Eyelid surgery
The eyes are the focal point of facial expression and are often the first area where the signs of ageing become apparent. Blepharoplasty is a surgical procedure designed to rejuvenate the eye area by correcting excess skin and under-eye bags. At HC Aesthetic, our aim is not to change your expression, but to eliminate that look of constant tiredness, restoring a fresh, rested and radiant appearance to your face.
Depending on your needs, this procedure can be tailored in two ways:
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- Upper blepharoplasty: focused on removing the excess skin ‘hood’ that hangs over the mobile eyelid. This excess skin not only makes the eyes look older, but in severe cases can cause a feeling of heaviness and even limit the visual field.
- Lower blepharoplasty: Lower blepharoplasty: aimed at treating under-eye fat bags and pronounced tear troughs. This technique softens the transition between the eyelid and the cheek, permanently eliminating the appearance of chronic fatigue.
Our philosophy is based on subtlety, seeking to restore the original structure of your eyes, thus ensuring that the result is harmonious and consistent with your facial identity.
A key diagnosis in the first consultation
In your first consultation (free of charge) we assess your anatomy comprehensively to ensure that surgery is the right solution for you. We evaluate four determining factors:
Eyebrow position
We assess whether the excess skin originates from the eyelid or is due to a lowering of the eyebrow. In some cases, the key is to elevate the gaze and not just to remove tissue.
Eyelid ptosis
We determine whether ptosis (weakness of the levator muscle) is present. If the eyelid is drooping, we repair the muscle during surgery to achieve a more open gaze.
Eye health
We perform tests to measure eyelid laxity and the presence of dry eye syndrome, ensuring that the procedure is safe for your vision.
Volume and skin
We analyse skin quality and the origin of under-eye bags or hollows, allowing us to decide whether to remove fat or reposition it to fill dark circles.
Blepharoplasty results and longevity
- Fresh look effect: we achieve an immediate rejuvenation by eliminating signs of tiredness and heaviness. The result is a brighter and more open look, ensuring that your expression and personal features remain intact.
- Recovery and scar maturation: although improvement is visible after 2 to 3 weeks, tissues and scars continue to refine for up to 6 months. Full maturation of the healing process is completed 6 to 12 months after the procedure.
- Long- lasting results: the benefits of this surgery last for many years. Although the natural ageing process continues, the elimination of under-eye bags and the redistribution of volume are permanent and definitive.
Types of eyelid surgery
Not all eyes age in the same way. While some people notice a loss of firmness in the upper eyelid, others present a change in volume or hollows below the eyes. At HC Aesthetic, we analyse the structure of your eye area to determine whether treatment should focus on the upper eyelids, lower eyelids, or both by performing a comprehensive procedure.
This technique focuses on the mobile eyelid to remove excess tissue that makes the eyes appear heavy and prematurely ages the facial appearance.
When is upper blepharoplasty indicated?
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- Excess skin (dermatochalasis): ideal for correcting the tissue that hangs over the eyelashes, eliminating the sensation of heaviness and the appearance of hooded eyes.
- Improvement of the visual field: in cases where the skin is severely overhanging, surgery clears the visual axis, improving eye comfort in everyday life.
- Eye rejuvenation: eliminates the appearance of a tired or sad look, restoring the natural openness of the eyelid and facilitating everyday tasks such as make-up.
Discretion and healing
One of the major advantages of upper blepharoplasty is the placement of the incision.
The incision is made along the natural crease of the eyelid, so that the resulting fine scar line remains concealed when the eye is open.
Thanks to the excellent regenerative capacity of the skin in this area, the scar becomes almost imperceptible within a few months of the procedure.
This procedure is the ultimate solution to restore the lower contour of the eye, eliminating the appearance of chronic tiredness and restoring the smooth transition to the cheek.
When is lower blepharoplasty indicated?
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Presence of under-eye bags: correction of fat prolapse that causes bulging under the eyes.
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Hollow dark circles: treatment of deep tear troughs or skeletal dark circles.
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Skin laxity: improvement of excess fine and wrinkled skin.
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Techniques associated with lower blepharoplasty
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- Fat repositioning: instead of removing all the fat, we reposition it to fill the hollowness of the dark circles, preventing a sunken appearance.
- Canthopexy/canthoplasty: if the eyelid presents laxity, we reinforce the tension of the eyelid, maintaining a harmonious shape and preventing it from pulling downwards.
