Lower and Upper Eyelid Surgery

At Spirit Plastika Clinic, eyelid surgery is a key procedure for achieving a younger and fresher appearance. The procedure primarily involves the removal of excess skin and fat from the upper and lower eyelids, significantly reducing visible signs of aging such as puffiness, bags, and sagging skin. Through precise and minimally invasive techniques performed by our experienced surgeons, eyelid surgery not only improves aesthetics but also enhances the functional aspects of the eyes, including correcting vision impairments.
Why is Eyelid Surgery Important?
Eyelid surgery is not only beneficial for rejuvenating the area around the eyes but is also recommended for those who suffer from vision problems due to sagging upper eyelids. Removing excess upper eyelid skin can improve the quality of the surrounding skin and the field of vision, facilitating daily activities and makeup application. Treatment of the lower eyelids can eliminate unwanted bags and wrinkles, which are primary indicators of tired, aging looks.
When is Eyelid Surgery Recommended?
Eyelid surgery is advised for those who appear tired or older due to sagging skin around the eyes or fat bags under the eyes. This cosmetic surgical procedure is particularly effective in the following cases:
- Vision Impairment: When the skin of the upper eyelid sags to the extent that it physically impedes vision, affecting the quality of daily life and posing safety risks, such as while driving.
- Makeup Application Difficulties: For many women, sagging eyelid skin complicates the application of makeup, particularly even application of eyeshadow and eyeliner.
- Signs of Aging: Eyelid surgery is an ideal solution for those looking to reduce aging signs around the eyes. The procedure removes excess skin and fat, smoothing and rejuvenating the eyelid contours.
- Appearance of Chronic Fatigue: Sagging and puffiness under the lower eyelids can create a permanently tired and exhausted look. Eyelid surgery can remove these bags, giving the under-eye area a fresh, vibrant appearance.
- Part of a Comprehensive Facial Refresh: Eyelid surgery is often performed in conjunction with other facial rejuvenation procedures, such as facelifts or Botox treatments, allowing for a harmonious youthful refresh of the entire face.

Sagging Eyelid
A sagging eyelid is a common cosmetic and functional issue related to the decreased elasticity of the skin around the eyes. Characteristically, the skin of the upper eyelid droops, potentially even obscuring the field of vision, while sagging of the lower eyelid can lead to the formation of bags.
Causes of Sagging Eyelids
- Aging: As one ages, the production of collagen and elastin fibers under the skin diminishes, leading to decreased skin elasticity and firmness. This is particularly visible on the thin and less connective tissue-rich eyelid skin.
- Genetic Predisposition: Some individuals are genetically predisposed to early skin aging and sagging eyelids. These individuals may notice changes at a younger age.
- Environmental Factors: Excessive exposure to sunlight, smoking, and lack of sleep can all contribute to premature skin aging and sagging eyelids.
- Chronic Stress and Fatigue: Daily stress and inadequate rest can deteriorate skin health, accelerating the aging process.
- Physical Injuries and Illnesses: Injuries to the eyelid or certain inflammatory diseases, such as thyroid disorders, can also contribute to eyelid sagging
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Types of Eyelid Surgery
Eyelid surgery, or blepharoplasty, is a plastic surgery procedure for the aesthetic correction of the eyelids, divided into two main types: upper and lower eyelid surgery. Both procedures aim to restore the youthful appearance of the eye area while improving functionality and aesthetic harmony.
- Upper Eyelid Surgery: Often necessary due to aging, genetic predisposition, or environmental factors, upper eyelid surgery involves removing excess skin and fat, restoring the tight contours of the eyelid. The incision is made within the natural fold of the eyelid, making the scar minimally visible. The duration of the procedure typically ranges from 45 minutes to 1.5 hours, depending on the complexity of the required correction.
