Treatment guide

Upper And Lower Blepharoplasty

Are your eyelids disrupting your vision or are you looking to get younger, more alert-looking eyes? Or you may be looking to have your eye bags surgically reduced. Then a blepharoplasty may be a viable solution for you. It is a versatile eye surgery performed to either adjust abnormalities or defects of the eyelids, or for aesthetic purposes.

The content has been reviewed for quality and accuracy to the best of our knowledge by Qunomedical and its Medical Board of Experts.

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  • Blepharoplasty is recommended for patients whose upper eyelids are droopy or sagging due to excessive skin or fat, causing an impairment of vision.

  • Patients with excessive lower eyelid skin can also have blepharoplasty surgery.

  • Patients who are looking to improve the appearance of their eyes to achieve a more youthful look.


Approximately 2 weeks after your blepharoplasty, the bruising and swelling will start to subside. It will take a few months for the scars to fade.


A routine blepharoplasty takes between 1 to 3 hours.


Blepharoplasty surgery has a 90-95% success rate.


  • Dry and/or irritated eyes.

  • Distinct scarring.

  • Infection.

  • Bleeding.

  • Blurred vision.

  • Difficulty closing eyes.

Before / After Photos



The cost table below refers to average starting prices for an upper and lower blepharoplasty. These are not fixed prices, as each country may have its own additional factors that affect the price further.

If you are looking for prices for a double blepharoplasty (both upper and lower) or single procedures (either upper or lower), get in touch with us and we can give you a free quote according to your personal needs.

Below are starting prices for Upper And Lower Blepharoplasty in different countries

CountryPrice (EUR)
Czech Republic€ 980
Philippines€ 1,210
Indonesia€ 1,520
Germany€ 1,900
Croatia€ 2,055
India€ 2,580
Spain€ 4,500

How does it work?

Only after you’ve had your initial consultation regarding your upper and/or lower blepharoplasty and have made a final decision can the surgery be performed.


Upper Blepharoplasty


Upper blepharoplasty can be carried out using either local anaesthetic, sedative anaesthetic or general anaesthetic. Local anaesthetic involves the injection of a numbing agent into the eyelids so that the patient can remain awake throughout your blepharoplasty. Sedative anaesthetic will cause patients to sleep during the surgery and general anaesthetic is, in essence, a medically induced coma. You should discuss each option with your doctor to see which is suitable for you.


The surgeon will make an incision along the natural folds of your eyelid. They will then cut along the incision and proceed to remove the excess skin or fat, and tighten the muscle where needed. At the end of the blepharoplasty procedure, the surgeon will close the incision and stitch it up.

Lower Blepharoplasty


Just like upper blepharoplasty, lower blepharoplasty can be carried out using either local anaesthetic, sedative anaesthetic or general anaesthetic. Your doctor will discuss with you what option best works in your case.


The incision is made either inside the lower lid or below the eye in the natural crease. Then the excess skin, muscle or fat will be removed or restructured. After this, the cut will be sutured and the surgery will be over. Lower blepharoplasty can also be done using a transconjunctival incision, which completes the procedure inside the lower eyelid and without removing any skin.

What Is an Asian Blepharoplasty or Double Eyelid Surgery?

Double eyelid surgery (Asian blepharoplasty) is one of the most commonly requested elective cosmetic surgeries among Asian populations such as in South Korea, Taiwan, and China. The suprasternal epicanthic fold, as the crease above the upper eyelid is known, is absent in roughly half of the Asian population, so many choose this surgery for cosmetic reasons.

The double eyelid blepharoplasty involves creating a fold in the upper eyelid to create the double eyelid effect. Double eyelid surgery may be a surgery option also for older persons who wish to counter 'sunken eye deformity', combat wrinkles or reduce sagging in eyelid skin, or for anyone wishing to increase the width of their upper eyelid.

How Does an Asian Blepharoplasty Work?

Double eyelid blepharoplasty includes non-incisional and incisional techniques. More precisely, there are three main kinds of double eyelid surgery available.

Double Eyelid Blepharoplasty - Incisional Techniques

Full Incision

This method involves a single large incision and the removal of excess skin and fat. It is an ideal choice for older patients or anyone with thick or drooping eyelids.

Partial Incision

This method is often recommended for patients with eyelids containing excess fat but no excess skin. It involves several small incisions made along the line of the intended fold through which fat is removed. It is considered to be a less invasive alternative to the full incision method for your double eyelid surgery.

