What is Blepharoplasty?

Blepharoplasty is a type of surgery performed to improve the appearance of the eyelids. Blepharoplasty operation could be performed on the upper eyelid, lower eyelid or both.


Upper eyelid ptosis can be innate or acquired. It generally occurs due to poor functioning of the muscles of the eyelid and due to the effect of the gravity over time. The methods used in blepharoplasty depends on the strength of the muscles of the eyelid. Particularly in innate ptosis, activity of these muscles is rather poor. This is treated by suspending the eyelid on the muscles of the forehead. Ptosis surgery can be performed for age-associated ptosis problems.


Blepharoplasty for the lower eyelid can be considered when there is excessive skin on the lower eyelid, when there are noticeable swollen fat packs or when the lacrimal duct has become deepened. Blepharoplasty for the lower eyelid aims re-suspension of the mid-face area rather than removal of the excessive skin; re-distribution, rather than removal, of the fat packs in line with anatomy and filling the lacrimal duct. Blepharoplasty for the lower eyelid could be performed under local anesthesia or sedation. Incision is made at the root of the eyelashes and is unnoticeable as it matches the skin fold.

Is it useful in the treatment of the dark circles under eyes?

Blepharoplasty for the lower eyelid is certainly influential in the treatment of the dark circles under eyes. Removal of the excessive skin in these dark areas and filling the skin with rich fat cells, will support a fresh and young appearance.

Should mid-face lifting accompany this operation?

Mid-face lifting must necessarily be combined with blepharoplasty for the lower eyelid. In this way, the extended lower eyelid distance will be reduced and ectropion, a significant complication of the blepharoplasty operation meaning the sagging of the lower eyelid, will be avoided. Besides, you will get rid of the deep lines around the nose while gaining a full mid-face.

Is fat injection made on the face during blepharoplasty for the lower eyelid?

Fat injection on the face must necessarily be performed together with blepharoplasty for the lower eyelid. The fat tissue in facial fat compartments gets reduced with the ageing of the face. Therefore, fat deficiency particularly around the lacrimal duct should be compensated in the same operation.

What should I be careful about before undergoing a blepharoplasty for the lower eyelid?

It is very important to stop smoking!! Patients are asked to minimize, ideally to stop smoking a few weeks in advance of the operation. You must keep taking your drugs regularly if you have blood pressure problems and you must have your blood pressure checked in order to keep it balanced. Consumption of greeneries containing blood thinners like green tea, parsley juice, rockets etc. and food supplements like Q10 and fish oil should be ceased 10 days in advance. You should necessarily inform your physician about the vitamins and food supplements you take regularly.

How long will I stay away from work following blepharoplasty for the lower eyelid?

You may have some facial edema, swelling and bruising, which will be gone in about 10 days. It will take at least 3 months for a complete recovery from edema and for the face to find its final shape. As all the stitches will be removed a week later, you can go to work by putting on a make-up and sun screen.

Do I need to continue under-eye filling after blepharoplasty for the lower eyelid?

Generally, you don’t. You won’t need under-eye filling thanks to the re-distribution of fat in line with the facial anatomy.

How can innate ptosis be treated?

Innate ptosis can be treated with surgery.

What should I do about the dark circles under eyes?

Light filling can be used for the dark circles under eyes and skin whitening mesotherapy can be applied around the eyes.

Will I have stitch marks after a blepharoplasty operation?

You will have a tiny line that will be concealed in the skin fold, which will match your skin curve. It won’t be noticeable while your eyes are open.

Is laser blepharoplasty harmful ?

Laser cannot be used for blepharoplasty.

Can ptosis be gone by itself?

Ptosis cannot be gone by itself.

Why does ptosis occur?

Ptosis can be innate or can develop with ageing due to the weakening of muscles and gravity.

Are there natural solutions for ptosis?

There is no natural solution for ptosis.

How can ptosis in babies be treated?

When left untreated, ptosis in babies may lead to amblyopia, meaning lazy eye. Slight ptosis in children may regress in time. Moderate or severe ptosis must be treated by plastic surgeons.

How long does a blepharoplasty operation take?

Blepharoplasty operation takes about 1 hour.

Is blepharoplasty operation performed under local anesthesia?

Blepharoplasty operation is performed under local anesthesia or sedation (slight sleeping state).

Can I get rid of ptosis by exercising?

You can’t get rid of ptosis by exercising.

What are the symptoms of ptosis?

Narrowing of the field of vision and a weary face particularly later in the day are among the symptoms of ptosis.

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