Upper eyelid skin excess

Collagen loss and gravity cause the upper lid skin to stretch and fold downward. In advanced cases it overhangs the lash line and may even reduce peripheral vision.

Upper lid fat prolapse

The orbital fat compartments can herniate forward through the orbital septum — creating fullness or puffiness in the upper inner corner of the eye.

Lower lid fat herniation (bags)

The most recognisable sign of lower eyelid ageing. The orbital fat migrates forward as the orbital septum weakens — creating the classic under-eye bag appearance.

Tear trough hollowing

Volume loss along the infraorbital rim creates a hollow groove between the lower lid and cheek. This shadow deepens the appearance of under-eye bags.

Levator ptosis

Weakening of the levator muscle — which opens the upper lid — causes the eyelid margin to drop, partially covering the pupil and giving a heavy, drooping appearance.

Lateral brow descent

As the lateral brow falls, excess skin load on the upper eyelid increases. Some patients who appear to need blepharoplasty may actually benefit more from — or additionally from — a temporal or brow lift.

Upper Blepharoplasty

Removes excess skin and, if present, herniated fat from the upper eyelid. Incision is placed in the natural upper lid crease — entirely invisible when the eye is open.

Lower Blepharoplasty — Transconjunctival

The incision is placed inside the lower lid (conjunctiva) — no external scar whatsoever. Ideal for patients whose primary concern is fat bags with no significant skin excess.

Lower Blepharoplasty — Subciliary

A fine incision just below the lower lash line allows both fat repositioning and skin removal. Used when both bags and lower lid skin laxity are present.

Four-Eyelid Blepharoplasty

Upper and lower lids treated in the same session. The most common combination — addresses all periorbital concerns comprehensively with a single anaesthetic and recovery period.

Ptosis Repair

When the levator muscle is weak and the lid margin obstructs the visual field, ptosis correction can be performed alongside upper blepharoplasty — restoring both function and appearance.

Pre-operative markings

The amount of skin and/or fat to be removed is precisely marked while the patient is sitting upright — gravity's effect on the tissues must be accounted for. Accurate marking is the foundation of a natural result.

Upper lid incision and tissue removal

For upper blepharoplasty: incision in the natural lid crease, precise excision of excess skin and any herniated fat. The orbicularis muscle is preserved or minimally resected to maintain natural lid function and expression.

Lower lid fat repositioning or removal

For lower blepharoplasty: fat is either removed or — in many cases — repositioned into the tear trough hollow for a smoother transition between lid and cheek. This repositioning technique avoids the hollowed-out look that can follow simple fat removal.

Canthopexy if indicated

If the lower lid is lax or shows ectropion tendency, a canthopexy (lateral canthal tightening) is performed to maintain proper lower lid position and prevent post-operative scleral show.

Meticulous skin closure

Fine sutures close the incisions. Upper lid scars fall into the natural crease and become invisible when the eye is open; transconjunctival lower lid incisions leave no external scar.

Upper eyelid hooding

Excess skin folding over the upper lid margin — making the eyes appear smaller, heavier, and older than the patient's actual age.

Under-eye bags

Persistent puffiness under the eyes — regardless of sleep quality — due to herniated orbital fat. Often genetic and may appear in younger patients.

Tired / aged periorbital appearance

Looking tired, sad, or older than felt — caused by sagging upper lids, lower lid bags, or the combination of both.

Visual obstruction

In advanced upper eyelid ptosis or skin excess, peripheral vision may be impaired — a functional as well as aesthetic indication for surgery.

Good general health

No uncontrolled thyroid disease, dry eye syndrome, or other ocular conditions that could affect healing or surgical safety.

Realistic expectations

The goal is periorbital rejuvenation — restoring the eye's natural youthful appearance, not a fundamentally different eye shape.

Natural, non-operated look

When performed conservatively and with the correct technique, results are indistinguishable from simply being well-rested — not "done."

Invisible scars

Upper lid incisions sit in the natural crease and are invisible with the eye open. Transconjunctival lower lid approaches leave no external scar at all.

Long-lasting results

Upper blepharoplasty results typically last 7–10+ years. Lower blepharoplasty for fat bags — often indefinitely, as fat does not reform.

Short recovery

Most patients are presentable (with concealer) within 7–10 days. Among the shortest recovery periods of any facial surgery.

