Blepharoplasty in Agadir: Rejuvenate Your Eyes Without Visible Scars

Blepharoplasty (eyelid surgery) corrects excess skin on the upper eyelids, under-eye fat pads, and the tired appearance caused by skin laxity that resists every cosmetic treatment. Performed by Dr. Nahed Fathi Ahmed, a plastic surgeon in Agadir trained at CHU Avicenne de Rabat (37 five-star Google reviews), this procedure places incisions within the natural eyelid creases, making scars virtually invisible once fully healed.

According to ISAPS (International Society of Aesthetic Plastic Surgery), blepharoplasty consistently ranks among the five most requested facial procedures worldwide — and for a simple reason: the eyes are the first area of the face we notice, and often the first to betray the passage of time.

When your eyes no longer reflect how you feel

One of my recent patients is a 52-year-old woman, an executive at an international company. Her upper eyelids had gradually become so heavy that colleagues regularly asked whether she was tired — even though she was sleeping perfectly well. This daily frustration led her to seek a consultation.

After an upper blepharoplasty performed under local anaesthesia with sedation, she returned to work within 8 days. Three months later, she described the result: 'I finally recognise myself in the mirror — my eyes reflect the energy I actually have.'

Upper lids, lower lids, or both: which procedure suits you?

Blepharoplasty is not a single procedure. There are three main forms, and the choice depends on each patient's anatomy and the goals defined during the consultation.

Upper blepharoplasty targets the excess skin that weighs on the lash line, creates a drooping eyelid effect, and in pronounced cases can even reduce the visual field. The incision is traced within the natural palpebral fold — the line the eyelid naturally forms when the eye opens. Once fully healed, the surgical mark blends into this fold and becomes indiscernible.

Lower blepharoplasty treats the under-eye fat pads (orbital fat hernias) and the hollow dark circle known as the 'tear trough'. Two techniques coexist: the transcutaneous approach (incision just below the lower lash line, invisible within weeks) and the transconjunctival approach (no visible skin incision, reserved for fat pads without excess skin).

The combined upper and lower approach is the most common. It harmonises the entire eye area in a single anaesthesia session and a single recovery period. It is often combined with fat grafting to the under-eye hollows to restore volume lost with age.

Dr. Fathi's technique: discretion and millimetre precision

Scar management is at the heart of Dr. Fathi's approach. The periorbital region is one of the areas of the body where skin is thinnest (less than 1 mm on the upper eyelid) — which is both a challenge and an advantage: a well-placed incision heals with remarkable fineness.

For the upper eyelid, the incision line is planned with the patient standing, eyes open, to respect the dynamic symmetry of the gaze. Skin excision is precisely calculated to avoid excessive pleating.

For the lower eyelid, Dr. Fathi systematically favours orbital fat repositioning rather than simple removal. This technique naturally fills the nasolabial groove and tear trough, without creating the hollow-eyed look that sometimes characterises older blepharoplasty results.

The procedure lasts between 45 minutes (upper eyelids only) and 2 hours (combined approach), under local anaesthesia with light sedation or general anaesthesia.

Who can benefit from blepharoplasty?

Blepharoplasty is suited to a specific profile of candidates. Biological age matters less than the condition of the eyelids, but demand typically begins from around age 35. Ideal candidates present:

• Excess skin on the upper eyelids creating a drooping eyelid effect
• Under-eye fat pads of genetic origin, present since youth
• A tired, sad, or stern gaze despite adequate sleep
• Pronounced hollow dark circles resistant to cosmetic treatments
• Mild functional impairment caused by excess skin reducing the visual field

For mild cases — early skin laxity, periorbital fine lines without significant excess skin — Dr. Fathi also offers Endolift, a minimally invasive laser technique with no incision that tightens tissues through collagen stimulation. Endolift can serve as an alternative to surgical blepharoplasty for patients who prefer a non-invasive option, or as an ideal complement post-operatively to optimise the quality of periorbital skin. Learn more about Endolift.

Contraindications: severe dry eye syndrome, uncontrolled glaucoma, uncontrolled hypertension, active thyroid disease, active smoking.

Recovery and results: the real timeline

Days 1 to 3 — Periorbital swelling and bruising at their peak. Cold compresses and a semi-reclined position limit the swelling. Pain is mild to moderate.

Days 4 to 10 — Bruising begins to resolve. Most patients can cover residual marks with light makeup by day 7–8. Sedentary work is resumed.

Weeks 3 to 6 — Scars fade rapidly. The eyes already appear significantly more open, rested, and rejuvenated.

Months 3 to 6 — Definitive result. Scars are invisible under normal lighting conditions.

The price range for blepharoplasty in Agadir typically falls between 15,000 and 30,000 MAD (approx. €1,500–€3,000) depending on the approach (upper only, lower only, or combined) and any complementary procedures.

Frequently Asked Questions

Is blepharoplasty painful?

Blepharoplasty is a procedure with minimal pain. Performed under local anaesthesia with sedation (or general anaesthesia for the combined approach), recovery is characterised more by a sensation of tightness and swelling than by sharp pain. Simple analgesics (paracetamol) are sufficient in the vast majority of cases. Cold compresses applied during the first few days effectively reduce discomfort.

At what age can you have blepharoplasty?

There is no strict minimum age. The procedure is most commonly sought by patients from age 35–40 for upper eyelids (age-related excess skin), but genetically inherited under-eye fat pads can justify surgery as early as 25–30. The assessment is made on a case-by-case basis during the consultation, taking into account skin elasticity and tissue condition.

Can blepharoplasty be combined with a facelift?

Yes, and it is a very common combination. Blepharoplasty pairs particularly well with a cervicofacial lift (notably the Deep Plane Facelift performed by Dr. Fathi) for harmonious rejuvenation of the entire face. Fat grafting can also be added to restore lost volume. The advantage: a single anaesthesia, a single recovery period, and a cohesive overall result.

Are the results permanent?

Blepharoplasty delivers long-lasting results of 10 to 15 years for the upper eyelids. The lower eyelids retain their benefit even longer, as fat redistribution is stable over time. Natural ageing continues, of course, but from a rejuvenated starting point. A touch-up is rarely needed, and never before at least ten years.

Dr. Fathi's Expert Opinion

Blepharoplasty is the procedure I am particularly passionate about, because it transforms the gaze — and by extension, the entire expression of the face — without altering features or erasing the patient's identity. The key to a beautiful result is not removing the maximum amount of skin and fat: it is redistributing, preserving, maintaining volume where it is lacking, and eliminating only what truly weighs down the gaze.

In summary

• Three forms: upper, lower, or combined — chosen based on anatomy
• Technique centred on orbital fat redistribution for a natural result
• Bruising resolved within 7 to 10 days, definitive result at 3–6 months
• Price range: between 15,000 and 30,000 MAD (approx. €1,500–€3,000)
• Indicated from age 35, including for genetically inherited under-eye bags
• Non-surgical alternative available: Endolift for mild cases

Contact the office of Dr. Nahed Fathi Ahmed in Agadir by phone, WhatsApp (+212 666 43 43 34), or via the online quote request form.

Medical disclaimer: The information provided on this page is for informational and educational purposes only. It does not replace a personalised medical consultation with Dr. Nahed Fathi Ahmed. Every patient is unique and results may vary. Only an individual consultation can assess your situation and define an appropriate treatment plan. In accordance with the regulations of the National Council of the Order of Physicians (CNOM), no results can be guaranteed.