Degenerative changes of the lids are not only an aesthetic problem, they can often cause very serious and permanent changes to the anterior segment of the eye. Our surgeons perform all types of lid plastic surgery to restore normal eye function.

During the aging process, the skin on the lid becomes thinner, less elastic, loses its support, which leads to loss of fat tissue and fatigue of the tendons of the eye muscle leads to excessive sagging of the lid. As a result, excess skin and fat can collect above and below your eyelids. This can cause droopy brows, drooping of the upper lids and dark circles under the eyes.

Sagging skin can also cause decreased peripheral vision. Blepharoplasty can reduce or completely resolve these vision problems. Surgery can also make the eyes appear younger and more open.

• Diagnoses

The following conditions (diagnoses) are treated with blepharoplasty:

• Upper lid fat or drooping upper lid (upper blepharochalasis)
• Excess skin on the upper lids that rests on the eyelashes and reduces the width of the field of vision
• Excess skin on the lower lids (lower blepharochalasis)
• Fatty tissue on the lower lid (under the eyes)

People suffering from chronic dry eye, hypertension, circulatory disorders, thyroid disorders, diabetes or heart disease – if their condition is regulated and stable are candidates for this intervention.

An oculoplastic examination is performed to check the condition of the lids and eyesight. Additional diagnostic tests such as a visual field test to determine if there are blind spots in the peripheral vision may be done if necessary.

Photos are also taken to monitor the result before and after the surgery.

During the examination itself, you talk to the ophthalmologist about the result you want to achieve from the intervention and how possible it is in your case, that is, what you can realistically expect.

Preoperative preparation takes about 20 minutes. Patients with chronic diseases, depending on the therapy they are receiving, have special preparations that they are informed about on the day of scheduling the intervention. 

The preparation begins with the nurse taking an anamnesis. Blood pressure and sugar are checked. Then, in consultation with the ophthalmologist, if necessary, additional diagnostic tests are performed.

After the patient is fully prepared, he is brought into the operating room.

The intervention is performed with local anesthesia. If necessary, it can be performed under general anesthesia, and an anesthesiology examination will be performed beforehand.

In this case, aesthetic blepharoplasty is applied.

If it is done on the upper lid, the surgeon cuts along the eyelid fold. The surgeon removes part of the excess skin, muscles and, if necessary, fat. Then follows the sewing of the opening.

If it is done on the lower lid, the surgeon makes an incision just below the eyelashes in the natural crease of the eye or inside the lower lid. The surgeon removes or redistributes excess fat, muscle, and loose skin. The open incision is closed with stitches.

If the upper eyelid droops close to the pupil, the surgeon may perform a blepharoplasty in combination with a procedure called ptosis. Ptosis is designed to lift the eyelid as well as remove excess skin on the eyelids.

After the intervention, the next day is the first checkup, then the next checkup is in one week and the third is in one month.

The patient is prescribed therapy (antibiotic/corticosteroid drops and ointment) and is obliged to use it according to the time period specified by the ophthalmologist.

It is advisable to sleep with the head on a higher pillow for a few days, and to wear dark glasses to protect the skin from the sun and wind.

Bruising and swelling are expected to occur, which will slowly subside over 10 to 14 days. It takes several months for scars from surgical incisions to fade completely. In certain cases this intervention may need to be done again.

Restrictions after blepharoplasty are temporary and do not last long and are always according to the surgeon’s recommendation.

In the first 3 days after the surgery, washing the face with plain water and rubbing the eye should be avoided, and for the first month, heavy exertion and heavy lifting should be avoided. It is especially important to use the prescribed therapy regularly and correctly.

Also, contact lenses should not be worn for two weeks after the surgery.

Sports activities are usually allowed already 2-3 weeks after the surgery, depending on the age of the patient and the intensity of exercise.

The medical staff is available 24/7 for any consultation that is needed after the blepharoplasty.

The package includes: surgery with local anesthesia, checkups and therapy in the following three months.

It is possible to pay in installments without interest and additional costs.

You can check more about the payment method on the current price list of Sistina Ophthalmology.