The surgeon looks at your case and confirms the price, so you know it before you book.
Send a few photos to a coordinator and talk it through online. The first consultation is free and without obligation, and you decide on surgery only afterwards.
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In blepharoplasty, one operation may cover the upper eyelids, the lower eyelids, or both. Approaches vary by incision placement. The choice is made with the surgeon at the consultation, after your lids are examined.
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
What is written here about the methods is general. Extent of surgery and recovery are individual, and after examining you the surgeon confirms both for your case.
At the consultation the surgeon builds a plan for your case and explains each step.
The surgeon will say honestly whether your concern can be solved without surgery, and will consider an operation 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.
You will know what comes next at every point, because each stage is explained in advance and you know who to ask.
1
Online consultation and plan
You and the surgeon meet online, with photos you have sent. You discuss your wishes, and the surgeon outlines what to do for the upper lids, lower lids, or both.
2
Choosing and booking the date
With the plan and price confirmed, you select a date that works for you. A coordinator, reachable at any hour, answers questions and helps you arrange things.
3
Pre-operative preparation and tests
Your medical history and medicines are reviewed by the surgeon, and you have an eye assessment, photographs and standard tests. Blood-thinning medicines and supplements are only stopped on the surgeon's instructions, and you should stop smoking as advised.
4
The operation
Either local anaesthesia with sedation or general anaesthesia is used, as chosen by the surgeon and anaesthetist. The surgeon takes away excess skin and, where needed, repositions or removes small amounts of fat.
5
The first hours and days
You should expect swelling and bruising around the eyes, which are normal. Using cold compresses and keeping the head raised in bed help, and whether you stay overnight is an individual decision.
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.
During the consultation, the surgeon walks you through how the operation would proceed for you.
Send a few photos with a message to a coordinator on Telegram or WhatsApp. Your first consultation costs nothing and obliges you to nothing, and the surgeon will look at your case and sketch a plan online.
Skin that is in excess is removed by the surgeon, who, where needed, also repositions or removes small amounts of fat and sometimes tightens muscle. Your anaesthesia, local with sedation or general, is chosen by the surgeon and anaesthetist.
Bruising and swelling are to be expected and settle during the first couple of weeks. A return to desk work after one to two weeks is common. Contact lenses, eye make-up, strenuous exercise and heavy lifting should be avoided as advised, and recovery is individual.
The natural eyelid crease is where the incision goes in upper blepharoplasty, hiding the scar when the eye is open. For the lower lids, the incision sits just below the lash line, or inside the lid with no incision in the skin.
It is the surgeon who explains the risks before surgery, including temporary dryness or irritation of the eyes, bruising, asymmetry, infection and scarring. Changes in vision, or difficulty closing the eyes fully, are rare.
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.
The answer rests on the extent of surgery you need, such as upper, lower or both lids, and on the anaesthesia chosen. Before you book, the surgeon assesses you, and the price is confirmed after that.
Upper blepharoplasty places the incision in the natural eyelid crease, so the scar is hidden when the eye is open. Many people in Florence look into it because of excess upper-lid skin. Lower-lid surgery is a separate part of the same procedure family, and the surgeon decides which lids need treatment after examining you.
From Florence 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.
Our coordinators work 24/7 on Telegram and WhatsApp, so a question from Florence never has to wait for office hours. Send your photographs, take part in the free first consultation and hear the surgeon's view. The price is confirmed after the surgeon's assessment, before you book.