- Lower Eyelid Surgery: Primarily addresses under-eye puffiness, bags, and fine wrinkles. During the procedure, the surgeon makes a discreet incision either below the eyelashes or inside the eyelid, allowing access to and removal of problematic fat deposits and sagging skin. The procedure may also involve tightening the skin and correcting muscle tissue. Microstructural fat transfer is another option, filling in sunken areas under the eyes and smoothing the transition between the eyelid and the cheek.
- Combined Eyelid Surgery: Performing both upper and lower eyelid surgeries together allows for a comprehensive rejuvenation, achieving the best aesthetic results. When performed together, the surgery may take longer, but recovery and final results are synchronized, allowing for a quicker enjoyment of a youthful appearance.
Each eyelid surgery is tailored to individual needs and the extent of correction required. During the consultation, the plastic surgeon will provide detailed information about the chosen procedures, expected results, and potential risks.
Process of Eyelid Surgery
The process of eyelid surgery involves careful planning, precise surgical intervention, and consideration of the patient’s personal needs. The goal is to restore the natural contours of the skin around the eyes, eliminating drooping skin and bagginess, thereby returning the eyes to their youthful and alert appearance. Here is a step-by-step guide on how eyelid surgery is conducted:
Initial Consultation
The process begins with a thorough personal consultation where the plastic surgeon examines the eye area, discusses the patient’s expectations, and informs about the potential surgical techniques. At this point, the expected results are also presented, often with the aid of before-and-after photos of previous patients.
Pre-Surgical Preparation
Before any surgical intervention, a full medical examination of the patient is necessary, including lab tests. Patients receive lifestyle advice, such as temporarily quitting smoking and maintaining proper hydration. These measures help minimize surgical risks and maximize the efficiency of the healing process.
Eyelid Surgery Procedure
During eyelid surgery, the surgeon performs the procedure under local anesthesia, allowing for patient comfort and participation during the surgery. General anesthesia is also available if required.
- Upper Eyelid Surgery: The surgeon makes the incision in the crease above the eyelid, effectively hiding the scar. By removing excess skin and fat deposits, the surgeon restores the eyelid’s tight contour, rejuvenating the eye area.
- Lower Eyelid Surgery: For lower eyelid surgery, the surgeon makes an incision just below the lashes or inside the eyelid to access and remove swollen fat pads and sagging skin.
Post-Surgery Care
Post-operative care is crucial for quick and effective healing. Immediately following eyelid surgery, care includes icing and elevating the head during sleep to help minimize swelling and bruising. These measures reduce discomfort and facilitate wound healing. The patient must keep the surgical area clean and follow specific instructions to prevent inflammation.
Suture Removal
Sutures are typically removed one week after the surgery. This quick and generally painless procedure is part of the surgical process.
Recovery Period
Most patients are able to return to their normal daily activities within 7-10 days post-surgery, but the full healing period varies. It is recommended to avoid strenuous physical activity for at least four weeks to maximize the healing process and minimize complications.
Follow-up and Further Examinations
Post-eyelid surgery, several follow-up examinations are necessary, during which the plastic surgeon checks the healing of the wound, the extent of swelling and bruising, and the condition of the scars. These checks ensure the healing process progresses smoothly.
Results
The results of eyelid surgery can be long-lasting, with proper skin care and a healthy lifestyle allowing patients to enjoy a youthful appearance for 10-15 years. Following the surgery, the surgeon closely monitors the healing process and may recommend additional post-operative treatments if necessary.
Eyelid Surgery Costs
The cost of eyelid surgery depends on several factors, including the type of surgery (upper, lower, or combined eyelid surgery), the complexity of the procedure, the materials and techniques used, and the plastic surgeon’s professional experience. Since each patient’s needs are unique, and treatment plans are personalized, pricing can vary.
Don’t let the appearance of your eyelids affect your confidence or hinder your activities. Take control and make the first step towards a fresher, younger look. Book an appointment for a consultation online, or call us directly at +36 1 445 0108. We look forward to helping you achieve your desired appearance!