EYELID AESTHETICS

BLEPHAROPLASTY

These are procedures performed to solve problems caused by increased fat tissue or excess
skin in the upper and lower eyelids. It can be performed in isolation under local anesthesia or in
combination with other surgeries (rhinoplasty, face lift, septoplasty). It is divided into upper eyelid
and lower eyelid surgeries. The surgeries usually last between 15 minutes and 1 hour and patients
are discharged on the same day.
Patients can start eating 3 hours after the procedure. Very hot and solid foods should not be
consumed after the operation. Prescription medications should be used regularly for at least a week.
After the operation, rest should be taken, crowded places should be avoided, and high blood
pressure should be prevented. In the first weeks after the operation, 2-3 pillows should be used
while sleeping, head elevation, ice should be applied to the face and plenty of fluids should be
consumed. Patients should be checked in clinic conditions on the 3rd and 7th days after the
operation.

Who Is a Good Candidate?

You may be a good candidate for blepharoplasty if you:

• Have droopy or sagging upper eyelids
• Experience puffiness or bags under the eyes
• Have loose skin that creates folds or disturbs the natural contour of the upper eyelid
• Have impaired peripheral vision due to excess skin
• Are in good overall health and do not smoke
• Have realistic expectations about the outcome

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Types of Blepharoplasty

1. Upper Eyelid Surgery

Removes or repositions excess skin and fat from the upper eyelids to:

• Open the eyes more fully
• Reduce the “hooded” look
• Improve vision in severe cases

2. Lower Eyelid Surgery

Targets under-eye bags, sagging, and fine wrinkles by:

• Removing or repositioning fat
• Tightening skin and muscle if needed

3. Double Eyelid Surgery

A popular procedure particularly in East Asian countries, where a visible crease is surgically created in the upper eyelid to form a “double eyelid.”

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The Surgical Procedure

• Anesthesia: Usually performed under local anesthesia with sedation or general anesthesia.
• Duration: Typically takes 45 minutes to 2 hours, depending on the extent and whether both eyelids are being treated.
• Incisions:
  • For upper eyelid: Made along the natural crease to conceal the scar.
  • For lower eyelid: Can be made just below the lash line (transcutaneous) or inside the eyelid (transconjunctival) if no skin removal is needed.
• Closure: Incisions are closed with fine sutures, which are often removed within a week.

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Recovery and Aftercare

• Swelling and bruising peak in the first few days and usually subside within 1–2 weeks.
• Cold compresses and head elevation help reduce swelling.
• Mild discomfort, tightness, or blurred vision are common early symptoms.
• Patients can typically return to work within 7–10 days.
• Full healing and final results may take several weeks to months.

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Risks and Complications

While blepharoplasty is generally safe, potential risks include:

• Infection or bleeding
• Dry or irritated eyes
• Temporary blurred or double vision
• Difficulty closing the eyes completely (rare and often temporary)
• Scarring or asymmetry
• Ectropion (outward turning of the lower lid – rare)

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Benefits and Results

• Smoother, firmer eyelid contours
• A younger, more rested appearance
• Enhanced vision (for functional cases)
• Long-lasting results — upper eyelid blepharoplasty can last 5–10 years or more; lower eyelid results may be lifelong

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Is Blepharoplasty Right for You?

A consultation with Dr Erkoc is the best way to determine if you’re a good candidate. Your surgeon will evaluate your facial anatomy, eyelid condition, vision, and goals before recommending the most suitable approach.

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