Drooping or excess skin
Upper Blepharoplasty can reduce redundant skin and improve a heavy upper-eyelid appearance. Where skin genuinely obstructs the visual field, surgery may also have a functional benefit.
St Mary's Medical Clinic · Eyelid Surgery
Blepharoplasty in Malta
Blepharoplasty is eyelid surgery designed to remove or reshape selected excess skin, fat or muscle from the upper or lower eyelids. It may be performed for cosmetic rejuvenation and, in some upper-eyelid cases, for functional symptoms where skin interferes with vision.
Upper eyelidsLower eyelidsEye bagsExcess skinFunctional & cosmetic
What Blepharoplasty treats
The upper and lower eyelids have different problems.
Blepharoplasty is not one standard operation. The surgical plan depends on whether the issue is redundant skin, fat prominence, puffiness, asymmetry or a combination.
Bags & puffiness
Lower Blepharoplasty can address selected lower-eyelid bags and contour concerns by treating skin and/or fat according to the anatomy.
Dark circles are different
Dark circles may be caused by pigmentation, tear-trough hollowing, vascular visibility or shadows. Blepharoplasty may improve bags but cannot promise to correct every cause of darkness.
Assessment & planning
Good eyelid surgery starts with analysing the cause, not just the symptom.
Before surgery we assess upper and lower eyelid anatomy, brow position, fat distribution, skin quality, symmetry, eye symptoms and previous procedures.
Who may be suitable
Blepharoplasty may be considered when there is visible upper-eyelid skin excess, lower-eye bags, puffiness or eyelid changes that create a tired or heavy appearance. General health, healing factors and expectations also matter.
What the consultation looks at
We review the eyelid crease, amount and quality of skin, fat prominence, asymmetry, brow position and any visual symptoms. Previous eye surgery or dry-eye symptoms should also be discussed.
Upper versus lower surgery
Upper Blepharoplasty usually focuses on redundant upper-lid skin and selected fat. Lower Blepharoplasty is anatomically different and may involve treatment of lower-eyelid skin and fat pockets.
Scars and incision placement
Surgery requires incisions. Upper-lid incisions are generally planned in natural eyelid creases; lower-lid incision design depends on the operation. Scars mature gradually and are not invisible immediately after surgery.
Procedure & recovery
Recovery happens in stages, not all at once.
Bruising and swelling are expected after eyelid surgery. Early improvement appears as they settle, while scar maturation and final refinement continue for longer.
Consultation
We define whether upper, lower or combined surgery is appropriate and discuss the expected scar pattern, recovery and alternatives.
Operation
Selected excess skin, fat and/or muscle are treated according to the surgical plan. The exact technique differs between upper and lower eyelids.
First few days
Swelling, bruising and tightness are expected. Following aftercare instructions and protecting the area are important.
2–3 weeks
The current page describes initial improvement becoming clearer as bruising and swelling reduce. More strenuous activity is generally delayed until healing has progressed.
Following months
Residual swelling continues to settle and scars mature. This is when the final result becomes easier to judge.
Results & limitations
A good result improves the eye area without changing your identity.
The aim is smoother eyelid contour and a less heavy or puffy appearance. Results vary according to anatomy and healing, and surgery does not stop future ageing.
Early change
The eyelids often look noticeably different before they look fully settled because swelling and bruising temporarily alter the area.
Final refinement
The result continues to improve over several weeks and months as swelling resolves and scars mature.
Long-term reality
The tissue removed does not simply return, but surrounding tissues continue to age and change over time.
Current pricing
Blepharoplasty prices
These are the current prices listed on the live St Mary's Clinic Blepharoplasty page.
Upper Eyelid€1,075
Lower Eyelid€1,200
Both Eyelids€2,000
Consultation€60
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 surgeryMs Maria Agius is listed as an Oculoplastic Surgeon for Blepharoplasty at St Mary's Clinic.
Surgeon
Dr Alexey Vinokur
Plastic SurgeryDr Alexey Vinokur is listed among the attending surgeons for Blepharoplasty.
Frequently asked questions
Common questions about Blepharoplasty.
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 Is Blepharoplasty suitable for both upper and lower eyelids?
Yes. It can be performed on upper eyelids, lower eyelids or both, depending on the anatomy and the concern being treated.
02 How long does it take to see the final result?
Initial improvement is visible as bruising and swelling reduce, often over the first few weeks, but final refinement can take several months.
03 Will there be visible scars?
Surgical scars are expected. Incisions are planned around eyelid anatomy so they become less conspicuous as they mature.
04 When can I return to normal activities?
Light activities may return earlier, while strenuous activity generally needs more time. The live guidance advises allowing roughly 2–3 weeks before strenuous activity.
05 Does Blepharoplasty remove dark circles?
It may improve puffiness or bags, but pigmentation, tear-trough hollowing and other causes of under-eye darkness may remain.
06 What is the non-surgical alternative?
PlexR is available for selected milder eyelid skin-laxity concerns, but it is not equivalent to surgical tissue removal.