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Plastic operation of the lower eyelids

One of the most frequent aesthetic problems – bags under the eyes – make the face look older and more tired. Plastic surgery on the lower eyelids, however, can reverse this process.


Suitable for women and men
Remove fatty deposits under the eyes
Ideal in combination with laser
The eyes have a major effect on the expression of the face as a whole. That is why blepharoplasty has become one of the most frequently performed surgical procedures in the face. It offers health benefits as well as aesthetic improvement. Excess skin and fatty deposits around the lower eyelids can impair the vision, resulting in tired eyes that may experience excessive tear production and burning.

The human eye is set in a fatty cushion lined with a fibrous sheath. Over time this sheath loses firmness and fatty deposits push their way under the skin of the lower eyelid. This causes fat prolapse, or bags under the eyes. A number of factors influence this process, from genetics to skin type or predisposition to swelling, especially when diseases of the thyroid and kidneys are present.


Plastic surgery on the eyelids is performed to remove excess skin and fatty deposits.

Do keep in mind that the aging process affects not only the eyes, but the entire face. That is why an operation on the lower eyelids is often combined with an operation on the upper eyelids and other aesthetic procedures such as face lift (tightening the skin of the face). In that case the procedure must be performed under general anesthesia.


Lower lid blepharoplasty is suitable for both women and men. Most of the time it is performed in clients over 40, although with a certain predisposition it can be performed in younger clients as well. Candidates for this procedure must be in good health.


Before making a decision on having lower lid blepharoplasty, you will need to have an initial consultation with a plastic surgeon. If you decide to visit ABClinic Art & Beauty for this operation from another country, you can have the first consultation based on photographs or online. After examining you, the doctor will propose the most suitable type of procedure and give you all the details of the procedure, including choice of anesthesia.

At an in-patient consultation at the clinic in Prague before the operation, the plastic surgeon will assess your skin quality once again and suggest the most suitable technique for optimal results. 

As blepharoplasty is performed under brief general anesthetic, you will need to have a pre-operation examination either at our clinic or with your GP. This examination should be done one week before the operation and includes blood work, including coagulation values, and evaluations of the heart, liver function, mineral content, etc.

We do not recommend taking medications such as Acylpirin, Alnagon, Aspirin or Mironal before the operation, as they can cause increased bleeding during and after the operation. Clients who take blood thinners (such as Warfarin) should consult with their attending physician on temporarily discontinuing use.


At the agreed time on the day of the operation you arrive at the clinic, where our staff will take you to your room and the surgeon will go over the operation procedure with you once again, take photographs and draw the incision lines. If the procedure is to take place under general anesthesia, you will also have a brief meeting with the anesthesiologist to go over the anesthesia questionnaire. Shortly before heading to the operating room, our nurses will get you ready for the operation.


Blepharoplasty can be performed in two different ways, either of which takes about one hour.

External access:

During the procedure, which takes place under local anesthesia, the plastic surgeon makes an incision about 2 mm long just under the eyelid and removes the fatty deposits there. Then the surgeon closes the incision.

Internal access:

For greater comfort the operation is performed under general anesthesia and is suitable for clients who have fatty deposits without excess skin. The plastic surgeon makes an incision through the conjunctiva inside the lower eyelid and removes fatty deposits. Usually this does not require a stitch and can be left to heal spontaneously.


If the procedure took place under local anesthesia, you can go home immediately afterwards. It is a good idea to bring sunglasses and someone to take you home, because your eyes may be sensitive to sunlight right after the operation.

If the operation is performed under general anesthesia, immediately afterwards we will place you in an intensive care recovery room for a short time so you can remain under observation with our experienced nursing staff. After you wake up fully we will move you to your room, where you will receive medication for pain relief, antibiotics and anti-thrombosis medication as needed. You will be released to continue recovering at home on the day after the procedure.

We recommend avoiding physical activity after the procedure and applying cold compresses to limit swelling and bruising. Most of the swelling will subside after several days with frequent cold compresses. It usually disappears entirely after one to two weeks. For a week after the operation we recommend sleeping with your head elevated and limiting physical activity, as it could lead to increased blood pressure.

You can carefully remove the bandage from your eyes on the day after the operation. Keep the thin elastic bandages attached to your skin and take care to avoid getting them wet. For seven days continue applying ice packs over an ironed handkerchief so that the bandages remain dry.

The bandages need to remain on your eyelids until the stitches are removed at our clinic seven days after the operation. If the bandage comes off before that you will need to come back to the clinic to have it reattached. After the stitches are removed you will no longer need to apply ice. Continue attaching an elastic dressing over a handkerchief at night only. This will limit damage to the wound while you sleep. Put the dressing on at night for at least the first 10 days after the operation.

You can begin gently massaging the scars 13 days after the operation. Gently press on the scar with the tip of your finger, hold the pressure for about 30 seconds and move your finger to a different spot on the scar. Do this several times per day. You can use an oil-based, unscented lotion or olive oil.

You should avoid sunlight for two to three months and protect your eyelids with high SPF sun cream.

Unfortunately the effects of aging and gravity on the body cannot be avoided forever. The aging process will of course impact the long-term stability of your results. In order to maintain good results from the operation, our specialists will be happy to recommend regular procedures and therapies designed to slow down the aging process in the face. Preventive care products by Dermaceutic Laboratoire as well as therapies using JEISYS devices and comprehensive exclusive procedures from the Monaco-based RENEVE will help you retain a youthful appearance longer.


You can resume light office work on the third day after the operation. Swelling and bruising will continue for about one to two weeks. The final results of the operation will be visible after four to eight weeks when the swelling fully subsides. By this time the scar should be faint and barely visible.


The final price of your operation will be set after a personal consultation with a doctor at our clinic. The price will reflect your individual needs based on your anatomy, the chosen technique, and the difficulty of the operation. The price given in our price list is for the purposes of orientation only.


Every medical procedure involves a certain amount of risk and potential complications. While your surgeon and our clinic’s surgical team will do everything in their power to ensure no complications arise, certain adverse effects cannot be ruled out entirely.

Swelling and bruising is temporary and quite normal in the first few days after the procedure. Bleeding can be considered a complication, along with some risk of infection, which however can be avoided with preventive antibiotics. Impaired healing or changes in sensitivity are rare but manageable complications of the healing process. Extremely rare complications include difficulty closing the eyes (or inability to close fully), although we can avoid such complications by carefully following the rules and precisely planning the procedure.

V Parku 2308/8,
148 00 Praha 4
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