Upper Blepharoplasty

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Upper blepharoplasty before and after

Upper Blepharoplasty: Upper Eyelid Surgery in Turkey

Upper Blepharoplasty is a surgical procedure designed to remove or reshape excess skin and, when necessary, excess fatty tissue from the upper eyelids to create a more refreshed, natural and open appearance.

At RovithoMED Health Tourism Agency, patients travelling to Istanbul for upper eyelid surgery are evaluated individually and their treatment is planned according to their eyelid anatomy, brow position, skin excess and functional needs.

The aim of modern upper eyelid surgery is not simply to remove skin. A well-planned procedure should maintain the natural character of the eyes while improving heaviness, excess skin and an aged or tired appearance.

What Is Upper Blepharoplasty?

Upper Blepharoplasty is an eyelid surgery performed to correct excess skin, tissue laxity and, in selected patients, protruding fat in the upper eyelid.

With ageing, the skin around the eyes gradually becomes thinner and loses elasticity. Genetics, brow position, sun exposure and individual facial anatomy can also contribute to the development of excess upper eyelid skin.

This may cause:

  • Hooded upper eyelids
  • A tired or heavy appearance
  • Difficulty applying eye makeup
  • Reduced visibility of the natural eyelid crease
  • Eyelid asymmetry
  • Excess skin extending towards the outer corner of the eye
  • In more advanced cases, restriction of the upper visual field

For suitable patients, upper eyelid surgery can improve these concerns while preserving a natural eyelid shape.


Who Is a Good Candidate for Upper Blepharoplasty?

You may be a suitable candidate for Upper Blepharoplasty if you have visible excess skin or heaviness affecting the upper eyelids.

Common indications include:

  • Loose or redundant upper eyelid skin
  • Hooded eyelids
  • Upper eyelid skin covering the natural eyelid crease
  • A tired-looking eye area despite adequate rest
  • Asymmetry between the upper eyelids
  • Fat prominence in the upper eyelid
  • Difficulty applying eyeliner or eyeshadow
  • Excess skin extending towards the outer eyelid

However, not every heavy upper eyelid is caused by excess eyelid skin.

In some patients, a low eyebrow position, ptosis — drooping of the eyelid itself — or a combination of anatomical factors may be responsible.

For this reason, a detailed eyelid and eyebrow examination is important before deciding whether Upper Blepharoplasty alone will provide the desired result.


How Is Upper Blepharoplasty Performed?

Before surgery, the surgeon carefully marks the amount of skin that can safely be removed while protecting natural eyelid closure and maintaining an appropriate eyelid crease.

At our clinic, Upper Blepharoplasty is performed with a carefully planned incision positioned within the natural upper eyelid fold.

Laser Incision Instead of a Conventional Scalpel

In our surgical protocol, the incision can be created using laser technology rather than a conventional surgical scalpel.

The surgeon follows the pre-operative markings precisely and removes the planned amount of excess eyelid skin.

When necessary, underlying tissues and prominent fat compartments may also be conservatively reshaped.

The amount of tissue removed is determined individually. Excessive removal is avoided because modern eyelid surgery focuses on maintaining natural eyelid volume and function rather than creating an overly hollow appearance.


Where Is the Upper Blepharoplasty Incision Made?

One of the most important aspects of Upper Blepharoplasty is accurate incision placement.

The incision is positioned within the natural upper eyelid crease so that, after healing, it becomes much less noticeable when the eyes are open.

Towards the outer part of the eyelid, the incision may extend slightly beyond the eyelid itself when lateral skin excess needs to be corrected.

Extension Towards the Natural Eyeliner Line

In female patients, when additional lateral skin removal is required, the incision is carefully extended towards the outer eye following the direction of the natural eyeliner line.

This allows the surgeon to address excess skin at the outer eyelid while positioning the incision within a visually discreet anatomical line.

The exact length of the incision varies according to the patient's eyelid anatomy and the amount of excess skin.


Are the Stitches Visible After Upper Eyelid Surgery?

At the end of the operation, the incision is closed with a fine, aesthetic concealed suturing technique.

Careful skin closure is particularly important in upper eyelid surgery because the eyelid skin is very thin and precise wound alignment contributes to a more discreet scar.

The surgical line may initially appear pink or slightly raised, which is a normal part of early healing.

Over the following weeks and months, the incision usually becomes progressively softer and less noticeable.

Individual scar healing may vary according to skin type, genetics, sun exposure, smoking and post-operative care.


When Are the Stitches Removed?

Following Upper Blepharoplasty, sutures are generally removed 7 days after surgery.

The surgical team checks the incision and early healing during this appointment.

