Blepharoplasty

Fresh and rested look without a surgical scar

What is blepharoplasty?

Blepharoplasty is a surgical procedure for correcting the upper and/or lower eyelids. Excess skin, fat and sagging tissue are removed, which create a tired appearance, “bags” or ptosis. The procedure achieves natural rejuvenation without changing the expressiveness of the face.

Blepharoplasty cannot lift the eyebrows and reduce the appearance of deep wrinkles, crow’s feet or dark circles under the eyes, but can be combined with other procedures such as a forehead lift and Botox.

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Is blepharoplasty right for me?

Blepharoplasty is suitable for women and men who:

IMPORTANT!

It is important that you are at least 18 years old, have a stable weight, good general health, personal motivation for the operation and realistic expectations for the result.

You must not have serious eye diseases and have not had eye surgeries or laser corrections in the last year.

Patients with thyroid problems, dry eyes, high blood pressure, diabetes, detached retina, glaucoma and other problems should definitely consult an ophthalmologist.

Before the procedure, the plastic surgeon will discuss with you all questions and expectations.

Informed consent is a mandatory document that contains a detailed description of the procedure, possible risks and complications, anesthesia and financial conditions. It is signed after careful familiarization and the opportunity to ask questions to the plastic surgeon or anesthesiologist.

How does the operation work?

Surgical correction of the eyelids (blepharoplasty) is performed using precise and gentle techniques tailored to the anatomy of the eyes and the individual needs of each patient.

1

Techniques and methods of surgery

The incisions are located in the natural folds of the upper and/or lower eyelids, allowing for discreet healing without visible scars. Depending on the chosen surgical technique, fatty hernias are removed or fixed to the underlying structures, and excess skin is removed. In the absence of skin excess, the correction of adipose tissue can be carried out without an external incision through the so-called. transconjunctival blepharoplasty. The incisions are closed with a fine aesthetic seam, which, after healing, becomes practically imperceptible.

2

Anesthesia and Downtime

The operation can be performed under local or general anesthesia, and its duration is usually at least two hours. After the operation, thin paper strips are placed on the seams, which serve as a bandage, and cooling with ice helps to reduce swelling. When performing under local anesthesia, there is no need to stay in the health facility, while with general anesthesia, a short follow-up within about two hours is necessary.

Recovery - what to expect after blepharoplasty?

The recovery period is individual and may vary from patient to patient.

Risks and possible complications of upper or lower eyelid surgery (blepharoplasty)

All surgical interventions carry a certain risk, and serious complications are rare when the operation is performed by a qualified plastic surgeon.

Secondary blepharoplasty: It is usually associated with some complications – ectropion, bad scarring, excess skin left and may require additional correction.

Preoperative preparation

It is forbidden:

  1. Take Aspirin and its derivatives at least two weeks before surgery.
  2. We recommend that you stop smoking two weeks before surgery.
  3. If you are taking any medications, you should notify your treatment team!
  4. If you have any evidence of a drug allergy, please inform your treatment team, which will require testing and taking medications 3-5 days before the operation!

on the Day before the operation

Hair

If there is body hair in the area of surgical intervention, it should be shaved immediately before surgery.

19:00 - 20:00

Reception of a light dinner

on the day of the operation

For ladies

A prerequisite is not to be on your period on the day of the operation and not to be pregnant!

Until 9:00 a.m.

Medication intake – only with water

After 9:00 a.m.

You can drink a small cup of coffee, tea, water or juice
(if the operation is after 14:00)

No food

It is prohibited

  • Smoking
  • No makeup, varnish, jewelry, contact lenses, dentures, nail polish (especially gel polish).
  • Remove all head and body piercings before entering the operating room.

No nightgown, slippers or towel are needed – only personal toiletries.

Necessary research

Laboratory tests

Contraindications and warnings

Frequently Asked Questions (FAQs)

How long does recovery take after blepharoplasty?

The initial recovery usually takes about 7–10 days. Swelling and bruising decrease gradually, and the final result is evaluated after a few weeks, when the tissues are fully restored.

The incisions are placed in the natural folds of the eyelids or on the inside of the lower eyelid. After healing, the scars are discreet and in most cases practically imperceptible.

The procedure is performed under local or general anesthesia, therefore, no pain is felt during the operation. In the postoperative period, mild discomfort is possible, which is usually easily controlled with prescribed medication.

The result of blepharoplasty is long-lasting. The procedure does not stop the aging process, but significantly improves the freshness and youthful appearance of the look for years to come.

Consult our specialists

Make an appointment for a consultation with Dr. Petrov, dr. Lafcis et al. Lozanov. Our specialists will evaluate your case and prepare an individual treatment plan.

Contact us for questions and more information.

plastic surgeons Sofia

Dr. Stoyan Anastasov

Specialization

Graduate

Scientific congresses and international trainings

Aesthetic Medicine and Injection Techniques

Surgical and Medical International Courses

Specialized medical courses in Bulgaria

Differences

Membership

plastic surgeon Sofia Dr. Lafchis

Dr. Alexandros Lafcis

Seniority

17 years

Specialization

Graduate

Work experience

Additional qualifications

Membership

Professional interests

plastic surgeon Sofia Dr. Petrov

Dr. Violin Petrov

Seniority

30 years

Specialization

Graduate

Work experience

Membership