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Frequently asked questions

Blepharoplasty FAQ

Honest, detailed answers to the questions patients ask most often. If yours isn't here, message us — we'll add it.

At what age is blepharoplasty appropriate?

For upper blepharoplasty: typically from age 35 onward, when skin laxity has become functionally significant. We rarely operate on patients under 35 — the bony framework is still maturing and what looks like 'hooded' often softens. For lower blepharoplasty addressing fat bags: can be appropriate from late 20s if the bags are hereditary. For skin-removal lower surgery: typically 45+.

Can you do blepharoplasty in your 70s or 80s?

Yes, with appropriate medical clearance. The cosmetic result in older patients can be excellent — sometimes more dramatic than in younger patients because the change is larger. The main considerations are cardiovascular health, blood pressure control, and bruising tendency. We require a recent ECG and complete blood work for patients over 65.

I have dry eyes. Can I still have blepharoplasty?

Mild dry eye is not a contraindication, but the surgical plan must account for it — typically meaning more conservative skin resection in the upper lid and careful preservation of lower lid support to avoid worsening symptoms. Severe dry eye, blepharitis, or autoimmune conditions affecting the eyes (Sjögren's, etc.) usually require ophthalmologic clearance first.

Can blepharoplasty be done under local anaesthesia?

Yes — upper blepharoplasty alone is comfortably performed under local anaesthesia with light oral sedation. Lower or combined cases benefit from IV sedation or general anaesthesia, primarily for patient comfort during the longer procedure. The choice does not affect surgical outcome.

Do you use lasers for blepharoplasty?

We use radiofrequency cautery for hemostasis (controlling small bleeds) which dramatically reduces post-operative bruising. We don't use 'laser blepharoplasty' as a primary marketing term — the surgical principles and outcome depend on technique and judgement, not the energy source of the cutting device.

Will my eyes look different shapes after surgery?

The natural goal is preservation of your eye shape, not creation of a new one. If you have natural asymmetry (very common — most people do), surgery typically reduces but does not eliminate it. Promising perfect symmetry would be dishonest.

Can blepharoplasty correct hooded lids without an obvious incision?

Upper blepharoplasty incision is hidden in the natural lid crease — within 8–12 weeks it is typically invisible to anyone who isn't looking for it from very close range. There is no 'scarless' alternative for true hooded lid correction; non-surgical options (thread lift, plasma, laser tightening) address only mild skin laxity and rarely give meaningful results.

How long until I can work after blepharoplasty?

Desk work / remote work: 5–7 days after sutures are out. Public-facing roles or work with screens for long hours: 10–14 days is more realistic — the eyes tire easily and bruising is hard to hide. Plan accordingly when scheduling.

When can I wear eye makeup again?

Eyeshadow and eyeliner: typically day 10–14 once sutures are out and incisions are sealed. Use a fresh tube (not your old one — bacterial risk on healing tissue). Mascara: same timing. Eye cream: from day 14, with gentle patting (no rubbing).

Will I need to take eye drops forever?

No — temporary lubricating drops (artificial tears) are used for 2–4 weeks while normal tear film distribution recovers. After that, most patients return to normal. A small minority with pre-existing borderline dry eye may experience an exacerbation requiring longer-term management.

What's the worst complication of blepharoplasty?

Functionally: retrobulbar hematoma (bleeding behind the eye), which is extremely rare (<0.05%) but requires immediate surgical intervention to prevent vision loss. This is why we operate in a properly equipped facility and not in office-only settings. Cosmetically: lower lid retraction (the lid pulled downward, showing white below the iris) — almost always related to over-aggressive subciliary technique. Both are minimized by conservative approach and proper case selection.

Can blepharoplasty make me blind?

Vision loss from blepharoplasty is reported but extraordinarily rare — published rates around 0.04%. The mechanism is retrobulbar hemorrhage; protection comes from gentle technique, proper hemostasis, and post-operative monitoring. Patients with bleeding disorders, uncontrolled hypertension, or on blood thinners are at higher risk.

What's the risk of asymmetric results?

Some asymmetry in healing is normal in the first 6 months. Persistent asymmetry beyond 6 months affects perhaps 3–5% of cases meaningfully — usually addressable by minor revision under local anaesthesia. Pre-existing asymmetry (your natural face) is partially but not fully correctable.

Why don't you publish your prices?

Two reasons. Legally: Turkish Ministry of Health regulations prohibit published pricing for cosmetic surgery. Practically: a price quoted without examining your case is either deceptively low (excluding things you need) or deceptively high (overcharging for things you don't). Honest pricing requires understanding what you actually need. We provide a written quote after the photo or in-person consultation, valid for 90 days.

How long should I plan to stay in Istanbul?

Minimum 7 nights for solo blepharoplasty: arrival day, pre-op assessment day, surgery day, then 4 days for initial recovery before flying. Sutures come out at day 5–7. For combined procedures (with rhinoplasty, brow lift, etc.) plan 10–14 nights.

Is there a guarantee?

Surgery never guarantees a specific outcome — that would be dishonest. What we do offer: if a revision is needed for a complication on the surgical side (asymmetry, incomplete correction, scar issue) within 12 months, the surgical fee for the revision is waived. Anaesthesia, facility, and travel costs would still be your responsibility.

Medical disclaimer: This page provides general information about blepharoplasty and reflects the clinical opinions of Doç. Dr. Erdal. It does not constitute medical advice for any individual patient. Results vary; all surgery carries risk. Blepharoplasty in some cases produces irreversible changes to eyelid anatomy. Suitability is determined only through personal consultation with full medical history disclosure.

Ready to discuss your case?

Doç. Dr. Erdal personally reviews every enquiry. Honest assessment of whether blepharoplasty is right for you, with no pressure to book.

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