Blepharoplasty (Eyelid Surgery) in Hyderabad, India
PACE Hospitals is the best hospital for blepharoplasty (eyelid surgery) in Hyderabad, India. Our team of highly skilled surgeons specializes in both cosmetic and reconstructive eyelid procedures, offering personalized care tailored to each patient’s needs. We use advanced techniques to deliver results that enhance both appearance and function.
Blepharoplasty is an effective solution for correcting droopy eyelids, improving vision, and restoring youthful eyelid contours. At PACE Hospitals, we prioritize patient safety and satisfaction, offering state-of-the-art treatment with the latest surgical advancements. With clear pricing for eyelid surgery and exceptional care facilities, we are the trusted choice for eyelid surgery in Hyderabad.
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Why Choose PACE Hospitals for Eyelid Surgery?
Blepharoplasty Definition
Blepharoplasty, or eyelid lift surgery, is a most popular cosmetic surgery designed to improve the overall appearance of the eyelids. It is performed on the upper eyelids, the lower lids, or both, typically to remove excess skin, tighten the area, and eliminate any puffiness and sagging.
An eye specialist (ophthalmologist), a plastic surgeon, a reconstructive surgeon, or an ophthalmologist (oculoplastic surgeon) specialised in plastic surgery around the eyes can perform it.
This surgery (eyelid surgery) plays a vital role in facial rejuvenation, enhancing the aesthetic relationship between the brow and cheek. This makes it a versatile option for individuals looking to improve their appearance or address functional issues with their eyelids.
Blepharoplasty meaning
The word blepharoplasty is derived from the Greek language words "blepharon" and "plastic", which means "eyelid," and plastic, which means "to form or act or process of forming", meaning "surgical operation of making a new eyelid from transplanted skin."
Types of Blepharoplasty
Different types of eyelid surgeries include surgical procedures designed to address cosmetic and functional concerns of the eyelids, including:
- Upper Lid Blepharoplasty
- Lower Lid Blepharoplasty
- Double Eyelid Surgery (Asian Blepharoplasty)
- Transconjunctival blepharoplasty
- Transcutaneous blepharoplasty
- Droopy Eyelid Surgery (Ptosis surgery)
Upper Blepharoplasty
Upper lid blepharoplasty addresses sagging or drooping skin on the upper eyelids. It removes excess skin and fat to restore a more youthful appearance and improve the vision field for patients with severe ptosis (drooping eyelids). In some cases, upper lid blepharoplasty is combined with a brow lift to achieve comprehensive eyelid rejuvenation.
Lower Blepharoplasty
Lower lid blepharoplasty technique involves removing excess fat, skin, and sometimes muscle from the lower eyelids. It is typically done to treat under-eye bags, puffiness, and dark circles. In some cases, fat is repositioned rather than removed to prevent hollowing out the area under the eyes.
Double Eyelid Surgery (Asian Blepharoplasty or Asian eyelid surgery)
This is also called bilateral eyelid surgery, where the surgeon creates a crease in the upper eyelid, resulting in a larger, more symmetric, almond-shaped eye. It is also called bilateral eyelid surgery where the surgeon creates a crease in the upper eyelid, resulting in a larger, more symmetric, almond-shaped eye.
Transconjunctival Blepharoplasty
Transconjunctival blepharoplasty is a kind of eyelid surgery performed from the inside of the eyelid, avoiding visible blepharoplasty scars to remove or relocate fat pads to improve the appearance of lower eyelids. It's usually suggested for younger patients with isolated fat pad prominence without other lower eyelid issues. This procedure is best for people with puffy eyelids caused by fat prolapse rather than excess skin.
Transcutaneous Blepharoplasty
It is an eyelid surgery performed on the external surface of the lower eyelid, just below the lash line, or, in some cases, across the upper eyelid. It’s usually suggested for patients with older skin, significant skin laxity, and fat and skin that must be addressed. This approach is often used in significant wrinkling or skin excess; fat removal is also required. It can also address drooping or more severe cases of eyelid aging.
