Blepharoplasty — Eyelid Correction

Blepharoplasty at MUDr. Šimek's Olomouc clinic corrects drooping or puffy eyelids by removing excess skin, tightening the orbicularis oculi muscle, and reducing herniated fat pockets — performed entirely under local anaesthesia as a same-day outpatient procedure at a fixed price of 15 000 Kč per eyelid zone (upper or lower). The procedure is indicated for patients with heavy, aged-appearing eyelids that may impair peripheral vision or create a tired facial expression. Sutures are removed on day 7, and scar care with neutral oils (olive oil or traditional pork lard) is recommended during the healing phase. The patient departs the same day; companionship for the journey home is advised.

Eyelid aging is one of the most visible markers of facial aging and one of the earliest to appear. The upper eyelid skin is thinner than almost any other facial skin and loses elasticity relatively rapidly with age — typically becoming noticeable from the late 30s or early 40s. As skin redundancy increases, it creates a hooded appearance that may narrow the visual field when the excess skin reaches the lashes. The lower eyelid develops characteristic fat pocket herniation (the 'eyebag') as the orbital septum weakens and allows periorbital fat to bulge forward beneath the skin. **What blepharoplasty corrects** MUDr. Šimek's upper blepharoplasty addresses three tissue components: excess skin (the primary driver of the hooded appearance), the orbicular muscle (tightening corrects the age-related skin creasing pattern), and protruding fat pockets where present. Lower blepharoplasty similarly excises the herniated fat responsible for under-eye bags, with skin excess addressed separately if present. The clinic's protocol uses local anaesthesia in nearly all cases — general anaesthesia is rarely required, making this a truly outpatient procedure. **The procedure in detail** After local anaesthetic infiltration, upper lid skin is marked and excised in an ellipse following the natural eyelid crease — the final scar falls exactly within this crease and is invisible when the eye is open. On the lower lid, the incision is placed immediately below the lash line (subciliary approach) where it heals into the normal skin texture. Orbicularis tightening is performed through the same incision. Fat redistribution or excision follows if indicated. Sutures are placed and the wound is covered with a light compression bandage for 24 hours. **Aftercare protocol** After the 24-hour bandage, cold compresses are applied for an additional 48 hours to manage swelling. Suture removal is at day 7 at the clinic. From that point, MUDr. Šimek recommends neutral fat application — specifically olive oil or traditional pork lard — to the scar daily for 3–6 months. This is the clinic's evidenced protocol for supporting pliable, flat scar formation and is notably more conservative than laser or silicone sheet approaches. UV protection is important for at least 6 months post-surgery. **Recovery and return to normal activities** Swelling and bruising are maximal in the first 48–72 hours. Most patients are comfortable in public with light sunglasses by day 5–7. Desk work and screen use can resume within 3–5 days. Contact lenses should be avoided for 2 weeks. The final eyelid contour — with scars fully healed into the eyelid crease — is typically established at 3–6 months. **Safety and contraindications** Dry eye disease should be disclosed at consultation — blepharoplasty can affect tear film distribution. Thyroid disease (Graves' disease specifically) is a relative contraindication in the active phase. Blood-thinning medications require cessation 10 days pre-procedure.