Blepharoplasty (Eyelid Surgery)

Eyelid surgery at I am clinic removes excess skin and, where needed, fat from the upper or lower eyelids — correcting hooded lids that weigh on the eyes and make applying makeup difficult, and reducing under-eye bags. Surgery is performed under local anaesthesia by MUDr. Matěj Patzelt, Ph.D. et Ph.D., a board-certified plastic surgeon and deputy head of the Plastic Surgery Clinic at Královské Vinohrady University Hospital in Prague. At 13,000–17,000 Kč for upper lids, the published pricing is among the most accessible for a university-hospital-grade surgeon in the city.

Blepharoplasty is one of the highest-satisfaction procedures in aesthetic surgery — a relatively small operation that visibly refreshes the whole face by opening up the eye area. **Upper blepharoplasty (13,000–17,000 Kč):** With age, the upper eyelid skin stretches and folds over the lash line ('hooding'), making the eyes look smaller and tired, and in advanced cases narrowing the upper field of vision. The procedure removes a precisely measured ellipse of excess skin (and a strip of muscle or protruding fat where indicated) through an incision hidden in the natural eyelid crease. Under local anaesthesia the operation takes about 45–60 minutes for both eyes. **Lower blepharoplasty (14,500 Kč):** Addresses under-eye bags and excess lower-lid skin — either through an incision just below the lash line or, for isolated fat bags without excess skin, through the inside of the eyelid (transconjunctival approach, scar-free). **The surgeon:** MUDr. Matěj Patzelt holds two Ph.D. degrees, serves as deputy head of the Plastic Surgery Clinic at FN Královské Vinohrady (a university teaching hospital), lectures at international conferences, and is active in reconstructive surgery research. Aesthetic eyelid surgery is among the most frequent procedures in his practice. **Recovery:** Sutures are removed at 5–7 days. Bruising and swelling settle over 1–2 weeks; most patients are socially presentable with light concealer at 10–14 days. Scars hide in the natural crease and fade to near-invisibility over months. Cold compresses, head elevation, and avoiding strenuous activity are the main aftercare requirements in week one. **Consultation first:** Every surgical patient has a consultation in which the surgeon assesses skin excess, fat compartments, brow position (sometimes a heavy brow mimics eyelid hooding), and overall suitability before scheduling.