Before surgery: medications, smoking, and labs
Blood-thinner stop instructions (aspirin, ibuprofen, etc.), smoking cessation, blood tests — details: preparing for surgery.
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Blepharoplasty (eyelid surgery) corrects excess upper and lower lid skin, muscle, and fat to improve hooded lids, under-eye puffiness, and a tired look. At Facelift 360, examination with Dr. Parsa Charaghipour clarifies candidacy, need to combine with brow lift or ptosis repair, and a cost estimate. See: eyelid anatomy · compare alternatives · educational guide. To start treatment book a consultation.
- Approx. duration
- 1–2 hours
- Return to daily activity
- About one week
- Anesthesia
- Based on treatment plan
- Cost estimate
- Provided after consultation
What is eyelid surgery and what does it correct?
Blepharoplasty (eyelid surgery / cosmetic eyelid surgery) is surgery that removes or repositions excess skin, herniated fat, and when needed superficial muscle of the upper and/or lower lids to create a more open, less tired look — without changing the natural shape of the eye. Common search terms: upper eyelid surgery, lower eyelid surgery, four-lid surgery, and eyelid surgery.
This page is for treatment decisions in Tehran: candidacy, clinic path, risks, cost factors, and booking. Key terms in eyelid anatomy; compare paths in alternatives; questions in FAQ. Day-by-day education: blepharoplasty educational guide.
Eyelid anatomy: orbital septum, levator, fat pads, and tear trough
At consultation, the eyelid is assessed as a skin–muscle–septum–fat unit in relation to the brow and cheek. Understanding these structures clarifies why blepharoplasty differs from ptosis repair or tear trough filler alone. If heaviness comes from the brow, see the eyebrow lift service page.
- Skin
- Muscle
- Septum
- Fat
Candidacy, indications, and contraindications
Final candidacy is decided only after examination. If you see excess lid skin, under-eye puffiness, heavy-looking eyes, or partial visual field limitation in the mirror, you may be a candidate. Related framework: good candidate for facial surgery · FAQ.
Good candidate for eyelid surgery
- Upper lid skin laxity (dermatochalasis) or hooded / sleepy-looking eyes
- Under-eye puffiness or bags from fat herniation (steatoblepharon) that does not resolve with rest
- Lower lid skin laxity with puffiness, when external or combined incision is indicated
- Men and women with appropriate anatomic indication (incision design differs for male lids)
- General health suitable for local anesthesia with sedation or light general anesthesia
- Realistic expectations: a fresher look, not a "surprised" eye or identity change
- Willingness for roughly 7–14 days of social downtime and follow-up visits
Who is usually not a candidate for surgery
- Very mild descent manageable with non-surgical rejuvenation or the non-surgical guide, Botox, or tear trough filler
- Severe uncontrolled dry eye until ocular surface is optimized
- Uncontrolled glaucoma, active retinal detachment, or unstable eye disease without ophthalmology coordination
- Active thyroid disease / unstable thyroid eye disease without endocrinology coordination
- Bleeding disorder, anticoagulant use without a safe stop plan, or active smoking without cessation
- Uncontrolled diabetes or hypertension until medically optimized — surgery with diabetes and hypertension
- If heaviness is mainly from brow/forehead/temple descent → eyebrow lift, forehead lift, or temple lift, not blepharoplasty alone
- If cheek/midface descent dominates → midface lift or a combined plan, not lower lid alone
- Unrealistic expectations (removing every wrinkle, guaranteeing someone else's exact look)
Benefits, expected results, and limitations
- Reduction of excess upper lid skin and a more open look when appropriately indicated
- Correction of structural under-eye puffiness via fat excision or fat repositioning
- Possible partial improvement in visual field when drooping skin crosses the lash line
- Structural results usually more durable than repeated short-term Botox/filler for the same problem
- Optional combination with temple lift, face lift service page, or ptosis repair — combining with facelift and complementary procedures
Limitations you should know realistically
- Does not replace brow or forehead lift — if brow ptosis dominates: blepharoplasty vs brow lift.
