• admin
• 29 Settembre 202615 Ottobre 2026

Upper eyelid surgery

Upper eyelid surgery can be considered with Dr. Ömer Parıldar when excess upper-eyelid skin, heaviness around the eyes or changes associated with ageing begin to affect facial expression or, in selected cases, the upper field of vision. The eyelid area is anatomically delicate, and even relatively small differences in skin, fat distribution, eyebrow position and facial symmetry can influence how the eyes appear. For this reason, treatment planning is based on an individual examination rather than simply removing as much skin as possible.

Upper-eyelid changes develop gradually. Skin can become looser, the natural eyelid crease may become less visible, and tissue can begin to fold over the mobile eyelid. Some people notice these changes mainly when applying makeup or looking at photographs. Others describe a persistent feeling of heaviness around the eyes or find themselves raising their eyebrows to compensate for excess tissue.

The procedure commonly known as upper blepharoplasty removes a carefully planned amount of excess skin and, when appropriate, addresses selected underlying tissue. The aim is to create a clearer upper-eyelid contour while preserving normal eyelid closure, facial character and the natural relationship between the eyelids and eyebrows.

Dr. Ömer Parıldar evaluates the entire upper-eye region before discussing surgery because what appears to be an eyelid problem may sometimes be influenced by eyebrow position, forehead activity or asymmetry between the two sides of the face.

Why Do the Upper Eyelids Change?

The skin around the eyes is naturally thin.

As the tissues age, elasticity gradually decreases and the upper-eyelid skin can begin to fold. Genetics play a considerable role, which is why some people develop noticeable eyelid heaviness relatively early while others maintain a clearer eyelid crease for much longer.

The tissues beneath the skin can also change.

Fat compartments around the eye provide normal cushioning and shape. In some patients, selected areas can become more prominent and contribute to fullness. In others, excessive removal of fat would make the eyelid look hollow rather than refreshed.

The eyebrow is another important structure.

When the eyebrow gradually moves lower with age, more skin can appear to rest over the upper eyelid. In this situation, simply removing eyelid skin without considering eyebrow position may not address the full concern.

Forehead muscle activity can sometimes hide these changes.

A person may unconsciously raise the eyebrows throughout the day to create more space above the eyes. When the forehead relaxes during examination, the true relationship between the brow and eyelid becomes easier to assess.

Natural facial asymmetry also influences the appearance.

One eyebrow may sit slightly higher. One eyelid crease may be deeper, or one side may have more skin than the other.

These differences are common and should be identified before treatment so that expectations are based on the patient’s actual anatomy.

Upper eyelid surgery: Who May Consider It?

Upper eyelid surgery may be considered by adults who are bothered by excess upper-eyelid skin, a heavy appearance around the eyes or selected functional symptoms and who are medically suitable for elective surgery.

There is no single correct age.

Some patients have a hereditary tendency toward heavier upper eyelids and consider treatment relatively early. Others develop similar changes later because of natural ageing.

The degree of tissue change matters more than chronological age.

A suitable candidate should also have realistic expectations.

The operation can reshape the upper eyelid, but it cannot stop future ageing. The skin, eyebrows and surrounding facial tissues will continue to change over time.

The procedure also does not remove every line around the eyes.

Fine wrinkles at the outer corners, skin texture and pigmentation are different concerns and may require separate treatment if they bother the patient.

Medical history is important.

Conditions affecting the eyes, thyroid disease, dry-eye symptoms, blood pressure, bleeding tendency and previous eye surgery should be discussed during consultation.

Medication and supplements must also be reviewed.

Patients should mention whether they use prescription eye drops, contact lenses or have experienced previous problems with eye irritation.

Smoking and nicotine use can influence healing and should be disclosed honestly.

Dr. Ömer Parıldar considers these factors together before deciding whether surgery is appropriate.

The Eyebrow Must Be Assessed Too

A heavy upper eyelid does not always mean that all of the excess tissue originates from the eyelid itself.

A low eyebrow can push additional skin downward over the upper eyelid.

This is particularly relevant toward the outer portion of the eye, where brow descent can create hooding.

If eyebrow position is not considered, too much eyelid skin could theoretically be removed in an attempt to correct a problem that partly comes from higher on the face.

During consultation, Dr. Ömer Parıldar evaluates the eyebrow in a relaxed position.

The forehead should not be continuously raised while the examination is performed because this can temporarily lift the eyebrow and conceal the degree of descent.

Some patients genuinely need only eyelid treatment.

Others may have a combination of eyelid skin excess and eyebrow lowering.

This does not mean that every patient needs eyebrow surgery.

It simply means that the source of the concern needs to be identified accurately before deciding which procedure is appropriate.

Upper eyelid surgery: What Can It Change?

