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Expected bruising excluded."},"contraindications":["Uncontrolled hypertension or bleeding disorders","Active eye infection or inflammation","Severe dry eye syndrome","Unstable thyroid eye disease","Uncontrolled systemic disease such as poorly controlled diabetes","Body dysmorphic disorder","Pregnancy","Smoking (relative; increases healing complications)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Primary bilateral upper-lid surgery under local anesthesia has same-day discharge after observation; zero overnight stays are planned."},"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 activity such as walking earlier; strenuous exercise and heavy lifting usually after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and scars mature; subtle changes may continue longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Counted from surgery, short flights only, after a check confirming stable healing. 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Final result review at about 3-6 months.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for severe eye pain, vision change, double vision, tense swelling, heavy bleeding, fever, pus, chest pain or calf swelling.","restrictions":["Do not wait for a scheduled visit"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; residual swelling and bruising may persist longer."},"result_longevity":"Upper-lid results typically last 5-10 years or longer; natural aging continues.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Unplanned corrective surgery within about 1-2 years, e.g. residual excess skin, asymmetry or lid-position issues. Planned stages excluded."},"scars":"The upper-lid incision lies in the natural eyelid crease and usually fades to a fine, barely visible line over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session for standard blepharoplasty."},"stages":[{"code":"surgery","label":"Blepharoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"One operative session; follow-up checks are listed separately."},"success":{"metric":"Patient-reported satisfaction with upper-eyelid appearance","value":85,"unit":"percent","horizon":"6-12 months after surgery","population":"Adults after primary bilateral upper-lid blepharoplasty alone for dermatochalasis","evidence_status":"limited"},"techniques":[{"name":"Upper-lid blepharoplasty alone (skin ± muscle and fat removal) under local anesthesia, outpatient","suits_whom":"Adults with excess upper-lid skin or fat pads.","recovery":"Swelling and bruising for about 1-2 weeks; sutures, if non-absorbable, removed at about 5-7 days."},{"name":"Lower-lid blepharoplasty, transcutaneous","suits_whom":"Patients with lower-lid skin excess and fat bags.","recovery":"Bruising and swelling about 2 weeks; higher risk of lid malposition."},{"name":"Lower-lid blepharoplasty, transconjunctival","suits_whom":"Younger patients with fat bags and good skin tone.","recovery":"No external skin scar; swelling and bruising about 1-2 weeks."},{"name":"Laser or CO2-assisted blepharoplasty or resurfacing","suits_whom":"Selected patients wanting reduced bleeding or concurrent skin resurfacing.","recovery":"Similar to conventional, with possible added redness from resurfacing."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operating time for bilateral upper-lid surgery alone; lower-lid and combined procedures take longer."},"initial_assessment_documents":["Front photos of face with eyes open","Side and oblique photos of eyelids","Photo with eyes looking up","List of blood thinners","Dry eye or eye disease history","Recent eye exam report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay about 7-10 days until suture removal and stable-healing check. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has significant experience in eyelid surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/facial-surgery/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"When considering blepharoplasty or eyebrow surgery, choose a surgeon with significant experience in eyelid surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask the surgeon about their credentials, training and how many procedures they have performed","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/facial-surgery/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"Make sure to ask your cosmetic surgeon about their credentials, training and how many procedures they’ve 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certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Reluctance to share experience, skills or any conflict of interest","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"They should be open about their experience, skills, fees, and any conflict of interest.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise 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