Imagine. You will have eyelid surgery tomorrow morning. How would you feel? Excited? Annoyed? Frightened?

It is by no means strange that some patients eagerly await surgery, while others feel a little anxious. After all, eyes are very important human characteristics and the skin surrounding the eyes is sensitive. A complication that develops can result in quite serious problems that will most likely have social implications.

Here is a discussion of the major concerns of patients with eyelid surgery, as well as the true potential for these problems to occur.

I won’t be able to close my eyes. Scientists, researchers, and surgeons agree that it’s rare for a patient to be unable to fully close their eyes after surgery. When this occurs, it is almost always temporary. It is completely natural that the eyes are not completely closed for the first 2-4 weeks after upper blepharoplasty (eyelid aesthetics). As these patients often fear, it is not due to excessive skin removal, but to swelling of the eyelid due to edema, and this swelling restricts eyelid movements. Rarely, it may take longer than 2-4 weeks for the eyelids to not close completely. This is the result of the scar tissue hardening of the valve, which we call scar contracture. Scar contractures will usually soften with the maturation of the scar tissue around the 3rd month and the eyelids will regain their former flexibility. In cases where too much skin is removed from the eyelid, it is possible that the eyes will not close permanently, but it is very, very rare. No trained surgeon would consciously remove this level of skin from the eyelid. Unfortunately, a few cases where the upper or lower eyelids cannot come together completely, with a probability of one in a thousand, caused a great sensation in the public.

My surgeon can hurt my eyes. It is not unheard of for a fully trained, experienced plastic surgeon to surgically damage a patient’s eye, but it is extremely rare. A standard blepharoplasty surgery takes place only on the eyelid and there is little or no eye contact. However, by taking precautions, we cover your eye with a special gel to keep it moist and slippery during the surgery, and we protect the eyeball with special eye shields.

My eyes may appear asymmetrical after surgery. Rarely, the patient may feel that their eyes are not symmetrical after surgery. First of all, the shape of the eyes is almost always different from each other before the surgery, but we do not notice them in daily life because we do not look carefully. The majority of the asymmetries that disturb the patients after the surgery are still there when looking back at the pre-operative photos. It is a good idea to objectively evaluate your own characteristics with your plastic surgeon prior to the procedure. Another issue is that eyelid surgery cannot be performed exactly the same on the right and left. A vein bleeds a little longer on one side, and that side may appear swollen and more purple. Also, lateral cantopexy and muscle suspension maneuvers may cause temporary squints and deformities in the eye. However, these are deliberate over-corrections to prevent complications, and your surgeon will relieve you in this regard.

The shape of my eyes will change after surgery. After the surgery, the shape of your eyes may change depending on various complications. It may sound strange when you first hear it, but in order to preserve the shape of your eyes in the long term and to prevent complications, sometimes the shape of your eyes may look too slanted for a while after the surgery, and there may be temporary skin bumps around the eyes. Taking such protective measures, especially in patients in the risk group, considerably reduces the incidence of complications. Your surgeon will inform you about preventive measures and early results during the pre-operative interview. It will take an average of 3 months after the surgery for your eyes to take their final shape, but in some special cases and risk groups, this period may take up to 1 year.

I will have permanently dry eyes. It is common for your eyes to feel drier than normal after surgery; This is why eye drops are recommended as a means of healing. Dry eyes usually resolve on their own within a few days to a few weeks. If you have dry eye before the operation, you should definitely tell your surgeon about this because some surgical techniques should not be applied to patients with dry eyes.

I will not like my results. The main reason for dissatisfaction after blepharoplasty is the lack of communication. Make sure you have a detailed conversation about the exact surgical plan that is right for you and ask all the questions. Read the informed consent forms carefully and discuss any points you do not understand with your doctor. Have clear goals and make sure your doctor gets them right. Implicit statements about your goals like “I want to look less tired” are not enough. Also, make sure you understand your surgeon’s plan for managing complications and possible revisions. Often all that needs to be done is a little tweaking. Review as many before and after photos as possible before the surgery and choose the service you receive by seeing the results.


In the early 2000s, a major paradigm shift took place in facial aesthetics. Okay, everyone wanted to get prettier, but having surgery was a terrible thing.

The stories of those who had surgery, their mouths were twisted, those who were stretched like a sheet, those who could not be recognized by their brother-in-law, those who were bald, those who were blind, were almost exemplary.

Oh, if only there was a non-surgical way to get younger and beautiful.

The demand was: doctor, whatever will be done should be done immediately, be painless, without swelling, bruise, even if it is, heal quickly, without scars, incisions, without a knife, without narcosis, it will be beautiful and no one will understand, well, we will marry a certain boy. not be too expensive.

This list of demands that plastic surgeons said was impossible to meet was “reasonable” for the cosmetic industry. In a short time, “miraculous” products and devices began to take their place in the market one by one. All were doctor-approved, some were hugely FDA-approved. Practitioners were not “required” to be surgeons, surgeons were already very boring, they always wanted to cut and cut, and between us, they didn’t understand much about the female spirit.

It was in this environment that the irrepressible rise of minimally invasive applications began. Botulinum toxin and synthetic filling applications have become a part of daily life. As the age of practice went down to the graduation balls of high schools, he started to be labeled as neglected in conversations with his friends who did not get anything done to his face.

A complete aesthetic madness.

It is not known whether the society was inclined to go crazy or whether the multi-billion dollar cosmetic industry drove the society crazy, but the arrow had come out of the bow once…

Billions of units of botulinum toxin, tankers full of synthetic fillers have been administered to millions of people in the last 20 years.
In the last 10 years, Winterfell spent the winter with the energy spent for energy-based applications such as radiofrequency, focused ultrasound and laser for facial aesthetics.
We can tie a ribbon around the world if we line up the ropes that are laid under people’s skin as train tracks, spider webs, french lace, just because we will face the rope in the last 5 years.

The era was the era of minimally invasive applications and facial rejuvenation surgeries were outdated. It’s hard to believe, but even some of the plastic surgeons seemed to be convinced of this.
Besides, who would go under the knife for a job that can be done with a needle? Technology and medicine had advanced so much that no one who “knows how to take care of himself” would age like before…
We were saying…
Really, where did these old faces come from all of a sudden?

These must have been the definitive ones who missed the train of minimally invasive aesthetics.
Maybe they didn’t miss it, but unluckily what worked for everyone didn’t work for them, maybe the hands of the practicing doctors weren’t “magical” like their friend’s doctor’s.
Maybe this was all too good to be true. Just like those anti-aging creams that were rubbed hand in hand and spent tons of money in the 80’s-90’s… How did the beauty icon movie stars of 20-30 years ago get old all of a sudden? Or did they not have enough money for anti-aging creams with the taste of a regenerative care complex developed in Swiss laboratories?

I think you already know the answer.

When you choose a plastic surgeon who is adept at performing surgery, your chances of experiencing complications are also very low. Use your consultation time wisely. To weigh your surgeon’s blepharoplasty experience, ask how many eyelid procedures he performs each year and what measures he or she takes to minimize risks. Investigate whether he has contributed to the medical literature in this area. See the before and after photos. Ask what the complications look like, too. Ask for references from real patients who have previously operated on that surgeon. Don’t be shy, meet and talk to a few. After doing your research and consulting with a qualified plastic surgeon, if you are not completely comfortable, you can go to see another specialist doctor, it will not be a shame for anyone. Consider the time, effort and money you spend on all this as a part of your investment to see well.

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