Upper eyelid surgery can remove a carefully measured amount of loose skin and create greater visibility of the natural upper-eyelid contour. Where appropriate, selected underlying tissue can also be adjusted.

The objective is controlled correction.

Removing excessive skin can create difficulty closing the eye comfortably and may produce an unnatural appearance.

For this reason, the amount removed should be conservative enough to preserve normal eyelid function.

The operation may make the upper-eye area look less heavy.

It can also make the eyelid crease easier to see when excess skin previously covered it.

When upper-eyelid skin significantly interferes with the superior field of vision, appropriate treatment may also have a functional role. However, visual complaints can have many causes and should be assessed properly rather than assumed to come from eyelid skin alone.

The operation does not directly remove lower-eye bags.

It also does not automatically correct dark circles beneath the eyes.

The upper and lower eyelids are different anatomical regions and require separate assessment.

Similarly, a facelift or neck lift does not perform the same function as eyelid surgery.

Each procedure addresses a different part of facial ageing.

What Happens During the Examination?

The consultation includes assessment of the eyelid skin, natural crease, eyebrow position and the amount of visible upper-eyelid platform.

Both sides are compared carefully.

Dr. Ömer Parıldar may also assess whether there is fullness from underlying tissue or whether the main concern is skin excess.

Eye closure is important.

The eyelids must be able to close adequately after surgery, so the amount of skin removal needs to respect normal function.

The relationship between the upper and lower eyelids is also considered.

Previous scars or operations should be discussed.

Patients who have undergone previous eyelid surgery, laser treatment or other procedures around the eyes should provide this information.

Dry-eye symptoms deserve particular attention.

A patient who frequently experiences burning, irritation, excessive watering or a sensation of dryness should mention these symptoms before surgery.

The medical assessment may also include discussion of vision history and whether examination by an eye specialist is appropriate for particular symptoms or conditions.

The purpose of the consultation is not merely to confirm that there appears to be extra skin. It is to understand how much correction can be performed safely while maintaining a natural eyelid.

How Is the Incision Planned?

The incision is generally designed within the natural upper-eyelid crease.

This location allows the scar to sit within an existing fold when the eye is open.

The exact length depends on the amount and distribution of excess skin.

Some patients have laxity concentrated in the centre of the eyelid, while others have more pronounced hooding toward the outer corner.

The incision may therefore extend slightly beyond the main eyelid crease when necessary to address lateral skin excess.

Careful planning is important because the outer extension should follow natural skin lines as much as possible.

Before surgery, markings are usually made while the patient is in an appropriate position.

This allows the surgeon to assess how the skin falls naturally.

The amount of tissue planned for removal is checked carefully.

The aim is not to create the highest possible crease or the widest possible eye opening.

The objective is a proportionate upper-eyelid contour that remains compatible with the patient’s natural facial features.

Upper eyelid surgery: How Is It Performed?

Upper eyelid surgery is performed through the planned upper-eyelid incision. The procedure may be carried out with local anaesthesia, sedation or another anaesthetic approach depending on the surgical plan and the patient’s needs.

The planned strip of excess skin is removed carefully.

When underlying tissue contributes to the heaviness, selected adjustment may also be considered.

Fat should not automatically be removed from every upper eyelid.

Preserving appropriate volume is important because excessive removal can create a hollow or aged appearance.

Any treatment of deeper tissues is therefore based on the individual anatomy.

Bleeding is controlled carefully because the eyelid area contains many small blood vessels.

The incision is then closed with fine sutures.

Because the skin is thin, careful handling is especially important.

The procedure itself may be relatively limited compared with larger facial operations, but the anatomical area is highly visible and functionally important.

Precision therefore matters more than the apparent size of the operation.

Will There Be a Visible Scar?

Every surgical incision creates a scar.

In upper-eyelid treatment, the main scar is generally positioned within the natural eyelid crease.

During early healing, it may appear pink or slightly raised.

The scar gradually matures and usually becomes less noticeable over time.

The thin nature of eyelid skin can allow scars in this area to heal relatively discreetly, but no surgeon can promise complete invisibility.

Individual healing differs.

Skin characteristics, wound tension, smoking, infection and personal scarring tendencies can influence the final appearance.

The outermost portion of the incision can sometimes remain more noticeable during the early months because it sits outside the deepest part of the crease.

Patients should avoid judging the scar too early.

Maturation can continue for many months.

Dr. Ömer Parıldar can explain where the planned incision is expected to sit before surgery so that the patient understands the scar arrangement in advance.

How Much Skin Should Be Removed?

The correct amount depends entirely on the individual eyelid.

Removing too little may leave some of the original heaviness.

Removing too much can interfere with eyelid closure and create an unnatural appearance.

This balance is one of the most important aspects of planning.

A natural result does not require every fold to disappear.

