Blepharoplasty (eyelid surgery): everything you need to know about eyelid rejuvenation

KEIT Day Hospital has 3 operating theatres, 2 inpatient wards with 10 rooms and 20 beds, an in-house laboratory, and a postoperative resuscitation room, allowing the entire surgical process to be managed within the same facility.
The operating theatres are equipped with ventilation systems featuring HEPA filters, laminar airflow above the operating table, and positive air pressure. These technologies help control air quality and reduce the risk of contamination in the surgical environment. The facilities also include electric operating tables, Surgiris LED surgical lighting systems, Karl Storz surgical instruments, and modern equipment for monitoring patients' vital signs.
The inpatient rooms are also designed to support patient safety and care during recovery. In addition to centralised oxygen and medical suction systems, they feature three alarm systems: a bedside device, a portable wrist-worn device, and smart sensors integrated into the bed and room environment. These systems alert healthcare staff when a patient requires assistance or when a situation requiring assessment is detected.

KEIT works with an international team of approximately 30 surgeons, including 27 Italian surgeons, specialising in plastic surgery, otolaryngology, and oral and maxillofacial surgery. A distinctive feature of the clinic's organisation is that surgeons are selected according to their specialisation and experience in the specific procedure. For particularly complex operations, teams of two or more surgeons may be assembled.
For blepharoplasty, the surgeon assesses the amount and distribution of excess skin, the presence of fat bags, tissue elasticity, and the position of the eyelids in relation to surrounding structures. These factors help establish a personalised surgical plan and identify the most appropriate technique, involving the upper eyelids, lower eyelids, or both. The aim is to improve eyelid contours and the overall appearance of the eyes while preserving natural facial expression and proper eyelid function.
KEIT Day Hospital surgeons regularly attend international congresses, training courses, and conferences to update their skills and keep abreast of scientific developments and surgical techniques within their respective specialities.

At KEIT Day Hospital, preparation for blepharoplasty involves a structured medical assessment process. According to the clinic's protocol, every patient undergoes at least two consultations with the surgeon, an anaesthetic assessment, a cardiology consultation, blood and urine tests, and an electrocardiogram (ECG). These evaluations are coordinated within the facility, which has an in-house laboratory for preoperative testing.
These assessments help evaluate the patient's general health, identify potential risk factors, and determine their suitability for surgery and the planned anaesthetic technique. For blepharoplasty, the specialist assessment also considers the ability to close the eyelids fully, the position of the eyelid margins, the presence of dry eyes, and any conditions that could affect healing or functional outcomes. When necessary, additional ophthalmological examinations may be requested to assess the condition of the ocular surface in greater detail and determine the most appropriate surgical approach.
This approach allows eyelid surgery to be planned by considering not only aesthetic goals but also protection of the ocular surface, eyelid function, and the patient's individual clinical condition.

Në KEIT Day Hospital, përgatitja për blefaroplastikën përfshin një proces të strukturuar vlerësimi mjekësor. Sipas protokollit të klinikës, çdo pacient kryen të paktën dy konsulta me kirurgun, një vizitë anesteziologjike dhe një vizitë kardiologjike, analiza të gjakut dhe urinës, si dhe një elektrokardiogramë (EKG). Ekzaminimet koordinohen brenda strukturës spitalore, e cila disponon një laborator të brendshëm për analizat para operacionit.
Këto vlerësime mundësojnë shqyrtimin e gjendjes së përgjithshme shëndetësore, identifikimin e faktorëve të mundshëm të rrezikut dhe përcaktimin nëse pacienti është i përshtatshëm për ndërhyrjen kirurgjikale dhe teknikën e planifikuar të anestezisë. Në rastin e blefaroplastikës, vlerësimi specialistik merr parasysh gjithashtu aftësinë e qepallave për t'u mbyllur, pozicionin e skajit të qepallës, praninë e syrit të thatë dhe çrregullimet e mundshme që mund të ndikojnë në shërim ose në rezultatin funksional. Kur është e nevojshme, mund të kërkohen ekzaminime të mëtejshme oftalmologjike për të vlerësuar më hollësisht gjendjen e sipërfaqes së syrit dhe për të përcaktuar strategjinë kirurgjikale më të përshtatshme.
Kjo qasje mundëson planifikimin e kirurgjisë së qepallave duke marrë parasysh jo vetëm objektivat estetike, por edhe mbrojtjen e sipërfaqes së syrit, funksionimin e qepallave dhe gjendjen klinike individuale të pacientit.

At KEIT Day Hospital, surgical procedures requiring general anaesthesia are performed, according to the clinic's protocol, using TIVA (Total Intravenous Anaesthesia), a technique based on the intravenous administration of anaesthetic medications. Depending on the patient's characteristics and the anaesthetic protocol used, this technique may support recovery from anaesthesia and help reduce postoperative nausea and vomiting.
During surgery, the anaesthetic team monitors the patient's vital signs using methods appropriate to the anaesthetic technique, with General Electric equipment installed in all three operating theatres. The facility also has centralised systems for oxygen, compressed air, and medical suction, as well as difficult airway management devices, cardiac defibrillators, emergency medications, and backup power supplies for electricity and medical gases.
To manage potential emergencies, KEIT Day Hospital has a postoperative resuscitation room equipped with a ventilator, multiparameter monitors, a defibrillator, intravenous infusion pumps, and other life-support equipment. According to the clinic's reported records, this room has not yet been used to treat major complications, but it remains fully equipped and ready for use in the event of unforeseen situations.

At KEIT Day Hospital, patient care continues after the surgical procedure has been completed. Patients generally spend one night in the hospital, where they are monitored and cared for by healthcare staff. For blepharoplasty, patients may also be discharged on the same day, depending on the anaesthetic technique used, their clinical condition, and the medical team's assessment. In particular circumstances, the hospital stay may be extended according to clinical needs.
After discharge, each patient is supported by four professionals: a coordinator, a nurse responsible for wound dressings, a doctor, and the operating surgeon. Follow-up appointments are generally scheduled at 1, 3, 6, and 12 months after surgery, allowing the medical team to monitor healing, identify potential problems, and assess how the surgical result develops.
For blepharoplasty, follow-up care includes assessing incision healing, swelling, eyelid position, and the symmetry of the eyes. Proper eyelid closure, any signs of eye dryness or irritation, and scar development are also monitored to identify any changes that may require further assessment at an early stage. For international patients, care may continue after they return to their home country through communication with the medical team and follow-up appointments scheduled according to individual needs.
KEIT Day Hospital also provides patients with a 24-hour emergency contact number, available seven days a week, to request assistance if needed after surgery.

One of the defining features of KEIT Day Hospital's services is its emphasis on transparency and documentation throughout the surgical process. A complete medical record is prepared for every procedure, documenting preoperative assessments, the operation performed, the surgical techniques used, and information about postoperative recovery.
The clinic also uses photographs taken before and after surgery to monitor the development of the surgical result, in accordance with personal data protection requirements and medical confidentiality. Every patient receives a service contract, a tax invoice, and an informed consent form, which is sent before surgery so they have sufficient time to review information about the procedure, potential risks, benefits, and treatment alternatives.
KEIT Day Hospital also provides an Official Guarantee Certificate, which defines the clinic's responsibilities and the conditions under which expenses are covered in the event of complications during or after surgery, as specified in the document. The specific guarantee conditions are communicated to the patient before the operation, allowing them to understand the terms and limits of the coverage in advance.