Eyelid Surgery – Blepharoplasty (Plastika očních víček)

Eyelid surgery at MUDr. Kučerová's Brno practice corrects sagging upper eyelids or puffy lower eyelids — caused by aging, genetics, or lifestyle — to restore a more alert, rested appearance. Under local anesthesia (general anesthesia is available for those who prefer it), the 30–40 minute outpatient procedure removes excess skin, muscle, and herniated fat from the upper lids, lower lids, or both. A mini-invasive brow lift can be added for 4,000 Kč per side to simultaneously address brow descent. The all-inclusive fee covers the pre-operative consultation and examination, post-operative eye drops (Ophtalmo-Septonex), and the one-week follow-up where sutures are checked.

The periorbital region is often the first area of the face to show the effects of aging: the upper eyelid skin gradually loses elasticity and descends, sometimes resting on the lash line and reducing the visual field; the lower eyelid develops visible fat herniation (eye bags) as the orbital septum weakens; and the brow drops, compounding the heaviness of the upper lid. Blepharoplasty addresses these changes through precise excision and contouring of excess tissue. At MUDr. Lucie Kučerová's Brno practice, upper eyelid blepharoplasty removes a measured strip of excess skin and, where needed, a small portion of the orbicularis oculi muscle and herniated pre-aponeurotic fat, leaving a scar hidden in the natural upper lid crease. Lower eyelid blepharoplasty typically uses a subciliary incision just below the lower lash line to access and remove or redistribute herniated orbital fat and any excess skin; a transconjunctival (internal) approach is used when no skin removal is needed and leaves no visible external scar. Both procedures take 30 to 40 minutes under local anesthesia and are performed on an outpatient basis — no hospital stay is required. General anesthesia is available for patients who prefer deeper sedation; in that case the fee increases to 25,000 Kč for upper or 32,000 Kč for lower eyelids. When both upper and lower eyelids are treated in the same session, a combined fee applies. A mini-invasive brow lift — a limited dissection via small incisions in the hairline — can be added per side at 4,000 Kč to correct concurrent brow descent, restoring the natural brow arch and reducing upper lid heaviness caused by gravitational brow ptosis rather than excess lid skin alone. All pricing is all-inclusive: it covers the pre-operative consultation and internal examination, local anesthetic injections, the procedure, Ophtalmo-Septonex antibiotic eye drops for post-operative use, and the follow-up visit at one week where sutures are inspected and, if non-absorbable, removed. Patients are advised to rest and avoid screens for the first few days, apply the prescribed eye drops or ointment regularly, and begin gentle massage therapy one week after suture removal to soften the scar. Bruising and swelling typically resolve within two to four weeks; final results are fully apparent at three months.