Upper eyelid surgery (blepharoplasty) is a procedure aimed at surgically correcting skin sagging, muscle laxity, and fat accumulation in the eyelids due to aging. This procedure not only provides a more youthful appearance but can also eliminate vision field restrictions caused by drooping tissues. Patients often achieve a more open gaze and a more comfortable visual experience following this procedure. With a low risk of complications, this surgery, when performed on the right candidate and by experienced hands, yields high patient satisfaction.
To correct the tired appearance caused by sagging or excess skin in the upper eyelid, improve the visual field, and achieve a more youthful look.
Indications
Sagging of the upper eyelid, excess skin, age-related aesthetic issues around the eyes, and skin problems narrowing the visual field.
Surgical Method
Excess skin, muscle, and fatty tissue are removed from the upper eyelid. The incision is typically made along the natural eyelid crease, ensuring minimal visible scarring.
Type of Anesthesia
Local anesthesia (most commonly) or general anesthesia.
Operation Duration
1-2 hours.
Recovery Period
Mild swelling and bruising may occur in the first week; full recovery typically takes about 2-4 weeks.
Avoid rubbing the eyes, use prescribed drops or creams, avoid strenuous activities in the first week, attend regular follow-ups with the doctor.
What is Upper Eyelid Surgery?
Upper eyelid surgery (blepharoplasty) reflects the advances in medical history and the evolution of surgical techniques. This field laid its foundations in the 1st century AD when the Roman physician Aulus Cornelius Celsus described procedures to treat eyelid disorders. Celsus was a pioneer, proposing surgical methods for conditions such as ptosis and dermatochalasis.
The term blepharoplasty was introduced by German surgeon Karl Ferdinand von Gräfe in 1818. Von Gräfe developed innovative methods to correct eyelid deformities, achieving significant progress especially by using cheek advancement flaps. In the 19th century, French surgeon Baron Guillaume Dupuytren contributed surgical techniques for treating upper eyelid sagging, laying the foundation for modern methods.
In the 20th century, eyelid aesthetics developed for both cosmetic and functional purposes. In Asia, the cultural adaptation began in 1896 with Japanese surgeon Mikamo’s “double eyelid surgery.” During the Korean War, Dr. David Ralph Millard had a significant impact on adapting these techniques to Western aesthetic ideals.
Today, modern upper eyelid surgery has evolved into an advanced procedure addressing both aesthetic concerns and functional issues that hinder the visual field. This evolution combines the medical and cultural dimensions of eyelid surgery, aiming to provide patients with a youthful and natural appearance.
Who is a Candidate for Upper Eyelid Surgery?
Upper eyelid surgery is suitable for individuals who are bothered by structural problems in this area, whether for functional or aesthetic reasons. It is especially beneficial for those with excess skin accumulation (dermatochalasis) or eyelid drooping (blepharoptosis) that obstructs the visual field. Patients who experience at least a 24% reduction in their visual field or difficulty with daily activities are prime candidates for this surgery. For example, individuals who struggle to read by looking downward or constantly tilt their head back for balance can enjoy relief and an improved quality of life after this procedure.
Aesthetically, it is suitable for people who, due to aging, have lost skin elasticity around the eyes, experienced volume loss, or have a lowered brow position. The procedure corrects changes that create a tired or sad facial expression, helping achieve a younger, more dynamic look. In patients complaining of upper eyelid sagging, a concurrent brow lift or, if there is a “sunken eyes” appearance, fat injection to the upper orbital rim can be added. In some cases, if there is a lacrimal gland prolapse, a lacrimal gland repositioning can be included. Before upper eyelid surgery, a careful ptosis examination should be performed; if necessary, a procedure on the levator or Müller’s muscle can yield a more vibrant gaze.
Additionally, it can be performed based on cultural or personal preferences, such as creating a supratarsal fold common among individuals of Asian descent.
Ultimately, ideal candidates are those in good general health, with realistic expectations and a well-informed attitude towards the procedure. A thorough evaluation by a specialist will determine if this surgery is right for you.