After suture removal, patients receive personalised instructions regarding scar care, sun protection and the appropriate time to resume makeup and normal skincare.


Does Upper Blepharoplasty Leave a Scar?

Every surgical incision creates a scar. However, one of the advantages of upper eyelid surgery is that the incision can usually be hidden inside the natural eyelid crease.

The lateral portion is positioned carefully to follow the natural lines around the eye.

Immediately after surgery, the incision can be visible. During the following months, it generally becomes lighter and less noticeable as scar maturation progresses.

Final scar quality varies from person to person.

Using appropriate surgical planning, fine sutures and correct post-operative care helps create the most discreet incision line possible.


What Happens During the Procedure?

The exact surgical plan depends on the patient's eyelid anatomy.

A typical Upper Blepharoplasty may include:

  1. Detailed pre-operative eyelid measurements and marking
  2. Local anaesthesia and appropriate anaesthetic support
  3. Laser incision along the planned eyelid crease
  4. Conservative removal of excess upper eyelid skin
  5. Fat adjustment when clinically necessary
  6. Careful haemostasis
  7. Fine aesthetic closure of the incision

The objective is to achieve a lighter and more defined upper eyelid while maintaining the patient's individual eye shape.

Natural Results Matter More Than Removing Maximum Skin

Successful Upper Blepharoplasty should not make every patient look the same.

Removing too much skin or fat can potentially create an unnatural or hollow appearance and may affect eyelid closure.

For this reason, treatment planning should consider:

  • Natural eyelid crease height
  • Brow position
  • Eyelid symmetry
  • Skin elasticity
  • Orbital volume
  • Eye prominence
  • Possible eyelid ptosis
  • Previous eyelid surgery

The purpose is not to create an artificially tight eyelid but to achieve a balanced and refreshed appearance.


Upper Blepharoplasty and Brow Position

Sometimes what appears to be excess eyelid skin is partly caused by a low eyebrow position.

When the brow descends, particularly towards the outer portion, additional skin gathers over the upper eyelid.

In these patients, performing only upper eyelid surgery may not completely address the underlying anatomical problem.

Depending on examination findings, the surgeon may therefore discuss procedures such as:

  • Endoscopic brow lift
  • Temporal brow lift
  • Direct brow lift
  • Upper blepharoplasty combined with brow lifting

Whether an additional procedure is necessary should always be determined by physical examination rather than photographs alone.


Upper Blepharoplasty vs Ptosis Surgery

Upper eyelid skin excess and eyelid ptosis are different conditions.

Blepharoplasty removes excess eyelid skin, whereas ptosis surgery addresses the mechanism responsible for lifting the eyelid itself.

A patient can also have both conditions simultaneously.

Possible signs of ptosis include:

  • One eyelid appearing lower than the other
  • The upper eyelid covering more of the iris or pupil
  • Compensation by raising the eyebrows
  • Forehead muscle overactivity
  • Eye asymmetry that remains even when excess skin is lifted

During consultation, the surgeon determines whether Upper Blepharoplasty, ptosis repair or a combination of both is appropriate.


Upper Blepharoplasty Recovery

Recovery after upper eyelid surgery is usually progressive.

During the first several days, patients may experience:

  • Swelling
  • Bruising
  • Mild tightness
  • Temporary asymmetry caused by swelling
  • Mild sensitivity around the incision

Cold applications and the prescribed post-operative medications may be recommended according to the surgeon's instructions.

Day 7

Sutures are normally removed approximately 7 days after surgery.

Many patients notice a significant reduction in swelling during the first one to two weeks, although minor swelling may remain longer.

Following Weeks

The incision gradually softens and fades. The eyelid shape also becomes more natural as swelling resolves.

It is important to understand that healing varies between individuals. Final refinement of the eyelid and scar continues for several months.


When Can I Return to Work?

Many patients return to desk-based work approximately one week after surgery, depending on swelling and bruising.

Patients should avoid strenuous exercise and activities that increase pressure around the surgical area until cleared by their surgeon.

Your doctor will provide individual recommendations according to your healing process.


Can I Wear Makeup After Upper Blepharoplasty?

Eye makeup should not be applied directly over a fresh incision.

Once the sutures have been removed and the incision has healed adequately, the medical team can advise when makeup may safely be resumed.

Patients should avoid rubbing or pulling the eyelid during the early recovery period.


Upper Blepharoplasty in Turkey

Turkey, particularly Istanbul, has become an important destination for international patients seeking eyelid and facial surgery.

When considering Upper Blepharoplasty in Turkey, price should not be the only criterion.

