Upper eyelid surgery removes excess skin that hoods the eye. Lower eyelid surgery addresses bags, puffiness, and wrinkles. Many patients benefit from both. Your surgeon assesses which areas will achieve your goals.
Eyelid aging and puffiness can gradually affect confidence, appearance, and self-image over time. Eyelid procedure has become one of the most popular solutions for patients seeking natural-looking and long-lasting results with a more alert, refreshed appearance.
Turkey is recognized worldwide for advanced cosmetic procedures, experienced specialists, and modern medical facilities. CareBridge US helps international patients access trusted providers while guiding them through every step of the journey from consultation to recovery.
Eyelid procedure (blepharoplasty) is commonly recommended for patients seeking to correct drooping upper eyelids, under-eye bags, or excess skin that creates a tired appearance. The procedure involves removing or repositioning excess skin, muscle, and fat from the upper and/or lower eyelids to restore a smoother, more open eye contour.
Two common conditions indicate the need for blepharoplasty.
Dermatochalasis refers to laxity or redundancy of eyelid skin and muscle, caused by loss of elastic tissue, thinning of the epidermis, weakening of connective tissue, mechanical forces (rubbing), and aging. Genetic influences are also strong.
Steatoblepharon (from the Greek steatos meaning “relating to fat”) is the prominence of eyelid fat pads, applying to both upper and lower eyelids. It may be associated with weakening of the orbital septum and overlying orbicularis muscle and skin. Both conditions are usually noticed in the fourth decade but sometimes earlier.
Upper blepharoplasty focuses primarily on removal of excess skin and aesthetic placement of the supratarsal crease, along with filling and contouring of a deep upper orbital sulcus when necessary. The upper lid should be approached transcutaneously, whereas lower blepharoplasty can be safely performed through a transconjunctival or transcutaneous incision.
Upper eyelid blepharoplasty. The incision is made along the natural eyelid crease, usually with a scalpel or needle to minimize scarring and bleeding. Excess skin and fat are removed. The goal is to restore the visible tarsal platform while maintaining a natural upper lid fold. Excessive removal of fat or skin can efface this fold, giving an unnatural appearance.
Lower eyelid blepharoplasty. Two main approaches exist.
If there is significant laxity of the lower eyelid, a canthopexy or canthoplasty (tightening procedure) may be performed at the same time.
Candidates have documented signs of periocular aging or functional impairment.
Contraindications. Untreated dry eye syndrome, active ocular infection (conjunctivitis, blepharitis), thyroid eye disease without stable ophthalmology clearance, severe hypertension or diabetes, unrealistic expectations.
The operation is usually performed on an outpatient basis under local anesthesia with sedation or general anesthesia. Blepharoplasty may be carried out alone or in conjunction with other facial procedures such as a facelift or brow lift.
Consultation. The surgeon reviews medical history and performs a comprehensive ophthalmic examination to exclude any eye disease or dry eye syndrome. Visual field testing may be performed for functional cases. Skin quality, degree of dermatochalasis, fat herniation, and eyelid laxity are assessed. Preoperative photographs are obtained for medical records.
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Healing follows a predictable sequence.
First 24-72 hours. Swelling and bruising peak during this period. Cold compresses are applied for 10-15 minutes every hour for the first 48-72 hours. Keep head elevated even when sleeping. Suture lines are kept clean and dry. Blurred vision from ointment is common. Artificial tears are used frequently.
Day 5-7. Sutures are usually removed. Bruising and most swelling have subsided. Most patients return to work at this point, though residual swelling may still be noticeable.
Week 2. Swelling usually disappears. Sensitivity to light subsides. Bruising resolves. Makeup may be used following suture removal and healing of incisions. Contact lenses can be worn when comfortable, typically at 7-10 days.
Month 1-3. Eyelids continue to settle. Residual edema and temporary numbness resolve. Incisional scars begin fading from red to pink. Incisions are sensitive to ultraviolet radiation; consistent sunscreen use (SPF 30+) is required for at least 6 months to prevent hyperpigmentation. Avoid rubbing eyes or applying excessive creams.
Month 6-12. Scars mature, becoming thin and pale. Final results are visible. Some patients may still experience mild residual asymmetry, but most report significant improvement in periorbital appearance and peripheral vision.
Eyelid procedure has a low overall complication profile. The majority of functional and aesthetic concerns can be resolved with conservative management or revisionary procedure.
Common temporary effects. Swelling, bruising, temporary dry or irritated eyes, mild discomfort controlled with oral medication, transient blurred vision, sensitivity to light, temporary numbness of the eyelid skin. Bruising usually resolves within 2 weeks.
Complications requiring intervention. Infection (rare, treated with antibiotics). Bleeding (rare). Dry eyes requiring ongoing lubricant therapy. Asymmetry. Scarring visible outside natural creases. Difficulty closing eyes or other eyelid problems; this is a specific risk of lower blepharoplasty if too much skin is removed (ectropion).
Serious rare complications. Injury to eye muscles causing double vision. Retrobulbar hematoma (blood behind the eye); an emergency requiring immediate decompression to prevent vision loss. Blindness is extremely rare. Anesthesia complications. Major complications resulting in ocular and visual disturbances such as blindness or diplopia are not reported in large systematic reviews.
Permanent limitations. Scars are permanent but fade significantly over time. Some patients experience permanent dry eye requiring ongoing lubricant use. Eyelid asymmetry may persist despite surgical revision. The procedure cannot stop the aging process; gradual descent and skin relaxation will continue over subsequent decades.
Preoperative medical preparation.
Logistical preparation. Plan to stay in Turkey for 8-10 days. Early suture removal at 5-7 days is standard. Do not travel alone for the first 48 hours; you will need assistance. Pack front-fastening, loose-fitting tops; garments that pull over the head are not suitable for the first week. Purchase lubricating preservative-free artificial tears, cold gel compresses, and wrap-around sunglasses.
See how blepharoplasty can help refresh the eye area and reduce signs of aging or fatigue through carefully planned treatment coordination. Each result depends on the patient’s eyelid anatomy, skin excess, fat distribution, and individual healing process.
Upper eyelid surgery removes excess skin that hoods the eye. Lower eyelid surgery addresses bags, puffiness, and wrinkles. Many patients benefit from both. Your surgeon assesses which areas will achieve your goals.
No. Eyelid surgery addresses the eyelids themselves, not lateral wrinkles. Crow’s feet are treated with Botox, laser resurfacing, or other modalities.
Upper eyelid: hidden in the natural crease. Lower eyelid: just below the lash line (transcutaneous) or inside the eyelid (transconjunctival, no visible scar). Your anatomy determines approach.
Well-performed blepharoplasty refreshes your appearance without changing your fundamental look. You should look like a rested version of yourself, not someone else.
Makeup: 1–2 weeks. Contact lenses: typically 2 weeks until swelling subsides enough for comfortable insertion and removal.