Combined blepharoplasty

What is combined blepharoplasty

Combined blepharoplasty of the eyelids combines the correction of the upper and lower eyelids. Depending on the indications, the surgeon may remove excess skin, correct fat pads and other tissue changes around the eyes.

The main feature of the combined operation is its comprehensive approach. If changes are present in only one area, the doctor may separately recommend an upper blepharoplasty or a lower blepharoplasty. For certain indications of the lower eyelids, transconjunctival blepharoplasty is used, in which the access is performed from the conjunctival side.

The choice of method depends on the patient's anatomical features and the nature of the changes.

Indications for combined blepharoplasty

Combined eyelid blepharoplasty may be considered when changes of the upper and lower eyelids are present at the same time.

The main indications may include:

• excess and sagging skin of the upper eyelids
• pronounced folds in the eyelid area
• fat protrusions in the periorbital area
• so-called bags under the eyes
• reduced firmness of the lower eyelid skin
• age-related changes of the area around the eyes
• asymmetry requiring surgical correction
• the desire to comprehensively correct the upper and lower eyelids when appropriate indications are present.

A consultation with a specialist is required before the operation. The doctor assesses not only the aesthetic features but also the patient's general health, since surgery has contraindications.

Types of combined blepharoplasty

The surgical approach is selected individually. Classic combined blepharoplasty involves surgical correction of the upper and lower eyelids through the corresponding accesses.

When working with the upper eyelids, the incision is usually placed in the area of the natural fold. This provides access to the tissues that require correction.

In lower blepharoplasty, the access is chosen depending on the indications. If skin correction is required, an external surgical access is used. When work mainly with the fat pads is needed, the doctor may consider the transconjunctival method.

The term “laser combined blepharoplasty” may be used to denote an intervention using laser technologies at certain stages. However, the specific surgical technique should be determined by the doctor after an examination, and not solely based on the name of the technology.

Preparation for the operation

Preparation begins with a consultation with a plastic surgeon. The specialist clarifies the patient's wishes, assesses the condition of the upper and lower eyelids and determines the anticipated scope of the intervention.

Before the operation, it is necessary to undergo the prescribed examination. The list of tests is determined individually, taking into account the state of health, age and features of the upcoming intervention.

The patient is also given recommendations regarding medication intake, nutrition and routine immediately before the operation. You should not discontinue regularly taken medications on your own — such decisions must be agreed with the doctor.

Stages of the procedure

A combined eye lift is performed using anesthesia, the type of which is determined individually.

First, the surgeon makes the pre-planned accesses in the area of the upper and lower eyelids. Then the necessary correction of the skin and other tissues is carried out in accordance with the indications.

After the main stage is completed, sutures are applied if the chosen technique involves external incisions. The duration of the operation depends on its scope, the technique used and the individual features of the patient.

After the intervention, the patient remains under medical supervision for a certain time.

Rehabilitation period and recommendations

After combined blepharoplasty, swelling, bruising, increased sensitivity and a feeling of tension in the eyelid area are possible. The severity of these manifestations is individual, and they gradually decrease.

During recovery, it is important to follow the surgeon's recommendations, properly care for the postoperative area and attend follow-up examinations. In the first weeks, intense physical activity should be limited.

The doctor may also recommend temporarily avoiding actions and cosmetic procedures that can irritate the area around the eyes. The period of return to the usual lifestyle is determined individually.

Results and expected effect

Combined blepharoplasty allows correcting changes of the upper and lower eyelids at the same time. After recovery is complete, the area around the eyes may look more open, and the contours of the eyelids more defined.

The result is assessed gradually. Immediately after the intervention there is postoperative swelling, so the final changes become noticeable after the tissues recover.

The effect of the operation can last a long time, however blepharoplasty does not stop the natural aging processes.

The cost of combined facial blepharoplasty at the Helyos medical center depends on the scope of the intervention, the chosen surgical technique and other components of treatment. The exact price can be determined after a consultation and drawing up an individual operation plan.