Is it the same as ptosis (lid margin droop) surgery?

No. Eyelid surgery targets excess skin and fat; ptosis surgery corrects the levator muscle/aponeurosis. Definitions: eyelid anatomy. Both can be performed together.

What is the best age for this surgery?

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.

Is it suitable for men?

Yes. Incision design and excision amount are adjusted for male lid anatomy to keep a natural result.

How does eyelid surgery differ from brow lift?

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.

Are filler, Botox, or laser enough instead of surgery?

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.

Is the procedure painful?

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?.

How noticeable are scars?

Upper incisions are usually hidden in the natural crease. Transconjunctival has no external scar; subciliary incisions fade with care. Scar framework: facial surgery scars.

Does it cause eyelash loss?

No. Incisions are placed at standard distance from lash follicles and do not damage the lash line.

How soon can I wear glasses or makeup?

Glasses from day one are usually fine. Contact lenses and eye makeup usually after 10–14 days with surgeon clearance.

How many days off work are needed?

Many plan about 7–10 days for return to daily activity; details: recovery timeline.

Does it affect vision?

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.

How long do results last?

Often roughly 7–15 years and sometimes longer in reports. Aging continues; a fixed number is not guaranteed for everyone.

Does insurance or supplementary insurance cover the cost?

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.

How is cost calculated?

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.

Is laser or plasma jet enough instead of surgery?

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.

What is the difference between canthopexy and canthoplasty?

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.

Can the eye look smaller or hollow after surgery?

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.

Can I have surgery with glaucoma or retinal disease?

Unstable eye disease (including uncontrolled glaucoma or active retinal detachment) usually delays surgery until ophthalmology coordination. Eye history is reviewed at consultation — candidacy.

What if revision surgery is needed?

In rare cases of asymmetry, under/over-resection, or ectropion, revision may be discussed. This is covered in consent and realistic expectations — expectations & revision.

Is consultation with the operating surgeon?

Yes. At Facelift 360, blepharoplasty consultation is with Dr. Parsa Charaghipour. About the doctor · book.

Must I decide the same day as consultation?

No. After benefits, limits, and risks are explained, thinking time is yours. Informed consent is signed without same-day pressure — consent path.

Blepharoplasty in Tehran | Cost & 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.

Educational illustration of eyelid layers: skin, muscle, septum, and fat — Educational distinction of skin–muscle–septum–fat; not a diagnosis.

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.

Approach	Best for	Limitation
Upper blepharoplasty	Dermatochalasis, lid heaviness, hooded eyes	Does not alone correct true levator ptosis
Lower lid — transconjunctival	Fat puffiness with relatively good skin; no external scar	Insufficient for significant skin laxity
Lower lid — subciliary (below lashes)	Combined fat puffiness and skin laxity	Requires respect for lid tone; canthopexy sometimes needed
Four-lid (upper + lower)	Simultaneous upper and lower lid descent and puffiness	Larger scope and recovery than one area
Fat repositioning vs fat excision	Tear trough hollow with concurrent puffiness	Aggressive fat removal → hollow-eye risk
Canthopexy	Supports lateral canthal tone with suture; helps prevent ectropion on the lower lid	Less invasive than canthoplasty; changing eye shape is not a routine goal
Canthoplasty	Repositions canthal tendon/muscle when tone is severely weak or form change is indicated	More invasive; not a routine “cat-eye” marketing procedure
Simultaneous ptosis repair	Levator weakness with excess skin	Examination diagnosis — blepharoplasty ≠ ptosis
Non-surgical (Botox, filler, energy/laser/plasma)	Very mild descent or maintenance	Less power for moderate–severe skin/fat — non-surgical service

Final plan is announced after examination; selling one technique to everyone is not the goal. Canthopexy vs canthoplasty is reviewed at consultation.

Blepharoplasty consultation with Dr. Parsa Charaghipour

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

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

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

For a transparent estimate based on your eyelids — not an internet tariff — book a consultation. Payment terms may be discussed in person.

Book a consult for a personal estimate

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.

Option	Best for	Limitation
Surgical blepharoplasty	Excess skin, structural fat puffiness, lid laxity	Surgical recovery and risk
Ptosis repair	Levator weakness / true lid margin droop	Not a substitute for excess skin — sometimes combined
Canthopexy	Lower lid support / ectropion prevention	Not a substitute for removing skin/fat alone
Canthoplasty	Canthal repositioning when specifically indicated	More invasive; marketing “cat-eye” is not a medical criterion
Brow / forehead / temple lift	Heaviness from brow or temple descent	Does not alone fix lid fat herniation — forehead lift · temple lift
Tear trough filler	Hollow and shadow without severe puffiness	Does not remove fat herniation; needs repeats
Periocular Botox	Fine dynamic wrinkles	Does not correct excess skin or fat
CO2 laser / skin energy	Very mild surface laxity	Not a substitute for moderate–severe skin/fat excision; pigment/scar risk on darker skin
Plasma / non-surgical	Very mild descent or temporary maintenance	Limited power; usually insufficient for structural fat puffiness — non-surgical
Thread lift	Very mild descent or temporary maintenance	Insufficient for moderate–severe excess skin/fat — thread lift service

If you are unsure between surgery and non-surgical care, examination matches the path to your anatomy. Combined face plans: mini vs full facelift.

Dr. Parsa Charaghipour — blepharoplasty surgeon in Tehran

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

Immediate on-table photograph after closure of blepharoplasty and rhinoplasty incisions, published with patient consent — Immediate on-table closure photograph, published with patient consent. This is not a healed final result.

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.

View full gallery

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.

Book consultation About the doctor

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.

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.