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d\"une amande, en ajustant le positionnement des paupières et en améliorant l\"harmonie et la symétrie du visage."}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":5,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Le Dr Ergin Er est un chirurgien plasticien, reconstructeur et esthétique qui a réalisé plus de 10 000 interventions esthétiques. Il a reçu de nombreuses distinctions lors des congrès nationaux turcs de chirurgie plastique et a suivi une formation spécialisée au Baylor College of Medicine de Houston, au Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Chirurgie plastique","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work after primary upper-lid surgery alone, depending on bruising, swelling and visual comfort. Visible bruising may persist after return."},"complication_rate_pct":{"min":0.5,"max":3,"unit":"percent","qualifier":"Clinically significant treated complications within about 3 months of primary upper-lid surgery, e.g. hematoma, infection, lid-closure problems. Expected bruising excluded."},"contraindications":["Uncontrolled hypertension or bleeding disorders","Active eye infection or inflammation","Severe dry eye syndrome","Unstable thyroid eye disease","Uncontrolled systemic disease such as poorly controlled diabetes","Body dysmorphic disorder","Pregnancy","Smoking (relative; increases healing complications)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Primary bilateral upper-lid surgery under local anesthesia has same-day discharge after observation; zero overnight stays are planned."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity such as walking earlier; strenuous exercise and heavy lifting usually after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and scars mature; subtle changes may continue longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Counted from surgery, short flights only, after a check confirming stable healing. Sutures removed beforehand; long-haul needs clot-prevention planning."},"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":1,"max":3,"unit":"days","qualifier":"After surgery; an early planned wound check only when included in the treating clinic protocol."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":7,"unit":"days","qualifier":"After surgery, only if non-absorbable external sutures are used; arrange removal before travel as specified in the flight criteria."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"After surgery; planned review of upper-lid healing and position."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery; planned review of mature upper-lid appearance."}}],"indications":["Excess upper eyelid skin causing a heavy, tired look","Upper eyelid skin overhanging lashes and partly blocking vision","Upper eyelid fat pad prolapse causing puffiness","Dermatochalasis with reduced upper visual field"],"main_risks":["Bruising, swelling and temporary eye irritation","Asymmetry or visible scarring","Bleeding or hematoma, including rare retrobulbar hematoma threatening vision","Infection","Incomplete eyelid closure (lagophthalmos)","Dry eye symptoms","Rare vision loss","Need for revision","Temporary blurred or double vision","Temporary or persistent numbness of the eyelid"],"pain":"Mild to moderate discomfort, tightness or pulling for the first few days is usually managed with prescribed simple analgesics and cold compresses. Local anesthesia controls operative pain; pressure or movement may still be felt.","preparation":["Consultation with medical history and eye assessment","Photographs and surgical planning","Review medications, blood thinners and supplements with your doctors","Stop smoking before and after surgery","Arrange transport home and help for the first days","Avoid makeup and contact lenses on the day of surgery"],"recovery_timeline":[{"phase":"Day of surgery (0 nights)","description":"Local anesthesia, short observation, then same-day discharge with an accompanying adult. Gentle walking at home from day one.","restrictions":["Rest with head elevated","Cold compresses","No driving until cleared","No contact lenses or makeup"]},{"phase":"Days 1-3","description":"Swelling, bruising and tightness peak. Use lubricating drops and take short walks. Some clinics do an early wound check.","restrictions":["No bending or heavy lifting","Avoid rubbing the eyes"]},{"phase":"Days 5-7","description":"Non-absorbable sutures, if used, are removed. Swelling and bruising begin to subside.","restrictions":["Avoid strenuous activity","Avoid rubbing the eyes"]},{"phase":"Days 7-14","description":"Desk work and daily routine usually resume. Bruising may linger. Short flights possible if flight criteria are met.","restrictions":["Avoid strenuous exercise","Protect from sun and wind"]},{"phase":"Weeks 2-4","description":"Most bruising fades. Activity increases gradually; exercise and lifting resume after surgeon clearance. Lid-position review at about 4-6 weeks.","restrictions":["Avoid heavy exercise and lifting until cleared","Protect scars from sun"]},{"phase":"Months 3-6","description":"Residual swelling resolves and scars mature. Final result review at about 3-6 months.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for severe eye pain, vision change, double vision, tense swelling, heavy bleeding, fever, pus, chest pain or calf swelling.","restrictions":["Do not wait for a scheduled visit"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; residual swelling and bruising may persist longer."},"result_longevity":"Upper-lid results typically last 5-10 years or longer; natural aging continues.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Unplanned corrective surgery within about 1-2 years, e.g. residual excess skin, asymmetry or lid-position issues. Planned stages excluded."},"scars":"The upper-lid incision lies in the natural eyelid crease and usually fades to a fine, barely visible line over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session for standard blepharoplasty."},"stages":[{"code":"surgery","label":"Blepharoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"One operative session; follow-up checks are listed separately."