Contact us for detailed information and to book an appointment about Upper Eyelid Aesthetics (Blepharoplasty)!
Upper eyelid surgery requires careful planning and a delicate surgical approach that provides both functional and aesthetic benefits. It is typically performed under local anesthesia with sedation, ensuring the patient is comfortable and awake during the procedure. In some cases, general anesthesia may be chosen.
Preoperative markings are made while the patient is seated upright. This step is critical to accurately determine the amount of skin and tissue to be removed. The incision is planned parallel to the natural upper eyelid crease, so that once the healing process is complete, scars are minimally visible.
After making the surgical incision, the surgeon carefully removes excess skin. If necessary, a strip of the orbicularis oculi muscle may be removed to improve the eyelid contour. Orbital fat tissue causing puffiness can be removed or repositioned, depending on the surgical plan. However, excessive fat removal should be avoided to prevent an unnatural appearance.
If eyelid drooping (ptosis) is present, tightening or repositioning the levator muscle can correct this problem, yielding both aesthetic and functional improvements.
What Are the Side Effects of Upper Eyelid Surgery?
Upper eyelid surgery (blepharoplasty) is a commonly performed and generally safe procedure intended to correct age-related changes and functional issues. However, like any surgical intervention, it carries certain side effects and potential complications. The most common side effects are usually temporary and resolve spontaneously within a few days or weeks. These include swelling, bruising, dry eyes, irritation, light sensitivity, double vision, and mild discomfort. These effects are part of the healing process and decrease quickly if you follow your doctor’s recommended care instructions.
More serious complications are rare but must be addressed promptly. Infection and bleeding are general surgical risks requiring early intervention. Excessive skin removal or scar formation may prevent the eyes from closing fully (lagophthalmos), leading to dry eyes and corneal damage. Muscle damage during surgery may cause abnormal eye movements and double vision. Some patients may experience skin discoloration, noticeable scars, or eyelid retraction. These complications are typically resolved through corrective procedures.
Asymmetry in the eyes can occur due to differences in the healing process, causing both aesthetic and functional concerns. Patients with pre-existing conditions like dry eye syndrome may be at a higher risk of symptom worsening. Therefore, a thorough medical evaluation before surgery and setting realistic patient expectations are of critical importance.
How Successful Is Upper Eyelid Surgery?
Upper eyelid surgery (blepharoplasty) offers highly successful results both aesthetically and functionally. Studies show patient satisfaction rates generally exceed 85%. After this procedure, patients report not only a younger and more dynamic appearance but also a significant improvement in visual field restrictions. Studies involving various age groups indicate that effectiveness reaches around 96.7% in younger individuals and about 97.4% in older patients. After three months, the overall satisfaction rate is reported at 95.8%. While the risk of complications is low, side effects like dry eyes, minimal asymmetry, and scar formation are occasionally observed. Nevertheless, proper patient selection and the surgeon’s experience are the most important factors increasing the success rate.
How to Prepare for Upper Eyelid Surgery?
Careful preparation is essential for achieving successful results and a swift recovery after upper eyelid surgery. Initially, a detailed medical evaluation is performed. Patients should inform their doctor of any past eye surgeries, injuries, and existing eye conditions (dry eyes, glaucoma, etc.). Systemic diseases like diabetes and thyroid disorders, which can affect surgical risks and healing, are also thoroughly assessed. During the physical examination, eyelid anatomy, skin quality, and fat deposits are carefully evaluated; if necessary, ocular tests are conducted to analyze the risk of complications.
As part of surgical planning, preoperative photographs are taken from different angles. These images help evaluate surgical outcomes and guide the patient in forming realistic expectations. Additionally, quitting smoking before surgery positively influences the healing process. Stopping aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), vitamin E, and certain herbal supplements that increase bleeding risk before surgery is important.
