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Eyelid Surgery · Oculoplastics · Eye treatments

Blepharoplasty & Oculoplastic Surgery in Turkey — Eyelid, Ptosis and Lacrimal Repair at Eyeglow Istanbul

Functional and aesthetic eyelid surgery — upper and lower blepharoplasty, ptosis repair, entropion and ectropion correction, and dacryocystorhinostomy (DCR) for lacrimal obstruction. Every case is reviewed by our oculoplastic surgical team and operated on by an oculoplastic-trained ophthalmic surgeon at our partner accredited hospital. Written quote, complication insurance and a year of photographic follow-up.

Patient before and after blepharoplasty (eyelid surgery) at Eyeglow Health, Istanbul
Procedure time45–90 min per eye
AnaesthesiaLocal + light sedation
Hospital stayDay case
Stitch removal5–7 days
Time in Istanbul7–10 nights
Follow-up1 year structured
What it is

What is blepharoplasty & oculoplastic surgery?

Blepharoplasty is eyelid surgery to remove or reposition excess skin, muscle and fat from the upper and / or lower eyelids — to restore a rested appearance and, in many upper-lid cases, to expand the visual field obscured by hooding. Oculoplastic surgery is the broader specialty covering blepharoplasty, ptosis repair, entropion / ectropion correction, and lacrimal drainage surgery (DCR) — performed by surgeons trained in both ophthalmology and reconstructive eyelid technique.

At Eyeglow Health in Istanbul, oculoplastic procedures are reviewed by our oculoplastic surgical team and operated on by an oculoplastic-trained ophthalmic surgeon at our partner accredited hospital. The pathway is consistent with American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS) standards and Royal College of Ophthalmologists (RCO) UK oculoplastic guidelines.

Oculoplastic procedures are highly individual — the right combination of blepharoplasty, ptosis repair, brow position assessment and skin / fat redistribution depends on margin reflex distance, levator function, dry eye status and your specific goals. That assessment belongs to a surgeon who has personally measured your lid anatomy and reviewed standardised photographs, not to a marketing brochure.

How it works

From first consultation to recovery at home

  1. 01

    Online oculoplastic review

    You share recent photographs (frontal and lateral, eyes open and gently closed), a brief description of your goals (functional vs aesthetic), and any medical history of dry eye, thyroid eye disease, prior eyelid surgery or systemic conditions. Our oculoplastic team reviews your case and confirms which combination of procedures is appropriate — and which may not be needed — before a quote is issued.

  2. 02

    Pre-operative imaging and measurement in Istanbul

    On day 1 we measure margin reflex distance (MRD1, MRD2), levator function, palpebral fissure height, brow position, dry eye / tear film evaluation, and photograph the eyelids in nine standardised positions. These measurements determine whether you need a functional ptosis repair, a cosmetic blepharoplasty, or a combined approach — and how much skin or fat should be removed.

  3. 03

    Personalised surgical plan

    Our oculoplastic surgical team walks you through the plan in plain language: which incisions will be used (upper eyelid crease, transconjunctival lower lid, external skin), whether levator advancement or Müller muscle resection will be performed for ptosis, and what aftercare schedule applies. You sign consent only after every question has been answered.

  4. 04

    The procedure (45–90 minutes per eye)

    Performed under local anaesthetic with light intravenous sedation. Upper blepharoplasty: a hidden incision in the upper lid crease, excess skin and a conservative amount of orbicularis muscle and prolapsed fat removed, closure with fine 6/0 polypropylene sutures. Lower blepharoplasty: transconjunctival fat repositioning (no external scar) or external subciliary incision when skin removal is needed. Ptosis repair: levator advancement or Müller muscle conjunctival resection (MMCR) according to levator function.

  5. 05

    Day 1, day 5 and day 14 reviews

    Cold compresses every 2 hours for 48 hours, head elevation when sleeping for 7 days. Stitches removed at day 5 to 7. Bruising peaks at day 3 and resolves over 10 to 14 days; mild swelling persists for 4 to 6 weeks. Most patients are presentable for social occasions by day 10 to 14 and back to full activity by week 3.

  6. 06

    One-year structured aftercare

    Scheduled photographic reviews at one, three, six and twelve months. The final aesthetic and functional outcome is judged at 6 to 12 months once all swelling resolves and scars mature. Your coordinator stays the same throughout. If a touch-up is ever needed (rare, <5%), pricing is discussed openly — there is no obligation.

