Eyelid Surgery (Blepharoplasty)

Why Choose Eyelid Surgery?

  • Performed on an outpatient basis: Arrive in the morning, leave in the afternoon.
  • Minimal discomfort: The procedure is not painful.
  • Quick recovery: Most patients resume work within 5 to 7 days.
  • Cost: Ranges from €3,500 to €6,500, depending on complexity.

What Is Blepharoplasty?

Eyelid surgery (blepharoplasty) is a cosmetic procedure that improves both the appearance and function of the upper and/or lower eyelids. It provides a refreshed, rejuvenated look with relatively quick recovery.

Upper Eyelid Surgery:

  • Removes excess skin and muscle from the upper lid
  • May include removal of fat near the inner eye corner
  • A scar is hidden in the natural crease of the upper eyelid

Lower Eyelid Surgery:

  • Usually performed via a transconjunctival incision (inside the eyelid), leaving no visible scar
  • Targets fat pads that cause under-eye bags
  • In cases of muscle laxity, the orbicularis muscle is tightened and stabilized with a canthopexy (temporary fixation)
  • For excess skin, a minimal subciliary incision may be used

Procedure Details

  • An ophthalmological exam may be required if you have a history of chronic dry eyes
  • Most procedures are performed under neuroleptanalgesia (local anesthesia with IV sedation)
  • For simpler upper eyelid cases, pure local anesthesia may be used
  • General anesthesia is possible based on patient preference
  • Same-day discharge: You’ll go home 3 hours after surgery, with a companion

Recovery & Aftercare

  • Bruising around the eyes is common for 5 to 15 days
  • Arnica is recommended 3 days before surgery to minimize bruising
  • Camouflage makeup can be used to mask discoloration during healing

Our Approach to Cosmetic Eyelid Surgery

Blepharoplasty is a delicate procedure that requires precise analysis of eyelid anatomy and individualized treatment plans.

For example:

  • If you have hollow eyes, we avoid removing fat and focus on skin tightening
  • If your eyelids are heavy, we may remove both fat and muscle

We also frequently combine eyelid surgery with:

  • Mini temporal lift (to raise the brow tail)

Facial lipofilling (to restore cheek volume)

Frequently Asked Questions

Will eyelid surgery change my appearance?

No, a well-executed blepharoplasty does not change the expression or personality of your face. It simply gives you a more rested and alert look.
Complications such as lower eyelid retraction (or “round eye”) are rare and preventable.

Are there risks or complications?

  • Upper eyelid surgery has a very low complication rate. Rare issues include corneal irritation or erosion.
  • Lower eyelid surgery is more delicate. If too much skin is removed, it can lead to eyelid retraction. To avoid this, we:
    • Re-tighten the orbicularis muscle
    • Secure the lower eyelid cartilage through temporary canthopexy

Are the results long-lasting?

Yes — results are stable over time.

  • Lower eyelid fat bags rarely return unless there’s a significant weight change
  • Upper eyelid skin may sag again after 10 years due to aging
    → In this case, we may recommend a Mini Temporal Lift to restore brow position and upper facial tension

Is eyelid surgery covered by insurance?

Sometimes, if the procedure is medically necessary, it may be partially reimbursed:

  • Dermatochalasis: Upper eyelid skin obstructs vision
  • Ptosis: Drooping of the eyelid muscle
  • Ectropion: Lower eyelid turns outward and exposes the white of the eye

How much does blepharoplasty cost?

  • Upper eyelids (local anesthesia): Starts at €3,500
  • Four eyelids (general anesthesia, outpatient): Around €6,500

Visit our pricing page for more information.

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