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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 the choice of operation","scope":"procedure","source":{"url":"https://www.aao.org/eye-health/treatments/lower-eyelid-blepharoplasty","host":"aao.org","quote":"Clinical experience will help to guide the surgeon with the proper operation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Confirm the risks are discussed with you during the consultation, since surgery carries risks that should be discussed then","scope":"procedure","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/face-head-procedures/upper-blepharoplasty/","host":"isaps.org","quote":"As with any surgery, there are risks which should be discussed during consultation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm how your aftercare will be coordinated before you travel for treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you can put your questions about the treatment to the medical team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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 eyes","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Upper_Eyelid_Blepharoplasty","host":"eyewiki.aao.org","quote":"Call if experiencing loss of vision, double vision, bleeding, severe swelling or pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe in","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Discharge summary lists treatment and ongoing medication, so the home doctor can continue care","document":"discharge summary","source":{"url":"https://royalwolverhampton.nhs.uk/patients-and-visitors/staying-in-hospital/going-home/","host":"royalwolverhampton.nhs.uk","quote":"A discharge summary – this is a letter that includes details of your hospital treatment and any ongoing medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your eyebrows are low","name":"Brow lift","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"If your eyebrows are low, your surgeon may recommend an eyebrow lift.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":498}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"upper-blepharoplasty","name":"Upper blepharoplasty with skin and fat excision","how_it_works":{"text":"The surgeon removes excess skin and fat from the upper lid","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon removes the excess skin and protruding fat and closes the incision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":10,"max":10,"unit":"days","label":"10 days","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"You should feel well enough to resume normal activities around the tenth day of recovery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"transconjunctival-lower-blepharoplasty","name":"Transconjunctival lower blepharoplasty","how_it_works":{"text":"The surgeon makes a cut inside the lower eyelid","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"Surgery can be done by making an incision just below the lash line or within the inside of the lid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":10,"max":10,"unit":"days","label":"10 days","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"You should feel well enough to resume normal activities around the tenth day of recovery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"transcutaneous-lower-blepharoplasty","name":"Transcutaneous lower blepharoplasty","how_it_works":{"text":"The surgeon makes a cut just below the lash line","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"Surgery can be done by making an incision just below the lash line or within the inside of the lid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":10,"max":10,"unit":"days","label":"10 days","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"You should feel well enough to resume normal activities around the tenth day of recovery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=plastika-verhnego-i-niznego-veka/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":27},"manualSeo":[],"updatedAt":"2026-11-13T04:17:38.000Z","activeCountries":["ES","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}