Blepharoplasty (eyelid surgery) in Istanbul
For heavy, hooded upper lids and puffy lower lids. This page explains what eyelid surgery can and cannot correct, how recovery feels day by day and which warning signs matter.
- Operation time 30 min–2 hours, depending on the lids treated
- Hospital stay Usually same-day discharge
- Time in Istanbul About 7 days; 7–10 days for all four lids
- Back to work 1–2 weeks for most people
What is eyelid surgery?
Blepharoplasty (eyelid surgery) removes or repositions excess skin, bulging fat and, where needed, muscle in the upper and/or lower eyelids. It can make hooded upper lids lighter, widen your field of vision when skin hangs over the lashes, and reduce bags under the eyes. The upper incision lies in the natural lid crease; the lower one sits just below the lashes or inside the lid. Upper lids are often done under local anaesthesia, and most people go home the same day. Many feel ready to be seen in public after 10–14 days.
What it can do
- Remove heavy, hooded skin from the upper lids
- Widen your field of vision when upper-lid skin hangs over the lashes
- Reduce puffy bags under the eyes by removing or repositioning fat
- Tighten loose lower-lid skin and soften fine lid wrinkles
What it cannot do
- Lift dropped eyebrows: if the hood comes from the brow, a brow lift is needed
- Correct ptosis, where the muscle that raises the lid is weak; that needs a different operation
- Change dark colouring of the lower-lid skin, which laser or peels may help with
- Stop the eye area from ageing
Is it right for you?
Eyelid surgery suits adults whose concern is excess skin or fat in the lids, rather than the brows or the muscle that lifts the lid. There is no upper age limit, and in some families bags appear in early adulthood. Your eyes are examined, and suitability is confirmed in person, before anything is planned.
Usually a good fit if
- Excess upper-lid skin hides your natural crease or rests on your lashes
- Upper-lid skin narrows your field of vision
- You have puffy bags or excess skin in the lower lids
- Your eyes are healthy, without severe dry eye or untreated eye disease
- You do not smoke, or can stop 6 weeks before surgery and stay off it afterwards
Better to wait or consider alternatives if
- You have severe dry eye: even a small increase in eye exposure can make it much worse
- You have thyroid eye disease or prominent eyes, which raise the risk of the lids not closing fully
- You have an untreated eye problem, such as acute blepharitis or uncontrolled glaucoma, or have had recent laser eye surgery (LASIK)
- The heaviness comes mainly from a low brow or a weak lid muscle (ptosis), which needs a different or additional operation
- You are under 18, or your worry about your appearance feels overwhelming; talking it through first is the kinder step
Techniques
The technique depends on which lids are treated and whether skin, fat or both are the problem. Removing too much lower-lid fat can leave a hollow look, so the choice between removing and repositioning fat is made for each person.
Upper blepharoplasty
An incision in the natural crease, usually 8–10 mm above the lashes, allows skin, and if needed a strip of muscle and fat, to be removed or the fat redistributed. At least about 10 mm of skin is kept below the brow so the eye can still close.
Best for
Hooded or heavy upper lids
Lower blepharoplasty through the skin
The incision runs just below the lashes (subciliary). Excess skin is removed and fat is removed or repositioned. Because skin is taken, the lower lid's position needs protecting.
Best for
Lower-lid bags with loose or wrinkled skin
Lower blepharoplasty from inside the lid
In the transconjunctival approach, the incision is on the inner surface of the lower lid, so the scar is hidden. Fat is removed or repositioned, but skin is not taken. Possible problems include swelling of the eye surface, lid retraction and, rarely, double vision.
Best for
Bags with good skin quality
Fat repositioning and canthal support
Bag fat can be moved into the groove beneath the eye instead of being removed. A loose outer lid corner can be supported (canthopexy or canthoplasty) to protect the lid's shape.
Best for
A hollow tear trough or a lax lower lid
Op. Dr. Bilgehan İlker
Specialist in plastic, reconstructive and aesthetic surgery
- Specialist training: Dokuz Eylül University
- Medical degree: Trakya University
- Health tourism authorization: ST-2657
- Dr. İlker speaks English and Turkish.
