Blepharoplasty (Eyelid Surgery)

Blepharoplasty at Poliklinika Sever's Eye Care & Aesthetics Centre is performed by MUDr. Kim Štěpánková FEBO DiS., a board-certified ophthalmologist with European Board qualification and specialist expertise in eyelid anatomy. Upper eyelid surgery (from 15,500 Kč) removes excess skin and, where present, redundant orbicularis muscle and herniated fat from the upper eyelid, restoring the natural lid fold and improving peripheral vision where hooded skin is encroaching on the visual field. Lower eyelid blepharoplasty addresses tear-trough hollowing, fat herniation producing under-eye bags, and excess lower lid skin; pricing is provided after consultation based on the specific technique required. The ophthalmology background means functional outcomes — visual field restoration, lid position — are assessed alongside cosmetic results, a distinction not always possible with general plastic surgeons.

Blepharoplasty — surgical reshaping of the eyelid — is one of the most frequently performed aesthetic surgical procedures in Europe and, when performed by an ophthalmologist, one of the safest. At Poliklinika Sever, eyelid surgery is the core surgical offering of the Eye Care & Aesthetics Centre under MUDr. Kim Štěpánková, FEBO DiS. Her FEBO qualification (Fellow of the European Board of Ophthalmology) reflects mastery of the full scope of ophthalmic surgery, within which oculoplastic surgery — including blepharoplasty — is a specific subspecialty requiring intimate knowledge of lid anatomy, tear film dynamics, and the relationship between lid position and ocular health. **Upper Eyelid Blepharoplasty (from 15,500 Kč)** The upper eyelid procedure addresses dermatochalasis — excess upper lid skin — which accumulates with age as the skin loses elasticity and the orbital septum weakens, allowing periorbital fat to prolapse anteriorly. Clinically, this presents as hooding that may encroach on the superior visual field (a functional indication for surgery, which is then often covered by Czech public insurance) or as an aesthetic concern about a tired or aged appearance. The procedure involves an incision placed in the natural upper lid crease, excision of redundant skin, optional orbicularis muscle trimming, and fat repositioning or removal. Sutures are typically removed at 7–10 days; residual swelling resolves over 4–6 weeks, with the final result visible at 3 months. **Lower Eyelid Blepharoplasty (price by procedure type)** Lower lid surgery is more variable in technique, which is why MUDr. Štěpánková quotes it individually. Approaches include: - *Transcutaneous* (external incision below the lash line): for patients with significant excess lower lid skin alongside fat herniation — the classic 'under-eye bags' presentation - *Transconjunctival* (incision inside the eyelid, no external scar): for patients with fat prolapse but good skin quality — the preferred approach in younger patients - *Fat repositioning* rather than excision: addresses tear-trough hollowing by redistributing herniated fat into the infraorbital hollow rather than removing it, avoiding a skeletonised post-operative appearance The combination of technique, extent, and anaesthesia type (local with sedation vs general) determines the final price, which the physician calculates after the initial consultation. At Poliklinika Sever, blepharoplasty may be performed under local anaesthesia with oral sedation for upper eyelid cases, or under deeper sedation for combined upper-and-lower procedures. The polyclinic's surgical facilities (Floor 1, Doors 17–21) include the broader surgical department and its six surgeons, ensuring anaesthetic support and post-operative monitoring are available within the same building. Recovery instructions include cold compresses for the first 48 hours, head elevation during sleep, avoidance of contact lenses for 2–3 weeks, and UV protection for 3 months. The 200 Kč consultation fee is deducted from the total procedure cost when surgery is booked.