},"success":{"metric":"Patient-reported satisfaction with upper-eyelid appearance","value":85,"unit":"percent","horizon":"6-12 months after surgery","population":"Adults after primary bilateral upper-lid blepharoplasty alone for dermatochalasis","evidence_status":"limited"},"techniques":[{"name":"Upper-lid blepharoplasty alone (skin ± muscle and fat removal) under local anesthesia, outpatient","suits_whom":"Adults with excess upper-lid skin or fat pads.","recovery":"Swelling and bruising for about 1-2 weeks; sutures, if non-absorbable, removed at about 5-7 days."},{"name":"Lower-lid blepharoplasty, transcutaneous","suits_whom":"Patients with lower-lid skin excess and fat bags.","recovery":"Bruising and swelling about 2 weeks; higher risk of lid malposition."},{"name":"Lower-lid blepharoplasty, transconjunctival","suits_whom":"Younger patients with fat bags and good skin tone.","recovery":"No external skin scar; swelling and bruising about 1-2 weeks."},{"name":"Laser or CO2-assisted blepharoplasty or resurfacing","suits_whom":"Selected patients wanting reduced bleeding or concurrent skin resurfacing.","recovery":"Similar to conventional, with possible added redness from resurfacing."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operating time for bilateral upper-lid surgery alone; lower-lid and combined procedures take longer."},"initial_assessment_documents":["Front photos of face with eyes open","Side and oblique photos of eyelids","Photo with eyes looking up","List of blood thinners","Dry eye or eye disease history","Recent eye exam report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay about 7-10 days until suture removal and stable-healing check. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has significant experience in eyelid surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/facial-surgery/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"When considering blepharoplasty or eyebrow surgery, choose a surgeon with significant experience in eyelid surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask the surgeon about their credentials, training and how many procedures they have performed","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/facial-surgery/blepharoplasty-eyelid-surgery","host":"my.clevelandclinic.org","quote":"Make sure to ask your cosmetic surgeon about their credentials, training and how many procedures they’ve performed.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Confirm the surgeon you consult is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check the surgical team has received and reviewed your full medical record","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure the surgical team has received your full medical record and reviewed it","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Reluctance to share experience, skills or any conflict of interest","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"They should be open about their experience, skills, fees, and any conflict of interest.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain after eyelid surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery/eyelid-surgery/","host":"nhs.uk","quote":"You should contact the clinic where the operation was done as soon as possible if you have severe pain or any unexpected symptoms.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Discharge or pus coming from your eyes","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8409-eyelid-surgery-blepharoplasty","host":"my.clevelandclinic.org","quote":"Discharge or pus coming from your eyes","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding in the eye socket","urgency":"emergency","general":false,"source":{"url":"https://www.healthline.com/health/upper-blepharoplasty","host":"healthline.com","quote":"Bleeding in the eye socket is a rare side effect that requires immediate medical attention.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Loss of vision or double vision","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Upper_Eyelid_Blepharoplasty","host":"eyewiki.aao.org","quote":"Call if experiencing loss of vision, double vision, bleeding, severe swelling or pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Your home doctor needs it to continue your care after surgery","document":"discharge summary letter","source":{"url":"https://www.worcsacute.nhs.uk/leaflets/discharge-advice-following-your-surgery/","host":"worcsacute.nhs.uk","quote":"You will be given a copy of your discharge summary letter which is sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Your home doctor needs to know when the planned follow-up is due","document":"follow-up appointment details","source":{"url":"https://www.newcastle-hospitals.nhs.uk/?p=28730","host":"newcastle-hospitals.nhs.uk","quote":"Your follow up appointment and any postoperative medication will be given before you leave the ward.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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muscle","name":"Ptosis surgery","source":{"url":"https://www.aao.org/eye-health/tips-prevention/five-things-to-know-about-droopy-eyelids","host":"aao.org","quote":"An ophthalmologist can repair ptosis, surgically improving the function of the upper eyelid and helping to lift it up.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null},{"id":"A2","text":"Your eyebrows have dropped and are causing upper-lid hooding","name":"Brow lift","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/forehead-and-brow-lift/","host":"leedsth.nhs.uk","quote":"Lifting the brow will also help to reduce the amount of skin that 'hoods' over the upper eyelids, by stretching it upwards.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":498}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"upper-lid-blepharoplasty","name":"Upper-lid blepharoplasty alone (skin ± muscle and fat removal) under local anesthesia, outpatient","how_it_works":{"text":"Skin is cut away, sometimes together with eyelid muscle","source":{"url":"https://eyewiki.aao.org/Upper_Eyelid_Blepharoplasty","host":"eyewiki.aao.org","quote":"Skin with or without orbicularis muscle is excised","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":10,"max":10,"unit":"days","label":"10 days","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"You should feel well enough to resume normal activities around the tenth day of recovery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}},{"id":"lower-lid-blepharoplasty-transcutaneous","name":"Lower-lid blepharoplasty, transcutaneous","how_it_works":{"text":"A conservative amount of skin is removed from the lower 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