During the preoperative period, some routine tests are performed. A complete blood count and coagulation profile help assess the patient’s health before surgery. Elderly patients or those with a history of cardiovascular disease may need an electrocardiogram (ECG). A comprehensive eye examination may also be required to evaluate eye health.
Before surgery, the patient is given prescriptions for postoperative medications and is instructed on their use. If general anesthesia will be administered, the patient must fast for a certain period before the operation. Maintaining hygiene on the day of surgery is crucial in reducing the risk of infection.
Finally, the patient should arrange transportation and support for daily activities after surgery and have a companion present. These preparations form the foundation of a safe and successful surgical experience.
How to Care for Yourself After Upper Eyelid Surgery?
Postoperative care after upper eyelid surgery (blepharoplasty) is crucial for a healthy recovery and satisfactory aesthetic results. Immediately after the procedure, applying cold compresses around the eyes helps reduce swelling and bruising. Applying cold compresses every 10-15 minutes during the first 24-48 hours effectively controls swelling and improves comfort. Similarly, keeping your head elevated while sleeping aids in reducing edema.
Antibiotic ointments or sterile eye drops prescribed by your doctor maintain moisture in the eye surface and minimize the risk of infection. Regular use of these products positively contributes to the healing process. Avoid heavy physical activities, sudden movements, and heavy lifting for at least two weeks. In particular, bending forward can increase blood flow to the head, raising the risk of swelling and bleeding.
Wearing contact lenses is generally postponed for about 2 weeks. Similarly, refraining from eye makeup during this period is important to reduce the risk of infection. Stitches are removed and healing is monitored during regular follow-up appointments. Following your physician’s instructions precisely ensures both a swift recovery and maximum satisfaction with the surgical outcomes.
How much does a Upper Eyelid Aesthetics (Blepharoplasty) cost in Turkey?
An average Upper Eyelid Aesthetics (Blepharoplasty) cost in Turkey is between 2,000€ to 2,500€.
Turkey is the first country preferred by patients abroad for upper eyelid aesthetics, with 95 percent of patients being satisfied. The country’s medical tourism industry is progressing, with the 1.5 million international patients coming to the country in 2023 contributing over 2 billion euro. Eyelid surgery makes up 9.1% of all procedures done in South Korea; it indicates the experts in the field. Turkey’s healthcare facilities and doctors are very advanced. This means that patients can get very high-quality care and is therefore an excellent choice for upper eyelid aesthetics surgery abroad.
Turkey is recognized for its advanced medical facilities, and upper eyelid aesthetics or blepharoplasty is quite safe here. The treatment tackles drooping skin and wrinkles effectively to improve the appearance of the eye. Many patients express a high level of satisfaction after surgery, noting a more youthful appearance. In addition, the recovery period is usually short, with most people going back to tipping within 1 to 2 weeks. Due to quality health care combined with patient safety, Turkey has a successful track record with upper eyelid aesthetics.
Having upper eyelid surgery abroad can be beneficial because it has a success rate of over 95% and over 97% of patients say they would recommend this surgery. In an average, patients report appearing 3.3 years younger following the procedure, with significant improvements in satisfaction with appearance, psychological well-being, and aging appraisal. Turkey has advanced medical infrastructure, healthcare professionals, and cleaning services that offer high-quality medical services at low cost. Turkey is one of the most famous places in the world for many plastic surgeons operating on eyelids. The surgeons are trained abroad and are experts at the latest techniques. Further, use of medical procedures along with tourism has also become absolutely common and useful. Nevertheless, researching and selecting a reputable clinic is essential to ensure the best safety and results.
To achieve upper eyelid aesthetic results, plan to stay in Turkey for 7 to 10 days. This period is enough for the process, follow-up recovery visits, after-care and to ensure proper healing before returning back home. Many patients will have some swelling and bruising after surgery that resolves within 10 to 14 days. After this time, many feel comfortable to resume normal activities. Recovering entirely can take some weeks, that’s why you must follow the post-operative care instructions from your surgeon.
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