Upper Eyelid Surgery (Horní blefaroplastika)

Upper eyelid blepharoplasty removes excess skin and, where indicated, fatty deposits from the upper eyelids to restore a more open, refreshed appearance. At Plastická chirurgie A-Z in Olomouc, the procedure is performed by board-certified microsurgeons MUDr. Zálešák and MUDr. Stehlík using surgical loupes for magnified precision. This technique minimises visible scarring by placing incisions within the natural eyelid crease. The surgery is most sought by patients in their 40s and older whose drooping upper lids affect how awake or alert they look — and in pronounced cases, it may also improve peripheral vision. The procedure typically combines well with lower eyelid correction or non-invasive wrinkle treatments for patients seeking broader facial rejuvenation.

Upper eyelid blepharoplasty at Plastická chirurgie A-Z addresses the gradual stretching of eyelid skin that produces a hooded or heavy-lidded appearance. The surgeons remove a carefully measured ellipse of redundant skin along the natural upper-lid crease; in cases where prolapsed orbital fat contributes to puffiness, small pockets of fat are repositioned or excised through the same incision. Both surgeons work with surgical loupes — magnifying glasses worn throughout — allowing suturing at a precision level normally associated with microsurgical technique. This approach yields finer incision closure and, consequently, scars that typically fade to near-invisibility within the eyelid fold over six to twelve months. The procedure is performed under local anaesthesia in most cases, keeping the patient comfortable while avoiding the recovery time and cost of general anaesthesia. Where the patient prefers deeper sedation, sedoanalgesia or full general anaesthesia is available at the clinic. Surgical time is typically 60–120 minutes depending on whether one or both upper lids are corrected and whether any concurrent procedure (lower blepharoplasty, brow lift) is performed. Recovery involves swelling and bruising in the first week, largely resolved by days 7–10 when sutures are removed. Patients are advised to avoid strenuous activity, bending forward, and heavy lifting for two weeks. Reading and screen use can typically resume within a few days. Final results stabilise over six weeks as residual swelling settles. Ideal candidates are adults — most often in their 40s to 60s — whose upper-lid skin has lost elasticity and descended onto the lid platform or lash line. A pre-operative consultation with the surgeon assesses the degree of ptosis, the quality of the remaining skin, and whether any underlying brow descent is contributing to the appearance, which would indicate adding a brow lift to the plan. VZP insurance does not cover upper blepharoplasty when performed for purely aesthetic reasons; however, if functional visual-field impairment is documented, partial insurance cover may be possible — the surgeon can advise at consultation.