Eyelid Surgery — Blepharoplasty

Eyelid surgery (blepharoplasty) is a cosmetic surgical procedure used to tighten the skin around the eyes. Upper eyelid surgery corrects the shape of the upper eyelid by removing upper eyelid puffiness. Lower eyelid surgery addresses the wrinkling and puffiness of the lower eyelid.

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Prices

Eyelid Surgery by doctor in local anesthesia

Available at: Helsinki

Upper eyelid surgery

1690 €

The procedures are performed by Dr. Sikorski and Dr. Karakulova.
The cost estimate for the removal of a fat hernia is assessed on a case-by-case basis during the consultation, and it thus affects the overall surgery cost.

Double eyelid surgery

1950 €

The removal of a fat hernia during eyelid surgery

300 €

Upper eyelid surgery by plastic surgeon

Available at: Helsinki

Under local anesthesia

2990 €

Under general anesthesia

+650 €

Lower eyelid surgery

Available at: Helsinki

Under local anesthesia

3990 €

Under general anesthesia

4590 €

Lue lisää

Frequently Asked Questions

What is it all about?

Both upper and lower eyelid surgeries can be performed using various techniques and methods, tailored to the specific needs of the patient. The surgery may focus solely on the upper or lower eyelids, or both, depending on the patient’s requirements. Sometimes, fat may also be removed from the area around the eyelids during the procedure. If the lower eyelid area is hollow, fat transfer may be combined with lower eyelid surgery as needed.

Who is eligible for upper or lower eyelid surgery?

Eyelid surgery is suitable for patients who want to appear younger. Removing sagging skin brightens and rejuvenates the face.

Upper or lower eyelid surgery may be appropriate for you if:

You are relatively healthy.
You do not have serious issues with your eyes.
You find yourself constantly needing to address sagging eyelids.
Your lifestyle is unfairly questioned due to puffiness and constant swelling around your eyes.

Lower or upper eyelid surgery is often performed either on the brink of middle age or during middle age. Eyelid surgery can also be performed on a younger individual over the age of 18 if the appearance of the eyelids bothers them.

Who is suitable for upper eyelid surgery?

For you, who always looks tired because of your sagging upper eyelids
For you, whose drooping upper eyelids limit your field of vision
For you, for whom sagging upper eyelids cause fatigue
For you, who constantly have to raise your eyebrows to lift sagging upper eyelids
For you, who struggle daily with applying eye makeup
For you, whose upper eyelid fold is chafed or even soreHowever, surgery is not always necessary. If the heaviness of the upper eyelids is moderate, the problem can also be corrected with botulinum or UltraLift™ HIFU treatment.

Who is suitable for lower eyelid surgery?

For you, whose lower eyelids constantly sag, even when you’re well-rested
For you, who constantly try to conceal the sagging of your lower eyelids with cosmetic products
For you, whose lifestyle is questioned due to under-eye bagsAnyone considering lower eyelid surgery should begin the process with a free consultation. Sagging, swelling, and dark circles under the eyes can also be treated without surgery if the excess tissue is still minimal.

What the surgery is like?

Eyelid surgery is a relatively straightforward procedure, especially when compared to other cosmetic surgeries. The surgery can be performed as an outpatient procedure under local anesthesia.

Before the surgery, the operating surgeon creates a so-called surgical map of the area, which helps in removing excess tissue. The actual surgery is performed with a scalpel or laser. At City Clinic, the use of an electric scalpel is preferred.

The surgery itself typically takes about two hours. Often, the patient stays at the clinic for some time for observation before going home.

Laser or scalpel?

Eyelid surgery can be performed using various tools such as a scalpel, laser, or electric scalpel. The choice of instrument does not affect the outcome of the surgery. Rather, the result depends more on the skills of the surgeon using the surgical tool.

Some surgeons prefer using lasers, while others prefer performing the surgery with a scalpel. It primarily reflects the personal preferences of the surgeons and, to some extent, differences in their training.

If the surgeon is skilled, has extensive experience, and a strong aesthetic sense, the surgical outcome will be equally good whether a laser or scalpel is chosen as the tool.

Who performs upper and lower eyelid surgery?

At Cityklinikka, upper eyelid surgeries are performed by plastic surgeon Riikka Veltheim, as well as experienced aesthetic doctor Piotr Sikorski.

Lower eyelid surgeries are performed by plastic surgeon Veltheim and doctor Karakulova.

Aesthetic doctors typically perform surgeries under local anesthesia. Plastic surgeon Riikka Veltheim performs eyelid surgeries under both local anesthesia and general anesthesia.

Can upper and lower eyelid surgery be performed at the same time?

Upper and lower eyelids can be operated on during the same surgery.

Eyelid Surgery -wiki

Basic information

Eyelid surgery is a surgical procedure aimed at improving the appearance of drooping eyelids and addressing health issues caused by puffiness. The operation may be performed for cosmetic or medical reasons. Puffy upper eyelids often begin as a cosmetic issue but can become a health concern with age.

When considering eyelid surgery, it’s a good idea to first consult with a specialist and honestly discuss your goals and expectations. It’s important to keep in mind that the result will be an improvement, not necessarily perfection. One of the most important aspects to consider when planning eyelid surgery is your mental well-being. Eyelid surgery can enhance appearance and boost self-esteem, but everything else depends on the individual.

