After assessing your case, the surgeon confirms the price, and only then do you book.
Start by sending a coordinator a few photos, and discuss your questions online. The first consultation is free and without obligation, and you decide on surgery only afterwards.
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You can have blepharoplasty on the upper lids, the lower lids, or both in one operation. What differs between approaches is where the incision goes. The surgeon helps you decide at the consultation, once your lids have been 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
Descriptions of the methods here are general. Each patient differs in the extent of surgery and in recovery, so the surgeon confirms both for you once you have been examined.
During the consultation, the surgeon works out a plan for your case and explains each stage.
Your surgeon will be honest if your concern can be dealt with without surgery. Only when an operation suits your health and goals is it considered.
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?
Photos go to a coordinator by Telegram or WhatsApp, then the surgeon reviews them and gives you an opinion. Sending them does not commit you to an operation.
The steps are explained to you before they happen, so you know what is next and whom to contact.
1
Online consultation and plan
Photos and an online conversation with the surgeon come first. You discuss what you hope to achieve, and the surgeon then proposes a plan for 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
The surgeon looks at your medical history and medicines, then an eye assessment, photographs and standard tests are carried out. Blood-thinning medicines and supplements are stopped only when the surgeon says so, 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
Swelling and bruising around the eyes are normal. Cold compresses and sleeping with the head raised help, and whether you stay overnight is decided individually.
6
Recovery and follow-up
You can expect swelling to settle over the first couple of weeks and any non-dissolving stitches to be removed, usually within the first week. The surgeon schedules follow-up checks, and the final contour settles over several months.
The surgeon will describe, at the consultation, the way the operation would be carried out in your case.
Message a coordinator on Telegram or WhatsApp and send a few photos. The first consultation is free and without obligation, and the surgeon will review your case and outline a plan online.
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.
The first couple of weeks bring normal swelling and bruising that then settle. Many people manage a return to desk work after one to two weeks. You should avoid contact lenses, eye make-up, strenuous exercise and heavy lifting as advised, and your own recovery may differ.
Incisions differ between the lids. In the upper lid it follows the natural crease, so the scar is hidden when the eye is open; in the lower lid it is just below the lash line, or inside the lid with no skin incision.
The surgeon sets out the risks for you before surgery. Temporary dryness or irritation of the eyes, bruising, asymmetry, infection and scarring are among them, and rarely there are changes in vision or difficulty closing the eyes fully.
A number of situations can make surgery unsuitable or call for clearing first. They are 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 age under 18.
The operation does not lift the eyebrows or cheeks, remove pigmentation dark circles, or erase fine wrinkles. Its final contour settles over several months, and the result is long-lasting, but natural ageing continues.
It varies with the scope of surgery, such as upper, lower or both lids, and with the anaesthesia chosen. Before you book, and after the surgeon's assessment, the price is confirmed.
Questions Palermo patients ask about eyelid surgery
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 Palermo, the surgeon can look at your photographs and tell you which lids would be treated and how.
After the operation, cold compresses and sleeping with the head raised help with swelling. Stitches that do not dissolve are usually removed within the first week. Many people return to desk work after one to two weeks, though recovery is individual. Everything starts with an online conversation for patients in Palermo, and the surgeon explains each step.
Step one is a message. Choose Telegram or WhatsApp, write to a coordinator and arrange your free online consultation. Anyone in Palermo can do this in a few minutes. The surgeon then reviews the photos and confirms the plan and the price, and you book only once both are clear to you.