Eyelid Aesthetics (Blepharoplasty)

Eyelid aesthetics, also known as blephar-o-plasty, is an operation that means plastic surgery, that is, shaping the eyelid. The main purpose of this surgery is to surgically remove excess eyelid skin (blepharochelasis or blepharodermacheliasis) piled on the eyelashes. In the 15th century, the eyelid edema, which is the cause of this disease, was described by Şerefeddin Sabuncuoğlu as “caused by moisture”, and cauterization of the eyelid was applied as a treatment. While 500 years later, edema, loss of elasticity and sagging of the skin due to aging are still considered as the causes of this situation, the treatment has changed its technology. In 21st surgery this cautery can be applied surgically (by anesthetizing and cutting) or non-surgically (with methods such as laser or plasma) by applying heat energy at micro spots.

During surgical eyelid aesthetic surgery, in addition to removing the excess eyelid skin; xanthelasma (eyelid sebaceous glands) treatment, removing excess upper eyelid herniated fat pads, thinning by removing the thicker muscles, and canthoplasty can also be performed.

Canthoplasty is also referred as almond eye surgery or fox eye surgery by some. Since it can be done from the same incision line, canthoplasty and transpalpebral browpexy can be combined with blepharoplasty. Your doctor will tell you if you need browpexy, and may offer canthopexy if the eyelid vector is downslanted. The scars of the surgery can be hidden in the existing fold line of the eye and the eye contour lines. Contact us to loose the excess skin of the eyelids at affordable prices with best quality physicians.

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How is eyelid aesthetic surgery performed after deciding to have eyelid surgery? What kind of process awaits me?

1 week before the operation: Your doctor recommends that you stop taking blood thinners, and if you have to use them, switch to blood thinners, such as low molecular weight heparin, which the relevant branch doctor recommends before the operation.
1 day before the operation: The information specified in the pre-operative consent form is given. The patient’s expectations are listened : Removal of the sagging eyelid skin, increasing the visual field, obtaining a better aesthetic result. If the operation will be performed in the hospital or under general anesthesia, preoperative blood tests, ECG and other necessary tests are performed.
On the day of the operation:

1) Photograph (pre-operation is determined by taking the photo of the previous state of the patient

2) Signing the consent forms

3) Pre-operative drawing

4) Checking that the payments are made before the surgery

5) If the surgery is to be performed under general anesthesia, the Anesthesiologist examination is performed respectively. About 30 minutes before the operation, the patient is taken to the operating room. Here, after all equipment, devices and personnel are controlled. The patient is monitored with basic vitals signs such as heart rate, blood pressure, oxygen saturation (SPO2). If the patient is to be operated under general anesthesia, general anesthesia drugs are applied to the patient, and an oxygen mask is brought closer to his face. After this stage, operation begins. Local anesthetic drugs containing ephedrine (to reduce bleeding) are injected with fine-tipped needles into the surgical areas which are marked before the operation. Although isolated upper eyelid blepharoplasty can be performed with local anesthesia, combined surgeries such as lower eyelid blepharoplasty, brow lift and mid-face lift should be performed under general anesthesia. Then, the excess skin that marked before the operation is removed, the bleeding areas are cauterized, and the two ends of the cut skin are attached to each other with sutures after the bleeding is stopped. After the appropriate dressing is done, the operation is terminated.
If you are going to have surgery on your upper and lower eyelids, the surgeon will usually work on your upper eyelids first. It cuts the fold of the eyelid, removes excess skin, muscle, and possibly fat, and closes the incision.
In the lower eyelid, the surgeon makes a cut just below the lashes or inside the lower eyelid. He removes excess fat/muscle and redistributes the skin removing excess part and suturing the edges together.
If your upper eyelid droops close to your pupil, your surgeon may perform blepharoplasty with a procedure called ptosis (TOE-sis) correction, which provides additional support to the eyelid elevating muscle (levator palpebra superioris).
Only upper eyelid surgery takes an average of 1-2 hours. Combined surgeries such as brow lift or mid-face lift may take longer. If general anesthesia is taken after the surgery, discharge is done 1 day later, if it is performed under local anesthesia, 1-2 hours later. Single upper eyelid blepharoplasty surgery can be performed under local (numbing) anesthesia in the office setting, but we recommend that it be performed in a hospital setting and under general anesthesia in combinations such as brow lift or lower eyelid surgery.

