Upper eyelid surgery

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Upper eyelid surgery

Why is the upper eyelid surgery done?


Žena pre operacije gornjih kapaka

Hooded eyes, that is saggy skin on the upper eyelids, are an esthetic issue, but they can affect the vision as well. The patients complain that a “curtain“ goes over their eyes and gets into their field of vision. For women, excess skin on the upper eyelids is a huge issue because they cannon put any eye shadow on. No matter if you are a younger person who was born with hooded eyes, or they are the result of aging, the only permanent solution is surgery.

We make the first contact with the people we meet with our eyes. They are the first we remember and we recognize other people by them. Some people are born with hooded eyes, but for most, they appear as the result of the aging process. The skin around the eyes is the thinnest, so it loses elasticity the fastest on that part of the face. The only solution to this problem is blepharoplasty, i.e. eyelid surgery.


The skin in the area of the eyelids is extremely thin and sensitive, which is why the aging process is faster and more pronounced in this region than in other parts of the face. The upper eyelids sag with age, the skin becomes wrinkled, flabby and dark, which gives the face a tired, sad and older look. Bleferoplasty, ie eyelid surgery, is a great solution to this problem.

The results that are achieved by upper eyelid surgery are impressive. The eyes open up, and the whole face gets a youthful, fresh, and bright look. The main advantage is that the effect lasts up to 15 years.

The surgeon will determine if only upper or lower eyelid surgery or both at the same time is necessary after the consultative exam.

What should be done before the upper eyelid surgery?

Before the surgery, photos of the patient are taken from different angles to compare the outcome with the original condition. The excess skin is measured precisely with a special device, a caliper. Everybody has certain facial asymmetry, and that must be taken into account when we mark the places of the incisions.Before the surgery we take photos of the patient from different angles, to compare the outcome of the surgery with the original state. The excess skin is precisely measured with a special device called a caliper. We all have a certain facial asymmetry, and that is also taken into account when we mark the incisions.

You need to stop taking medicines that affect coagulation (aspirin, ibuprofen, and such).Stop taking the medicine that affects coagulation (aspirin, warfarin, ibuprofen, and such).

Gornji kapci

How is the upper eyelid surgery done?

The upper eyelid surgery is performed under local anesthesia, while the surgery of the under-eye bags usually demands general anesthesia. During the operation, the patient does not feel any pain.

With the upper eyelids, the surgeon removes the excess skin and fat tissue following previously marked lines. The incision is made in the fold of the eyelid so the scar is not visible. The skin is tightened and the suture is made with the thinnest surgical thread. Then steristips are applied, i.e. special tapes are stuck over the incisions.

How long does the upper eyelid surgery last?

The upper eyelid surgery is a simpler one, so it lasts up to an hour.

When are the results of the upper eyelid surgery visible?

The first results are already visible within a couple of days after the swelling goes off. The final outcome is achieved 3 weeks after the surgery.

With which procedures does blepharoplasty combine well?

If you want to achieve a full effect of the rejuvenated face, it is recommended to do Botox and Hyaluronic acid treatments together with blepharoplasty. An additional effect is made by eyebrow lift surgery and the complete facelift.

Gornji kapci pre i posle Milica Dabović

What can you feel after the upper eyelid surgery?

It is important to know that the ailment that might appear after the surgery is temporary and that it goes away on its own. You might experience watery eyes, oversensitivity to light, swollen and numb eyelids, bruises, and pain.

What is the recovery after the upper eyelid surgery, and how long does it last?

For the first 24 hours after the surgery, it is necessary to apply cold compresses on the eyelids. The doctor will also prescribe the antibiotic therapy, which you will take for five days from the surgery day. You will take the painkillers recommended by the doctor. The day after the surgery, you will have the first checkup, the change of dressings and Band-Aids.

You should rest and sleep on the elevated pillow for the first two days to shorten the recovery period. There might be noticeable swelling and bruising for the first 24 to 48 hours after the operation, but they go away naturally within 5-10 days.

The sutures are removed a week after the surgery. Then you can return to your daily routine. You will be able to put on makeup within 10 days.

Recommendations for the recovery period

It is important that you follow the following recommendations:

  • For the first 48 hours, you must spare your eyes the effort. That means you refrain from reading, watching TV, and using your cell phone.
  • Sleep on the pillow that is elevated above the level of the chest rib for 5 days after the surgery.
  • Do not apply makeup until 2 days after the suture removal. Putting on and removing the makeup requires pressing and rubbing the eyelids, and at the same time, there is the risk of infection caused by the make-up. That is why it is recommended, for hygienic reasons, to throw away all the old make-up and use the new, unopened one after the surgery.
  • Make sure to wear dark sunglasses for at least 3 weeks after the surgery, and use protective cream with UV factor (at least 20). In that way, you will protect the sensitive skin around the eyes, but also you will prevent dust or some other foreign body from the air causing infection.

What should you not do after the upper eyelid surgery?

After the upper eyelid surgery you must not:

  • take aspirin or similar medicines that affect blood thinning,
  • expose yourself to the sun or other sources of heat (hairdryers, tanning beds, saunas, jacuzzis, etc.),
  • expose yourself to physical effort and practice sport for 5 days after the surgery,
  • put contact lenses in your eyes, you should wear glasses instead, in the period of the recovery.

Are there any risks and counter effects of upper eyelid surgery?

As with any surgery, there are risks of bleeding, infection, thrombosis, and reaction to anesthesia.

Complications are extremely rare if the surgery is performed by an experienced surgeon. Nevertheless, some patients may experience issues with dry and irritate eyes, difficulties with shutting the eyelids, and temporarily impaired vision.



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