Blepharoplasty in Barcelona

What is Blepharoplasty?

Blepharoplasty is a surgical procedure that corrects the bags that can appear on the eyelids; these bags may result from muscle relaxation, and as the years go by, the skin loses its elasticity, which causes them. It is a procedure to rejuvenate the eyes.

This procedure is performed by Dr. Birbe, a maxillofacial surgeon and medical director of Clínica BIRBE. The surgery is performed under local anesthesia, but we recommend intravenous sedation to help the patient relax and feel more at ease.

Women and men aged 40 and older who have excess skin or fat on their eyelids but retain good facial structure. They tend to be active people, which is why it bothers them immensely to wake up in the morning looking tired—a look that in no way reflects their cheerful disposition.

Types of Blepharoplasty

Lower Blepharoplasty
The surgery is usually performed via a transconjunctival approach, which means an incision of approximately one centimeter is made on the inside of the eyelid—without cutting the skin—to gain direct access to the fat pockets. Next, the three compartments are identified, and the bags are dried one by one, in the appropriate amount. Once these accumulations have been removed, the procedure is completed by placing a small stitch in the conjunctiva or leaving it unsutured, depending on the surgeon’s preference, since it is an area that heals very easily. Another technique is the transposition of fat pads. In other words, we apply them to the under-eye area, blending the line between the eyelid and the cheek to smooth out the crease that defines the dark circles.

Upper Blepharoplasty
The excess skin is marked on the skin, and incisions are made along the edge of the natural crease of the upper eyelid, where the scar will be hidden. Next, the excess skin is removed, along with a thin strip of orbicularis muscle, in order to locate the fat pockets and excise the necessary amount. The skin is carefully closed by placing a few small internal stitches that will maintain tension. Finally, thin strips are applied to protect the scar until the stitches are removed, usually between four and seven days after the procedure.

Surgical Steps

During the first visit, we conduct a thorough evaluation of your vision and your overall health. In addition, their daily habits are also analyzed (whether they wear glasses or contact lenses, whether they smoke, whether they take any medication, possible allergies, etc.), as these are factors that influence the results of the study. Dr. Birbe will also provide you with guidelines to follow in the weeks leading up to the surgery regarding diet and lifestyle habits.


The surgery is performed in an operating room under local anesthesia or local anesthesia combined with sedation, depending on the individual patient. A blepharoplasty procedure typically lasts about 1 hour and 30 minutes for both the upper and lower eyelids, and half an hour for the upper eyelids alone.


Typically, after eyelid surgery, 90% of patients return to normal within a week. Recovery depends on various factors related to the eyelids, as they heal at different rates.

Frequently Asked Questions About Blepharoplasty

Blepharoplasty removes excess skin and bags from the upper and lower eyelids, restoring a rested and youthful appearance to the eyes. It can also improve vision when excess skin on the upper eyelid limits the field of vision. At Clínica Birbe in Barcelona, we recommend it when it provides a real improvement while respecting the patient’s natural appearance.

It is a moderately complex outpatient procedure performed under local anesthesia and sedation in most cases. The scars are hidden in the crease of the upper eyelid and beneath the eyelashes on the lower eyelid, and are practically imperceptible within a few weeks. The surgery takes 1–2 hours, and recovery is quick.

Bruising and swelling are at their worst during the first 5–7 days and improve significantly by 10–14 days. Most patients return to work within 2 weeks. Makeup is usually added after 3 weeks. We recommend avoiding strenuous physical activity and direct sun exposure during the first month.

The results are very long-lasting: according to the medical literature, upper blepharoplasty has an average duration of 8–10 years, and lower blepharoplasty, 10–15 years. The skin will continue to age naturally, but the structural improvement will remain. It is one of the procedures in facial surgery that yields the highest long-term satisfaction.

Dr. Joan Birbe: Blepharoplasty According to the ABOMS Standard

The area around the eyes is one of the most delicate areas of the face: any excess can be noticeable for years. Dr. Birbe plans each blepharoplasty based on his maxillofacial training and ABOMS certification, assessing the position of the eyelid, herniated fat, and skin quality. The chosen technique—superior, inferior, or combined—is tailored to the patient’s actual anatomy, not to a standard formula.

Why Choose Clínica Birbe for Eyelid Surgery?

A well-performed done well can rejuvenate your appearance without making the surgery noticeable. At Clínica Birbe, we prioritize natural and long-lasting results.
• Preliminary photographic assessment and individualized treatment plan for the upper eyelid, lower eyelid, or both.
• A minimally invasive technique with discreet incisions that blend into natural skin folds.
• Local anesthesia with conscious sedation for greater comfort.
• Outpatient recovery and frequent follow-up visits during the first few weeks.
• Coordination with complementary aesthetic medicine if the eye area requires additional treatment.


→ Book your consultation at Clínica Birbe and design your personalized blepharoplasty in Barcelona.

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