Procedure options

Upper vs lower blepharoplasty vs ptosis vs DCR

The right combination depends on what you want corrected. Here is how the four core oculoplastic procedures differ:

AspectUpper blepharoplastyLower blepharoplastyPtosis repairDCR (lacrimal)
ProcedureUpper blepharoplastyLower blepharoplastyPtosis repairDCR (lacrimal)
TreatsExcess upper lid skin, hooding, heavy lidsLower lid bags, dark circles, fat herniationDroopy upper eyelid blocking visionBlocked tear duct, watering eye
IncisionHidden in upper lid creaseTransconjunctival (no external scar) or subciliaryThrough upper lid creaseExternal (skin) or endonasal (no scar)
AnaesthesiaLocal + sedationLocal + sedationLocal + sedationGeneral or sedation
Recovery time7–10 days10–14 days7–10 days7–14 days
Functional or cosmeticBoth — visual field improvement when hooding severePrimarily cosmeticFunctional (visual field)Functional (drainage)
Result longevity10–15 years typical10–15 years typicalPermanent (anatomic correction)90–95% patency long-term
Pricing

Personalised pricing

Every treatment plan is priced individually after your consultation and imaging review. Request a written, all-inclusive quote — clear, itemised, and with no obligation.

Request a written quote
Package transparency

What's included in your oculoplastic package

Included in package

  • Pre-op consultation + 9-view photographic documentation
  • Margin reflex distance, levator function and dry eye assessment
  • Oculoplastic-led surgical plan review
  • Blepharoplasty / ptosis / DCR procedure as planned (both eyes if applicable)
  • 5-star hotel — 7 nights
  • VIP airport transfers (return)
  • Cold compress kit, post-op drops, ointment + scar care kit
  • Suture removal at day 5–7 in clinic
  • Day-1, day-5, day-14, 1m, 3m, 6m, 12m photographic follow-up
  • Multilingual coordinator — 24/7
  • Complication insurance — covers eligible post-operative medical complications during the recovery period at our partner accredited hospital (issued in line with the Turkish Ministry of Health International Health Tourism Authority Certificate)

Paid separately

Items below are not part of the medical package — your coordinator helps you arrange them at no markup.

  • Flights to/from Istanbul
  • Personal expenses
  • Browpexy or brow lift — quoted separately if recommended alongside upper blepharoplasty
  • Non-surgical adjuncts (botulinum toxin, dermal fillers, laser resurfacing) — quoted on the day if you choose to add them
  • Touch-up procedure beyond 12 months — pricing discussed openly if ever needed
  • Unrelated medical treatments
  • Travel insurance (flight cancellation, baggage, general trip cover) — separate from the medical complication policy above; your coordinator can recommend a provider at no markup
Our team

The surgeons who will care for you

Your procedure is carried out by our oculoplastic surgical team at our partner accredited hospital in Istanbul. Their training and sub-specialty focus are shown below.

Medically reviewed by Assoc. Prof. Dr. Muhammet Derda Özer, FICO

Candidacy

Are you a candidate for blepharoplasty or oculoplastic surgery?

You may be a good candidate if

  • You have visible excess upper-eyelid skin causing functional hooding, heaviness, or a tired appearance.
  • You have prominent lower lid bags or fat herniation that do not respond to non-surgical treatment.
  • You have a droopy upper eyelid (ptosis) blocking part of your visual field — confirmed on margin reflex distance measurement.
  • You have entropion (inward-turning lid) or ectropion (outward-turning lid) causing chronic irritation, tearing or corneal exposure.
  • You have a watering eye from a blocked nasolacrimal duct and want a permanent surgical correction (DCR).
  • You are in general good health, non-smoker (or able to stop smoking 4 weeks before surgery) and have realistic expectations about scar healing and result longevity.

A different pathway may be safer if

  • Active thyroid eye disease (Graves orbitopathy) — must be stable for at least 6 months before any cosmetic eyelid surgery.
  • Severe untreated dry eye — eyelid surgery may worsen tear film and exposure; needs dry eye optimisation first.
  • Unrealistic expectations or body dysmorphic concerns — we will decline the procedure if a thorough consultation suggests surgery is unlikely to satisfy you.
  • Uncontrolled diabetes, hypertension or bleeding disorders — surgical risk needs to be reduced before booking.
  • Pregnancy or breastfeeding — elective eyelid surgery is postponed.

