In short: upper blepharoplasty removes excess skin from the upper eyelids, lower blepharoplasty treats bags under the eyes, and full blepharoplasty does both. It is usually done under local anaesthesia with sedation, with a stay of about 3-4 days in Tirana. At Dermolife upper or lower blepharoplasty starts from €1,000, full from €2,000.
The choice depends on what makes your eyes look tired.
The three options compared
| Upper | Lower | Full | |
|---|---|---|---|
| Corrects | Excess skin falling over the eyelid | Fat bags and laxity under the eyes | Both problems |
| Scar | Hidden in the natural eyelid crease | Below the lashes or inside the eyelid | In both places |
| Anaesthesia | Usually local with sedation | Usually local with sedation | Local with sedation or general, depending on the case |
Upper blepharoplasty
It is indicated when the skin of the upper eyelid is loose and falls towards the lashes, making the eyes look heavy. In more marked cases it can also affect the field of vision.
The surgeon removes the excess skin and possibly a small pad of fat. The scar is hidden in the natural crease of the eyelid.
Lower blepharoplasty
It corrects bags under the eyes, caused by protruding fat, and laxity of the lower eyelid. Depending on the case, fat is removed or repositioned and the skin refined.
When there is no excess skin, the surgeon can work from inside the eyelid, with no visible scar.
Recovery
| When | What to expect |
|---|---|
| First 24-48 hours | Swelling and bruising, cold packs, rest with the head raised |
| Day 7-10 | Stitches removed and check-up |
| 2-3 weeks | Bruising and swelling much less visible |
| A few months | Scars fade and the result settles |
The recommended stay in Tirana is about 3-4 days; later check-ups can continue remotely.
Blepharoplasty or non-surgical treatments?
Fillers and botulinum toxin can improve some wrinkles and mild dark circles, but they do not remove excess skin or fat bags. When the problem is structural, the solution is surgical. At the consultation the surgeon tells you which path makes sense.
Frequently asked questions about blepharoplasty
It is the surgical procedure that corrects the eyelids: it removes excess skin from the upper eyelid and treats bags and laxity of the lower one.
On the upper eyelid the scar is hidden in the natural crease; on the lower one it is below the lashes or inside the eyelid. Over time they become barely visible.
Usually between day 7 and day 10, at the check-up.
Usually about 3-4 days, with a check-up before you fly home. Stitches can be removed in Tirana or as the surgeon advises.
Yes, this is called full blepharoplasty. The surgeon decides duration and anaesthesia based on the case.