Blepharoplasty is an operation to correct deficiencies, deformities and abnormalities (bags, dark circles) of the eyelids, which appear over time or due to hereditary causes.

Many of these have an impact on the aesthetic integrity of the wider facial area. Skin and fat of the eyelid is removed or redistributed and the underlying muscle is strengthened, restoring the functional and aesthetic problem.

Upper blepharoplasty is an operation to correct problems in the upper eyelid. Usually it is an excess of skin (dermatochalasis) or fat projection but the coexistence of others is not excluded.

Lower blepharoplasty is a procedure to correct problems in the lower eyelid such as bags, excess skin and wrinkles.


In upper blepharoplasty, incisions are made on the skin, hidden in natural folds of the upper eyelid, to remove both skin and fat. If necessary, the outer corner of the eye can be lifted with specific manipulations, which gives a youthful appearance to the result.

The upper blepharoplasty procedure is considered by many to be a routine procedure. And possibly in some cases no special manipulations are required beyond the removal of excess skin and possibly fat and muscle.

However, a careful clinical assessment may reveal other problems, e.g. prolapse of the lacrimal gland, drooping of the eyelid of various etiologies, which if not treated will not lead to the ideal result.

Where does modern upper blepharoplasty differ from older techniques?

The main difference is that fat is no longer removed as with the older methods and when it is removed it is done very conservatively or transferred to other areas where necessary. “Emptying” the upper eyelid is not a good practice.

In fact, it is often observed today that patients who have undergone upper blepharoplasty in the previous decades undergo microlipotransfer procedures to correct the hollow eye (hollow eye, A frame deformity).

WITH WHICH other surgeries does IT get COMBINED?

Primarily with brow lift procedures(Browlift) and FaceLifts.

Depending on the case, at the same time as the upper blepharoplasty, correction of the drooping of the eyelid should be performed. This requires a few more surgical steps, interventions in the eyelid muscle or elsewhere.

An eyelid droop that is not diagnosed and corrected during blepharoplasty may be even more noticeable after the surgery than before.

Message from Dr Drakotos

Many times people come to my office for upper blepharoplasty surgery because they notice excess skin on the upper eyelids that “covers” their eyes. A seemingly simple case of excess skin on the upper eyelid may require lifting and repositioning of the eyebrow instead of removing the excess, or even along with the removal of the excess. In other words, a Browlift can be the solution to the above problem and not an upper blepharoplasty. This can be assessed after clinical examination and discussion with the patient.


With this procedure we can:

  • remove excess skin on the lower eyelid
  • correct the bags which can be either fat pushing outwards, or loose muscle
  • we smooth the wrinkles
  • improve the shape of the eye
  • “lift” the whole middle face

Lower blepharoplasty is an operation that requires excellent preoperative planning and assessment of each case. Factors that could potentially cause problems after surgery should be taken very seriously into account. (e.g. relaxation of the tarsocortical sling, exophthalmos, positive or negative midface axis, etc.).

A trained surgeon in the area can assess them and take additional steps during the operation to avoid problems afterwards.

Where does modern lower eyelid surgery differ from older techniques?

The main difference is the fact that fat removal is much more conservative.

Instead of the fat being completely removed, as in the past, which created a tired and emaciated look, it is now partially removed or even transferred to deficit areas in the vicinity.

WITH WHICH other surgeries does the lower blepharoplasy get COMBINED?

Most commonly with fat transfer to the face and especially to the midface.

Also, in the context of anti-aging of the face with a FaceLift.


Two different incisions can be used in lower blepharoplasty.

  • One becomes 1-2 mm. below the eyelid rim (from the eyelashes) (In this case the closure is done with a continuous thin suture),
  • The second alternative is an incision inside the eyelid (conjunctiva).
    This method allows the approach of the fat compartments of the lower eyelids without visible incisions and is useful in cases where mainly fat removal is required and not excess skin. (In this case the closure is done with single sutures or without any sutures at all.)

Message from Dr Drakotos

This procedure is the most popular procedure for anti-aging of the male face. The periocular area is usually the one that determines whether a man grows up nicely or not. With an intervention there a man can gain self-confidence without false and exaggerated elements.

Information about the surgery


Direct. Swelling may occur (in various degrees), which disappears completely within 1-2 weeks.


Minimal. A prescription painkiller is often enough.

Special protection for after surgery


Suture removal

The stitches are removed in 5-7 days.

There are no drainage pipes.


Only as an outpatient. No hospitalization is required.

There are no restrictions on the patient’s daily activities. You should definitely walk. You can shower the day after surgery.

He should not lift weights greater than 10-12 kg for 2 weeks. Assuming there is no impairment of vision from the swelling or requirement of medication for pain, then it can lead to 1-2 days after surgery.

You should not engage in any strenuous activity / lifting weights for at least 4 weeks.

The patient can return to work within a week depending on the requirements of the job.


The patient will be seen in the clinic the1st week after surgery and then at 2 weeks, 6 weeks and 3 months or whenever necessary.

Frequent questions

Usually these procedures do not need to be repeated. When after a successful surgery excess skin is observed again on the upper eyelid, it is most likely caused by a descent of the eyebrow position over the years.

The use of special technologies to achieve results without surgery is entirely legitimate and, in my personal opinion, a sign of progress and development. In this particular case, however, the method usually called bloodless blepharoplasty cannot have the results it promises. It can offer improvement in a very small group of patients, with very little excess skin, and for everyone else it just doesn’t work!

On the other hand, the upper blepharoplasty procedure is usually a 30-45 minute procedure with local anesthesia and minimal recovery time. (less than that of the “bloodless methods”.)

Each case is different.

With a detailed clinical examination we can identify in advance the cases that may present such problems. Once this is done with special additional surgical steps we can ensure that. complications will be extremely rare.

Book your appointment today!

Schedule your visit to Art-Surgery and receive a specialized medical evaluation.

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Book your appointment today!

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