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weeks. Combined surgery trends longer."},"complication_rate_pct":{"min":0.4,"max":1,"unit":"percent","qualifier":"Major complications within 30 days (ER visit, admission or reoperation); hematoma most common (about 0.2%). Minor events excluded."},"contraindications":["Active eye infection or inflammation","Severe uncontrolled dry eye","Uncontrolled hypertension or bleeding disorders","Uncontrolled thyroid eye disease or other unstable systemic disease","Pregnancy","Untreated glaucoma, retinal disease or other significant eye conditions"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Typically same-day discharge after combined upper and lower blepharoplasty."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and heavy lifting after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and scars mature; some subtle changes may persist longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Sutures usually come out at 5-7 days; surgeon clearance needed. Persistent swelling or complications may mean waiting longer."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":7,"unit":"days","qualifier":"From surgery, if non-absorbable sutures are used."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"From surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery."}}],"indications":["Excess upper eyelid skin causing a hooded or tired look","Lower eyelid bags from fat prominence","Lower eyelid skin laxity","Upper eyelid skin interfering with the visual field (functional)"],"main_risks":["Bruising and swelling","Bleeding or hematoma","Infection","Dry eyes or irritation","Asymmetry","Visible or thickened scarring","Lower eyelid retraction or ectropion","Incomplete eyelid closure","Temporary blurred or double vision","Rare vision loss from retrobulbar hemorrhage","Need for revision","Lagophthalmos (temporary)","Numbness or decreased eyelid sensation"],"pain":"Mild to moderate discomfort, tightness and swelling for a few days, usually controlled with simple analgesics.","preparation":["Preoperative consultation and eyelid and eye examination","Assessment of dry eye and, where indicated, vision testing","Review of medical history and current medications with the surgeon","Stop smoking before and after surgery","Arrange transport and help at home after surgery","Follow fasting instructions if sedation is planned","Stop or adjust blood thinners, NSAIDs and supplements","Preoperative photographs","Assessment of eyelid position, levator function and Bell's phenomenon"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling, bruising and tightness; cold compresses and head elevation.","restrictions":["No heavy activity","Avoid contact lenses","No rubbing eyes"]},{"phase":"Days 5-10","description":"Sutures removed if non-absorbable; bruising fades gradually.","restrictions":["Avoid strenuous exercise","Avoid makeup near incisions until cleared"]},{"phase":"Weeks 2-4","description":"Most visible bruising resolves and normal activity resumes.","restrictions":["Avoid heavy lifting until cleared"]},{"phase":"Months 2-6","description":"Residual swelling resolves and scars mature.","restrictions":["Protect the scars from sun"]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Time to light daily activities after combined blepharoplasty; bruising and swelling may last 1-2 weeks or longer."},"result_longevity":"Results often last many years, but ageing continues and the duration varies between patients.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Share needing secondary procedures (scar revision, residual skin or fat, malposition) within 1-2 years; higher for lower eyelids."},"scars":"Upper eyelid incisions lie in the natural crease and lower ones just under the lash line, or inside the lid if transconjunctival. 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lower eyelid fat bags and good skin tone.","recovery":"No external scar; recovery of about 1-2 weeks."},{"name":"Transcutaneous lower blepharoplasty","suits_whom":"Patients with excess lower eyelid skin as well as fat.","recovery":"Slightly longer swelling; about 1-2 weeks until socially comfortable."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Combined upper and lower eyelid surgery on both eyes in one operation."},"initial_assessment_documents":["Front photos of face with eyes open","Side and three-quarter photos of eyelids","Photo looking upward showing lower eyelids","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until suture removal and surgeon clearance to fly home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask about the surgeon's clinical experience with eyelid procedures, because that experience guides 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generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, through forceful persuasion or cheap, time-limited offers","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The surgeon you consult with is not confirmed as the person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Package deals that combine surgery with holidays warrant caution","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Vision disturbance after eyelid surgery","urgency":"emergency","general":false,"source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"Seek medical attention immediately if you experience new pain, bleeding, or visual disturbance.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe swelling or pain around the 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