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Upper Eyelid surgery

This website is intended to provide you with general information only. This information is not a substitute for advice from your Specialist Plastic Surgeon and does not contain all the known facts about this procedure.

Procedure Details

Eyelid surgery (blepharoplasty) can be performed on your upper eyelids, lower eyelids, or both. Based on a preoperative evaluation of factors such as your underlying facial muscle structure, bone structure, and the symmetry of your eyebrows, your surgeon will decide how much skin, muscle, and/or fat to remove. Upper and lower eye lid surgery can be performed separately or both together under local or general anaesthetic, and takes between one to two hours to complete.

  • Your surgeon will make precise markings to indicate where excess tissues will be removed in your upper eyelids.
  •  In your upper eyelid, your surgeon will make an incision hidden within the natural fold of the upper eyelid.
  •  Your surgeon will remove tissue through these incisions using surgical instruments, including scalpels, surgical scissors, radiofrequency cutting devices, and, sometimes, cutting lasers.
  • He or she will then apply sutures or tissue adhesives (glue) to smooth and reconfigure areas around the eyebrows and eyelids. Sutures are invisible to the eye and are commonly self-dissolving. In most cases, there is virtually no detectable scar.
  • Less tissue is removed in patients with dry eyes to avoid exposing more of the eye to the air, which can cause symptoms to worsen.
  • Your surgeon will mark the natural lines and creases of your lids and keep your scars as hidden as possible along these natural folds. Fine sutures will be used to close the incisions, thereby minimizing scar visibility.

Am I a good candidate for eyelid surgery?

The following are some common reasons why you may want to consider eyelid surgery:

  •  If you have excess, hanging skin covering the natural fold of the upper eyelids.
  •  If you have loose skin hanging down from the upper eyelids over the eyelashes.
  •  If your upper eyelids appear puffy, making your eyes look tired and aged.

In advance of your procedure, your surgeon will ask you to:

  • Stop smoking at least six weeks before undergoing surgery to promote better healing
  • Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding
  • Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
  • You can expect to be asked detailed questions related to dry eyes, glaucoma, eye-related allergies, and other eye problems. Tell the doctor if you have circulatory problems, thyroid problems, diabetes, or other serious medical conditions. You will be asked about your current medications, including over-the-counter medications. Make sure to tell your doctor about any herbal supplements you take, as some of them may cause bleeding problems.


in Hospital
Where eyelid surgery is performed under local anaesthetic it is not necessary to stay overnight at the cosmetic surgery clinic whereas an overnight stay is required if surgery is performed under general anaesthetic and this is included in the price of your cosmetic surgery package.


in Budapest
Required minimum stay in Budapest: 7 days after surgery.

Although you will not have to rest in bed following surgery, you should plan to relax, stay home, and use cold compresses on your eyes on the day of surgery as well as the day after. Your plastic surgeon will remove the stitches between 6 and 7 days after your eyelid surgery.

The principal swelling and bruises will vanish within a week, make-up can be worn 10 days after the surgery, and it is possible to go out with sun glasses on within 4–5 days.

Most patients will be able to return to normal life at around 12–14 days. Avoid straining, heavy lifting, swimming, and strenuous activities, such as aerobics and jogging, for ten to fourteen days. Specifically, you should avoid activities in which you must move your head abruptly or that increase the blood pressure in your head.