Droopy Eyelid Surgery (Ptosis surgery)
Ptosis surgery aims to tighten the muscle that lifts the upper eyelid. As people age, the levator muscle stretches and weakens, causing the eyelid to sag.
Indications of Eyelid Surgery
Blepharoplasty is indicated to address both aesthetic and functional concerns for several cosmetic and medical conditions, including:
- Cosmetic concerns: Some people seek blepharoplasty to improve the overall appearance of their eyes for a more youthful look.
- Age-related eyelid wrinkles: As the skin around the eyes loses its elasticity, wrinkles and fine lines develop, making a person appear older. Blepharoplasty can aim to rejuvenate the eye area, reduce sagging skin, and eliminate puffiness, resulting in a more refreshed appearance.
- Tired or Aged Appearance: Even in the absence of significant skin excess or fat bulging, some individuals seek blepharoplasty to reduce the "tired" or "aged" look that comes with sagging eyelids, regardless of functional issues. This is mainly a cosmetic procedure to rejuvenate the eyes.
- Medical conditions (functional vision impairment): Excess fat or skin on the upper eyelids can obstruct peripheral vision, impairing daily activities such as reading, driving, or walking. The following are the medical conditions that can be addressed by blepharoplasty to improve vision and appearance as well primarily:
- Ptosis (drooping upper eyelids): Drooping eyelids occur when the skin of the upper eyelids loses its elasticity due to ageing or other factors, often leading to a tired or older appearance. In severe cases, this can also obstruct vision, making it difficult for a person to see clearly. Blepharoplasty is indicated in this condition; it removes the excess skin and tightens the surrounding muscles, improving appearance and vision.
- Dermatochalasis (excess skin and fat around the eyes): Dermatochalasis, also known as baggy eyes, is a condition in which the skin of the eyelids becomes loose and saggy, which often occurs due to the natural process of ageing or other factors, including genetics or sun damage. In cases where the excess skin obstructs the field of vision, surgery is necessary to improve both cosmetic appearance and functional vision, allowing for clearer sight and a more youthful appearance.
- Lagophthalmos (improvement of eyelid closure): Some people experience difficulty fully closing their eyelids due to nerve damage, scarring, or ageing. This incomplete closure can lead to dry eyes and discomfort. Blepharoplasty can help reposition the eyelids to improve closure and prevent damage to the cornea.
- Eyelash obstruction: In some circumstances, drooping eyelids can cause the eyelashes to touch the cornea or cause discomfort. Healthcare professionals perform blepharoplasty to remove the excess skin or reposition the eyelid, relieving irritation.
- Entropion or Ectropion (Eyelid malposition): Conditions where the eyelids turn inward (entropion) or outward (ectropion) can cause discomfort, irritation, and even corneal damage. Blepharoplasty corrects the eyelid's position, improving comfort and preventing further damage.
- Steatoblepharon (lower eyelid bags): Fat bulging in the lower eyelids causes puffiness and bags, contributing to an aged appearance. Blepharoplasty removes or repositions the fat to create a smoother, more refreshed look.
- Congenital Eyelid Abnormalities: Some people are born with eyelid conditions, such as overly large or small eyelids or a condition where the eyelid folds incorrectly. To improve function and appearance, healthcare professionals will re commend blepharoplasty to correct these congenital issues.
- Traumatic Eyelid Deformities: Blepharoplasty can repair and restore the structure and function of the eyelids in cases of trauma or injury, including cuts, fractures, or burns, ensuring proper healing and cosmetic outcomes.
These are additional conditions that can benefit from blepharoplasty, whether for functional improvement, cosmetic enhancement, or correction of congenital or acquired eyelid issues.
Blepharoplasty Contraindications
While blepharoplasty is safe for most people, certain conditions may make a person unsuitable for the procedure. The following are some of the cases where blepharoplasty is contraindicated:
- Dry eyes: Severe dry eyes can be made worse by blepharoplasty.
- Eyelid conditions: Skin excess, poor skin tone, or other eyelid conditions.
- Clotting disorders: The persons who have clotting disorders require individual management by a healthcare professional.
