Blepharoplasty
Eyelid Surgery
What does it involve?
Blepharoplasty is a surgical procedure performed on the upper and/or lower eyelids to remove excess skin, muscle, or accumulated fat. Its goal is to rejuvenate the eyes, correct a tired appearance, and, in some cases, improve vision when the eyelid weight interferes with the visual field.
It is a precise surgery, with natural results, that does not alter facial expression and can be performed on an outpatient basis under local anesthesia.
Types of blepharoplasty
Depending on the eyelid area, blepharoplasty can be approached in two different ways:
Upper blepharoplasty
Performed on the upper eyelids to remove excess skin, fat, or muscle that causes drooping, tired, or aged-looking eyes. This procedure clears the eye area, improves eyelid opening, and in some cases restores part of the visual field. The incision is made in the natural crease of the eyelid, leaving the scar practically invisible.
Lower blepharoplasty
Corrects under-eye bags and sagging through either an external or transconjunctival incision, depending on the case. With this technique, not only is excess fat removed, but tissue can also be redistributed to smooth the transition between the eyelid and the cheek, creating a more harmonious contour without visible scars.
TYPE OF ANESTHESIA
Local or general anesthesia
RECOVERY TIME
10 days
DEFINITIVE RESULT
2 months
Cases
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Ariana’s case
Congenital palpebral ptosis. Patient affected by a weakness of the levator muscle of the right upper eyelid that interfered with normal vision through that eye. She underwent surgery two years ago to shorten the length of the MEP. The result is maintained achieving almost complete symmetry and above all having solved the problem that caused the pupil cover in the upper part. Dr Fernández Blanco with 3 months of evolution.
Process
INTERVENTION
The blepharoplasty procedure lasts approximately between 30 minutes and 1 hour, depending on the type of intervention.
In our clinic, upper blepharoplasty is performed under local anesthesia, allowing the patient to resume activities without hospitalization. For lower eyelid treatment, we use general anesthesia in an outpatient surgery, so the patient can return home the same day with a safe and controlled recovery.
In our clinic, upper blepharoplasty is performed under local anesthesia, allowing the patient to resume activities without hospitalization. For lower eyelid treatment, we use general anesthesia in an outpatient surgery, so the patient can return home the same day with a safe and controlled recovery.
POST-OPERATORY
After blepharoplasty, it is common during the first 48 to 72 hours to experience swelling, mild bruising, and sensitivity in the treated area. To relieve these symptoms and promote recovery, it is recommended to apply cold compresses several times a day and sleep with the head slightly elevated.
From the fifth day, and depending on the patient’s progress, stitches are removed, marking the beginning of progressive improvement in the eyelids’ appearance. During this stage, it is essential to protect the area from direct sun exposure with sunglasses, a cap, or sunscreen. It is also advised to avoid physical exertion, dusty or smoky environments, and makeup use until authorized by the specialist.
In general, everyday activities can be resumed from the first week. Although results start to be noticeable from the second week, the final appearance usually consolidates between two and three months.
From the fifth day, and depending on the patient’s progress, stitches are removed, marking the beginning of progressive improvement in the eyelids’ appearance. During this stage, it is essential to protect the area from direct sun exposure with sunglasses, a cap, or sunscreen. It is also advised to avoid physical exertion, dusty or smoky environments, and makeup use until authorized by the specialist.
In general, everyday activities can be resumed from the first week. Although results start to be noticeable from the second week, the final appearance usually consolidates between two and three months.
Frequently Asked Questions
How much does blepharoplasty cost?
In Spain in 2025, the price of blepharoplasty ranges between €2,500 and €5,000, depending on whether it is upper, lower, or complete surgery, as well as the technique used, the type of anesthesia, and the chosen clinic.
Would you like to know how much this surgery costs at Clínica Fernández Blanco? You can schedule a consultation with our specialists. This way, we will evaluate your case personally, guide you towards the most suitable solution, and offer you a detailed quote, including financing options tailored to your needs.
What do blepharoplasty scars look like after one month?
One month after blepharoplasty, scars are usually in an initial healing phase but already show very favorable progress. The incisions, located in the natural folds of the upper eyelid or just below the lashes in the lower eyelid, begin to lose the reddish tone characteristic of the first days and acquire a lighter, flatter appearance, making them discreet and hardly visible.
AMoreover, if postoperative instructions have been followed correctly, such as avoiding sun exposure, applying cold compresses, and keeping the area clean, the scars tend to integrate well into the skin without discomfort or aesthetic issues.