- Does not remove dynamic crow's feet like Botox.
- True skin pigment darkness is not necessarily fixed by removing fat; shadow from puffiness is different.
- Zero scar is not realistic; facial surgery scar framework: facial surgery scars.
- Aging continues; appearance often lasts roughly 7–15 years in reports — how long results last.
Surgery steps from consultation through follow-up
Incision design, skin/fat removal, and need for canthopexy or ptosis repair vary by patient. Typical path at Facelift 360:
Eyelid, brow exam and treatment design
Assess dermatochalasis vs ptosis, fat pads, tear trough, brow position, and alone vs combination with midface lift or upper-third procedures. Approaches: technique table.
Local anesthesia, sedation, or light general anesthesia
Most cases use local anesthesia with sedation; on pain and anesthesia: is surgery painful?.
Pre-operative medical preparation
Blood-thinner adjustments as directed, smoking cessation, labs — checklist: preparing for surgery.
Incision and skin, fat, and orbicularis correction
Upper: incision in the natural crease. Lower: subciliary (below lash line) or transconjunctival from the conjunctiva; fat excision or fat repositioning — details in technique types.
Canthopexy or lower lid support reinforcement
Canthopexy or canthoplasty for lower lid support and reduced ectropion risk.
Wound closure, drops, and follow-up visits
Fine sutures, drops/compress as directed, visits on days 3, 7, and 14, and scar monitoring until incision maturation.
Technique types: upper, lower, transconjunctival, and four-lid
Technique name alone is not a selection criterion. Skin quality, fat pattern, age, and brow involvement are decided at examination.
Specialist consultation: dermatochalasis, ptosis, and fat puffiness
Consultation with Dr. Charaghipour begins with upper-third facial analysis — not only looking at excess lid skin.
Orbital septum and medial/central/lateral fat pad analysis to distinguish structural puffiness from temporary edema.
Brow position assessment: is heaviness from dermatochalasis or forehead/brow descent?
Levator function testing for ptosis and possible simultaneous correction.
Separating lower lid puffiness from tear trough shadow darkness; treatments differ.
Treatment plan based on your eyelid anatomy
Technique is unique to each patient. Based on skin quality, age, orbital bone structure, and collagen, one path is designed among upper, classic lower, transconjunctival, four-lid, and when needed canthopexy or combination with brow/midface lift.
Surgical results: realistic expectations, longevity, and revision
Goal at Facelift 360 is a more open, fresher look without a “surprised” eye or unnatural shape change (unless canthoplasty is indicated). Before-and-after images show style of result, not a same-look promise. Appearance usually lasts several years; aging continues.
Early weeks are too soon to judge the final result; swelling and bruising are normal — blepharoplasty recovery.
If the brow is also descended, eyelid surgery alone may be insufficient — how it differs from brow lift.
If cheek/tear trough follows midface descent: midface lift.
Our philosophy is tissue preservation and fat repositioning when indicated — not maximal fat depletion that hollows the eye.
Zero scar is not absolute — facial surgery scars · samples: before-and-after gallery.
Results are not permanently absolute; aging continues and skin may loosen again over years — not the same as immediate surgical failure.
Revision surgery is occasionally discussed for asymmetry, under/over-resection, or ectropion; “guaranteed result” is not claimed.
Recovery, bruising, swelling, and aftercare
Exact timing varies individually. Clinic framework below; day-by-day education: blepharoplasty recovery table. Pre-op preparation: surgery prep checklist. For time off work: how many days off?.
Days 1–3: swelling, bruising, and cold compress
Peak swelling and bruising; cold compress, sleep with head elevated, lubricating drops as directed. Mild blurry vision or tearing is common and usually temporary.
Days 4–7: suture removal and scar monitoring
Gradual bruising reduction; visit for suture removal and scar check. Many plan light social return around 7–10 days.
Second week: makeup, contacts, and social return
Eye makeup and contact lenses usually after about 10–14 days with surgeon clearance. Glasses from day one are usually fine.
