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What does the treatment involve?

Blepharoplasty is the periocular cosmetic surgery par excellence. It's the third most common surgery in the world, which indicates its level of demand. It's a procedure perfomed on the upper our lower eyelids or all four eyelids in one single surgical session, depending on the patient's needs. It's a surgery that should be highly tailored to each individual, as the requirements and effects on each patient are unique and diverse. 

When is this treatment indicated?

The large majority of the time, this procedure is indicated for aesthetic reasons. However, it is true that there are patients suggering changes to their appearance due to excess skin in the upper eyelids, these cases are rarer. 

Before getting to this stage, patients would undergo the procedure because of tired eyes, ageing or the desire to rejuvenate their apperance. That's why, in these cases, it is vitally important to have a calm and collected conversation with your specialist to find out which treatment options exist, and agree on which would be the most appropriate for each case.

How is it performed?

This point makes a clear difference between a blepharoplasty on the upper eyelids and on the lower eyelids. In the upper eyelid surgery the fundamental part is the excess of skin, basically, its removal. An accumulation of fat does not normally exist in the upper eyelids, although when it appears in the nasal area it should be removed, since it stands out, cosmetically speaking. 

A change to the lower eyelids is based on an excess of fat, those well known "bags under the eyes". In this case, surgery focuses on managing the fat, both its extraction and relocation to areas where the it is not irritating, but rather necessary. In the majority of cases, this surgery is approached from the inside of the eyelid, the conjunctiva, to avoid making incisions on the skin, and so as there are no visible post-surgery marks left. In patients with a significant excess of skin around the lower eyelid, we combine techniques without affecting the stability of the eyelid.


Blepharoplasty is a cosmetic surgery with excellent results in general. As it is not functional but is very aesthetic, the patient should be offered as much information as possible in advance. There are no magic results, but evident improvements in the aesthetic experiences are provided, including drastic changes, but in no case should they be confused with unrealistic outcomes not shoudl you have false expectations.  

The patients who see a specialist to improve their appearance and rejuvenate their look manage to do so—and in extremely high percentages too—,but these patients must be very well informed and looked after. 

Possible risks

The most common risk of blepharoplasty is not meeting the patient's expectations. This is no more than a result of bad of little information. A well informed patient who knows what to expect of the blepharoplasty will almost certainly be a satisfied patient.

Professionals who perform this treatment

Frequently asked questions

  • Eyelid surgery always brings with it the appearance of haematomas, to a greater or lesser extent. Tissue manipulation will also be a source of inflammation and oedema. Therefore, a patient who undergoes blepharoplasty will spend one or two weeks with haematoma which will hinder them from having a normal working and social life. We will perform treatment and maneuvres to reduce this period as much as possible, with the use of ice and lymphatic drainage. 

  • Approximately one month after the procedure, the appearance is very similar to the final result, although there will still be slight oedema. Between three and six months, the result can be considered as final.