When the transconjunctival technique is used for the lower eyelid, no external visible scar remains, contributing to an even more natural result.
Is it normal to have sad-looking eyes after blepharoplasty?
It is not normal to have sad-looking eyes after a well-planned blepharoplasty that respects facial anatomy, since this appearance is usually related to incorrect surgical execution, such as removing too much skin, causing lower eyelid retraction, or altering its position.
If you are facing this situation, we recommend consulting our secondary blepharoplasty specialists. They will carry out a detailed evaluation of your case, guide you on the available options, and define the most suitable treatment to restore the natural shape of the eyelid and the expressiveness of your eyes.
What to expect 4 months after blepharoplasty?
At 4 months post-blepharoplasty, the recovery process is practically complete, and the results are stable and natural.
The eyelids show a defined, symmetrical, and rejuvenated appearance, while the scars, located in natural folds, have blended with the skin texture and are almost imperceptible. Eyelid function is normal, without tightness or discomfort, and the eyes reflect freshness, rest, and vitality.
How to choose the best blepharoplasty surgeon in Madrid and Malaga?
To choose the best blepharoplasty surgeon in Madrid and Malaga, it is important to consider the following medical and professional criteria:
- Specialized training: Must be accredited in plastic, aesthetic, and reconstructive surgery, with specific experience in eyelid surgery.
- Proven experience: Review their career, number of surgeries performed, and documented clinical cases.
- Natural results: Look at before and after photos, ensuring they respect the patient’s facial expression.
- Patient reviews: Real opinions provide insights into care, follow-up, and satisfaction levels.
- Personalized consultation: A good professional takes time to listen, assess, and explain the procedure clearly.
- Facilities and medical team: The clinic must have updated technology, accredited operating rooms, and a multidisciplinary team to support the whole process.
At Clínica Fernández Blanco, we have a multidisciplinary team and eyelid surgery specialists who work to deliver safe, natural, and personalized resultstaking care of every detail from the first consultation to postoperative follow-up.
Would you like to see our success stories? You can visit the Before and After Blepharoplasty gallery, , where you will find real examples of patients who trusted our team to transform their look. Explore it now and see why we are a reference in eyelid surgery in Madrid and Malaga.
Can one eye look bigger than the other after blepharoplasty?
Yes, one eye can appear larger than the other after blepharoplasty, although this is not common when the surgery is done correctly. This difference may be due to temporary swelling, eyelid retraction, or excessive skin correction. A pre-existing asymmetry may also become more noticeable after the procedure.
In most cases, this appearance improves over timeHowever, if it persists, it is advisable to consult a specialist to evaluate the case and determine if a revision or complementary treatment is necessary.
Does removing stitches after blepharoplasty hurt?
No, removing stitches after blepharoplasty is usually not painful. Most patients only experience mild discomfort or a feeling of tightness.
How are eye massages performed after blepharoplasty?
The eye massage recommended by our specialists after blepharoplasty is as follows:
- Wash your hands with warm water and neutral soap.
- Apply a cream recommended by the surgeon to the treated area.
- Use your fingertips to make gentle circular movements around the eyelid.
- Avoid pressing directly on the incisions or sensitive areas.
- Do this for 2 to 3 minutes, twice a day, as indicated by your doctor.
Finally, do not perform massages if you experience pain, scabs, or signs of infection, as this could worsen your condition and compromise the results. If you notice any of these symptoms, stop massaging immediately and consult the surgeon who performed your blepharoplasty for a safe and personalized evaluation.
Can wrinkles appear after blepharoplasty?
Yes, wrinkles can appear after blepharoplasty, although they are not directly caused by the surgery. Remember, this procedure removes excess skin and eyelid bags but does not stop the natural aging process.
Can fibrosis appear after blepharoplasty?
Yes, fibrosis can appear after blepharoplasty, although it is not a frequent complication when the surgery is performed correctly and the indicated postoperative care is followed.
In most cases, mild fibrosis diminishes over time and can be treated with specific massages, healing creams, or complementary treatments such as laser or radiofrequency. If fibrosis is more severe, medical evaluation may be required to assess correction options.
For more information,
request an appointment
Our medical team will advise you on the treatment that best suits you, the surgical process, the possible risks and everything you need to know before facing such an important decision.
*Surgeries are performed in a duly authorized hospital.
