Upper Eyelid Surgery by Dr Aicee Bernal

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An upper blepharoplasty is a cosmetic eyelid surgery that removes excess skin and sometimes fat from the upper eyelids to create a more youthful, refreshed appearance. The procedure involves a small incision hidden in the natural eyelid crease, allowing the surgeon to lift drooping lids and improve vision if sagging skin obstructs sight. Popular for facial rejuvenation, upper blepharoplasty delivers natural-looking results with minimal visible scarring and relatively quick recovery time.

• individuals with sagging or drooping upper eyelid skin that creates a tired or aged appearance
• those experiencing impaired vision due to excess skin hanging over the eyelids
• people with puffiness or fat deposits in the upper eyelids.

Before surgery:  Make sure blood pressure is controlled.  Medications that cause bleeding or easy bruisability like anticoagulants should be stopped 1-2 weeks prior to surgery.

Anesthesia: preferably done under Local Anesthesia, so the patient is awake but numb to be able to assess eyelid opening

Incision: the incision is placed on the area of the desired eyelid crease.  This is often extended on the outer eye to adequately remove excess skin.  Excess skin, muscle and fat are removed, then the skin is sutured meticulously.

Procedure Time: 1–2 hours

• Post-op Course: Oral antibiotics and pain reliever are taken for a week.  Expect swelling for 1-2 weeks over the eyes and cheeks.  Frequent ice compress is advised to help with the swelling.  

• Suture Removal: sutures are removed after 6-7 days
   
• Downtime: 7-14 days for swelling; most return to work in a week

• Scarring:  scars are usually visible for 1-3 months and will gradually fade over 6-12 months
   
• Results: the eyelids look puffy for 3-6 months, this will eventually look more natural in 6-12 months

Q: Is blepharoplasty painful? 

A: Most patients feel minimal discomfort. Swelling and bruising usually subside within a week, much like what many experience with cosmetic surgery procedures, including breast reconstruction. 

Q: Will I have scars after upper blepharoplasty? 

A: Scars from blepharoplasty are cleverly hidden in the eyelid’s natural crease and typically fade over time.

Q: Is the procedure permanent? 

A: The results of blepharoplasty last many years. While natural aging continues, most patients enjoy long-lasting improvement.  Usually, an Eyebrow Lift or a Forehead Lift will be necessary after a few years.

Q:  Will my double eyelid fold be larger after Upper Blepharoplasty?

A;  The double eyelid fold will be more visible after removing the sagging eyelid skin.  Your eyes will return to its youthful appearance.  However, if you desire a larger or more prominent Double Eyelid Fold, a different surgery known as Double Eyelid Surgery must be done.

Cost of Upper Blepharoplasty by Dr. Aicee Bernal is P45,000 if done in the clinic under local anesthesia, and this does not yet post-operative medications. 

If you prefer to be sedated, the procedure will be done in a hospital setting under the care of a board-certified anesthesiologist. Hospital cost will vary from P120,000–160,000 for uncomplicated cases, also excluding preoperative laboratories , clearance and post-op medications.

With years of surgical experience and advanced training, Dr. Aicee Bernal, a renowned plastic surgeon in Manila, offers customized eyelid surgery tailored to the natural shape of your eyes and face. Her patients appreciate her meticulous attention to detail, gentle technique, and artistic approach to achieving facial rejuvenation. 

Each patient is unique and has different problem areas, book for a consultation for proper assessment and treatment plan: