Blepharoplasty (Eyelid Surgery) in Turkey: A Complete Guide

What Is Blepharoplasty (Eyelid Surgery)?

Blepharoplasty is a surgical procedure that addresses excess skin, muscle, or fat in the upper or lower eyelids. It can restore a more rested and proportionate appearance to the eye area. Suitability is always assessed through individual anatomy and a clinical consultation.

Why Choose Upper Eyelid Surgery?

Age-related skin laxity in the upper eyelid can narrow the visual field or create a persistently tired appearance. Upper blepharoplasty removes carefully measured excess skin through an incision placed within the natural crease of the upper lid — making the resulting scar extremely discreet. The procedure typically takes one to two hours and is often performed under local anaesthesia with mild sedation.

Why Choose Lower Eyelid Surgery?

Fatty protrusion (under-eye bags), skin laxity, and persistent shadow beneath the lower lid can be addressed through lower blepharoplasty. The surgical approach — via a sub-ciliary incision or transconjunctivally (from inside the lid) — is determined by the structures that need correction and the quality of the overlying skin.

Who Is a Candidate?

Blepharoplasty may be considered for:

• Significant upper lid skin droop that narrows the visual field
• A sense of heaviness or fatigue in the upper eyelid
• Persistent lower-lid fat pads or puffiness
• Asymmetry between the two sides
• Eye-area changes that affect overall facial balance

Candidacy is evaluated in the context of general health, ocular health, and skin condition. Pre-existing eye conditions — dry eye syndrome, glaucoma, retinal disease — may require ophthalmological clearance before surgery.

Combining with Other Facial Procedures

Eyelid surgery is frequently combined with a brow lift, facelift, or injectable treatments in a single session. A combined approach can produce more harmonious proportions across the face. Whether combination is appropriate is determined individually during consultation.

Typical Cost of Blepharoplasty in Turkey (2025-2026)

As a reference for international patients: upper blepharoplasty alone in Istanbul typically ranges from USD 1,800 to USD 3,500; combined upper and lower blepharoplasty ranges from USD 2,800 to USD 5,500. These are indicative ranges — the final cost depends on the scope, facility, and anaesthesia type.

For comparison: equivalent procedures in the UK cost approximately GBP 2,500-6,000 and in the United States USD 4,000-10,000. This differential accounts for Turkey's growing medical tourism volume in facial aesthetics.

Recovery Process

• Days 1-3: Swelling and bruising around the eyes are expected. Cold compresses and an elevated head position help manage early oedema.
• Week 1: Sutures are typically removed at day 5-7. Return to office work is often possible within this window.
• Weeks 2-4: Most visible swelling subsides. Contact lens and spectacle use follow the surgeon's guidance.
• Months 3-6: Final results stabilise; scars fade considerably.

Planning Your Istanbul Visit

Istanbul offers a concentration of experienced facial surgeons, internationally accredited facilities, and established medical tourism infrastructure. Direct flights from the Gulf, Russia, Central Asia, and Europe make the city logistically convenient.

A standard programme for international patients covers: pre-operative consultation, laboratory work-up, surgery, a first follow-up at 5-7 days, and subsequent remote monitoring via video call.

Op. Dr. Hüseyin Arslan is an ENT and Head-and-Neck Surgery specialist trained at Gülhane Military Medical Academy (GATA) and Ege University, practising in Şişli, Istanbul. His clinic provides full support in Turkish, English, Russian, and Arabic.

The ENT Perspective on Periorbital Surgery

The eyelid region lies at the intersection of several anatomical systems relevant to ENT and Head-and-Neck Surgery training. A thorough understanding of facial layers, orbicularis oculi mechanics, and the relationship between the lid and adjacent structures informs safe surgical planning for both aesthetic and functional outcomes.

Frequently Asked Questions

How long do the results of blepharoplasty last?

The effects are long-lasting, but the ageing process continues. Upper lid skin laxity and lower lid fat redistribution can progress over time, influenced by genetics and lifestyle. Many patients find the improvement remains meaningful for ten years or more.

Can blepharoplasty be performed under local anaesthesia?

Upper blepharoplasty is frequently performed under local anaesthesia with mild sedation on an outpatient basis. Lower lid and combined four-lid procedures may require deeper sedation or general anaesthesia. The choice is made during the clinical assessment.

When do scars fade?

Incisions are placed within the natural upper lid crease or below the lower lash line, making them very discreet. Scars typically become imperceptible in daily life within six to twelve months.

What is the difference between blepharoplasty and a brow lift?

Upper eyelid heaviness is sometimes caused by brow and forehead descent rather than true lid laxity. In these cases, a brow lift — or a combination of both procedures — may address the root cause more effectively. A thorough facial assessment determines the appropriate approach.

Can I have surgery if I have dry eye syndrome?

Pre-existing dry eye can worsen temporarily after eyelid surgery. This condition must be assessed and, if significant, ophthalmologically cleared before proceeding.

When can I return to work after blepharoplasty?

Return to desk-based work is typically possible within 7-10 days. Physical activity and exercise are generally restricted for 3-4 weeks. Timelines vary based on the scope of the procedure.

Can upper and lower eyelids be operated together?

Yes. Four-lid blepharoplasty — addressing all four lids in one session — is a well-established approach. It allows symmetrical correction of the entire periorbital area and avoids a second operative episode.

How long should I stay in Istanbul for eyelid surgery?

Most international patients plan for 4-6 days: pre-operative assessment, surgery, and a first post-operative check. Follow-up is then managed remotely.

What should I bring to my consultation?

Clear face photographs (front and lateral views), a specific description of the areas that concern you, any known eye conditions or ongoing treatment, a list of current medications (especially blood thinners), and history of any prior eye or facial surgery.

Do contact lens wearers need special preparation?

Contact lens use is paused before and after surgery for a period your surgeon will specify. Arrange to use glasses during this time and factor this into your planning.

How long does swelling take to fully resolve?

Visible swelling typically resolves substantially within 2-4 weeks. Fine residual oedema can persist for 3-6 months, during which the result continues to refine and improve.

Is blepharoplasty suitable for all ethnicities?

Yes, with appropriate planning. Upper lid anatomy varies across ethnic backgrounds — particularly the presence or absence of a defined supratarsal crease. Surgical planning is tailored to each patient's natural anatomy and aesthetic goals.