Blepharoplasty
Minimize Age. Maximize Beauty.
What is Blepharoplasty ?
Blepharoplasty is a type of surgery that removes excess skin from the eyelids. With age, eyelids stretch, and the muscles supporting them weaken. As a result, excess skin and fat can gather above and below your eyelids. This can cause sagging eyebrows, droopy upper lids and bags under the eyes.
Blepharoplasty might be an option for:
- Baggy or droopy upper eyelids
- Excess skin of the upper eyelids that partially blocks peripheral vision
- Excess skin on the lower eyelids
- Bags under the eyes
Blepharoplasty is a surgery performed to remove heavy, sagging skin and bulging fat that can make you look older and more tired than you actually are. Aesthetic benefits of this procedure can take years off the appearance of the eyes. This surgery is usually done for cosmetic reasons. It’s also an effective way to improve sight in older people whose sagging upper eyelids get in the way of their vision.
The eye is an important component of facial aesthetics, and blepharoplasty can play a vital positive role in facial harmony and the perception of aging. Blepharoplasty is one of the most commonly performed facial cosmetic procedures. Symptoms such as tired-looking eyes, excess skin, droopy eyelids, or circles around the eyes may benefit from blepharoplasty. It can also be combined with other facial and skin rejuvenation procedures such as brow or mid-face lift, lasers or chemical skin resurfacing.
Blepharoplasty can be done to rejuvenate the upper eyelids, the lower eyelids, or both.
Stay in hospital
1 day
Surgery duration
1 to 2 hours
Anesthesia
Local
Price list
We accept payments in Armenian Dram
Procedure types
Upper Eyelid Surgery (Upper Blepharoplasty)
Upper Eyelid Surgery (Upper Blepharoplasty)
An Upper Eyelid Lift or Upper Blepharoplasty is a specialist eyelid surgery procedure that removes the folds of loose skin and bulges of protruding fat which sit over the upper eyelids, to produce a less-tired and more youthful appearance.
As a result of the downward pull of gravity and loss of elasticity in the skin, the skin and muscles around the eye weaken and stretch resulting in an accumulation of loose skin and protrusion of fat resulting in “eye-bags” or a hooded appearance of the upper eyelid skin. This trait may run in families and may be accelerated by the effects of smoking, sun-exposure and weight-loss.
Lower Eyelid Surgery (Upper Blepharoplasty)
Lower lid blepharoplasty is one of the most complex procedures performed by plastic surgeons. Here we provide a comprehensive and systematic approach to the lower eyelid, which is critical for lower lid blepharoplasty success.
The commonly perceived aging changes in the lower eyelid are a natural consequence of the anatomic attachments and age-related changes in the periorbital tissues. A variety of techniques have evolved to address cosmetic concerns in the lower eyelid including subtractive blepharoplasty techniques, elevation of ptotic eyelid and midface tissues, and the injection or implantation of autogenous or alloplastic materials to diminish lower eyelid “bags.” Greater anatomic understanding of the pathogenesis of aging changes in the lower eyelid has led to more anatomically conservative and appropriate cosmetic surgical treatments. The decline in purely subtractive surgical techniques in blepharoplasty surgery and the advent of fat repositioning and other volume enhancement techniques has improved surgical outcomes.
Lower Eyelid Surgery (Upper Blepharoplasty)
What to expect
If you are considering blepharoplasty by HEG surgeons, we recommend taking several steps to prepare for the procedure. Since blepharoplasty is a surgical procedure, it is important to ensure that you are in good health before undergoing the surgery. This may include meeting with your surgeon for a consultation prior to the procedure and preparing for your recovery and aftercare.
During your consultation, our surgeon will conduct a thorough examination around your eyes and discuss your surgical options with you. It is important to bring a complete and updated list of your medications, vitamins, and supplements to this appointment. Our surgeon may advise you to avoid certain medications and supplements before the surgery to reduce the risk of excessive bleeding.
Depending on your health and the type of anesthesia you will be receiving, you may need a medical clearance from your primary care physician or cardiologist in order to proceed with the surgery and to stop certain medications.
The day before the surgery, make sure you know which medications you should or should not take, and if you need to fast on the day of the surgery. Double check your surgery time and ensure that you have a ride to the hospital. It is also important to get a good night’s rest before the procedure.
To reduce the risk of bleeding, you should avoid aspirin, anti-inflammatory drugs, and herbal supplements. Additionally, it is important to arrange for someone to drive you home after the surgery and to stay with you for the first night of your recovery. At our hospital, we prioritize the safety and well-being of our patients, and we are committed to providing high-quality care throughout the blepharoplasty process.
