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Blepharoplasty surgery, removing excess skin on the eyelids

Removing excess skin on the eyelids treatment of Clínica Sanza Barcelona is a surgery that allows the periocular tissues to be remodelled. In this section we will talk about the reduction of excess skin on the upper and lower eyelids, or both.

Clínica Sanza in Barcelona, Spain, is a center of reference of blepharoplasty surgery, skin excess.


People who due to genetic or environmental reasons (tiredness, lack of sleep, stress, excessive sun…) have an excess of skin on the eyelids which can create an aged look.

Video explaining lower eyelid surgery (audio in spanish)

Video explaining upper eyelid surgery (audio in spanish)


Blepharocalasia surgery is the scientific name for this pathology, which is manifested by the surplus of skin that it is formed in the eyelids either in the upper, lower or both.

Blepharoplasty is one of the most common surgeries for the eye rejuvenation and it can be joined with eyebag removal or other things that the patient wants to improve.

The upper eyelid skin is trimmed through the palpebral groove (physiological wrinkle between eyebrows and eyelashes).

The skin of the lower eyelid is stretched as a lifting by extracting little amount to avoid the lagophthalmos effect or a drooping eye, a stigma which has unfortunately very common and it is still seen when the operation is not performed by expert hands as very good results can be obtained by extracting leftover skin from the lower eyelid.


  • 1 hour.



  • Evaluation of the area to determine if the treatment is suitable.
  • Following the correct guidelines that are set by the doctor.
  • Analytics and general testing (cardiac and respiratory diagnostics).


  • Local or sedation.


  • Ambulatory.


  • Some bruises may appear.
  • Medication if required.
  • Mandatory revisions after a few days, a few weeks and a few months, according to prescription.


  • Immediate normal life.
  • Use of sunglasses or base makeup to conceal possible bruises, so we advise to stay two weeks without social commitments.


  • Appeareance of tired eyes corrected.
  • Redefining the natural path of the eyes.
  • Rejuvenated appearance.
  • Improvement of the patient’s psychological profile and self-esteem.


  • Simple intervention in the upper, and medium intervention in the lower. Eliminating the lower eyelid skin has to be done with caution or with lots of experience to prevent the dorppy eye (lagophthalmos).


  • Low.
  • Common risks the intervention could have: lagophthalmos or fallen eye.
  • Risks of all interventions: hemorrhage, infection, scarring alteration.


You can click on a photo to enlarge it.

Whatever your case may be, do not hesitate in contacting us.
Clínica Sanza in Barcelona, Spain, quality service

Frequently asked questions about blepharoplasty

Is there an ideal age for blepharoplasty?

There is no ideal age for eyelid plastic surgery. This moment will define the appearance of the problem and is when we suggest the repair of it. As we have commented in other sections, at Clinica Sanza we are in favor (when possible) of small corrections in time, more than in radical changes, which translates into more natural results and a more youthful appearance, with simpler and more effective procedures.

 Are there any visible scars after blepharoplasty?

No. Fortunately, the characteristics of the thin skin of the eyelids and the situation of the incisions allow the scars to be very discreet. Once the stitches have been removed (usually after 5 to 7 days) the scars can be concealed with colored makeup and after 2 to 3 months they are practically imperceptible.

What anesthesia is used to perform Blepharoplasty?

Usually with local anesthesia and a little sedation on an outpatient basis.

Do the eyes swell a lot, do they appear purple after the Blepharoplasty?

Postoperative edema (swelling) varies with each patient. At Clinica Sanza we perform minimally invasive techniques, making recovery faster. In general terms, there may be some inflammation in the first 3 or 4 days, which later disappears. Purples vary greatly from person to person. With our technique it is rare that they appear, but if they do appear we give a treatment to eliminate them, as soon as possible.

Do I have to be hospitalized, how long does the surgery take?

No, blepharoplasty is an outpatient procedure, which is performed in an operating room and lasts between 1 to 2 hours, is minimally invasive so, once the operation is over, and after a period of observation, the patient can go home.

When will I be able to wear glasses? And contact lenses?

You will be able to wear glasses just after the operation. Do not try to wear contact lenses during the first days until the doctor authorizes it, to use them normally after 5 to 7 days.

Why are there different methods in lower blepharoplasty?

The transconjunctival method is only effective if the purpose of the intervention is to eliminate fat deposits that have formed unsightly pockets. If, in addition to this, there is an excess of skin that must be removed, this route is not recommended, since it is not possible to tighten the skin through the transconjunctival route. Then, the incision is used under the eyelashes and after cutting the excess skin, it is tightened at that point.

Can the shape of the eye be changed?

If the patient wishes it, yes. There are patients who only want to rejuvenate and not change their look, to be the same, but younger. In these cases we do not change the shape of the eye, we only eliminate the stigmas of aging.

What are the risks with blepharoplasty surgery?

Indeed, it’s true that we can see people with a bad looking blepharoplasty, and that is visible those people underwent a surgery, but it’s not the usual thing. In addition, if at the end those pacients don’t like the results, they can always come back and rectify it.


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