The price is confirmed by the surgeon after assessing your case, and this happens before 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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Blepharoplasty may be carried out on the upper lids, the lower lids, or both at once. The approaches are distinguished by the position of the incision. At the consultation the surgeon examines your lids and helps you choose.
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 outlined in general terms only, since the extent of surgery and the recovery depend on the patient. After examining you, the surgeon confirms both for your case.
The consultation is where the surgeon draws up your plan and talks you through each step.
The surgeon will honestly tell you if your concern can be solved without an operation. An operation is considered only when it fits 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?
You send photos to a coordinator on Telegram or WhatsApp, and the surgeon reviews them. The opinion you receive carries no commitment to surgery.
Each stage is explained in advance, so you know what comes next and who to ask.
1
Online consultation and plan
After you send photos, you speak with the surgeon online. What you want is discussed together, and the surgeon sketches out a plan for either upper lids, lower lids, or both.
2
Choosing and booking the date
After confirmation of the plan and the price, the date is yours to choose. Coordinators are available around the clock for questions and help with arrangements.
3
Pre-operative preparation and tests
You will have your medical history and medicines reviewed, along with an eye assessment, photographs and standard tests. Do not stop blood-thinning medicines or supplements unless the surgeon instructs you, and stop smoking as advised.
4
The operation
Anaesthesia is either local with sedation or general, and the surgeon and anaesthetist choose which. In the operation, the surgeon removes excess skin and, where needed, moves or removes small amounts of fat.
5
The first hours and days
Around the eyes, swelling and bruising are to be expected. You can ease them with cold compresses and by sleeping with the head raised, and the surgeon decides individually whether you stay overnight.
6
Recovery and follow-up
Within the first couple of weeks, swelling settles. If stitches are not dissolving, they are usually removed within the first week, and the surgeon arranges follow-up checks while the final contour develops over several months.
How the operation goes in your case is something the surgeon explains at the consultation.
Photos and a message to a coordinator on Telegram or WhatsApp begin the process. You pay nothing for the first consultation and are not obliged to proceed; the surgeon reviews your case and outlines a plan online.
The surgeon takes out excess skin, and where needed moves or removes small amounts of fat, with muscle sometimes tightened. Local anaesthesia with sedation or general anaesthesia is selected by the surgeon together with the anaesthetist.
Over the first couple of weeks, swelling and bruising settle, and both are normal. Desk work is often resumed after one to two weeks. You are advised to avoid contact lenses, eye make-up, strenuous exercise and heavy lifting, and recovery differs from person to person.
When the upper lids are treated, the incision lies in the natural eyelid crease and the scar is hidden with the eye open. When the lower lids are treated, it lies just below the lash line or inside the lid, without a 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 final contour is reached gradually, settling over several months. While the result is long-lasting, natural ageing goes on. The operation neither lifts the eyebrows or cheeks nor removes pigmentation dark circles or fine wrinkles.
Extent of surgery, meaning upper, lower or both lids, and the chosen anaesthesia are what it depends on. The surgeon's assessment comes first, then the price is confirmed, and only after that do you book.
Upper blepharoplasty places the incision in the natural eyelid crease, so the scar is hidden when the eye is open. Many people in The Hague 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.
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 The Hague, and the surgeon explains each step.
Starting is simple: send a message on Telegram or WhatsApp and a coordinator will reply, day or night. If you are in The Hague, the first online consultation costs nothing. The price is never fixed in advance; it is confirmed after the surgeon's assessment and before you book.