Months 1–3: result settling and exercise resumption
Tissue settling and clearer result; strenuous exercise usually delayed several weeks. Final result often clearer by about three months.
After eyelid surgery care checklist
Your discharge instructions come first. General framework below; more education in the blepharoplasty guide.
- Cold compress as scheduled in early days; avoid direct pressure on the eyeball
- Sleep with 2–3 pillows; avoid deep bending and heavy lifting in the first weeks
- Use prescribed drops/ointment on schedule; no contacts until surgeon clearance
- No swimming, sauna, eye makeup, or rubbing lids until cleared
- Smoking impairs healing — continue cessation when possible
- Vision warning signs: contact immediately — risks section
Possible complications, risks, and eye safety
Blepharoplasty is elective surgery with possible complications. The table and list below are general; personal risk is reviewed at consultation and before consent. Eyelid detail:
complications in the blepharoplasty guide · general facial surgery framework: risks and complications.
| Issue | Relative frequency | Typical response |
|---|---|---|
| Swelling, bruising, tearing, or temporary blur | Common, usually temporary | Compress, drops, follow-up visits |
| Dry eye or chemosis | Fairly common | Lubrication / ocular-surface optimization |
| Scar or milia on the incision line | Sometimes | Scar care; occasional limited revision |
| Mild asymmetry | Sometimes | Wait for settling; occasional revision |
| Ectropion / lagophthalmos | Less common | Prevention by design; occasional repair |
| Retrobulbar hematoma | Very rare; emergency | Immediate contact — vision threat |
| Permanent vision loss | Very rare | Discussed in informed consent |
Educational table — not your case statistics. Frequency depends on anatomy, technique, and aftercare.
- Bleeding, hematoma (rare; retrobulbar hematoma is a vision emergency), infection, or delayed healing
- Swelling, bruising, chemosis (conjunctival edema), tearing, or temporary blurry vision
- Dry eye or worsened dry eye syndrome — protecting meibomian glands in design matters
- Scar more visible than expected, milia on the incision line, or mild asymmetry
- Over-removal of skin/fat → hollow eyes, lagophthalmos (incomplete lid closure), or older appearance
- Ectropion or entropion; lid margin malposition — canthopexy is sometimes preventive
- Rare temporary double vision; permanent vision loss is very rare but discussed in consent
- Rare need for revision surgery or dissatisfaction if expectations are unrealistic
- Anesthesia/sedation risks based on individual medical status
Vision warning signs and post-op emergencies
Sudden severe pain, vision decrease, severe one-sided swelling, active bleeding, high fever, or any symptom outside discharge instructions — call 021-26421734 or the discharge pathway immediately; do not wait for the next visit.
Smoking cessation, dry eye/thyroid optimization, and aftercare reduce some preventable risks. Patients with medical conditions: surgery with diabetes and hypertension. The list above does not replace personal informed consent.
Cost factors and insurance
Cost estimate
Provided after consultation
A fixed number without examination is not valid. This page summarizes how cost is decided for your case. Approximate educational market ranges live only in the blepharoplasty guide — cost — not as a fixed clinic tariff. Your estimate follows examination — book a consultation.
| Operative area: upper lid, lower lid, or both (four lids) |
| Technique: transconjunctival vs subciliary; fat repositioning vs excision |
| Need for canthopexy, ptosis repair, or combination with face lift / brow |
| Anesthesia/sedation type, operating room, and follow-up visits |
| Prior eyelid/eye surgery and anatomic complexity |
For a transparent estimate based on your eyelids — not an internet tariff — book a consultation. Payment terms may be discussed in person.
Insurance, functional indication, and visual-field testing
Elective cosmetic blepharoplasty is usually not covered by basic Iranian insurance. If lid descent documents visual-field limitation, a functional indication may be discussed — coverage is decided by the insurer, not the clinic.
Supplementary insurance review often needs medical documents; visual-field testing (perimetry) and specialist confirmation may be requested. Documentation pathway is clarified at consultation; the clinic does not promise coverage.