Some upper-eyelid skin is anatomically normal and necessary for comfortable eye movement.

Likewise, slight differences between the two eyelids may remain because the two sides of the face are not identical.

Dr. Ömer Parıldar plans the correction according to the amount of available skin, eyelid function and the relationship with the eyebrow.

The patient’s desired appearance also matters.

Some people want a clearly visible eyelid crease, while others prefer a more subtle change that preserves their familiar expression.

The consultation is the appropriate place to explain what degree of change feels right to you.

What Is the Early Recovery Like?

Swelling is expected after eyelid surgery.

It may be more noticeable during the first few days and can differ between the two eyes.

Bruising is also common.

The colour can change as it resolves, moving through darker, purple or yellow tones before disappearing gradually.

Temporary tightness or mild irritation can occur.

The eyelids may initially feel different when blinking.

Patients may be advised to keep the head elevated during the first part of recovery.

Cold applications can sometimes form part of early postoperative care when recommended by the surgical team.

Do not place excessive pressure directly over the eyelids.

The incision areas need to remain clean according to the instructions provided.

Sutures are removed according to the surgeon’s planned schedule when non-dissolving stitches are used.

Follow-up appointments with Dr. Ömer Parıldar allow swelling, wound healing and eyelid closure to be assessed.

When Can You Return to Work?

The return to work depends partly on the type of work and how comfortable the patient feels with visible bruising or swelling.

Someone working remotely may resume light duties before feeling ready for face-to-face meetings.

Desk-based work usually places relatively little physical demand on the eyelids, but prolonged screen use can contribute to eye fatigue or dryness in some patients.

Regular breaks may therefore be useful during early recovery.

A physically demanding job requires additional consideration because strenuous activity can increase blood pressure and swelling.

Patients who work in dusty or dirty environments may also need to protect the healing incision.

The social aspect of recovery varies.

Some patients are comfortable being seen with mild bruising, while others prefer to wait until most visible changes have settled.

Allow flexibility rather than scheduling surgery immediately before an important work presentation or major event.

Makeup, Contact Lenses and Eye Care

Patients often ask when they can use makeup again.

Products should not be placed directly over fresh incisions before adequate healing.

The timing depends on wound condition and should follow the advice given during follow-up.

Eye makeup deserves particular caution because products are applied close to the incision and can introduce irritation.

Contact-lens users may also need a temporary break.

Placing and removing lenses requires pulling or manipulating the eyelid, which may be uncomfortable during early recovery.

Glasses can provide a practical alternative during this period.

If you use prescribed eye drops, discuss them before surgery and follow specific instructions regarding continued use.

Patients with dry-eye symptoms may require additional care.

Do not start new eye medications independently simply because the eyes feel temporarily irritated after surgery.

Persistent or significant symptoms should be discussed with the treating team.

Upper eyelid surgery: Recovery and Final Appearance

Upper eyelid surgery produces an immediate anatomical change, but swelling means the early postoperative appearance is not the final result. The eyelids can initially appear tighter, higher or more asymmetric than expected.

As swelling decreases, the tissues become softer and the new crease becomes easier to evaluate.

One side may settle faster than the other.

This temporary difference does not necessarily mean that the final result will remain asymmetric.

The incision also changes substantially over time.

Early redness usually fades progressively.

Patients should avoid repeatedly analysing the eyelids from extremely close distances during the initial weeks.

Normal facial expressions, lighting and camera angles can exaggerate small differences.

The result is better assessed after the tissues have had sufficient time to settle.

The procedure cannot stop future skin ageing.

Over the years, some degree of upper-eyelid laxity can gradually develop again.

The operation effectively changes the current tissue configuration; it does not make the eyelid permanently resistant to ageing.

Possible Risks and Complications

Every surgical procedure has potential risks.

Bleeding can occur and may lead to increased swelling or bruising.

Infection is possible, although the eyelid area generally has a good blood supply.

Delayed wound healing can occur.

Scars may remain more visible than expected in some individuals.

Temporary changes in sensation can occur around the incision.

Patients may experience dryness, watering or irritation during recovery.

Difficulty closing the eyes completely can occur, particularly when swelling is significant. Persistent difficulty requires medical assessment.

Asymmetry can remain.

The two eyelids may heal at different rates, and pre-existing facial asymmetry can continue after surgery.

In rare circumstances, more serious complications involving the eye or vision can occur. Sudden visual change, severe eye pain or rapidly increasing swelling around the eye should therefore not be ignored.

Patients should understand the emergency instructions provided by the treatment team.

Elective eyelid surgery should always balance aesthetic goals with protection of eye function.

When Should Medical Help Be Requested?

Expected postoperative swelling and bruising usually develop gradually.

A sudden and marked increase in swelling, especially if accompanied by severe pain, requires urgent assessment.

Any new loss or significant change of vision should be treated as an emergency.

