The surgeon looks at your case and confirms the price, so you know it before you book.
A few photos sent to a coordinator are enough to start an online conversation. The first consultation is free and without obligation, and you decide on surgery only afterwards.
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Blepharoplasty can be done on the upper eyelids, the lower eyelids, or both in one operation. The approaches differ in where the incision is placed. At the consultation the surgeon helps you choose after examining your lids.
Upper blepharoplasty
Incision in the natural eyelid crease
Price at consultation
Main goal
Remove excess skin of the upper lids
Best suited when
Lids feel heavy, or skin folds rest on the lashes
Approach
Scar is hidden in the crease when the eye is open
Lower blepharoplasty
Incision below the lash line or inside the lid
Price at consultation
Main goal
Treat under-eye bags and loose lower-lid skin
Best suited when
There is puffiness, or loose skin under the eyes
Approach
Inside-the-lid approach has no skin incision, for fat
The methods are described only in general terms. How much surgery is needed and how recovery goes depend on the individual, and the surgeon confirms both for you after examining you.
The consultation is where the surgeon draws up your plan and talks you through each step.
Should your concern be solvable without surgery, the surgeon will say so honestly. Surgery is considered only if it suits your health and goals.
Suitable
Heavy or drooping upper eyelids
Eyes that look tired or smaller than you feel
Skin folds resting on the lashes
Narrowed upper field of vision from skin folds
Puffiness or bags under the eyes
Loose skin of the lower eyelids
A wish for a calmer, more rested look
Not suitable
Uncontrolled high blood pressure or diabetes
Blood clotting disorders
Severe dry-eye disease
Active eye or skin infection
Unstable thyroid eye disease
Serious heart or lung disease
Pregnancy, breastfeeding, or under 18
Not sure which column applies to you?
The first step is to send photos to a coordinator on Telegram or WhatsApp. The surgeon reviews them and tells you what they think, with no commitment to surgery.
Ahead of every stage you receive an explanation, so the next step is clear and you know who to ask.
1
Online consultation and plan
In an online conversation, with your photos to hand, you and the surgeon discuss what you want. The surgeon then outlines a plan for the upper lids, lower lids, or both.
2
Choosing and booking the date
The plan and the price are confirmed first, and then you choose the date that suits you. Help with arrangements and answers to questions are available from a coordinator at any hour.
3
Pre-operative preparation and tests
As part of preparation, your medicines and medical history are reviewed, and you have an eye assessment, photographs and standard tests. Stopping blood-thinning medicines and supplements happens only on the surgeon's instructions, while smoking should be stopped as advised.
4
The operation
The surgeon and anaesthetist choose between local anaesthesia with sedation and general anaesthesia. During the operation, excess skin is removed and, where needed, small amounts of fat are repositioned or removed.
5
The first hours and days
Swelling and bruising around the eyes are a normal part of healing. Cold compresses and a raised head during sleep help, and there is an individual decision on an overnight stay.
6
Recovery and follow-up
The surgeon schedules follow-up checks. Swelling settles over the first couple of weeks, non-dissolving stitches are usually removed within the first week, and the final contour takes several months to settle.
At your consultation, the surgeon sets out the steps of the operation as they apply to you.
A message to a coordinator on Telegram or WhatsApp, with a few photos, is all it takes to begin. The free first consultation is without obligation, and the surgeon outlines a plan online after reviewing your case.
The surgeon removes excess skin and, where needed, repositions or removes small amounts of fat, sometimes tightening muscle. Anaesthesia is local with sedation or general, chosen by the surgeon and anaesthetist.
Settling of swelling and bruising, both normal, takes the first couple of weeks. One to two weeks is when many people return to desk work. As advised, avoid contact lenses, eye make-up, strenuous exercise and heavy lifting; recovery varies individually.
Hidden scarring is possible in the upper lid because the incision is placed in the natural crease and is concealed when the eye is open. The lower lid incision is made just below the lash line, or inside the lid so that no skin incision is made.
Before you have surgery, the surgeon explains what can go wrong: temporary dryness or irritation of the eyes, bruising, asymmetry, infection and scarring. Rarely, vision changes or the eyes cannot be fully closed without difficulty.
Some conditions make surgery unsuitable or mean they must be cleared first: uncontrolled high blood pressure or diabetes, clotting disorders, severe dry-eye disease, active infection, unstable thyroid eye disease, serious heart or lung disease, pregnancy, and being under 18.
It takes several months for the final contour to settle. The result is long-lasting, although natural ageing carries on. The operation does not lift the eyebrows or cheeks, remove dark circles caused by pigmentation, or erase fine wrinkles.
It depends on the extent of surgery you need, such as upper, lower or both lids, and on the anaesthesia chosen. The price is confirmed after the surgeon's assessment, before you book.
Some people choose eyelid surgery because skin folds on the upper lids rest on the lashes and make the eyes look smaller or narrow the upper field of vision. Others are bothered by under-eye puffiness. If you live in Barcelona, the surgeon can look at your photographs and tell you which lids would be treated and how.
From Barcelona you can do the first step entirely online: photographs, a conversation and your questions. The surgeon confirms which lids should be treated and how. Local anaesthesia with sedation or general anaesthesia is chosen individually, and an overnight stay is decided case by case. Recovery is gradual, and the final contour settles over several months.
Open Telegram or WhatsApp and tell the coordinator you are interested in eyelid surgery. Coordinators are available 24/7 for people in Barcelona. You will be asked for a few photographs, and the surgeon will look at them. The first consultation is free, and the price is confirmed only after that assessment.