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Eyelid Surgery or Blephroplasty

Eyelid Surgery or Blephroplasty

Eyelid surgery or Blephroplasty is beneficial for men and women who have excess skin, bulging fat deposits or a combination of both giving them a tired and ageing look. Upper and lower eyelid surgery can be performed separately or both together under local or general anaesthetic, and takes between 1 and 2 hours.

Where eyelid surgery is performed under local anaesthetic it is not necessary to stay overnight at the clinic. Normally upper eyelid surgery alone is performed under local anaesthetic with lower eyelid surgery being performed under either local or general depending on the chosen surgical method. After the surgery you are taken every 2–3 days for a free check up to the clinic. Recommended stay in Prague is 6–7 days after the surgery, so the surgeon can remove your stitches on the day of departure.

If you are considering eyelid cosmetic surgery…

Eyelid surgery (also known as eye bag removal or blepharoplasty) is a cosmetic surgery procedure to remove fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision.

However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage.

First of all, we assess your eyesight and tear production, as well as your general state of health. The cosmetic surgeon will then describe the treatment in detail, the anaesthetic used, and advise you as to how to prepare for your operation (for example, it is important to stop smoking at least a week before treatment).

Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift, neck lift or brow lift.

The best candidates for eyelid cosmetic surgery

Blepharoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.



You should come to the operation without make-up. Pharmaceuticals containing acetylsalicylic acid (Acylpirin, Aspirin, and Anopyrin etc.) should not be used for 3 weeks before the surgery, as they decrease clotting time of blood.
If you are a smoker you are advised to stop smoking or at least to cut down on cigarettes. Smoking slows down the recovery process and it can also increase the risk of complications.

Operation – Upper Eyelids Cosmetic Surgery

The operation itself lasts 1 hour, performed under local anaesthetic with a mild sedative. Firstly, incisions are made to the eyelid skin, initially to loosen the excess skin and muscle, then to remove it. The incisions are then closed using very fine sutures; any sign on the surgery tends to disappear within three months, because of the eyelid’s excellent healing capacity. The plastic surgeon uses classical stitches, which need to be removed 6–7 days after the surgery.

Operation – Lower Eyelids Cosmetic Surgery

Our Prague plastic surgeons use two different methods to reduce excess skin and fat pads in the lower eyelids. At your free consultation the plastic surgeon will advise you which method is more suitable in your case.

  1. Firstly there is the traditional surgical method. The incision is made to the skin and muscle just one millimetre underneath the eyelashes. The excess skin is removed and the incision closed with very fine sutures. This incision heals very nicely almost without a trace. The plastic surgeon uses classical stitches, which need to be removed 6–7 days after the surgery.
  2. Secondly there is the transconjunctival method. The incision is made inside the lower eyelids with a laser or radio scalpel and the fat pads are removed plus any excess skin is removed by the surgeon during the process. The greatest benefit of this method is because no stitches are required, then no visible scars remain and it is very suitable for younger clients with little or no excess skin below the eyes. The procedure is performed under general anaesthetic and takes approximately 1 hour, during the surgery the surgeon places metal lenses on your eyes to protect them from the laser.

In order to enhance the results our Prague plastic surgeons might suggest some laser resurfacing of the area below your eyes to remove any tiny wrinkles, if so this will be incorporated at no extra charge provided it is undertaken at the time of the surgery.

The most common operations are performed on the upper or lower eyelid, on both areas together or combined with other facial, body or breast surgery such as breast augmentation, breast implants or breast reduction.

Post-operational course

After the operation, an ophthalmic cream is applied, along with a dressing soaked in a very cold saline solution, to reduce discomfort and inflammation. The principal swelling and bruises will vanish within a week, make-up can be worn 10 days after the surgery, and it is possible to go out with sun glasses on within 4–5 days, the stitches are removed 6–7 days after the operation.
During the first few days after the operation sleeping on the back is recommended so as to prevent the appearance of swelling on one side of the operated lids. It is important to get as much rest as you can, this way your recovery will be faster.
At the recovery apartment after the operation, sterile compresses (squares) with cool boric acid, or, as the case may be, boiled water (after cooling off) should be put on the lids every 3–6 hours. One day before the stitches are removed, the plasters on the lids should be greased with Opthalmo-septonex. They should be removed in the evening, and in the morning the stitches must be thoroughly greased once more. Most patients are able to get back to everyday activities after 10–12 days.

How will I feel after the surgery?

You will probably feel tired and sleepy particularly during the first three days after the surgery. You will be given some painkillers and tablets to reduce the swelling.

To know more about Blepharoplasty from the best plastic and cosmetic surgeons in Los Angeles visit our website www.beverlyhillsphysicians.com

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