2 days after the operation: In this period, the bruises around the eyes become more prominent, the skin continues to swell and become edematous. This process continues to worsen until the 3rd day on average. After an average of 3 days, edema begins to decrease. In the first 48 hours, it is very important to keep the blood pressure low, to apply cold compresses (ice), to keep the head higher than the bed level, not to perform sudden movements that will increase the pulse / blood pressure. If there is a blood pressure disease the medication should be taken.
During recovery period, it takes an average of 1-2 weeks for the bruises to pass, and an average of 4-6 weeks for the edema to pass. After eyelid surgery, your doctor will check you every 2-3 days for the first 5 days. He will show you how to change the dressing (applying antibiotic cream) to the eyelid stitches. If you have additional dressings and combined surgeries, they will also change the dressing and show you how to do it. You will be asked to use antibiotics and painkiller tablets for up to 5 days after the surgery. You will be asked to apply antibiotic eye drops and creams to your eyelid for 10 days after the surgery. Consult your doctor if any of these drugs cause an allergy or unexpected effect. If there is no complication after the operation, you can leave Istanbul after 5-6 days. You can reach the doctor’s assistant with the whatsapp number given to you from wherever you go, and you can ask for more information or the things you forgot. Periodically, the doctor’s assistant may ask you to send the doctor a photo of your wound. Surgical scars will change over the months. In the first month, there may be color changes such as skin color, and then pink, purple, brown tones. In a normal health individual it takes 1-1.5 years for a skin incision scar to mature and take its final form.
The success of eyelid surgery treatment is highly correlated with postoperative care. Strictly follow your doctor’s recommendations so that your post-operative bruises pass quickly, edema passes quickly, and your scars heal in the least possible way. The use of cigarettes and other tobacco products after surgery prolongs the healing process, impairs wound healing and causes more scars. Therefore, even if it cannot be left, we recommend minimizing it.

Post-Surgery Recommendations

Before you start enjoying your new look, please listen to some of our suggestions to make post-operative processes easier.
Bruises: Having low blood pressure during and 1 day after eyelid surgery is associated with less bruising and less edema. Therefore, if you are using blood pressure medication, you should definitely tell your doctor about it and learn what time it should be used on the day of surgery. Do not disuse.
After the surgery, massaging with herbal gels (like arn**a..) can provide quick healing of bruises and edema. Ask your doctor how sensitive your stitches are and when to start the massage.
Infection: Getting an infection after eyelid surgery seriously impairs the scar. To prevent this, your doctor will give you tablets, drops and cream antibiotics applied orally and locally to the suture line. Be sure to use them for the recommended amount of time as recommended.
Allergy: Foreign bodies such as stitches, drugs, disinfectants, dressings used during the surgery may cause an allergic reaction (redness, swelling, blistering, etc.) in some people. In such complications, the healing process may be prolonged. If you have a known allergy, you must tell your doctor before the procedure.
Wound healing: There are unchangeable (age, gender, chronic diseases, etc.) and modifiable (nutrition, exercise, massage, smoking, etc.) factors that determine the postoperative wound healing rate. The replaceable ones are mechanisms that will result in more oxygen and nutrients coming to the wound. For example, walking after surgery increases blood circulation and accelerates wound healing. Or smoking cigarettes after surgery, as carbon monoxide binds to red blood cells, prevents oxygen transport and prolongs wound healing.
Listening to your doctor’s recommendations for this and similar ones will make the operation process easier and faster, and you will get better results.
Our patients living outside the city can ask their questions via video conference, phone, whatsapp or email, conference calls can be made with the doctor if necessary and detailed information can be given before the surgery.

After Surgery

  • • Apply ice packs to your eyes for 10 minutes every hour the night after surgery. The next day, apply ice packs to your eyes four to five times throughout the day.
    • Gently clean your eyelids and use recommended eye drops or ointments.
    • Avoid straining, heavy lifting and swimming for a week.
    • Avoid strenuous activities such as aerobics and jogging for a week.
    • Avoid smoking.
    • Avoid rubbing your eyes.
    • If you wear contact lenses, do not wear them approximately two weeks after surgery.
    • Use dark sunglasses to protect the skin of your eyelids from the sun and wind.
    • Sleep with your head higher than your chest for a few days.
    • Apply cold compresses to reduce swelling.
    Also, if you have any questions about your procedure, Dr. Peace China is always here to communicate and we will try to help as best we can. We love hearing from our patients and showcasing their great results. If you’d like to get back in touch and show off your new look, please feel free to send us pictures via our contact page.

Frequently Asked Questions

If you are a good candidate, you can change your eye shape. We call one of the most popular procedures in our practice “Almond eyes” or “exotic eyes”. The aim is to create a natural and attractive lift to the outer corners. This shape is often described as attractive and attractive. Almond eyes can look young, can increase one’s confidence. Many men and women are blessed with natural almond eyes, but those who don’t can get almond eyelid surgery.

In general, 5-10 days, depending on the scope of the transaction. In our practice, most patients return to work in less than 1 week. Recovery time varies from patient to patient. While some of your recovery time is under your control, other factors are not. Most of our patients return to work in as little as 3 days, but stay away from work for 7 days if the patient’s job requires strenght. Bruises may stay for 10-14 days for jobs that require presentation.
It is important to avoid strenuous activities during recovery. Light activity is recommended. Recovery time is significantly longer for those who smoke regularly and have a higher risk of complications.

The procedure is successful and long-lasting if properly cared for.

If applied successfully, aesthetic eyelid surgery can give the individual a much younger and fitter appearance.

For us, the eyelid is a very separate organ from the eye. In eyelid operations, we do not have any contact with the eye structures. Certain eye muscles, of course, also appear in the lower blepharoplasty surgery , but since we perform eyelid operations without descending to these structures, they are not in any way close to the eyeball.

It is natural to have a slight redness in the first month or two. After the second month, this redness gradually goes away. After 6-8 months, it is much noticable that you had any operation here.

There is no age limit for eyelid surgery. But elderly individual should have a general well being that is suitable for surgery. If using blood thinners, the patient should be able to stop this treatment for 5-6 days. You can always send a photo for online consultation