Functional benefit

Removing hooding from the upper lids can restore impaired peripheral vision and relieve the brow fatigue caused by chronically elevated brows trying to compensate.

Highly combinable

Can be combined with temporal lift, brow lift, mid facelift, or fat transfer in a single session for comprehensive periorbital and facial rejuvenation.

Days 1–3

Swelling and bruising peak around the eyes. Cold compresses applied. Head kept elevated. Discomfort is typically mild and managed with simple oral medication.

Days 4–7

Bruising begins to yellow and fade visibly. Swelling reduces daily. Sutures are removed at day 5–7. Most patients can manage light indoor activities.

Week 2

Most patients are presentable with light concealer. International patients are typically cleared to fly home around day 10–12.

Weeks 3–4

Residual puffiness continues to settle. Full return to work and social activities for most patients.

Months 2–3

Final result is established. Incision lines fully matured and invisible in natural lid crease positions.

Blepharoplasty Alone

When the primary concern is periorbital — eyelid hooding, under-eye bags, or a tired eye appearance — with no significant lower face laxity.

Facelift + Blepharoplasty

When both the eye area and lower face are ageing together — the most comprehensive rejuvenation in a single surgical session.

Surgeon's fee

EBOPRAS-certified surgeon, chosen technique

Anaesthesia & theatre

Specialist anaesthetist, accredited hospital

Same-day discharge

Blepharoplasty is typically day-surgery — no overnight stay required

Post-operative follow-up

Suture removal, dressing checks, 10–12 day monitoring

Coordination service

English-speaking team, transfers, 24/7 contact

Fit-to-fly clearance

Final check-up and travel clearance 10–12 days post-surgery

EBOPRAS Certified

European Board of Plastic, Reconstructive and Aesthetic Surgery — the highest board certification in European plastic surgery.

ISAPS Member

International Society of Aesthetic Plastic Surgery member.

Facial Aesthetics Only

Not a generalist clinic — a practice focused exclusively on the face.

Identity-Preserving Philosophy

Periorbital surgery done right should be invisible — not creating a different eye shape, but restoring the eye's own natural youthfulness.

How long does blepharoplasty surgery take?

Upper blepharoplasty alone typically takes 45–60 minutes. Four-eyelid blepharoplasty (upper and lower) takes approximately 1.5–2 hours. Most patients are discharged the same day.

How long do blepharoplasty results last?

According to Op. Dr. Necdet Urhan, upper blepharoplasty results typically last 7–10+ years before any skin excess returns. Lower blepharoplasty for fat bags is considered very long-lasting — fat herniation generally does not recur after surgical removal.

Will I have visible scars after blepharoplasty?

No. Upper lid incisions are placed in the natural crease and are entirely invisible when the eye is open. For lower lids, the transconjunctival approach leaves no external scar. Subciliary scars (just below the lower lash line) become imperceptible as they mature over 3–6 months.

Is blepharoplasty painful?

According to Op. Dr. Necdet Urhan, blepharoplasty has among the lowest post-operative pain levels of any facial surgical procedure. Discomfort is typically described as mild tightness and is well managed with oral analgesics.

I have under-eye bags but no excess skin — which procedure is right for me?

Transconjunctival lower blepharoplasty is designed exactly for this presentation — fat bags without skin laxity. The incision is placed inside the lower lid, leaving no external scar.

Can blepharoplasty be combined with temporal lift?

Yes — this is one of the most effective periorbital combinations. Temporal lift elevates the lateral brow, reducing the skin load on the upper eyelid; blepharoplasty then addresses any remaining lid skin and under-eye bags. The combined result is more complete than either procedure alone.

Do I need a facelift, or will blepharoplasty be enough?

According to Op. Dr. Necdet Urhan, this depends on the overall facial anatomy. If the primary concern is isolated to the periorbital area with no significant lower face or neck ageing, blepharoplasty alone — possibly combined with temporal lift — is sufficient. A full clinical assessment determines the optimal plan.

When can I fly home after blepharoplasty in Antalya?

International patients should plan a 10–12 day stay. Sutures are removed at days 5–7, and a final check-up with fit-to-fly clearance is issued at around day 10–12.

Is there an age limit for blepharoplasty?

No specific age limit. Under-eye fat herniation is often genetic and can present in patients in their 20s or 30s. Upper eyelid hooding typically becomes noticeable from the 40s onwards. Candidacy is determined by anatomy and health status, not age.