Disclaimer. Information on this page is consistent with American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS) standards, American Academy of Ophthalmology (AAO) Oculofacial Plastic & Orbital Surgery Preferred Practice Pattern, American Society of Plastic Surgeons (ASPS) blepharoplasty data, and Royal College of Ophthalmologists (RCO) oculoplastic guidelines. It is educational and not a clinical recommendation. The only reliable way to know which combination of procedures is right for you is a surgeon-led assessment based on standardised photography, margin reflex distance measurement, levator function and tear film evaluation.

Risks & outcomes

Realistic outcomes — the risks that actually matter

Every eyelid procedure has measurable risks. We list them here in the same plain language our surgical team uses in your consultation:

Bruising and swelling

Expected, not a complication. Bruising peaks at day 3 and resolves over 10 to 14 days; mild swelling persists for 4 to 6 weeks. Most patients are presentable for social events by day 10 to 14.

Asymmetric healing

Mild asymmetry between the two eyelids is the most common cause of touch-up requests (<5% of cases). Most asymmetries resolve as scars mature over 6 to 12 months; persistent significant asymmetry can be revised in a short outpatient procedure.

Lower lid retraction (ectropion or scleral show)

Less than 3% with modern transconjunctival technique. Risk is higher with aggressive skin removal in lower blepharoplasty. We use conservative skin pinch technique and orbicularis suspension when needed to protect lower lid position.

Dry eye symptoms

Transient dry eye is common in the first 4 to 6 weeks; persistent dry eye affects fewer than 5 percent and is more common when pre-existing dry eye was inadequately treated before surgery — which is why we always assess tear film before booking.

FAQ

Frequently asked questions about blepharoplasty & oculoplastics

What is blepharoplasty (eyelid surgery)?

Blepharoplasty is a surgical procedure that removes or repositions excess skin, muscle and fat from the upper and / or lower eyelids to restore a more rested appearance and — in many upper-lid cases — to expand the upper visual field obscured by hooding. Upper blepharoplasty is performed through a hidden incision in the natural upper-lid crease; lower blepharoplasty can be performed transconjunctivally (no external scar) or through a subciliary incision when skin must be removed. The procedure takes 45 to 90 minutes per eye under local anaesthetic with light intravenous sedation. According to American Society of Plastic Surgeons (ASPS) statistics, blepharoplasty is one of the most commonly requested ophthalmic and aesthetic procedures worldwide.

What is the difference between blepharoplasty done by an oculoplastic surgeon vs a general plastic surgeon?

Both can perform blepharoplasty. An oculoplastic surgeon (ASOPRS-style fellowship-trained ophthalmologist) trains specifically in the anatomy and physiology of the eye, eyelids, lacrimal system and orbit — and therefore manages dry eye, tear film, lid position and corneal exposure as part of every surgical plan. This matters when you have ptosis, entropion, ectropion, or any condition where the eye health overlaps with cosmetic outcome. At Eyeglow your case is assessed by our oculoplastic surgical team and operated on by an oculoplastic-trained ophthalmic surgeon at our partner accredited hospital — not by a general plastic surgeon who has not trained on the eye.

How much does blepharoplasty cost?

Blepharoplasty pricing is personalised — the quote depends on the combination of procedures (upper only, lower only or combined quad-lid), whether ptosis repair is included, and your specific surgical plan. All packages are all-inclusive: pre-op photography and measurements, procedure, hotel for 7 nights, VIP transfers, complication insurance and one year of structured photographic follow-up. Request a written, itemised quote after your online consultation.

How long does blepharoplasty last?

Upper and lower blepharoplasty results typically last 10 to 15 years. The improvement is permanent in the sense that the removed skin and fat do not grow back, but the eyelid continues to age — over the next decade gravity and skin elasticity loss can gradually reduce the lifting effect. Ptosis repair (levator advancement) is an anatomical correction and is essentially permanent. DCR (dacryocystorhinostomy) for lacrimal obstruction has 90 to 95 percent long-term patency in published series.

Is blepharoplasty covered by insurance or Medicare?

