Type
Eyelid Surgery
Duration
2 hours
What's included
4 deliverables in this treatment
- Pre-operative consultation including assessment of eyelid anatomy, skin excess and fat distribution
- Upper eyelid blepharoplasty surgery on both eyelids under local anaesthesia in the clinic operating room
- Suture removal appointment at days 5–6 post-surgery
- Post-operative follow-up assessment and written aftercare instructions
Upper eyelid blepharoplasty at M-Gate klinika uses a proprietary microsurgical technique that MUDr. Jan Tišer describes as unique in the Czech Republic and performed at only a small number of European and US clinics. The approach removes drooping skin from the upper eyelid while strategically preserving the periorbital fat pad rather than removing it wholesale — a decision that prevents the hollowed, over-operated look that can result from less nuanced techniques. Surgery takes place under local anaesthesia only on an outpatient basis; there is no general anaesthetic and no hospitalisation. MUDr. Tišer has applied this method to more than 3,000 patients since 2008 and maintains what the clinic describes as the largest authentic before-and-after case series in the country. Results are considered stable and definitive at six months. The clinic's ZnamýLékař rating of 5 out of 5 across 91 verified reviews reflects consistently high patient satisfaction with both the outcome and the experience.
About this treatment
Upper eyelid ptosis — the downward descent of the upper eyelid skin caused by stretching of the orbicularis muscle, loss of skin elasticity and redistribution of the periorbital fat pad — is one of the most common aesthetic concerns in adults from the mid-thirties onwards. Beyond the cosmetic aspect, significant skin excess can encroach on the visual field and cause practical difficulties with reading or driving. Blepharoplasty addresses both dimensions…
At M-Gate klinika MUDr. Jan Tišer takes the entire face as the reference frame for eyelid surgery rather than treating the lid in isolation. In the pre-operative consultation he assesses the distribution of skin excess, the quality and position of the brow, the volume and distribution of the periorbital fat pad, and the degree of muscle laxity contributing to the ptosis. This assessment determines the precise volume of skin to remove and whether any fat…
The procedure begins with the patient in a reclined chair in the operating room. Local anaesthetic is injected along the planned incision line, and the patient remains awake and comfortable throughout. The incision is placed within the natural upper eyelid crease — the primary scar will be hidden within this fold when the eye is open. Excess skin is precisely excised and the subcutaneous tissue is addressed according to the operative plan. Microsurgical…
Good to know
- Anaesthesia
- Local only — no general anaesthetic
- Setting
- Outpatient — same-day discharge
- Technique
- Fat-preserving microsurgical blepharoplasty
- Experience
- 3,000+ patients since 2008
- Suture removal
- Days 5–6 post-surgery
- Stable result
- 6 months post-surgery
Who is this for?
Adults with drooping upper eyelid skin causing aesthetic concern or restricting the visual field; those seeking a natural, non-hollowed result from a surgeon with a large verified case volume
Preparation required
Stop aspirin (Anopyrin) and ibuprofen as directed before surgery. Inform the surgeon of all allergies, especially to local anaesthetic agents. Eat and drink normally before the procedure. Bring prescribed pre-medications if any. Arrange for an adult companion to accompany you home on the day of surgery.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
91 clinic reviews
From independent platforms
Clinical team
M-Gate klinika was founded and is led by MUDr. Jan Tišer, a specialist with one of the broadest multi-specialty profiles in Czech aesthetic surgery. His formal qualifications span Surgery, General Medicine, Anaesthesiology and Resuscitation, Emergency Medicine, Plastic Surgery, and Facial Aesthetic Surgery. He began his medical career in 1991 with a background in cardiothoracic surgery and is a member of the Czech…
Languages: Czech, German, English
What clients say
"Very pleasant and helpful approach from the doctor and nurse. I felt completely at ease throughout the whole process. — ZnamýLékař verified review"
"Professional approach, pleasant environment. Quick appointment for procedure — exactly what I needed. — ZnamýLékař verified review"
Treatment highlights
- Pre-operative consultation including assessment of eyelid anatomy, skin excess and fat distribution
- Upper eyelid blepharoplasty surgery on both eyelids under local anaesthesia in the clinic operating room
+2 more items in What's included
15,800 Kč per procedure (both upper eyelids). This is an all-inclusive price covering the pre-operative consultation, the surgical procedure under local anaesthesia, suture removal at days 5–6, and the follow-up assessment. No hospitalisation fees or additional charges for standard recovery. Performed on an outpatient basis — patients leave the clinic the same day.