Severe eye pain is also not a symptom to monitor casually at home.

Increasing redness, fever or concerning wound discharge should be reported.

Persistent inability to close the eye adequately requires assessment because the eye surface needs protection.

Patients travelling for surgery should know how they can access urgent medical care if necessary.

Routine questions can often be discussed at scheduled reviews, but potentially serious eye symptoms require timely in-person evaluation.

Clear aftercare instructions should therefore be established before the patient leaves the treatment facility.

Can Eyelid Surgery Be Combined With Other Procedures?

Some patients have concerns affecting several areas of the face.

A lower-eyelid procedure may be considered when under-eye bags or skin laxity are also present.

Eyebrow treatment can be relevant when brow descent contributes significantly to upper-eye heaviness.

A facelift or neck lift addresses lower-face ageing and does not replace eyelid treatment.

Whether procedures should be combined depends on the extent of surgery, general health and the recovery required.

More procedures are not automatically preferable.

If the upper eyelids are the patient’s main concern, treating that area alone can be a complete and appropriate surgical plan.

Dr. Ömer Parıldar can discuss whether other facial findings meaningfully contribute to the appearance or whether additional surgery would provide little benefit.

The goal is to address genuine concerns rather than create a list of procedures simply because several options are available.

Treatment in Istanbul

Patients considering Upper eyelid surgery in Istanbul with Dr. Ömer Parıldar should allow sufficient time for consultation, the procedure and early postoperative review.

Patients travelling from another city or country should mention their travel plans before treatment is scheduled.

Visible swelling or bruising may still be present when the patient feels otherwise well.

This should be considered when arranging flights, work or social plans.

Follow-up appointments may also be necessary before departure.

Patients should avoid planning an important event immediately after surgery.

Sunglasses can be useful outdoors once their use is considered appropriate, but they should not place unnecessary pressure on healing areas.

Before returning home, make sure you understand how ongoing follow-up will work and which symptoms require direct medical assessment.

A well-planned treatment journey includes recovery and aftercare rather than ending immediately after the operation.

What Determines the Cost?

The cost depends on the individual treatment plan.

An isolated upper-eyelid procedure differs from combined upper and lower eyelid surgery or treatment performed together with another facial operation.

Anaesthesia requirements and surgical facility arrangements can also affect the overall plan.

Medical assessment and postoperative follow-up may form part of the treatment structure.

A meaningful quotation should therefore follow individual examination.

Patients should ask exactly which areas are included.

If eyebrow treatment or another facial procedure is discussed, clarify whether it forms part of the same surgical plan or is considered separately.

Cost should follow clinical planning rather than determine how much tissue is removed.

The most appropriate operation is the one that respects eyelid anatomy and safety while addressing the patient’s actual concern.

Questions to Ask During Consultation

Ask whether your upper-eye heaviness is caused mainly by eyelid skin or whether eyebrow position contributes.

Find out how much skin can be removed safely.

Ask whether underlying fat requires treatment.

Discuss where the incision will be placed.

Ask how the natural eyelid crease may change.

If one eyelid looks different from the other before surgery, discuss how much asymmetry may remain.

Tell Dr. Ömer Parıldar about dry eyes, contact-lens use, previous eye surgery and any ongoing eye medication.

Ask how long bruising and swelling may remain visible.

Discuss when you can return to work, exercise, makeup and contact lenses.

Most importantly, explain what you want your eyes to retain.

Some patients are concerned that eyelid surgery could change their familiar expression. Making this preference clear helps guide a more individual treatment discussion.

Dr. Ömer Parıldar

For patients considering eyelid rejuvenation, Dr. Ömer Parıldar assesses skin excess, eyelid crease, eyebrow position, underlying tissue, natural asymmetry and eye function before creating a surgical plan.

You do not need to decide in advance how much skin should be removed.

Begin by explaining whether your concern is heaviness, skin folding, difficulty applying makeup, visual obstruction or a change in expression.

A detailed consultation allows the proposed correction, scar position, recovery period and limitations to be discussed before you decide whether treatment is appropriate.

The purpose of surgery is not to create an unfamiliar eye shape. It is to address selected upper-eyelid changes while preserving facial character and normal eyelid function.

Contact Dr. Ömer Parıldar

Telephone: +90 546 198 81 35
WhatsApp: +90 546 198 81 35
Email: info@dromerparildar.com

Address:
Basınköy, Florya Cd. No:15-17
34153 Bakırköy / İstanbul

Contact Dr. Ömer Parıldar to arrange an individual consultation and discuss an upper-eyelid treatment plan based on your eye anatomy, facial proportions and personal expectations.

İlgili bağlantı: https://www.dromerparildar.com/iletisim/

İlgili bağlantı: https://www.instagram.com/dromerparildar/