have blepharoplasty?

Those with chronic dry eyes, hypertension, circulatory disorders, thyroid disorders, diabetes, or heart disease are not ideal candidates for eyelid surgery. People suffering from glaucoma are advised to talk to their doctor before considering surgery to find out if the surgery is safe for them.

08

Up to what age can I have blepharoplasty?

While some patients may opt for surgery in their 40s, others may need it a few decades later. Fortunately, there is no age limit for blepharoplasty. As long as the patient is in good health, they can undergo the procedure even when they are in their 80s. However, certain medical conditions may not allow for the surgery and it is important to discuss any underlying medical problems with your doctor before deciding to proceed with blepharoplasty surgery.

The doctor

Who is the doctor

Dr. Ioannis Dalianoudis is an experienced plastic surgeon, a graduate of the University of Ioannina with a professional career that includes work in several countries, including France, Denmark and Ireland. Specializing in plastic, reconstructive and cosmetic surgery, he trained in Germany in facial cosmetic surgery. He has performed a variety of procedures including eye surgery, facelift, rhinoplasty, bariatric surgery recovery and body contouring. In addition, he is a member of the "European Board of Plastic Surgery (EBOPRAS)" and is dedicated to patient satisfaction, making him a trusted choice for plastic surgery seekers. His dedication to patient satisfaction, his expertise and his vast experience in the Greek and international arena make him a reliable choice for those looking for plastic surgery.

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