- Separate cosmetic vs functional intent during lid exam and vision-symptom review
- When indicated: coordinate perimetry / ophthalmology documents per insurer request
- Patient or representative submits forms to the supplementary insurer
- Cosmetic estimate if coverage is denied — book a consultation
Comparison with brow lift, filler, Botox, laser, and non-surgical options
Goal is not to attack alternatives; match method to problem. Brow–lid border: eyebrow lift guide · FAQ: bleph vs brow lift. Canthopexy/canthoplasty: technique table.
Surgical philosophy: tissue preservation and fat repositioning
In real eyelid exams, Dr. Charaghipour first separates excess skin, fat herniation, true ptosis, and brow heaviness — then designs how much fat to remove versus reposition. The approach is "preserve and rearrange tissue," not aggressive depletion that hollows the eye. Fat repositioning is prioritized when hollowness/tear trough accompanies puffiness; the goal is youthful peri-orbital volume and orbicularis health, not an operated look.
Operating room safety standards and pre-op assessment
The eye is the most sensitive facial organ. Before scheduling: review of thyroid, blood pressure, diabetes, dry eye, prior eye surgery/LASIK, and anticoagulants. Surgery uses vital-sign monitoring with a specialist anesthesiologist for sedation or light anesthesia. If the ocular surface is unstable or medical risk remains uncontrolled, surgery is deliberately delayed. Techniques are chosen to reduce lagophthalmos and lid malposition risk — not to shorten operative time at any cost.
Patient path: consultation through informed consent and follow-up
Standard decision path for blepharoplasty at this clinic — complements legal consent, does not replace individual consultation.
Before-and-after eyelid surgery examples
Samples shown are from the clinic gallery and focus on upper, lower, or four-lid surgery. Outcomes depend on anatomy, skin quality, individual healing, and whether brow/ptosis combination is needed — identical appearance is not guaranteed. Some images show early healing; precise interpretation happens at consultation. Published with patient consent. A closer match to your case is reviewed in person.
Real clinical case
Blepharoplasty + rhinoplasty
This file is combined eyelid and nose surgery. The blepharoplasty service page is the canonical home; rhinoplasty is facial-harmony context, not a standalone Facelift360 service.
Surgical footage
About this case
The video contains real intra-operative footage. Age, recovery duration, exact technique, and aesthetic outcome are not claimed here. Result interpretation happens at in-person consultation.
Clinic, surgeon, and office address in Tehran
Specialist face and eyelid rejuvenation clinic in Tehran
- جراح مسئول
- Dr. Parsa Charaghipour — Blepharoplasty examination, plan design, surgery, and early follow-up are performed by the operating surgeon — not delegated to a non-medical intermediary. Credentials: doctor page.
- آدرس
- Milad Building, No. 246, ground floor, unit 6 — Mirdamad Blvd toward Modarres, after Shams Tabrizi Jonoubi, next to Arian shopping center, Tehran
- تماس
- 021-26421734
- پیگیری
- Follow-up visits are scheduled after surgery, with a clear contact path for recovery concerns.
Why patients choose this clinic path
Specialist facial rejuvenation clinic in Tehran (Mirdamad). Examination and surgery with Dr. Parsa Charaghipour; lid-alone treatment only when truly sufficient. Surgeon selection criteria: choosing a facelift surgeon.
Scope diagnosis: alone vs combination
Clear border between blepharoplasty alone, combination with brow or ptosis, and non-surgical care.
Examination and surgery with the operating surgeon
Consultation, planning, and follow-up with the surgeon — not a non-medical intermediary.
Transparency on risk, limits, and cost estimate
Cost factors and complications reviewed before you decide; no hidden fees.
Support and visits during recovery
Support in early days, drops/compress kit, visits on days 3/7/14, and follow-up until scar maturation.