Patients should also evaluate:

  • The surgeon's specialty
  • Experience in eyelid surgery
  • Hospital or clinic standards
  • Anaesthesia arrangements
  • Pre-operative examination
  • Post-operative follow-up
  • Management of possible complications
  • Communication with international patients

Eyelid surgery involves a small anatomical area where millimetres can make a significant difference. Therefore, specialist experience is particularly important.

Upper Blepharoplasty Price in Turkey

The cost of Upper Blepharoplasty depends on the surgeon's experience, the complexity of the procedure, whether additional procedures are required and the medical facility where treatment is performed.

For surgery performed by a European Board-certified oculoplastic surgeon, the price of upper blepharoplasty is generally around:

€1,500 – €2,000

The final price may vary depending on the patient's anatomy and individual treatment plan.

For example, the cost may differ if upper eyelid surgery is combined with:

  • Ptosis surgery
  • Brow lifting
  • Temporal lifting
  • Fat grafting
  • Canthoplasty or canthopexy
  • Other periocular procedures

A personalised quotation can therefore be provided after photographic assessment or clinical examination.


Why Choose an Oculoplastic Surgeon for Upper Blepharoplasty?

An oculoplastic surgeon specialises in surgery involving the eyelids, tear ducts, orbit and surrounding structures of the eye.

Because Upper Blepharoplasty involves both aesthetic appearance and eyelid function, detailed knowledge of periocular anatomy is particularly important.

At RovithoMED, eyelid surgery can be planned with a European Board-certified oculoplastic surgeon experienced in aesthetic and functional eyelid procedures.

The assessment includes not only excess skin but also:

  • Eyelid position
  • Eyelid function
  • Brow position
  • Eye symmetry
  • Orbital anatomy
  • Previous fillers or surgery
  • Ptosis
  • Tear film and ocular surface considerations when clinically relevant

This comprehensive approach helps determine whether blepharoplasty alone is appropriate.


Frequently Asked Questions About Upper Blepharoplasty

Is Upper Blepharoplasty painful?

The surgical area is anaesthetised during the procedure. Patients may experience mild discomfort, tightness or sensitivity during the early recovery period, but the level of discomfort varies between individuals.

Is the incision made with a scalpel?

In our surgical protocol, the incision can be performed using laser technology instead of a conventional scalpel. The surgeon follows the previously marked natural eyelid crease.

Where is the incision placed?

The incision is mainly positioned within the natural upper eyelid fold. If lateral skin excess must also be removed, the incision may extend slightly towards the outer corner of the eye. In women, this extension is planned along the natural eyeliner line whenever anatomically appropriate.

When are Upper Blepharoplasty stitches removed?

Sutures are generally removed 7 days after surgery.

Are aesthetic sutures used?

Yes. The incision is closed using a fine aesthetic suturing technique designed to achieve precise wound-edge alignment and a discreet scar.

Will I have a visible scar?

The incision is intentionally positioned within the natural eyelid crease. A scar is visible during the initial healing stage, but it normally becomes progressively less noticeable over time. Scar healing varies between patients.

How long does Upper Blepharoplasty last?

The ageing process continues after surgery, but removed excess skin does not immediately return. Long-term results vary depending on genetics, skin quality, brow ageing and lifestyle factors.

Can Upper Blepharoplasty correct droopy eyelids?

It depends on the cause. If the drooping appearance is caused by excess skin, blepharoplasty may help. If the eyelid itself is low because of ptosis, a separate ptosis procedure may be required.

Can Upper Blepharoplasty be combined with a brow lift?

Yes. In patients with a low brow position, upper eyelid surgery can sometimes be combined with an endoscopic, temporal or other type of brow lift.

How much does Upper Blepharoplasty cost in Turkey?

For an Upper Blepharoplasty performed by a European Board-certified oculoplastic surgeon, prices are generally around €1,500–€2,000, depending on the patient's anatomy and whether additional procedures are required.

Is Upper Blepharoplasty suitable for men?

Yes. Upper eyelid surgery can be performed in both men and women. However, the natural eyelid crease, eyebrow position and aesthetic goals are different, so surgical planning should be adapted accordingly.


Upper Blepharoplasty Consultation in Istanbul

If excess upper eyelid skin makes your eyes look heavy or tired, Upper Blepharoplasty may provide a more refreshed appearance while preserving the natural character of your eyes.

Before surgery, photographs and medical history can be reviewed for an initial assessment. A detailed face-to-face examination is then performed before the operation to evaluate eyelid skin, brow position, eyelid function and symmetry.

RovithoMED Health Tourism Agency coordinates the treatment process for international patients travelling to Istanbul, including pre-operative planning and post-operative follow-up.