Your eyes are the center of attention, are the first physical trait that we all look. Therefore, they are an important aspect in our appearance.

An excess of skin and fat generate those folds and bags on the eyelids as little aesthetic, providing a picture of tiredness and sadness that ages our look. Certain people, possibly by genetic component, suffer from accelerated aging of the eyelids for this reason indication of surgery may be premature in some cases.

This surgery, technically known as blepharoplasty, can correct the fall of the upper eyelids and inferiors bags , characteristics that make us look like more tired and older than we really are, and even in some cases can interfere with vision.

This surgical process, blepharoplasty or eyelid fallen operation, can be accompanied by other complementary cosmetic procedures to achieve a total rejuvenation of your look.

Is the surgery that I want? Is this surgery effective?

The ideal candidates to undergo Blepharoplasty are those people who want to improve their appearance. If you possess a good state of health, has a psychological stability, and you are realistic in your expectations, you will be a good candidate.

Generally, the patients who undergo this procedure have the age of 35 years, although there are cases of younger patients that are genetically predisposed to this problem, they are previously submit to a blepharoplasty to indicate that they have drooping eyelids.

The blepharoplasty will improve your appearance and confidence in yourself.

Before and after Gallery of images of real cases | Dr Guilarte | Clínica de cirugía plástica, estética y reconstructiva en Madrid
Frequently asked questions | Dr Guilarte Clinic
Fotos antes y después de la blefaroplastia Madrid, Dr Guilarte. En estas imágenes aparecen casos de blefaroplastia superior, inferior, ambas, cantopexia, ptosis palpebral...
Local + Sedation
Duration of the procedure:
1-2 hours
Discharge in the afternoon (outpatient operation)
You must wait:
Inflammation and bruises until the second week, but it will only be evident during the 1st week.
Final result:
At the 3th month.
Duration of result:

Planning surgery

A good communication between you and Dr. Guilarte is essential. During the first consultation, we will evaluate your vision and your tear production, as well as your good state of health. You must inform your plastic surgeon if you are taking any medication, if you smoke, and if you are allergic to any medications. Also you should say if you wear glasses or contact lenses and provide, if possible, your last eye exam. We will discuss the possibility of operating the four eyelids, lower and upper, and if it is necessary to associate another procedure. You will be explained the techniques and the type of anesthesia to be used, where the surgery will take place, the risks and the cost of the intervention.

Dr. Guilarte will give you specific instructions about how to prepare for your plastic surgery, including rules on food and liquids, tobacco or take or suppression of medicines and vitamins and washing of the face. It is important to quit smoking at least a week or two before Blepharoplasty. A careful compliance will make that plastic surgery will be performed in the best conditions.

Surgery and Anesthetics

Blepharoplasty or eyelids surgery is performed in the operating room, in a clinic or hospital.Normally, it is not necessary to stay in the clinic more than a few hours after the surgery. It is usually performed under local anesthesia more sedation, or less frequently, under general anesthesia. If the operation is performed with local anesthesia more sedation, the patient feels relaxed and his/her eyelids are insensitive to pain.

The intervention lasts between 1 and 2 hours. In upper eyelid the incisions are hidden in the natural lines of the eyelids and just below the eyelashes on the lower, or more often on the inside of the same.

In certain cases, especially in older patients, the ligament of inclusion of the eyelids relaxes by moving the outer corner of the eye down and in. In this way there is a reduction of the width of the eye, increased the curvature of the lower eyelid and fall of the side of the eye, which gives a sad look to the patient. It is in these cases where a canthopexy-canthoplasty would be indicated to improve the side angles of the eyelids and give a look of happiness to the image of the patient.

After surgery (post-operative)

After the surgery, we apply an ointment in the eyes to lubricate them, and in some cases, a smooth bandage. You may experience discomfort on the eyelids; If any, they are easily alleviated with medication prescribed by the doctor. You must keep the head elevated for a few days after the surgery and you must apply cold compresses to reduce the swelling and the bruising.

We will teach you how to wash your eyes and we will indicate to you if you need to apply ophthalmic eyedrops to keep your eyes hydrated. During the first weeks you may notice excessive tearing, hypersensitivity to light and temporal changes in visual acuity, blurred or double vision, all of them temporary. During the first two weeks I will continue your evolution in detail.

Stitches are removedbetween 5 daysand week. Theswellingand bruisesgradually decreaseuntil it disappears completely, andyou will start tolook and feel muchbetter. The majority of patients who undergo a blepharoplasty begin to read or watch TV in 2 or 3 days. However, you may not use contact lenses if you use them, up to 2 weeks, and you can still feel uncomfortable for a while.

You can usually return to work in a week or 10 days; by then, you can apply makeup to hide the bruises. It may be necessary to wear sunglasses for a few weeks and apply sunscreen on your eyelids. You must maintain a relative rest for 3 to 5 days and avoid strong activities for 3 weeks.


When this procedure is performed by a qualified plastic surgeon complications are infrequent and minor. It is for this reason that you must follow carefully the instructions that will be delivered you, both before and after surgery to minimize the risk.

The complications that can occur after blepharoplasty include double or blurred vision for a few days and temporary swelling of the eyelids.


LScars can appear pink during the first months. The scars will progressively disappear up to become a line clear imperceptible. The results of blepharoplasty, young aspect and awake, are kept for years.Google

Protocol of Post-Operative treatment

The postoperative treatment after a blepharoplasty is essence. We will make a ACCELERATED POSTOPERATIVE RECOVERY (APR), meticulously designed for the early treatment of sensitive body area.

We will begin with HOSPITAL IMMEDIATE PHYSIOTHERAPY (HIP) the next day of the intervention. We will make the first maneuvers of MLD (MANUAL LYMPHATIC DRAINAGE), which will be the cornerstone of the protocol, since the complex facial anatomy and the special conformation of the lymphatic vessels at this level, so required.

In addition to the MLD, we will act in a multidisciplinary way, to avoid possible secondary disorders to this type of surgery, such as superficial bruises, headaches, neck and even some temporary headache.

We will use therapies such as:

MASSOTHERAPY SURFACE OF EVACUATION: We will make soft massage in the areas where the bruises are most evident. You can use any cream and it will never be used directly on the eyelids. We make quicker the the disappearance of unsightly bruises.


MYOFASCIAL INDUCTION: This innovative therapy will correct the facial tension caused by the stress of the intervention, both facial and cranial, is a very relaxing technique that will provide rest and tranquility to the organism.

The ACCELERATED POSTOPERATIVE RECOVERY (APR), in the case of treatment after a blepharoplasty, the patient gets a postoperative convenient and comfortable, considerably reducing the normal pain caused by the intervention in a sensitive area.

The treatment ends when the patient performs all activities of her daily live with absolute normality, both at work and in her leisure time. Google