- Thyroid disease: Thyroid orbitopathy is an eye condition commonly associated with hyperthyroidism (especially Graves' disease), where inflammation and swelling of the eye muscles cause the eyes to protrude (proptosis) and can lead to vision problems.
- Photophobia: Patients with photophobia should avoid blepharoplasty.
- Inflammatory skin conditions: Active inflammatory skin conditions such as eczema or psoriasis may be contraindicated
- Unrealistic expectations: Patients with expectations that cannot be realistically met may be advised against surgery.
- Psychological issues: Patients with psychological problems may be contraindicated for blepharoplasty.
- Uncontrolled health issues including
diabetes,
hypertension, or bleeding disorders.
Blepharoplasty Benefits
Blepharoplasty benefits include the following:
- Youthful appearance: Blepharoplasty can restore a youthful, refreshed look to the eyes, removing years of ageing from the face.
- Improved vision: Blepharoplasty can improve peripheral vision by addressing certain medical conditions such as ptosis or excessive upper eyelid skin.
- Increased self-confidence: Many patients feel more confident and satisfied with their appearance after surgery.
- Long-lasting results: The benefits of blepharoplasty can last for many years, with only minor touch-ups required over time.
Blepharoplasty Before and After Photos
Considerations of a Plastic or Oculoplastic Surgeon Before Planning Blepharoplasty
Before planning blepharoplasty, a plastic surgeon will consider the following several factors to ensure the procedure is safe and effective for the patient:
- Medical history: The surgeon (plastic surgeon) reviews the patient's medical history, including chronic systemic diseases and medications and ophthalmologic history, including vision, allergic reactions, trauma, corrective lenses, glaucoma, excess tearing, and dry eyes. No cosmetic surgery in the periorbital region should be done for at least six months after corneal refractive surgery. Schirmer's test should be considered if there is any history of dry eye.
- Age and skin condition: The appropriate surgical approach is determined by the patient's skin elasticity and the extent of sagging or puffiness.
- Eye exam: A complete eye examination, including testing tear production, visual field-testing, and measuring parts of the eyelids, is performed to assess the eye structure, symmetry, vision and overall function. Surgeons consider the following as part of the complete eye exam to confirm whether the patient's eye condition is ideal for surgery.
- Skin quality: The quality and quantity of skin in the periorbital area
- Soft-tissue contours: The underlying three-dimensional soft-tissue contours (natural shape and structure of the skin and underlying tissues)
- Bony skeletal support: The bony skeletal support in the area
- Photography: After examining the eye, a surgeon takes standardised photographs of the eyes from different angles to plan the surgery and document the patient's features.
- Expectations: To establish realistic goals and expectations, a surgeon thoroughly discusses the patient's aesthetic goals to ensure that their expectations align with the expected surgery (what can be achieved through surgery).
- Psychological evaluation: After discussing with patients, surgeons may evaluate whether the patient's desire for surgery is driven by realistic, well-considered goals or by external pressures.
- Surgical technique: After assessing, surgeons adjust the surgical technique depending on the above-mentioned elements.
Blepharoplasty Before and After Procedure
Pre-procedure: Preparation
Blepharoplasty preparation involves multiple essential steps to ensure optimal outcomes and minimise complications, including:
- Assessments: Before the procedure, the surgeon again conducts a thorough examination of the eyes, such as eyelid function, visual acuity tests, and skin elasticity. Photos of the eyelids will also be taken for reference during the surgery and to compare results.
- Specific preoperative requirements: Several weeks before blepharoplasty, patients are often recommended to stop taking certain medications, especially blood thinners, to decrease the risk of bleeding.
- Anaesthesia: The choice of anaesthesia (local or general) depends on the patient's overall condition, preferences and extent of the surgery.
- Controlling chronic disorders: Surgeon's control certain chronic conditions before surgery.
- Tobacco use: Patients should be asked to avoid smoking for at least one month before and after surgery, as it may impair the healing process.
During the procedure
Generally, blepharoplasty is performed as an outpatient procedure depending on patient preferences, circumstances and the complexity of the surgery. The blepharoplasty procedure steps may include:
- Blepharoplasty markings: Before starting the process, the surgeon marks the areas where incisions will be made on the eyelids. These markings help remove excess tissue and fat accurately.
- Blepharoplasty incision: For upper eyelid blepharoplasty, an incision (cut) is usually made along the natural crease of the eyelid, while lower lid surgery may involve an incision just below the lower lash line. In some cases, the incision may be placed on the inside of the eyelid to avoid visible scarring.
- Excess skin removal: The surgeon carefully removes the excess skin, causing drooping or wrinkling, to restore the eyelids to a more youthful position.
- Conservative Resection of Fat: Fat pads that contribute to puffiness or bags under the eyes will be either removed or repositioned, depending on the patient's needs, to create a smooth contour around the eyes without hollowing out the under-eye area.
- Tissue Resection and Tightening: Once excess skin and fat are removed, the remaining tissue may be tightened to create a firm, youthful eyelid contour.
- Muscle Repair: If necessary, the muscles around the eyes may be tightened or repositioned to enhance the overall function (vision) and appearance of the eyelids.
- Suture closure: Once the desired adjustments have been made, the incisions will be closed with fine sutures. The sutures used for eyelid surgery are usually absorbable or removed within 5–7 days.
- Blepharoplasty revision surgery: In some cases, a follow-up eyelid revision blepharoplasty or reconstructive blepharoplasty might be needed to correct the results of a prior eyelid surgery, fine-tune results, or address any complications.
After the procedure
Post- blepharoplasty recovery involves careful management of certain things, and the patient should follow specific instructions to ensure optimal outcomes, including:
- Post-operative care: After blepharoplasty (post eyelid surgery), patients are advised to use ice packs on the surgical area for three days to reduce post-operative
- Pain management: Mild discomfort or pain is common right after the blepharoplasty procedure. Pain medication and cold compresses will be recommended to reduce discomfort and swelling.
- Hygiene and Wound Care: Post-operative care involves keeping the incisions clean and dry. Patients may be advised to avoid rubbing their eyes and apply prescribed ointments to allow fast healing.
- Activity Restrictions: Patients are usually recommended to avoid strenuous activities for at least 2–3 weeks after blepharoplasty to avoid possible side effects and promote healing.
- Head elevation: Patients should rest with their heads up at least 45 to 60 degrees.
- Follow-up appointments: After eyelid surgery, it is recommended that patients schedule multiple follow-up appointments or regular screenings with the surgeon to monitor healing process, remove sutures and address any concerns or complications.
Blepharoplasty Side-Effects
While blepharoplasty surgery is generally considered safe, it carries some side effects and risks. The following are some of the eyelid surgery side effects:
- Swelling and bruising: These are common side effects after the procedure, but typically subside within a few weeks.
- Dry eyes or irritation: Some patients experience dryness, sensitivity, or irritation in the first few weeks after surgery.
- Infection: Infection is rare but a possible complication of any surgery.
- Scarring: Though incisions are typically hidden in natural eyelid creases, some patients may experience visible scarring.
- Vision changes: Temporary blurred vision may occur due to swelling, but this typically resolves as healing progresses.
Blepharoplasty Recovery Rate
Blepharoplasty recovery varies from patient to patient, but is generally quick for most patients, with swelling and bruising peaking around 2–3 days post-surgery and gradually subsiding over the next 1–2 weeks. Most patients can return to normal activities within 1–2 weeks, but full recovery, including the resolution of minor swelling and redness, may take 3–6 months. However, this depends on multiple factors, including the patient's age, overall health, emotional factors, severity of the condition, adherence to post-operative care instructions, specific surgical technique used, type of
vaginoplasty, etc.
Questions that the patients can ask the healthcare team about blepharoplasty surgery?
- What are the wound care instructions for my incision site?
- How soon should I contact the healthcare team if I notice any unusual symptoms or issues after the procedure?
- What signs of complications or infections should I watch at the surgical site?
- When can I go back to my normal activities?
- Are there any specific activities I should avoid during my recovery period?
- What dietary restrictions should I follow for recovery?
- When should I schedule follow-up appointments?
- Will any tests or evaluations be required after the surgery?