The Double Sutures and Twisting Method (DST) or Non-incisional Method

Also known as the 'closed method', this is the least invasive option for your blepharoplasty, as no incision is required. Sutures are placed at the top of the tarsus (a connective tissue) or attached to the underlying cartilage of the eyelid, creating a fold.

Modern DST procedures can be broken down into 'buried' and 'non-buried' procedures:

  • Non-buried methods are the simplest and involve the placement of sutures through the skin and into the connective tissue. Sutures are usually removed a few days later.

  • The buried method involves absorbable sutures being 'buried' into the muscle. This method is appealing as it does not require suture removal, thereby reducing the risk of scarring, and it also affords the surgeon greater freedom when it comes to dictating the width of the fold.

The DST method offers the shortest duration and recovery time after your blepharoplasty but can occasionally present issues in terms of long-lasting results.

What Should I Expect From This Procedure?

A blepharoplasty procedure can be done for functional reasons to allow for an unimpaired field of vision or for aesthetic improvement of the eye region. A lower blepharoplasty is almost always done for the latter reason and can also be combined with a facelift or a browlift. Both types of surgeries follow the same procedural protocol and have a high rate of success. When going in for the surgery for cosmetic reasons, it is vital to make your intentions and expectations clear to your surgeon to achieve the best results.

Recovery Time and Results

After your blepharoplasty surgery, your may feel a little discomfort in your eyes or they may just feel a little unusual. Sensitivity to light and swelling are common and will dissipate with time. It is important to be patient and not force the recovery in any way, or place undue stress on your eyes. It is also important to bear in mind that the final results of your blepharoplasty may take as long as three months to show - that is to say, due to swelling and healing, the fold may take this long to settle into its final position. In addition, the slight swelling that may persist for as long as three months after the procedure may cause the width of the double eyelid to remain wider than the final result during that period.

Upper And Lower Blepharoplasty Reviews

Upper And Lower Blepharoplasty Reviews

I would recommend the doctors and this hospital to anyone who wants to have a plastic surgery.

I had my upper and lower eye lids left and outer hips liposuction done in the Cosmedic Centre BIMC Hospital Nusa Dua. Dr Suka Adnyana, my plastic surgeon, Dr Sissy Surya and all supporting medical personnel were absolutely wonderful. I had such a good experience! I would recommend the doctors and this hospital to anyone who wants to have a plastic surgery. Care and after surgery support is at the high level in BIMC Hospital Nusa Dua. Thank you!

  • Upper And Lower Blepharoplasty
Dr. Vatlak did an amazing job!

I went from Wales to the Iscare clinic November 1st had the pre op on November 2nd 7.30 am had my upper eye lift and lower eye procedure came home November 3rd. I stayed on the “Rohan Boat“ which is a 6 minute walk to the hospital, the clinic is immaculate!! Professional!! Dr. Vatlak did my procedure amazing! The Rohan boat is immaculate! So clean! The staff are really helpful in the hospital and on the Boat! I bought eye masks and gave them to the staff on the boat who kept cooling them in the fridge for me.. The only thing I can say is you must rest after the operation! I’m home now recovering will keep you all updated!!

Linda L.
  • Upper And Lower Blepharoplasty
Dra. Panama, her staff and particularly Dra. Vargas are very friendly and professional.

Hi, my name is Leila Hobeika, I´m from Toronto, Canada. Dra. Panama, her staff and particularly Dra. Vargas are very friendly and professional. I had been thinking about the eye lid surgery for a couple of years until a friend mentioned Dra. Panama. After the initial visit, I decided to do the eye lids, to remove the bags under my eyes and lift the eyebrows in March 2017. I’m very happy with the outcome. I have recommended Dra. Panama to a couple of friends who are considering it.

Leila Hobeika
  • Upper And Lower Blepharoplasty
Dr. Greechart did a magnificent job.

My experience at Yanhee Hospital was very satisfactory. <br> The international coordinators, Villyn, Joann, and Xamantha, were there for me for the 5 days I was in hospital. The nursing staff, I can't thank enough. Dr. Greechart did a magnificent job. <br> For a lone traveler as myself, know that you are never on your own at Yanhee Hospital. They gave me the comfort and reassurance that I needed. From the moment I arrived, my international coordinator, Ms. Kul, was very informative and was with me up to the minute I left for surgery.

  • Upper And Lower Blepharoplasty

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