Eyelid Surgery
Upper & Lower Eyelid 4-Eyelid LA
Four-eyelid blepharoplasty under local anaesthesia
Is it safe?
Your hospital holds the same JCI accreditation as Cleveland Clinic and Johns Hopkins. Verified by TEMOS for international patient safety.
Will the price change?
Your price is locked before you book. Surgery, hospital, hotel, transfers, aftercare — one number, no extras.
What if something goes wrong?
Mandatory insurance required by Turkish law. If a revision is needed — flights, hospital, surgeon — covered. You never pay twice.
Who's my surgeon?
Confirmed before you pay. Full credentials, specialisation, and patient results shared upfront. No last-minute switch.
What happens after I fly home?
24/7 WhatsApp with your coordinator. Scheduled video check-ups with your surgeon. 12 months, not 12 days.
Medical References
- [1]Ophthalmology (2023). Upper blepharoplasty improves peripheral visual field by an average of 12 degrees and patient satisfaction exceeds 95%. doi:10.1016/j.ophtha.2023.02.018
- [2]Aesthetic Surgery Journal (2022). Transconjunctival lower blepharoplasty with fat repositioning achieves natural results with no visible scarring in 97% of cases. doi:10.1093/asj/sjac112
What is Upper & Lower Eyelid 4-Eyelid LA?
Four-eyelid blepharoplasty under local anaesthesia rejuvenates both the upper and lower eyelids by removing excess skin, fat, and muscle to eliminate hooding and under-eye bags. Local anaesthesia with sedation allows a fully awake yet comfortable experience, with a faster recovery and no general anaesthesia risks. MedProper performs this procedure in Istanbul's JCI and TEMOS-accredited hospital with an all-inclusive package.
How Does Upper & Lower Eyelid 4-Eyelid LA Work?
- 1Your surgeon evaluates all four eyelids and discusses realistic outcomes during a preoperative consultation.
- 2Local anaesthetic is injected around the eyelids, and light sedation is provided for comfort. You remain awake but feel no pain.
- 3The upper lids are addressed first: excess skin and fat are removed through an incision in the natural crease.
- 4The lower lids are then treated through a sub-lash or transconjunctival incision to remove or reposition protruding fat.
- 5Fine sutures close all incisions, cold compresses are applied, and you can return to your hotel the same day.
Who is a Good Candidate for Upper & Lower Eyelid 4-Eyelid LA?
- Adults with excess skin on the upper eyelids and puffiness on the lower lids who want all four corrected in one session
- Patients who prefer to avoid general anaesthesia due to personal preference or medical reasons
- Non-smokers or those willing to stop smoking at least two weeks before and after surgery
- Individuals in good health without severe dry eye, uncontrolled glaucoma, or thyroid eye disease
- Those who want a shorter overall procedure time and quicker same-day discharge
Why Choose Upper & Lower Eyelid 4-Eyelid LA at MedProper?
No general anaesthesia
Local anaesthesia with sedation avoids the risks of general anaesthesia and allows faster post-procedure recovery.
Same-day discharge
Most patients return to their hotel within hours of the procedure, with no overnight hospital stay required.
Comprehensive rejuvenation
All four eyelids are treated in one session, addressing hooding, bags, and puffiness simultaneously.
All-inclusive Istanbul package
Your €1,920 package covers surgery, hospital, hotel, transfers, medications, and 12-month aftercare.
What is the Recovery Timeline?
Days 1-3
Rest and cold compresses
Swelling and bruising around the eyes. Apply cold compresses every hour. Sleep with head elevated.
Days 4-7
Bruising improves
Swelling begins to subside. Sutures removed around day five. Avoid screen strain.
Weeks 2-3
Social recovery
Most bruising resolved. Gentle makeup can be used. Light daily activities resume.
Weeks 4-6
Full activity
Exercise resumes gradually. Scars continue to fade. Eyes feel refreshed and open.
Months 3-6
Final result
All swelling resolves. Scars are virtually invisible within the eyelid creases.
Quick Facts
Duration
1-1.5 hours
Hospital Stay
Day case
Recovery
7-10 days social downtime
Permanence
8-12 years (upper lids); 15+ years (lower lids)
Anaesthesia
Local with sedation
Results Visible
3-4 weeks (final at 3-6 months)
Frequently Asked Questions
No. The local anaesthetic completely numbs the eyelids. You may feel light pressure but no pain. Sedation keeps you relaxed and calm throughout.
Local anaesthesia eliminates the cost of a general anaesthesiologist and overnight hospital monitoring, which allows us to pass that saving on to patients.
The surgical technique and final outcome are identical. The only difference is the anaesthesia method and whether an overnight stay is included.
Four to five nights is recommended to allow for preparation, surgery, and two postoperative follow-up visits.
The package covers the surgical team, local anaesthesia with sedation, hospital facility, hotel accommodation, airport and clinic transfers, all medications, and 12 months of remote aftercare.
Medical References
- Ophthalmology (2023). Upper blepharoplasty improves peripheral visual field by an average of 12 degrees and patient satisfaction exceeds 95%. DOI: 10.1016/j.ophtha.2023.02.018
- Aesthetic Surgery Journal (2022). Transconjunctival lower blepharoplasty with fat repositioning achieves natural results with no visible scarring in 97% of cases. DOI: 10.1093/asj/sjac112
Last medically reviewed: April 2026
Where Your Surgery Takes Place
A JCI & TEMOS-Accredited Hospital in Istanbul
Your procedure is performed at a 45,000 m² state-of-the-art hospital with 12 operating rooms, advanced surgical technology, and VIP patient suites. International accreditations ensure the highest standards of patient safety and care.
12 Operating Rooms
Latest Surgical Technology
Related Treatments
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