Scientific references and patient-oriented sources
Patient-oriented overviews for general blepharoplasty awareness and known complications — not a substitute for consultation, individual diagnosis, or line-by-line endorsement of every statement on this page:
Patient FAQs
Eyelid surgery (blepharoplasty) corrects excess skin, herniated fat, and when needed superficial muscle of the upper and/or lower lids. Definition: what is eyelid surgery? · deeper education: blepharoplasty guide.
No. Eyelid surgery targets excess skin and fat; ptosis surgery corrects the levator muscle/aponeurosis. Definitions: eyelid anatomy. Both can be performed together.
There is no fixed age. Some become candidates in their late 30s due to genetics; many later. Actual lid status and general health matter more than birth year.
Yes. Incision design and excision amount are adjusted for male lid anatomy to keep a natural result.
Eyelid surgery corrects the lid itself; brow lift raises brow position and tissue above the eye. If brow descent dominates: eyebrow lift guide or eyebrow lift service page.
Sometimes for very mild cases; for moderate–severe excess skin or structural fat puffiness, surgery usually gives stronger correction. See: alternatives table · non-surgical service · non-surgical guide.
No pain during surgery with local anesthesia and sedation. Early days may bring mild tightness or discomfort, usually controlled with analgesia. Related framework: is surgery painful?.
Upper incisions are usually hidden in the natural crease. Transconjunctival has no external scar; subciliary incisions fade with care. Scar framework: facial surgery scars.
No. Incisions are placed at standard distance from lash follicles and do not damage the lash line.
Glasses from day one are usually fine. Contact lenses and eye makeup usually after 10–14 days with surgeon clearance.
Many plan about 7–10 days for return to daily activity; details: recovery timeline.
In severe upper lid drooping, removing excess skin may improve visual field. Temporary blur in early days is common; any sudden vision change requires immediate contact.
Often roughly 7–15 years and sometimes longer in reports. Aging continues; a fixed number is not guaranteed for everyone.
Most cosmetic cases are not covered. If visual-field limitation is documented, a functional pathway may apply and insurers may request perimetry or ophthalmology records. Pathway: insurance & perimetry · final decision is the insurer’s.
Based on upper/lower/four-lid scope, technique, anesthesia, and complementary surgery. Decision factors: cost section. Approximate educational ranges only in the blepharoplasty guide. Case estimate: book a consultation.
For very mild surface laxity, energy/plasma is sometimes discussed; for moderate–severe excess skin or structural fat puffiness, surgery usually gives stronger correction. Compare: alternatives table · non-surgical.
Canthopexy usually supports the lateral canthus with suture; canthoplasty is a broader tendon/muscle repositioning when specifically indicated. Neither is a routine marketing “cat-eye” procedure. Details: technique table.
Aging does not stop; appearance often lasts several years. Sudden return to the exact pre-op state is uncommon, but skin can loosen again over time. Longevity: expectations.
Aggressive skin/fat removal can create a hollow or “smaller eye” look. Our approach preserves volume and uses fat repositioning when indicated — not maximal depletion. Philosophy: tissue preservation.
Unstable eye disease (including uncontrolled glaucoma or active retinal detachment) usually delays surgery until ophthalmology coordination. Eye history is reviewed at consultation — candidacy.
In rare cases of asymmetry, under/over-resection, or ectropion, revision may be discussed. This is covered in consent and realistic expectations — expectations & revision.
Yes. At Facelift 360, blepharoplasty consultation is with Dr. Parsa Charaghipour. About the doctor · book.
No. After benefits, limits, and risks are explained, thinking time is yours. Informed consent is signed without same-day pressure — consent path.
Consultation session prep checklist
To make your session with Dr. Charaghipour more useful — and for surgery day if you decide: surgery prep checklist:
Decision summary and informed consent
There is no same-day pressure after consultation. Time to think is yours. Informed consent is signed after benefits, limits, case-specific risks, and your questions are reviewed — not as a rushed form or results guarantee.
A conversation before a decision
Could eyelid surgery address your concerns?
Discuss your concerns and goals for blepharoplasty in a consultation. Explore the options, their limitations and your individual circumstances before deciding.
Discuss your goals, the limitations and the risks of each option at your consultation.