Blepharoplasty
Blepharoplasty removes or repositions selected excess skin, fat or muscle from the upper or lower eyelids. It is the more definitive option when tissue excess is the main issue.
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St Mary's Medical Clinic · Plastic Surgery
Eyelid Surgery in Malta
Eyelid concerns are not all treated in the same way. At St Mary's Clinic, the eyelid pathway includes surgical Blepharoplasty and PlexR plasma treatment for selected non-surgical cases. The right option depends on whether the problem is excess skin, fat, puffiness, functional obstruction or milder skin laxity.
BlepharoplastyPlexRUpper eyelidsLower eyelidsSurgical & non-surgical
Your eyelid options
Surgery and non-surgical treatment solve different problems.
The value of the consultation is deciding what is actually creating the concern. Significant skin excess and fat pockets are different from mild skin laxity or fine surface changes.
PlexR
PlexR uses plasma energy to create controlled points on the skin surface. It is positioned for selected patients with mild to moderate eyelid skin laxity who want to avoid surgery.
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Assessment & planning
The treatment choice should come after the eyelid assessment.
We look at the upper lid, lower lid, brow position, skin quality, fat distribution, asymmetry, previous procedures and whether any symptoms affect vision.
Upper eyelid concerns
Upper eyelid heaviness can come from skin excess, brow position, fat, muscle and natural asymmetry. In some patients the main concern is aesthetic; in others excess skin can interfere with the visual field.
Lower eyelid concerns
Lower-eyelid puffiness may relate to fat prominence, skin laxity or both. Dark circles may have additional causes such as pigmentation, shadowing or tear-trough anatomy, so lower Blepharoplasty does not automatically correct every under-eye concern.
Medical history matters
Before treatment we review relevant medical history, eye symptoms, medicines, previous surgery and healing history. This helps determine whether treatment is appropriate and what level of recovery should be expected.
Choosing between Blepharoplasty and PlexR
Blepharoplasty is usually considered when there is more substantial excess skin or fat. PlexR is more suitable for selected milder surface laxity where a non-surgical approach is realistic.
Procedure & recovery
The pathway changes depending on which treatment you choose.
Blepharoplasty and PlexR have very different procedures and recovery patterns, so this parent page helps patients understand the route before entering the dedicated treatment page.
01 · Consultation
We assess the eyelids and clarify whether the goal is cosmetic improvement, functional improvement or both.
02 · Treatment choice
If surgery is appropriate, we discuss upper, lower or combined Blepharoplasty. If the concern is milder skin laxity, PlexR may be discussed instead.
03 · Preparation
The treatment area, expected downtime, aftercare, risks, scar or crusting pattern and follow-up are explained before proceeding.
04 · Recovery
Surgery usually involves bruising and swelling; PlexR creates visible surface crusts and may also cause temporary swelling.
05 · Review
Follow-up is used to assess healing and determine when the result can reasonably be judged.
Results & limitations
A refreshed eye area should still look like you.
The aim is improvement rather than a completely different eye shape. Each option has limits, and the result is affected by anatomy, healing, ageing and the amount of correction that is appropriate.
What can improve
Excess upper-eyelid skin, lower-eye bags, puffiness and selected skin laxity can improve when the correct treatment is chosen.
What may remain
Pigmentation, deep tear troughs, brow descent and some causes of dark circles may require separate assessment or additional treatment.
What changes with time
Neither surgery nor PlexR stops ageing. Skin, soft tissues and facial structure continue to change over time.
Current pricing
Eyelid treatment pricing
Current published Blepharoplasty prices are shown below. PlexR remains price on request.
Upper Blepharoplasty€1,075
Lower Blepharoplasty€1,200
Both Eyelids€2,000
Blepharoplasty Consultation€60
PlexRPrice on request
Practitioner
Meet the team involved in your care.
Your consultation is where the procedure, expected recovery, limitations and individual suitability are discussed before a decision is made.
Oculoplastic Surgeon
Ms Maria Agius
Eyelid surgery & oculoplastic careMs Maria Agius is listed on the current eyelid treatment pages for Blepharoplasty and PlexR.
Surgeon
Dr Alexey Vinokur
Plastic SurgeryDr Alexey Vinokur is listed among the attending surgeons for Blepharoplasty.
Frequently asked questions
Common questions about eyelid surgery.
These answers are general guidance. Your consultation is where we assess your anatomy, medical history, expectations and the procedure-specific risks that matter in your case.
01 What is the main difference between Blepharoplasty and PlexR?
Blepharoplasty is surgery that can remove or reposition excess tissue. PlexR is a non-surgical plasma treatment used for selected surface skin laxity.
02 Can eyelid surgery improve vision?
Upper Blepharoplasty may help when excess upper-eyelid skin contributes to visual obstruction. Functional symptoms should be assessed directly.
03 Can both upper and lower eyelids be treated?
Yes. Blepharoplasty can be planned for upper eyelids, lower eyelids or both depending on the concern and suitability.
04 Does PlexR have downtime?
Yes. Small carbon crusts can form and swelling can occur for several days. The current guidance describes crusts commonly separating over about 5–7 days.
05 Will Blepharoplasty remove dark circles?
Not necessarily. Puffiness may improve, but pigmentation, tear-trough anatomy and shadowing can remain.
06 How do I know which option I need?
The decision should follow an eyelid assessment rather than choosing only by price or downtime.