In addition to traditional eyelid surgery, Cityklinikka also performs Asian eyelid surgery, in which Dr. Akmaral Karakulova creates an upper eyelid fold for the patient. Asian eyelid surgeries are primarily performed for people of Asian descent.

Upper eyelid surgery

Upper eyelids may droop for various reasons. Some children are born with this condition because the muscles that lift the eyelids have not developed normally. These children may need to tilt their heads to see properly. In such cases, a specialist should be consulted, as drooping eyelids can be associated with other issues.

Most often, drooping eyelids are caused by aging. As we age, all tissues lose elasticity, including the tendon that connects the eyelid to the muscle. The skin of the eyelid stretches over time. Since eyelid skin is the thinnest on the body, it’s usually the first to lose elasticity. Loose upper eyelid skin can impair vision and give a heavy, tired appearance.

Cosmetic issues:

A tired appearance
Difficulty accentuating the eye shape
Difficulty applying makeup

Medical issues:

Headaches
Eye fatigue
Reduced field of vision

Kela (the Finnish Social Insurance Institution) will reimburse part of the cost if the heaviness of the upper eyelid is shown to impair vision and cause health problems.

Asian eyelid surgery is almost always performed for cosmetic reasons. Procedures done for cosmetic reasons are not eligible for Kela reimbursement.

Upper eyelid surgeries are performed at Cityklinikka in Helsinki.

Lower eyelid surgery

Puffy lower eyelids can make the whole face look older and give a tired appearance. If the look of the lower eyelids bothers the individual, surgery may help. For some patients, puffiness is due only to loose skin.

Often, there is also excess fat in addition to loose skin. The procedure is always tailored individually based on what causes the puffiness and how extensive the issue is. Lower eyelid surgery is often combined with fat transfer, which rejuvenates and brightens the midface area.

In some cases, an effective laser treatment series may be an alternative to surgery. However, in some situations, only surgery can provide a lasting solution.

Lower eyelid surgery at Cityklinikka is performed by plastic surgeon Dr. Riikka Veltheim and Dr. Akmaral Karakulova. Procedures are performed only at the Helsinki clinic. Lower eyelid surgery is almost always done for purely cosmetic reasons.

Lower eyelid surgery and other options

Common problems of the lower eyelids include excess skin and so-called eye bags. Thin skin may also cause issues. Especially with aging, thin skin becomes dry and wrinkled. Lower eyelid surgery offers a permanent solution to these cosmetic problems.

Sometimes the appearance of the lower eyelids can be improved without surgery. Non-surgical procedures mainly tighten loose skin. If there is a lot of excess fat, non-surgical options may not produce the desired results.
Non-surgical treatments suitable for the lower eyelid area include:

Smile Eye Lift laser treatment (series of treatments)
Fractora (radiofrequency skin tightening)
Mesotherapy and microneedling
Chemical peels

Eyelid surgery procedure

Several surgical techniques can be used in eyelid surgery to restore the eyelid to a normal position. For example, the muscles that open the eyelid can be shortened. Excess upper eyelid skin may be removed. Removing excess skin from the upper or lower eyelids can improve both appearance and the field of vision. If there is a fat hernia in the eyelid, it can be removed at the same time, making the results longer-lasting.

Upper eyelid surgery can be performed with a surgical blade or laser. In both methods, excess skin and fat are removed from the upper eyelid. Sometimes the muscle is also shortened. At Cityklinikka, eyelid surgeries are performed with an electric scalpel to avoid burns to the tissue, which can occur with laser procedures.

Lower eyelid surgery can also be done either with a blade or a laser. Laser surgery is almost bloodless, but it may cause tissue burns, which can prolong recovery.

Puffy lower eyelids can sometimes be treated with a series of Smile Eye Lift procedures.

Eyelid surgeries are usually performed under local anesthesia. For both upper and lower eyelid procedures, the scar is almost invisible. On the upper eyelid, the incision is made in the eyelid crease; on the lower lid, it’s along the lash line.
Come to the procedure without makeup, jewelry, or nail polish (fingers and toes). Eyelash extensions and piercings must be removed beforehand.

Recovery

Healing after the procedure is individual. Swelling and bruising may last 2–3 weeks. The skin around the eyes may remain numb for about three months. Makeup can be used on the eyelids about 7–10 days after the procedure. Eyelids must be well protected from the sun. Stitches are usually removed within a week, and the wound generally heals to an almost invisible scar within a few months. Complications are extremely rare. Scars are usually completely hidden.

After surgery, eyes are cooled with ice packs for about an hour.
Cold compresses should be continued at home for the next two days.
Eyes should be rinsed daily with cool water.
Physical exertion should be avoided for 2–3 days after surgery.
About a week after surgery, you may wear makeup again. We recommend using neutral (e.g., fragrance-free) cosmetic products. Protecting the skin from sun exposure is important during recovery.
Bruising, swelling, and scars can be treated with effective Arnizen™ cream.
For swelling prevention and treatment, lymphatic therapy is recommended.

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