Functional upper blepharoplasty (where the excess skin documented on visual field testing actually blocks the upper visual field) is often covered by Medicare in the US and by NHS in the UK as a medically necessary procedure — coverage criteria include visual field obstruction, photographic documentation and ophthalmologist-confirmed functional indication. Cosmetic blepharoplasty (where the indication is appearance) is not covered. Lower blepharoplasty is essentially always considered cosmetic and not covered. Eyeglow provides an itemised invoice you can submit to your insurer for the functional component; reimbursement is at the insurer's discretion.

How long is recovery after blepharoplasty?

Most patients are off work and avoiding social events for 7 to 10 days after upper blepharoplasty and 10 to 14 days after lower blepharoplasty. Bruising peaks at day 3 and is usually fully gone by day 14; residual swelling that you notice but most people do not persists for 4 to 6 weeks. Stitches are removed at day 5 to 7. You can drive from day 5 if vision is clear, exercise from day 14, swim and apply makeup from day 21. Final aesthetic result is judged at 6 to 12 months once scars mature.

What is ptosis surgery and how is it different from blepharoplasty?

Ptosis (pronounced "toh-sis") is a true droop of the upper eyelid caused by weakness or stretching of the levator palpebrae superioris muscle — the muscle that lifts your upper lid. It is a functional problem that reduces your visual field. Blepharoplasty removes excess skin but does not reposition the lid margin itself; for ptosis we perform a levator advancement (tightening the levator muscle through an internal incision) or Müller muscle conjunctival resection (MMCR) — depending on your levator function measurement. Many patients require both: blepharoplasty for skin excess plus ptosis repair for lid-margin position, performed in the same session.

When can I sleep on my side after blepharoplasty?

Sleep on your back with your head elevated 30 to 45 degrees for the first 7 nights — this minimises swelling and reduces the risk of suture line tension. From day 7 you can side-sleep cautiously if your eye does not contact the pillow. Stomach-sleeping should be avoided for 2 weeks. Cold compresses every 2 hours for the first 48 hours significantly reduce bruising and speed recovery.

What are the realistic risks of blepharoplasty?

The complications that actually matter in practice are: (1) Asymmetric healing — most common reason for touch-up request, <5% of cases. (2) Lower lid retraction or scleral show — under 3% with conservative skin removal. (3) Transient dry eye — common in the first 4–6 weeks, persistent in fewer than 5%. (4) Hypertrophic scarring — rare in eyelid skin (genetically thin) but possible. Severe complications (vision loss, retrobulbar haemorrhage) are exceptionally rare — published rates below 0.05% in modern series. These figures match American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS) and Royal College of Ophthalmologists (RCO) audit data.

Can blepharoplasty be combined with brow lift or facial rejuvenation?

Yes — and in many patients this combination delivers a better, more natural result than blepharoplasty alone. A heavy brow position can mimic upper-lid hooding; lifting the brow first and then performing a conservative upper blepharoplasty avoids the "surprised" or "hollow" look that aggressive lid-only surgery sometimes produces. We assess brow position at every consultation and recommend (or recommend against) a combined procedure honestly. Browpexy / brow-lift is quoted separately from blepharoplasty.

What is DCR (dacryocystorhinostomy) and who needs it?

DCR is the surgical treatment for a blocked nasolacrimal duct — the tube that drains tears from the inner corner of the eye into the nose. When the duct is blocked, tears overflow constantly (epiphora) and the lacrimal sac can become infected (dacryocystitis). DCR creates a new drainage pathway directly from the lacrimal sac into the nose, restoring normal tear drainage. The procedure can be performed externally (small incision on the side of the nose, leaves a fine scar) or endonasally (no external scar, through the nostril) — both approaches have 90 to 95 percent long-term patency.

Why choose Eyeglow Health over marketplace agencies?

Marketplaces refer you to several clinics and earn a commission per referral — your file rotates between coordinators and your surgeon is whoever the partner clinic happens to assign on the day. Eyelid surgery sits at the boundary between ophthalmology and aesthetic surgery — and the risk of dry eye, lid retraction or visual impact is real if the surgeon is not eye-trained. At Eyeglow Health your case is reviewed by our own oculoplastic surgical team and operated on by an oculoplastic-trained ophthalmic surgeon at our partner accredited hospital. You speak to one named coordinator from first message to your twelve-month review.
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