Differences between Mullerectomy and Blepharoplasty
Mullerectomy vs Blepharoplasty
Mullerectomy and blepharoplasty are both surgical procedures aimed at addressing issues around the eyelids, but they serve different purposes and are used in distinct clinical situations, including:
| Elements | Mullerectomy | Blepharoplasty |
|---|---|---|
| Why it is performed | Used in drooping eyelids (ptosis) to surgically remove a portion of the Muller’s muscle to treat ptosis | It is performed to remove excess skin, fat, or muscle from the eyelids, typically for cosmetic or functional reasons. |
| Primary focus | To lift the upper eyelid and improve vision by correcting ptosis (drooping eyelid). | To enhance appearance by removing excess skin or fat around the eyes, often improving vision. |
| Indication | Correcting ptosis (drooping eyelids) due to weakened or stretched Muller’s muscle. | Cosmetic rejuvenation of the eyelids (cosmetic concern) or removal of excess skin/fat for functional reasons |
| Target area | Primarily upper eyelid. | Upper or lower eyelids or for both eyelids (depending on the type of blepharoplasty). |
| Incision | No external incision – Tiny incision made inside the eyelid | Incision is typically made along the natural lines of the eyelid, either in the crease of the upper eyelid or just below the lower lashes. |
| Risks or complications | Risk of eyelid scarring, infection, or asymmetry. | Risk of dry eye, scarring, infection or vision problem |
Differences between Blepharoplasty Laser and Traditional Blepharoplasty
Blepharoplasty Laser vs Traditional
Laser blepharoplasty and traditional blepharoplasty are two techniques for eyelid surgery (blepharoplasty). The primary difference between them lies in the approach used for tissue removal and incision. Below is a table outlining their key differences:
| Elements | Laser blepharoplasty surgery | Traditional blepharoplasty surgery |
|---|---|---|
| Technique | It is performed using a laser to remove excess skin, fat, and muscle. | It is performed using scalpel or other surgical tools for tissue removal. |
| Incision | Incision is made using a laser beam to vaporize tissue. | Incision is made with a scalpel to excise excess tissue. |
| Precision | It is more accurate, with minimal bleeding and reduced tissue damage. | Less accurate, may result in more bleeding and tissue trauma. |
| Healing time | Faster recovery due to reduced swelling and bruising. | Typically, longer recovery with more swelling and bruising. |
Eyelid Surgery Cost in Hyderabad, India
The cost of Eyelid Surgery (blepharoplasty) in Hyderabad, India, generally ranges from ₹55,000 to ₹1,85,000 (approximately US $660 – US $2,230). The exact cost varies depending on several factors such as whether the surgery involves the upper eyelids, lower eyelids, or both; the degree of excess skin or fat removal required; the surgical technique used (cosmetic or functional); and the hospital facilities chosen.
Cost breakdown according to type of eyelid surgery / procedure:
- Upper Eyelid Surgery (Upper Blepharoplasty) – ₹55,000 – ₹95,000 (US $660 – US $1,140)
- Lower Eyelid Surgery (Lower Blepharoplasty) – ₹75,000 – ₹1,25,000 (US $900 – US $1,500)
- Double Eyelid Surgery (Asian Blepharoplasty) – ₹95,000 – ₹1,55,000 (US $1,140 – US $1,860)
- Combined Upper & Lower Eyelid Surgery – ₹1,25,000 – ₹1,85,000 (US $1,500 – US $2,230)
Frequently Asked Questions (FAQs) on Blepharoplasty Surgery
How long will the blepharoplasty result last?
The results of blepharoplasty may last anywhere from 5 to 10 years, depending on certain factors, including ageing and skin conditions. Despite the continuing natural ageing process, some individuals may choose to undergo revision surgery in the future.
Which is the best hospital for Eyelid Surgery in Hyderabad, India?
PACE Hospitals, Hyderabad, India, is among the most trusted centres for eyelid surgery (blepharoplasty). Our expert oculoplastic and cosmetic surgeons specialise in correcting droopy or puffy eyelids, restoring youthful appearance, and improving vision in cases of eyelid hooding. With advanced surgical techniques, precise aesthetic planning, and comprehensive pre- and post-operative care, PACE Hospitals ensures natural-looking and safe results for all eyelid procedures.