- Malar lipofilling: in cases of loss of volume in the cheekbone, micro-fat grafting is used to smooth the eyelid-cheek transition.
Surgical approaches and scars
We always choose the least invasive technique to guarantee maximum discretion:
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Transconjunctival approach (no external scar): this is performed through the inside of the eyelid. It is ideal for treating under-eye bags when there is no excess skin. The scar is invisible.
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Subciliary approach: the incision is made just under the eyelashes to tighten the excess skin. Over time, the scar becomes an imperceptible line that blends in with the edge of the eye.
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Volume restoration: fat repositioning and lipofilling
- When is it necessary: for pronounced dark circles, deep tear troughs or flattened cheekbones.
- Why reposition fat: ageing also involves a loss of volume. Simply removing under-eye bags can result in a ‘flat’ or hollow eyelid. Fat repositioning and/or lipofilling restores naturalness.
- What to expect after fat repositioning: part of the transferred fat is reabsorbed. After 3-6 months 60-80% is usually retained. Once integrated, the transferred fat is permanent and will naturally fluctuate with weight gain or loss.
What to expect after blepharoplasty surgery
Understanding each stage of the process and having the reassurance of a safe hospital environment are the keys to making your recovery as satisfying as the result itself.
The recovery process for blepharoplasty is usually quick and with minimal discomfort.
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- Swelling and bruising: usually peak in 48-72 hours, and then gradually improve every day. The application of local cold for the first 48 hours is recommended to reduce inflammation.
- Temporary tearing, gritty sensation and slight tightness. More frequent if you suffer from dry eye syndrome.
- Stitches: removed after 5-7 days.
- Screen use: from day 2 - 3 after surgery. It is important to rest your eyes for the first few days.
- Use of make-up: from day 7-10 onwards (skin permitting).
- Use of contact lenses: generally, from the 2nd week onwards.
- Physical activity: walking from the first day. Light cardio after 2-3 weeks. Strength and impact exercise from 4-6 weeks onwards.
- Sun exposure: it is important to wear sunglasses and take appropriate photoprotection measures for 1 month.
In lower blepharoplasty procedures involving fat repositioning or lipofilling, we usually prescribe eye drops, lubricating ointments and gentle massages.
At HC Aesthetic, safety is our utmost priority. Although complications are rare, our team follows strict protocols for their prevention and treatment.
In the event of any exceptional complication, such as an emergency internal haematoma, operating in a world-class hospital environment allows us to act immediately and professionally, guaranteeing your absolute safety.
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- Common clinical course: during the first few days, bruising, eye irritation, a sensation of dry eye or conjunctival swelling (the white membrane of the eye) may occur. These are transitory effects that disappear with the prescribed medication.
- Skin details: sometimes small keratin cysts (milia) or very slight asymmetries may appear during the healing process.
- Eyelid position: in lower blepharoplasty, there is a minimal risk of the eyelid losing its natural position. To avoid this, we always assess the firmness of the tissue and, if necessary, perform a reinforcement technique (canthopexy) during the same operation.
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Frequently asked questions about blepharoplasty
The key to successful surgery is clear communication. We have compiled the essential questions our patients ask us to give you a realistic and detailed overview of the process:
Not directly. Blepharoplasty focuses on correcting excess skin and under-eye bags. ‘Crow’s feet’ are dynamic wrinkles caused by facial expression.
However, for a comprehensive rejuvenation, surgery can be combined with neuromodulator treatments to soften these lines, achieving a much more rested look.
It depends on the cause. If dark circles appear too dark due to the hollowness or the shadows projected by the under-eye bags, fat repositioning and malar lipofilling can significantly improve the appearance. If the darkness is caused by skin pigmentation (brown or purplish discoloration), there are specific dermatological treatments that can complement the results of surgery.
The main objective of HC Aesthetic is to preserve your identity and maintain the natural shape of your eyes. We are not trying to achieve ‘new eyes’, but simply a rejuvenated version of your own. In cases of severe laxity, we perform a canthopexy (tightening of the eyelid corner) to ensure that the contour of the eye remains stable and aesthetically pleasing.
Yes, if the patient shows signs of ageing in both eyelids, combining them is the most recommended option. The great advantage is that you will undergo a single surgical procedure and only one recovery period, thus achieving a comprehensive restoration of the eyes at the same time.
With the HC seal
Every detail reflects our commitment to excellence, safety and professionalism. At HC Aesthetic, our exclusive and personalised care transforms each treatment into a unique experience.