Eyelid Surgery:
Open your eyes! Awaken your gaze!

Elimination of excess skin on the upper or lower lid

The eyes are considered mirrors of the soul. It is a pity if they look tired and old due to skin excess or look sad because of tear sacs. Many patients report that their mothers and fathers also suffered from tear sacs. A lot of stress, little sleep and especially nicotine and alcohol reinforce this negative expression. If there is a lot of excess skin on the upper lid, there may also be a feeling of pressure on the upper eyelids, limitations on the field of vision or even headaches. In this case, patients opt for an eyelid surgery on the upper lid.

Upper eyelid tightening: healed after two weeks

Upper eyelid tightening is optionally performed under local anaesthesia, twilight sleep or general anaesthesia. We remove a skin spindle and part of the subcutaneous fat tissue. Thereafter you should cool the treated areas and refrain from heavy physical work, sauna, solarium and sports. About a week later we remove the threads. Two weeks later, most of the treatment’s traces have vanished. Even larger scars that protrude a little beyond the eyelid are barely visible. Upper eyelid tightening is uncomplicated in the healing process and as good as painless for you.

Under-tightening: a demanding treatment

The lower eyelid tightening under local anaesthesia or general anaesthesia is a complex and filigree procedure with great effect. With a cut just below the eyelashes, we remove some of the fat and excess skin and anchor the lower eyelid again. As with the upper eyelid tightening, it is important to have a good cooling of the stressed areas during the healing process. A hematoma cannot be avoided, but it fades after a few days. If there is additional irritation of the conjunctiva, eye drops can help. As a rule, a lower lid lift heals a little more slowly than an upper lid lift. All in all, you are nonetheless completely “presentable” about two weeks after the operation and are rejuvenated by years without the old tear sacs.

If you want a tightening of upper and lower eyelid, we recommend performing both treatments in the same operation. Healing takes a little longer, but overall a combination is more efficient.

Injection into the lower eyelids instead of surgery

In some cases, surgery can be avoided. Instead, we inject hyaluronic acid or autologous fat under the tear trough. Depending on whether there is a significant excess of skin or a deep tear trough, surgery or an injection is applicable.

The right time for an eyelid correction

Only the patients know the right time for the procedure. Everything revolves around the subjective attitude to one’s own appearance. If the patient is missing something, or if they think they have to correct a bit here and there, then it’s all about physical health. Nobody has to worry about major complications. Especially in the tightening of the upper eyelid the visible success outweighs minor after-effects, as they occur after any operation. Only the lower eyelid correction is a bit challenging. Here the proximity to eyes and nose are to be considered.

What results can be achieved by eyelid tightening?

Without wrinkles, except when smiling – that’s how the result can be summarized. Nevertheless, some concessions have to be made: The possibly slightly darker and very thin skin of the lower eyelids can hardly be changed. There, a small line is preserved. However, it is based on the natural folds of the lid. With the upper eyelids, a smooth and clearly more open effect is possible. Patients can the extend of the tightening with their surgeon in advance.

Preparing for an eyelid correction

No alcohol, no pain killers, no sleeping pills – at least two weeks before surgery. In addition, a current assessment of your ophthalmologist should be available. A supply of dressings and cooling elements should be in stock at home. If necessary, a migraine mask can alleviate the pain. Patients should be well-rested and without any make-up for their surgery appointment. Sunglasses provide the necessary protection against too much light and unpleasant glances after the procedure.

What should be considered after eyelid surgery?

Usually bruising and swelling occurs. Only two days after the procedure, the swelling decreases, the bruising takes up to two weeks to completely heal. The suture itself is barely visible after just eight days. It is hidden in the eyelids of the open eyes. Only if a cut above the eye socket is necessary can it come to a reddening that lasts for a few more weeks. The swelling causes a narrowing of the lid fissure, but this completely disappears. Rest is the most important thing after the procedure. The eyes should be kept moist and should be cooled, preferably with towels or ice bags. Protecting the eyes also means not treating them with creams or ointments, including make-up. The only thing that hides the swelling and bruising without compromising healing is sunglasses.

Possible risks and complications after eye lifting

In rare cases, the following symptoms have been observed so far: bleeding about one to two days after the procedure, increased bruising on the lower eyelid as well as increased tearing of the eyes. All of these features occurred either in the second surgery on the eye or in older patients.

If these after-effects occur and do not disappear by themselves within a month and a half, we need to talk about another correction. The same applies to severely irritated or reddened eyes. For such symptoms, an ophthalmologist should be consulted. In specialist literature, some experts even speak of impaired vision. However, the cause often lies in an arteriosclerosis of the eye vessels. An additional preliminary examination may exclude this extremely rare risk, which for the sake of completeness is mentioned here.

zuletzt aktualisiert am 12.08.2022