Facial Aesthetics

Blepharoplasty: Eyelid Surgery Explained

2025-10-25

The eye area is one of the first regions to show visible signs of aging. Blepharoplasty — eyelid surgery — addresses excess skin, fat pockets, and contour irregularities around the eyes, creating a more refreshed, youthful, and energetic appearance. This article explains when eyelid surgery is appropriate, what each procedure involves, and what to expect during recovery.

When Is Surgery Needed?

Upper eyelid surgery is considered when excess skin creates a heavy, tired appearance, hangs over the eyelashes, narrows the visual field, or makes eye makeup application difficult. Lower eyelid surgery addresses prominent under-eye bags, dark circles, tear trough hollowing, and skin laxity. Importantly, blepharoplasty isn't necessarily age-related — some patients develop these concerns in their 30s due to genetics.

Upper Blepharoplasty

Often performed under local anesthesia in approximately 30-60 minutes for both eyes. The incision follows the natural eyelid crease, making the scar virtually invisible when the eyes are open. Excess skin is removed, and if present, fat herniation is addressed. Sutures are removed in 5-7 days. Most patients resume social activities within 7-10 days.

Lower Blepharoplasty

Two main approaches exist: external (just below the lash line) and transconjunctival (inside the eyelid). The transconjunctival approach leaves no visible external scar and is ideal for patients with fat herniation but minimal skin excess. Fat can be removed or repositioned to create a smoother contour. Results stabilize around 5 months.

Combined Procedures

Upper and lower blepharoplasty can be performed in the same session for comprehensive periorbital rejuvenation. This combined approach requires only one recovery period and provides harmonious improvement to the entire eye area.

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Practical Information — Blepharoplasty (eyelid surgery) in Istanbul

Blepharoplasty in Istanbul is often performed under local anesthesia. Procedure time 30-60 minutes. International patients typically stay in Istanbul 5-7 days.

Frequently Asked Questions

Is blepharoplasty painful?

Performed under local anesthesia, the procedure is painless.

Can upper and lower eyelids be done together?

Yes, both can be performed in the same session.

How long do results last?

Upper blepharoplasty: 10-15+ years.

When can I wear makeup again?

Light makeup at 10-14 days postoperative.

Blepharoplasty (eyelid surgery) in Istanbul — Assoc. Prof. Dr. Ayhan Işık Erdal's Practice

Dr. Ayhan Işık Erdal's private clinic is located in central Istanbul, in the Nisantasi district — Istanbul's premier neighborhood for plastic surgery and luxury services. Address: Teşvikiye Cad. No:9/12, Istanbul. The clinic is easily accessible from major Istanbul hotels and from Istanbul Airport (IST) and Sabiha Gökçen Airport (SAW).

Istanbul has become a leading destination for plastic surgery worldwide, attracting patients from Europe, North America, the Middle East, and Asia. International patients choose Istanbul for the combination of board-certified plastic surgeons, modern accredited hospitals, competitive pricing compared to Western Europe and the US, and the cultural appeal of the city itself.

Dr. Erdal's Istanbul practice is structured to provide international patients with seamless coordination: video consultation prior to travel, airport-hotel transfer, English-speaking medical team, accommodation arrangements at partner hotels near the clinic, and full postoperative follow-up. Hospital partners are accredited facilities in central Istanbul with international anesthesia standards. WhatsApp consultations are available at +90 544 850 72 32 for international inquiries.

Author: Assoc. Prof. Dr. Ayhan Işık Erdal — Plastic, Reconstructive and Aesthetic Surgery Specialist, FACS (American College of Surgeons), FEBOPRAS (European Board of Plastic, Reconstructive and Aesthetic Surgery). Hacettepe University Medical School graduate; trained at Memorial Sloan Kettering Cancer Center (NYC) and Ghent University Hospital (Belgium). 30+ peer-reviewed international publications.

This content is for informational purposes only and does not constitute medical advice. Individual evaluation requires in-person consultation.