Blepharoplasty in Brazil: Importance of Preoperative Ultrasound and Common Postoperative Symptoms

Blepharoplasty, also known as eyelid surgery, is currently the second most performed facial plastic surgery in Brazil. Brazil is recognized as one of the leading countries in plastic surgery worldwide, according to 2025 statistics from the International Society of Plastic Surgery (ISAPS). This reflects not only the high demand for aesthetic procedures but also the advanced level of surgical expertise in the country.

Despite being a highly effective and commonly performed procedure, blepharoplasty requires careful planning and thorough evaluation to ensure safety, natural results, and a smooth recovery.

Why Blepharoplasty Is So Popular

Blepharoplasty is widely sought because it:

  • Rejuvenates the eye area
  • Improves facial expression
  • Reduces excess skin and fat
  • Can enhance both aesthetic appearance and visual comfort

Although it is considered a relatively straightforward surgery, blepharoplasty is a delicate procedure that involves complex anatomical structures. For this reason, proper preoperative assessment is essential.

The Importance of Preoperative Dermatologic Ultrasound

One of the most important steps before undergoing blepharoplasty is performing a dermatologic ultrasound of the periocular region. This exam allows the surgeon to accurately map the tissues and identify potential risk factors that are not visible during a physical examination.

Dermatologic ultrasound is used to:

  • Detect the presence of previous injectable fillers
  • Identify temporary or permanent fillers
  • Evaluate filler location in the eyelids, malar region, and zygomatic area
  • Assess tissue symmetry and depth

Many patients have undergone injectable treatments in the past and may not remember exactly which product was used or where it was placed. Injectables in the eyelid or surrounding areas can significantly impact surgical planning and increase the risk of complications if not properly identified.

Why Mapping Injectables Is Essential Before Surgery

The presence of fillers—especially permanent or deeply placed products—can:

  • Increase swelling
  • Prolong the postoperative recovery period
  • Affect surgical symmetry
  • Increase the risk of complications

By identifying these substances beforehand, the surgeon can adapt the surgical approach, reduce trauma, and improve overall safety and outcomes.

Common Postoperative Symptoms After Blepharoplasty

After blepharoplasty, patients may experience some common and expected symptoms during the recovery period. These symptoms are usually temporary and improve with proper care.

Dry Eyes After Blepharoplasty

One of the most frequent postoperative complaints is dry eye symptoms. Many patients report:

  • A gritty or sandy sensation in the eyes
  • Burning or irritation
  • Redness
  • Temporary blurred vision

These symptoms occur due to temporary changes in eyelid mechanics and tear distribution after surgery.

Management of Dry Eye Symptoms

The use of artificial tears and lubricating eye drops is essential after blepharoplasty. In most cases:

  • Symptoms improve within the first two weeks
  • Lubricating drops are recommended regularly during recovery

For some patients, especially those with preexisting dry eye conditions, the use of eye drops may be mandatory for at least six months to maintain ocular comfort and prevent complications.

Following postoperative instructions carefully is crucial for a smooth recovery and optimal results.

Postoperative Care and Recovery

Proper postoperative care helps:

  • Reduce swelling
  • Shorten recovery time
  • Improve comfort
  • Protect eye health

Patients should maintain regular follow-up appointments and report any persistent or worsening symptoms to their surgeon.

Final Considerations

Although blepharoplasty is one of the most commonly performed facial surgeries in Brazil, it should never be underestimated. A successful outcome depends on:

  • Proper preoperative evaluation
  • Use of dermatologic ultrasound
  • Careful surgical planning
  • Adequate postoperative eye care

When performed by an experienced surgeon with modern diagnostic tools, blepharoplasty offers safe, natural, and long-lasting rejuvenation of the eye area.