Upper blepharoplasty
Removes redundant skin (and a small strip of muscle/fat) along the natural lid crease. The "default" eyelid surgery — the most common single procedure.
CPT 15823 · 45 minutes typical
Lower transconjunctival
Internal incision through the conjunctiva. No external scar. Best for fat-bag correction in younger patients with elastic skin.
CPT 15820 · 60–90 minutes
Lower subciliary
External incision 2 mm below the lash line. Addresses skin, muscle, and fat together. Best for older patients with skin excess.
CPT 15820 · 60–90 minutes
Quad blepharoplasty
Upper and lower in a single procedure. More efficient than two separate operations; single recovery period.
CPT 15823 + 15820 · ~2 hours
Revision blepharoplasty
Correction of previous surgery — over-resection, hollowing, lid retraction. Technically demanding; the most under-promised area in cosmetic surgery.
Variable complexity
How the technique is chosen for your case
The choice between transconjunctival and subciliary for the lower lid is the most consequential technical decision in blepharoplasty. The decision depends on three findings on examination:
- How much skin needs removing? Transconjunctival cannot remove skin directly. If skin removal is required, the subciliary approach is needed — or a hybrid with skin-pinch.
- What is the lid–cheek vector? A negative vector (eye protruding past cheekbone) means standard subciliary carries an increased risk of lower lid retraction. Either transconjunctival with skin pinch, or subciliary with concurrent canthopexy support.
- Skin elasticity and quality? Younger, more elastic skin recovers from internal-only surgery better. Thin, sun-damaged skin in an older patient may need direct excision.
For upper blepharoplasty the technical choice is less variable — the question is mostly how much to remove, and the answer is almost always less than the patient initially expected.
Not sure if you're a candidate?
Blepharoplasty is most successful when patient anatomy, age, and goals align with what surgery can realistically deliver. Send three facial photos (front, profile, eyes-closed) and Doç. Dr. Erdal will give you an honest, no-pressure suitability assessment before you commit to anything.
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.