Lower and upper eyelid surgery (blepharoplasty)
Key information:
Duration: 60 minutes
Anesthesia: general / local
Convalescence: 7 - 14 days

Deep wrinkles, sagging skin and the so-called bags under the eyes take away the youthful glow from the look. Eyelid surgery allows you to improve their appearance, and thus rejuvenate the eyes. The treatment may involve the upper eyelids, lower eyelids or both.

The upper eyelids are most often operated on, because they are the area where the most visible excess of loose, stretched or not well wrinkled skin is. In extreme cases, sagging skin may limit the field of view. In such cases, blepharoplasty offers both aesthetic and functional benefits. In the case of lower eyelids, the most common indications for surgery are the so-called bags under the eyes, i.e. the fat that protrudes from the eye socket.

The causes of upper eyelid drooping

The causes of upper eyelid drooping include:

  • sagging and stretching of the skin,
  • weakening of the eye circular muscle,
  • weakening of the levator muscle of the upper eyelid,
  • genetic predispositions,
  • drooping eyebrows associated with a decrease in the volume of the supraorbital fat pad,
  • nerve damage.
The causes of lower eyelid drooping

Dropping of the lower eyelids is mainly related to:

  • genetic conditions,
  • excess of subcutaneous fat,
  • lymphatic stagnation causing swelling,
  • loss of elasticity of the lower eyelid disc.

It can also be influenced by environmental factors such as working in poor lighting or prolonged computer use.

Contraindications

The contraindications for blepharoplasty are:

  • severe systemic diseases (diabetes, circulatory failure, liver failure),
  • anemia,
  • vascular blemishes,
  • purulent skin conditions of the face,
  • dental diseases,
  • unregulated blood pressure.
The course of the procedure

Eyelid surgery is performed under local or short-term intravenous anesthesia. In the case of upper eyelid surgery, the incision is made in the eyelid fold – thanks to which the scar will remain invisible when the eyes are open (after a few weeks it will fade and become practically imperceptible). The surgeon removes the redundant skin fragment and any excess fat.

In the case of correction in the area of ​​the lower eyelid, the cut is made under the lash line. An unnecessary part of the skin is cut out, then the doctor models the orbital fat and corrects the position of the circular muscle of the eye, then gently sutures. Depending on the extent and complexity of the defect, the procedure takes from 45 minutes to 2 hours. The patient may leave the clinic a few hours after the procedure.

Before the surgery

A treatment at the Medical Clinic Podhale Art in Zakopane is always preceded by a consultation with a doctor, during which a medical interview is conducted with the patient, his expectations as well as the plan and scope of the procedure are discussed. After that, an appointment is made for the operation and the question of post-operative care is discussed.

Before the procedure, the following tests should be performed:

  • morphology with smear,
  • testing the bleeding time and blood clotting (coagulation system),
  • ionogram,
  • fasting glucose
  • blood group,
  • EKG,
  • possibly additional tests ordered by a doctor.

One month before the surgery, you should give up smoking in order to avoid the risk of healing disorders or potential infection. For about 2 weeks before the procedure, you should not take medications containing salicylic acid (anti-inflammatory and painkillers, e.g. Aspirin, Polopyrin), Ibuprofen, Paracetamol, etc., because they prolong the blood clotting time, which increases the risk of bleeding during the procedure.

After treatment

After the procedure, follow the doctor’s instructions. He will definitely recommend the use of cooling compresses, and a gentle massage in the case of lower eyelid correction. The wound is treated with an antibiotic ointment and a preparation ensuring optimal healing and minimizing scarring (with ceramides and fatty acids). You may feel a little pain that does not usually require painkillers. The effect to be reckoned with is temporary bruising and swelling of the eyelids and the area around the eyes.

The sutures are removed 4-5 days after the procedure, while you can usually return to work after 7-10 days in the case of plastic surgery of the upper eyelid and after two weeks in the case of the lower eyelid. The final effect can usually be assessed after 3–6 months, depending on the scope of the procedure.

We cordially invite you to consultations and treatments at the Plastic Surgery Clinic at the Medical Clinic Podhale Art in Zakopane.

Specialists performing treatments
meet our team
Treatments and consultations price catalog
Detailed list
Plastic surgery
Facial treatments
Brow lift
PLN 6000 – 9000
Upper eyelid surgery
PLN 5000 - 7000
Lower eyelid surgery
PLN 6000
Secondary plastic surgery of the upper and lower eyelids
PLN 6000 – 7000
Earlobe plasty - 1 ear
PLN 1500
Earlobe plasty - two ears
PLN 3000
Ear correction
PLN 6000
Secondary ear correction
PLN 5000 – 7000
Reconstruction of the auricle
PLN 15000
Laser correction of the upper eyelids
PLN 5000
Laser correction of the lower eyelids
PLN 5000
Laser correction of the upper + lower eyelids
PLN 9000
Lip lift
PLN 5000 – 6000
Removal of Bichat's cushions
PLN 6000 – 7000
Scar correction
Scar correction
PLN 1000 – 5000
Consultations
Plastic surgery consultations
PLN 300