How Dr. İlker approaches eyelid surgery
Op. Dr. Bilgehan İlker is a specialist in plastic, reconstructive and aesthetic surgery, trained at Dokuz Eylül University. She writes that upper eyelid surgery is often about health as well as appearance, because heavy upper lids can block part of your vision.
On her own pages she describes upper-lid surgery under local anaesthesia or sedation, with the skin to be removed marked according to the plan agreed at your consultation and the scar placed in the lid crease. For the lower lids she describes an incision just below the lashes, with cold compresses in the first 24 hours to limit swelling.
- Brow and lid checked together Brow position, lid crease and any ptosis are assessed first, so the right problem is treated.
- Eye health before appearance Dry eye, thyroid problems, glaucoma, previous laser eye surgery and your medicines are reviewed before surgery is offered.
- Honest about combinations If the brow is part of the problem, a brow lift is discussed rather than removing more lid skin.
- Consent in writing You receive a written plan and sign consent once your questions are answered.
The operation, step by step
Surgery takes 30 minutes to 2 hours, depending on how many lids are treated.
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Consultation and eye assessment
Your vision, dry-eye history, thyroid health and medicines are reviewed. Brow position, lid crease, lid strength, lower-lid laxity and how fully your eyes close are checked.
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Marking and anaesthesia
The skin to be removed is marked. Local anaesthesia, with or without sedation, is common for upper lids; general anaesthesia may be used for all four lids or combined surgery.
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Incisions
Upper lids: in the natural crease. Lower lids: just below the lashes or on the inner surface of the lid.
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Removing or repositioning tissue
Skin, and if needed muscle, is removed; fat is removed or repositioned; and the lower lid's muscle and tendon can be supported to protect its shape.
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Closing
Fine stitches or skin glue close the incisions; stitches inside the lid are usually not visible.
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Dressings and going home
Thin adhesive strips, lubricating ointment and cold compresses are applied. Most people go home the same day with a companion.
Your days in Istanbul
Eyelid surgery is a short operation, but plan the trip around stitch removal and a check before flying. Your own dates are confirmed after your examination.
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Eye check and planning
Before surgery
Arrive in time for an unhurried in-person examination at least 48 hours before surgery, as BAAPS advises. For all four lids under general anaesthesia, BAAPS suggests arriving at least 72 hours ahead.
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Home the same day
Surgery day
Most people return to their accommodation a few hours after surgery with a companion. Rest with your head raised and use cold compresses.
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Cold compresses and rest
The first days
Expect swelling, bruising and some dryness or watering. Keep your head raised, do not rub your eyes and wear dark glasses outdoors.
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Stitches out and cleared to fly
Before you fly home
Stitches and strips usually come out within the first week, and ASPS advises waiting 7–10 days after eyelid surgery before flying. BAAPS recommends a check by your operating surgeon before you leave.
Recovery, day by day
Typical timelines from NHS, ASPS, BAAPS and Cleveland Clinic guidance. Everyone heals differently, and your own instructions come first.
- Day 1
Swollen, numb lids
Your lids feel swollen and numb and may be hard to close fully. Pain is usually mild. Use cold compresses, keep your head raised, apply the ointment or drops you are given, and do not drive.
- Days 2–3
Bruising at its peak
Bruising and swelling are most visible, and your eyes may feel dry, watery or gritty. Clean the lids gently as shown, do not rub your eyes and leave contact lenses out.
- Week 1
Stitches out
Almost everyone has some difficulty closing the eyes fully at first, which improves over days to weeks. Stitches and adhesive strips come out within the first week.
- Week 2
Out and about
Most people feel ready to be seen at 10–14 days, and many return to work after 1–2 weeks. Bruising and redness fade over the following weeks. Wear dark sunglasses outdoors.
- Weeks 3–4
Settling
Irritation, watering or dryness can last a few weeks. Return to eye make-up and contact lenses when your surgeon says so, and keep using sun protection.
- Months 2–3
Scar softening
The scar may look pink and feel tight for a few months while healing completes.
- Month 6
Fading
The scar keeps fading. Continue protecting it from the sun.
- Month 12
Final settling
Numbness usually resolves by 9–12 months, and the scars have usually faded to fine lines.