Can eyelid surgery change vision?
Eyelid surgery (blepharoplasty) typically does not affect vision; in some cases, it is performed to improve vision by removing excess fat that may obstruct the upper field of vision. However, complications, such as dry eyes or changes in eye pressure, may temporarily impact vision. Hence, it is recommended to discuss potential risks with a surgeon before planning for blepharoplasty, especially if a person has underlying eye conditions such as glaucoma or dry eye syndrome.
Is blepharoplasty permanent?
Blepharoplasty can provide long-lasting results, though it is not considered a permanent solution. While the procedure removes excess skin, fat, and muscle from the eyelids, the natural ageing process continues, and new wrinkles or sagging may develop over time. Most patients enjoy the aesthetic benefits for years, but some may choose a touch-up procedure later in life to maintain the results. The longevity of blepharoplasty depends on individual factors such as genetics, age and lifestyle.
What is the cost of eyelid surgery in Hyderabad, India?
At PACE Hospitals, Hyderabad, India, the cost of eyelid surgery typically ranges from ₹65,000 to ₹1,55,000 and above (approximately US $780 – US $1,860), depending on whether it’s an upper, lower, or combined blepharoplasty and the individual patient’s requirements.
For minor cosmetic corrections involving only one eyelid, costs may be on the lower side, while comprehensive aesthetic or reconstructive surgeries will be towards the higher range.
How long does a blepharoplasty procedure take?
Typically, a surgeon may take 45 minutes to one hour to complete an upper blepharoplasty and about two hours for both upper and lower eyelids, depending on whether fat is repositioned or if the additional process is performed.
What age is appropriate for blepharoplasty operation?
Anyone over the age of 18 can undergo eyelid surgery. The best candidates are healthy adults aged 30 and older. According to the American Society of Plastic Surgeons, most individuals who receive the surgery are over 40. Patients typically undergo blepharoplasty in their 40s or 50s, but it can be performed at any age if there are visible signs of ageing or functional issues with the eyelids.
What happens after a blepharoplasty procedure?
After blepharoplasty, swelling and bruising are common in the upper and lower lids. To allow quick healing, stay at home for a few days and limit activities.
Are there any possible blepharoplasty complications?
As with any surgery, there's some degree of risk. Although complications from blepharoplasty are uncommon, they do sometimes occur, including dry eyes, abnormal discolouration of eyelids, possible loss of vision, abnormal folding in or out of eyelid skin, and an inability to close the eyes fully.
When should I consult my healthcare professional?
Some patients may experience dry eyes after eyelid surgery, however this condition rarely lasts more than 2 weeks. If dry eyes continue for more than two weeks or if the patient experiences other complications, it is recommended that the patient contact a healthcare professional.
Is blepharoplasty painful?
It is one of the least painful cosmetic procedures. However, patients may experience slight discomfort on the day of surgery.
How to hide blepharoplasty scars?
After blepharoplasty, scars are usually well hidden in the natural folds of the eyelids. Following the surgeon's post blepharoplasty instructions (aftercare instructions), such as avoiding touching the surgical site (eyes), protecting skin from the sun and using a prescribed scar cream, can help reduce scar visibility further.
Who does blepharoplasty?
Blepharoplasty is performed by qualified plastic surgeons, particularly those specialising in oculoplastic surgery or aesthetic procedures. These surgeons have specific expertise in the delicate anatomy of the eyelids and surrounding areas. For optimal results, choosing a board-certified professional with experience in eyelid surgeries is essential.
What is chemosis after blepharoplasty?
Chemosis (swelling of the conjunctiva) is a common, though typically temporary, complication of both upper and lower blepharoplasty surgery. It can occur after any eyelid surgery, but it's most common after lower lid lifts and can be caused by inflammation, venous congestion, or disrupted lymphatic drainage. It is not serious, and can be resolved after some days. (after the surgery swelling diminishes). However, if symptoms persist or worsen, it's essential to consult a surgeon to rule out complications.
