Overview
Excess skin on the upper eyelid, bagging on the lower eyelid and volume changes around the eye may occur for different reasons. During blepharoplasty, removal, preservation or repositioning of skin and fatty tissue is evaluated according to need. On the upper lid, the incision is mostly in the natural fold; It can be planned under the eyelashes on the lower lid or inside the lid. The approach through the lid does not directly remove excess skin. Drooping eyebrows, problems with the muscle that lifts the lid, and dry eyes should also be examined. The procedure does not eliminate all under-eye darkness or expression lines; Maintaining eyelid closure and eye protection is essential.
What is evaluated?
- Differentiation of eyebrow position, excess lid skin and actual lid ptosis.
- Dry eye, contact lens use, previous eye surgeries and evaluation of the eye surface.
- Examination of lower eyelid laxity, under-eye bags, volume loss and differences between the two sides.
Approach and options
- The arrangement of skin and necessary tissues from the natural fold on the upper lid can be evaluated.
- Preservation, redistribution, or limited removal of fat in the lower lid may be planned.
- If lower lid support is inadequate, supportive interventions and separate treatments for independent eyebrow or lid problems may be discussed.
Recovery and follow-up
Swelling, bruising, watering or dryness may be observed in the early stages. Recommended care of eye drops, ointments and dressings is followed; A check-up is expected before returning to contact lenses and make-up. Sudden decrease in vision, severe eye pain, or rapidly increasing swelling should be evaluated urgently before normal improvement is assumed.
Risks and limits
- Increased eye dryness or difficulty closing the eyes.
- Lower lid pulling down or turning outward.
- Asymmetry, significant scarring or need for correction.
- Bleeding, infection and very rarely permanent vision loss.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- What factors other than excess skin are contributing to my eyelid concerns?
- Will the fatty tissue be removed, preserved or moved?
- What precautions will be taken for dry eyes and lower lid support?
Resources
Access to sources: September 2026. The content has been prepared for general information purposes.