Contact us straight away if you notice
- Sudden or increasing pain in the eye, especially if the eye feels tense or pushed forward (possible bleeding behind the eye)
- Loss or blurring of vision that is getting worse
- Nausea or vomiting together with eye pain
- Shortness of breath, chest pain or a racing heartbeat
In an emergency, call your local emergency number.
Aftercare at home
- Use cold compresses and keep your head raised for the first few days.
- Apply the lubricating drops or ointment you are given.
- Do not rub your eyes, and leave contact lenses out until your surgeon allows them.
- Avoid heavy activity and swimming in the first days.
- Wear dark sunglasses outdoors and protect the scars from the sun until healing is complete.
- Use paracetamol or the painkiller you are given for discomfort.
Risks and how they are reduced
Most effects after eyelid surgery are temporary, but a few risks are serious enough that you should know them in advance.
A careful eye assessment, removing only as much skin and fat as needed, stopping nicotine and blood-thinning medicines on medical advice, and knowing the warning signs of bleeding behind the eye all reduce risk.
| Risk | How often |
|---|---|
Swelling, bruising and irritated eyesSwelling, bruising, numbness, dryness, watering and difficulty closing the eyes are common in the early weeks and usually settle. | Common |
Dry eyeMore likely when upper and lower lids are done together. If you were already prone to dry eye, you may need drops for longer. | Varies |
Lower-lid malpositionThe lower lid can be pulled down or turn outwards (ectropion), show more white below the iris or round off at the outer corner; some cases need further surgery. | Uncommon |
Bleeding behind the eyeRare but serious: retrobulbar haematoma occurs in about 1 in 2,000 blepharoplasties, and permanent vision loss in about 1 in 22,000. It needs urgent treatment, which is why sudden eye pain or vision changes mean calling straight away. | Rare |
Blurred or double visionBlurring is usually temporary; injury to an eye muscle causing double vision is rare. | Rare |
Asymmetry, scars and revealed droopThe sides can heal differently and scars can be visible. After upper-lid surgery, a hidden brow droop or weak lid muscle may become more obvious, especially in men. | Varies |
Corneal scratch or stitch problemsA scratch on the eye's surface usually heals quickly; a stitch may show or irritate. Revision is sometimes needed. | Uncommon |
Results and how long they last
Swelling hides the final shape at first. Most people look presentable after 10–14 days, but full healing takes a few months and the scars continue to fade through the first year.
The results are long-lasting. Skin removed from the upper lids does not usually return, except in situations such as collagen disorders or repeated lid swelling. Your brows can keep descending, though, and if the hooding came partly from the brow, it can come back. Sun protection helps maintain the result.
How long it lasts: Long-lasting: removed upper-lid skin seldom returns, but brows and skin keep ageing.
With any surgical or interventional procedure, results vary from person to person. We recommend a detailed consultation with your doctor before any procedure.
Before and after
Before and after photos are shared only with patients’ written consent. You can ask to see examples during your consultation.
Before and afterQuestions to ask at your consultation
Take these to any surgeon you see — including us.
- Are you a specialist in plastic surgery, and will you perform my operation yourself?
- Is my heaviness coming from the lids, the brows or a weak lid muscle?
- Will you remove or reposition the fat in my lower lids, and why?
- Which lower-lid approach do you recommend for me: through the skin or from inside the lid?
- What anaesthesia will I have, and where will the surgery take place?
- How will my dry eye or other eye conditions be managed?
- When can I wear contact lenses and eye make-up again?
- What should I do if I notice eye pain or vision changes after I fly home?
- What is included in my plan?
What shapes your plan and quote
No prices are published on this site. After your examination, you receive a personal written plan that sets out what it includes.
- Upper lids, lower lids or all four
- The lower-lid technique, and whether fat repositioning or canthal support is needed
- Local anaesthesia, sedation or general anaesthesia
- Whether a brow lift or other facial surgery is combined
- How long you need to stay in Istanbul
We do not publish prices: every plan is personal and is written for you after your assessment.
Frequently asked questions
Is blepharoplasty permanent?
The results are long-lasting rather than permanent. Excess skin removed from the upper lids does not usually come back, but your brows and skin keep ageing, and hooding can return if it came partly from a low brow. Sun protection helps the result last.