Eyelid surgery is typically an outpatient, same-day procedure. If you’re undergoing a bilateral upper lid blepharoplasty, you can expect the surgery to take approximately 30 minutes, with a total time of 1 to 2 hours at the surgery center.
When you arrive at the hospital, you’ll check in at the front desk and then be taken back to be prepped for surgery. One of our nurses will review your medical and surgical history, medications, and allergies. Your surgeon will confirm the planned procedure and mark your eyelids. The nurse will also schedule your first follow-up appointment and provide you with post-operative instructions.
During the surgery, your surgeon will measure and mark your eyelids to ensure the correct amount of tissue removal, then inject local anesthesia into the eyelid skin. Although the local anesthesia may cause a temporary burning sensation, you shouldn’t feel any pain during the surgery. However, if you do experience any discomfort, please inform your surgeon so that you can receive more anesthesia.
For upper eyelids, your surgeon will remove the excess skin and possibly fat once the eyelids are numb. The skin incision will be closed with sutures, and antibiotic ointment will be applied. For lower eyelids, the incision will be made either through the skin under your eyelash line (subciliary) or through the back surface of your eyelid (transconjunctival) after numbing. The fat pockets will be accessed, opened, and either removed or repositioned. The lower lids will also be tightened laterally to help prevent the lower lids from pulling downward (eyelid retraction), which can be an unwanted consequence after lower eyelid surgery. You’ll have stitches on the sides of the lids, and antibiotic ointment and pressure pads will be applied to help with the swelling.
Once the surgery is complete, you’ll be taken to the recovery area and given cold compresses to apply to your lids, as well as drinks and snacks. Our nurse will review the post-operative instructions and the details of your first follow-up appointment with you again before discharge. Your vision may be blurry due to the ointment and swelling. It’s essential to rest and ice the area as much as possible, keeping your head elevated on the first day after the surgery.
After your surgery is complete, you will be taken to the recovery area where our medical staff will provide you with cold compresses to apply to your lids. Our trained nurse will review the post-operative instructions with you and provide details of your first follow-up appointment prior to discharge. It’s common to experience blurred vision due to swelling. We recommend that you rest, and ice the area as much as possible while keeping your head elevated on the first day after surgery. Typically, patients may have mild bruising or swelling around the eyes for 10 to 14 days. HEG surgeons may recommend avoiding the use of makeup for 2 to 3 weeks, and glasses can be worn immediately. However, patients may be instructed to avoid contact lenses for a few weeks, depending on HEG surgeon’s preference.
Complications of blepharoplasty are rare. The primary issue to consider is the removal of too much upper eyelid skin, which can cause difficulty closing the eye and may lead to chronic dry eye issues and a risk of injury to the cornea. For this reason, our surgeons recommend conservative skin excision. Other complications include ptosis of the eyelid (due to injury of the levator muscles), asymmetry of the eyelids, or blindness, which is exceedingly rare. Our medical staff will monitor you closely during and after the surgery to ensure that any complications are identified and treated promptly.
Doctors
Frequently asked questions
HEG skilled surgeons will evaluate your individual needs and determine if you are a good candidate for blepharoplasty. However, some indications that you may be a candidate include:
- Your upper eyelids sag and hang over your eyes
- You have wrinkles or excess skin in the lower eyelids
- You have bags under your eyes
- You have droopy lower eyelids
- The excess skin in the upper eyelid impairs your vision
HEG experienced surgeons make incisions that are carefully hidden in the natural folds of the eyelids, on the inside of the lower lid, or just under the lower lash line. After they heal, these incisions are usually undetectable.
The recovery time ranges from one to four weeks. During this time, you may experience some swelling and bruising but very little discomfort. To minimize swelling, we recommend using cold compresses and keeping your head elevated. Sutures are typically removed within one week, and makeup can be applied after that.
You should notice an improvement in the area around the eyes immediately following the surgery. However, the final results may take up to four weeks to fully manifest once the swelling has subsided. Many patients are able to return to work after a week.
Your vision may be blurry following the surgery due to cornea swelling and the use of eye lubricants that we provide. However, your vision should recover completely within a few days.
The results of eyelid surgery are long-lasting. However, over time, the skin elasticity and the facial muscles of the eyes will continue to change in response to the environment, sunlight, and the aging process. As more time passes, the brow could drop or descend enough to cause excess skin to reappear on the upper eyelid. In this case, a brow lift rather than a second eyelid surgery may be necessary.
You can work from home by computer or phone the day after your blepharoplasty. The sutures will come out in one week, and there can be swelling and bruising around the eyes. You can wear eyeglasses to hide the sutures, or if you do not mind if someone sees you like that, then you can return to work after three days. Otherwise, we recommend planning on taking about a week off of work.
