Sagging, puffiness, and wrinkles may develop on the upper eyelids due to aging, genetic factors, or environmental influences. This condition can cause a tired and fatigued appearance visually. Additionally, in some people, it can limit the field of vision, negatively affecting daily life. Upper eyelid aesthetic surgery, also known as blepharoplasty, is a surgical procedure performed to resolve these issues and provide a younger, more vibrant look.
Basic Definition of Upper Eyelid Aesthetic Surgery (Blepharoplasty)
Blepharoplasty is the surgical removal of excess skin, fat, and muscle tissue from the eyelid. Excess skin that appears on the upper eyelids due to aging, genetic, or environmental causes creates an older appearance aesthetically and may also restrict the visual field. This aesthetic operation eliminates both functional and visual problems.
Who is Suitable for Blepharoplasty?
Blepharoplasty is generally preferred by individuals aged 35-70. However, age alone is not the only determinant. Suitable candidates for the procedure should have the following features:
- Those with significant skin sagging and fat accumulation on the upper eyelids
- Those whose visual field is restricted due to excess skin (especially elderly individuals)
- Those with aesthetic concerns and dissatisfaction with the appearance of the upper eyelid
Each patient is different; therefore, detailed examination and consultation are required before surgery.
How Does the Upper Eyelid Aesthetic Surgery Procedure Progress?
Evaluation and Planning
Before surgery, a specialist plastic surgeon thoroughly examines the eyelids. Excess skin, fat, and muscle tissue are identified. The surgeon plans the procedure according to the patient's expectations and anatomical structure. In some cases, the entire upper face area is evaluated, as drooping eyebrows or sagging cheeks can also cause excess skin appearance on the upper eyelid.
Anesthesia and Operation
- Planning and Marking: Before surgery, the areas where excess tissue will be removed are marked, hidden within the natural folds of the eyelids.
- Anesthesia: Local anesthesia is usually preferred. General anesthesia may be applied if combined with other procedures.
- Incisions: Made along the natural eyelid folds to minimize visible scarring.
- Operation Duration: Takes approximately 1 hour. Excess skin, muscle, and fat are carefully removed.
Postoperative Care and Recovery
- If performed under local anesthesia, hospitalization is not required; the patient is discharged after a short follow-up.
- Medical tapes are applied to the suture line on the upper eyelids; it is important to keep them intact for 5-7 days.
Important Points During Recovery
First Days:
- Mild swelling and bruising may increase during the first 3 days.
- Cold compresses should be applied; the head should be kept elevated while sleeping; blood pressure and pulse should be controlled.
- A salt-free diet is recommended, and hard or large foods should be avoided.
- Pain is usually mild; some patients may experience tearing and stinging in the eyes.
- From the second day, showering including the hair is allowed, provided the tapes remain dry.
First Week:
- Tapes are removed; swelling and edema decrease.
- Daily activities can be resumed, but exercise should be avoided.
- Returning to work is possible.
Second Week:
- Makeup and light activities are allowed.
First Month:
- Sports and heavy physical activities can be started.
- Participation in meetings, congresses, and social events is possible.
Aesthetic and Functional Benefits of Blepharoplasty
- Removing excess skin from the upper eyelids makes the face look more open, youthful, and dynamic.
- The visual field expands, especially improving quality of life in elderly patients.
Risks and Complications of Blepharoplasty
Like any surgical procedure, blepharoplasty carries some risks. The most common complications include:
- Infection: Risk increases in cases of diabetes or smoking. Hygiene of the surgical area should be maintained.
- Bleeding: Mild bleeding may occur during or after the operation.
- Delayed Wound Healing: Healing time may be prolonged depending on skin type.
- Asymmetry: Rarely, minor differences may appear between the eyelids.
These risks are minimized with an experienced surgeon and proper care. Following preoperative and postoperative doctor recommendations is important.
Full Recovery Time After Surgery
Complete healing of the surgical area takes 4-6 weeks. During this period, scars fade, and more natural and aesthetic results appear.
Recommendations for Post-Blepharoplasty Care
- Use sunscreen
- Avoid smoking
- Do not sleep face down
- Regularly perform the facial massages recommended by the doctor
Upper eyelid aesthetic surgery (blepharoplasty) is an effective procedure that reduces the effects of aging, improves the visual field, and provides a younger appearance. Successful and natural results can be achieved with the right surgeon selection, comprehensive evaluation, and meticulous postoperative care.