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The history of blepharoplasty dates back to the 10th century. Nowadays, this procedure is one of the most frequent procedures in aesthetic facial surgery.

The main objective of this surgery is to remove the slack or sagging skin, a change that is commonly caused by aging, but may occur at any age. Sagging upper eyelids are usually only a cosmetic problem, but in some cases they may also restrict the patient’s peripheral vision. A typical accompanying problem is excessive adipose tissue in the area of the eyelids. The most frequent problem with the lower eyelids is excessive adipose tissue that causes swelling and gives the face a tired look.

Eyelid corrective surgery is usually performed on patients aged 35 and older.

Course of surgery and recovery

Upper eyelid correction involves removal of excess skin, part of the orbicular muscle and fatty tissue with an incision that is hidden in the lid fold, so that the scar will be visible only in the outer corner of the eye. In case of lower eyelid correction, the incision is hidden close to the lower eyelashes, excess fat and skin and a part of the muscle are removed. As a rule, this surgery is performed under local anaesthesia and lasts 1–3 hours.

The patient is allowed to go home 2–4 hours after the operation. During the first 24 hours, it is advisable to use ice bags to cool down the operated area and reduce swelling. Sunglasses should be worn to protect eyes for the first few days after the surgery. The sutures are removed 5–7 days after the procedure. Usually, swelling and hematomas disappear within 2 weeks; a prolonged minimal or moderate swelling (for even up to 6 weeks) occurs less frequently. After 2–3 weeks, the patient may resume his or her usual physical activity.

Results and risks

The final result of the surgery will be visible in 6 months. The result is usually long-term and lasts for up to 10 years.

Blepharoplasty-related serious complications are rare. Possible complications include hematomas (collection of blood within the subcutaneous tissue), wound infection, and reactions to anaesthetics. Temporary blurring of vision and dryness and sensitivity of eyes is possible, which may also require treatment. Temporary sensitivity of the eyelid skin and eyelid function disorders are also possible side effects.

Operations are performed by plastic and reconstructive surgeon Dr. Mart Eller.