How long is blepharoplasty recovery?
Most people return to their usual routine in 1–2 weeks and feel ready to be seen after 10–14 days. Full healing takes a few months, and the scars keep fading over the first year. Your eyes may feel dry or gritty for a few weeks.
How long does swelling last after eyelid surgery?
Swelling and bruising are most visible in the first few days and fade over a few weeks. The scar can look pink and feel tight for a few months before it settles. Cold compresses and keeping your head raised help in the early days.
Is eyelid surgery painful?
ASPS notes that eyelid surgery usually causes little pain. Discomfort is managed with cold compresses and simple painkillers such as paracetamol. Gritty, dry or watery eyes are often more noticeable than pain in the first days, and lubricating drops or ointment ease this.
Do I need general anaesthesia for eyelid surgery?
Not always. Upper eyelid surgery on its own is often done under local anaesthesia, with or without sedation. Surgery on all four lids, or combined with other procedures, may be done under general anaesthesia. The choice is made with you at your examination.
Can blepharoplasty improve my vision?
It can, when heavy upper-lid skin hangs over the lashes and narrows your field of vision. Removing that skin can widen your peripheral vision, which is why upper eyelid surgery is sometimes done for medical as well as cosmetic reasons. Your examination shows whether this applies to you.
When can I wear make-up or contact lenses after eyelid surgery?
Leave contact lenses out and avoid rubbing your eyes in the early period. Eye make-up and lenses can usually return once the stitches are out and your surgeon has checked the healing; there is no single date that suits everyone.
When can I drive after eyelid surgery?
Not for a few days, and you need someone to take you home on the day of surgery. Drive again only when your vision is clear, your eyes are comfortable and your surgeon agrees. Swollen lids and watering eyes can affect your view in the first days.
Does blepharoplasty cause dry eyes?
Some dryness for a few weeks is common and usually temporary. People who already have dry eye may need drops for longer, and in severe dry eye, surgery may be advised against. Tell your surgeon about any eye symptoms before your examination.
Will I have visible scars after eyelid surgery?
The upper-lid scar sits in the natural crease and is usually hard to see once healed. Lower-lid surgery from inside the lid keeps the scar hidden; an incision under the lashes leaves a fine line that fades over time. Scars can look pink for a few months first.
Do I need eyelid surgery or a brow lift?
If the hooding comes from a dropped brow, eyelid surgery alone will not fully correct it, and a brow lift may be needed, sometimes together with eyelid surgery. Finding where the heaviness comes from is a key part of your examination.
Is blepharoplasty the same as ptosis surgery?
No. Ptosis means the muscle that lifts the eyelid has weakened, and it needs a different operation. Blepharoplasty removes excess skin and fat. Some people need both, and a hidden ptosis can become more obvious after eyelid surgery, so it is checked beforehand.
What is the most serious risk of eyelid surgery?
Bleeding behind the eye is the most serious, though rare: about 1 in 2,000 operations, with permanent vision loss in about 1 in 22,000. It needs urgent treatment, so sudden eye pain or worsening vision after surgery means calling straight away.
When can I fly home after eyelid surgery in Turkey?
ASPS advises waiting 7–10 days after facial procedures, including eyelid surgery, before flying. Plan to stay about 7 days for upper lids under local anaesthesia, so stitches can be removed and you can be checked, and 7–10 days after surgery on all four lids.
Medical informationThe information on this page is general information only. It is not medical advice and does not replace a diagnosis or treatment. Every surgical and interventional procedure carries risks, which will be explained to you in detail during your consultation. Whether this procedure suits you can only be decided after an in-person examination and assessment. We encourage you to also seek independent advice from your own doctor before deciding.
A conversation, at your pace.
Questions about your eyelids?
Send them, with photos if you wish. Op. Dr. Bilgehan İlker will tell you honestly whether the heaviness seems to come from the lids or the brows, and what an examination could clarify.
- Nef 22 Ataköy, D Blok, Kat 1, Daire 36, Çobançeşme E-5 Yanyol Cad. No:22, Bakırköy / İstanbul
- Monday to Saturday, 10:00–18:00
- +90 542 280 27 51
- Dr. İlker speaks English and Turkish.
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