Eyelid Surgery (Blepharoplasty)

Upper and lower eyelid surgery at the Czech Republic's oldest and largest plastic surgery department. Blepharoplasty removes excess skin and redistributes or removes fat pads to correct hooded upper lids and under-eye bags — one of the most effective facial rejuvenation procedures relative to its downtime. At FNKV, most eyelid procedures are performed under local anaesthesia as day surgery by board-certified plastic surgeons, with general anaesthesia and combined upper-and-lower options available, all at fixed published prices.

Blepharoplasty addresses the two most common periorbital ageing changes: excess upper eyelid skin (dermatochalasis), which creates a hooded, tired appearance and in severe cases restricts the visual field, and lower eyelid fat pad prolapse, which produces persistent under-eye bags that no skincare can correct. **Upper eyelid surgery:** Through an incision hidden in the natural eyelid crease, the surgeon removes a measured ellipse of excess skin and, where needed, a portion of the orbicularis muscle and protruding fat. The scar settles into the crease and is essentially invisible once matured. Under local anaesthesia the procedure takes roughly 45–60 minutes and patients go home the same day. **Lower eyelid surgery:** Performed through a subciliary incision just below the lash line (or transconjunctivally in selected cases). FNKV offers the modern variant in which the fat pads are repositioned or grafted rather than simply excised — redistributing volume into the tear trough for a smoother lid–cheek junction and avoiding the hollow look of older techniques. This fat-preserving option is listed at 25,000 Kč under local anaesthesia. **Combined surgery:** Upper and lower lids can be corrected in a single session under local anaesthesia (32,000 Kč), the most economical route for patients with changes in both areas. **Recovery:** Bruising and swelling are most visible in the first week; stitches come out around day 5–7. Most patients are socially presentable in 10–14 days. Final scar maturation takes several months. **Safety context:** Surgery takes place inside a university hospital with 24-hour physician cover and a resident anaesthesiology team — relevant for general-anaesthesia cases and for patients with comorbidities who may not be candidates at small private clinics.