Eyelid Surgery (Blepharoplasty)

Blepharoplasty at the practice of MUDr. Miroslav Dolejš removes excess skin and protruding fat pads from the upper or lower eyelids — correcting hooded, heavy, or tired-looking eyes. The procedure is performed under local anaesthesia by a board-certified plastic surgeon with over 15 years of specialist experience, making it a low-downtime outpatient procedure with no hospital stay required. Incisions are placed in the natural eyelid crease (upper) or just below the lash line (lower) so resulting scars are barely visible once healed. Upper eyelid surgery starts from 12,000 Kč, among the most accessible prices for board-certified blepharoplasty in the Czech Republic.

Upper eyelid skin loses elasticity with age, gradually folding over the lash line — a change that can make the face look permanently tired and, in advanced cases, narrow the upper field of vision. Lower eyelids develop fat prolapses that present as persistent under-eye bags resistant to creams or sleep. Blepharoplasty is the definitive correction for both. **The procedure:** After marking the excess skin with the patient seated upright, local anaesthetic is infiltrated into the eyelid. For upper lids, an ellipse of redundant skin (and where indicated, a strip of orbicularis muscle and protruding fat from the medial fat pad) is removed through an incision hidden in the natural lid crease. For lower lids, the incision sits just beneath the lash line, allowing fat pad reduction or repositioning and conservative skin trimming. Fine sutures close the incision; the whole procedure takes roughly 60–90 minutes per lid pair. **Recovery:** Swelling and bruising peak at 2–3 days and largely settle within 10–14 days. Sutures are removed at about one week. Most patients return to desk work within a week; contact lenses and eye makeup should wait around two weeks. Scars mature to a fine pale line hidden in the crease over several months. **Surgeon:** MUDr. Miroslav Dolejš, MBA has been a specialist at the Plastic Surgery Department of Plzeň University Hospital since 2006, with his plastic surgery attestation completed in 2010 and a continuous record of international aesthetic-surgery training. Every procedure is preceded by a personal consultation where lid anatomy, realistic outcomes, and any contraindications (dry eye, thyroid eye disease, bleeding disorders) are reviewed. **Pricing:** Upper blepharoplasty from 12,000 Kč and lower from 14,000 Kč under local anaesthesia — both performed as outpatient procedures at the Slovany Polyclinic in Plzeň with no hospitalisation cost.