Eyelid Surgery

At the upper lid, the excess skin brought about by an age-related loss of elasticity will cause a skin fold to overhang against the lashes (drooping eyelids), and often also restrict the field of vision from the top and side, while the combination of surplus skin and protruding fat tissue in the eye socket at the lower lid will lead to so-called bags under the eyes. Besides an exhausted or sad gaze, this can also lead to functional defects, with the eyes growing tired when reading or working at a monitor because of incessant attempts to compensate by actively raising the eyebrows.

As the scars left behind by the operation will usually be very small and concealed in the natural creases of the lid, eyelid surgery is generally performed as an outpatient procedure under local anaesthesia, and one of the most common cosmetic operations.

A limited surgical effort can serve to achieve a very notable and convincing effect. The eyes come into their own again openly and radiantly, radiating positive charisma and a zest for life.

Upper lid surgery: Surgery of both upper eyelids can be performed as an outpatient procedure under local anaesthesia. Excess skin, muscle or also fat tissue is removed by way of a portal so that the resulting scar will be placed exactly in the natural crease of the upper lid, which is defined again at the right place. The wounds are closed with very fine sutures that need to be left in place, along with adhesive tape bandages, for 8 days in which exposure to water must be avoided.

Lower lid surgery: The lower lid can usually also be lifted in an outpatient procedure with a local anaesthetic. If a general anaesthetic is preferred, staying in the hospital overnight is meaningful. The incision will in this case be placed just underneath the lower eyelashes, so that the hardly visible scar will also be concealed by them.

Lower lid surgery is not so much focussed on skin removal as rather on lifting and tightening the lower lid, in order to counteract gravity at the same time. If "circles under the eyes" are to be eliminated, fat tissue from the eye socket is often used to fill these depressions. This way the excess of the bags under the eyes can be used to compensate for the lack of substance in the circles. The fine sutures and adhesive tape bandage will also need to remain in place, and exposure to water avoided, for 8 days after surgery of the lower lid. The swelling around the lower lids will as a rule persist a little longer after the operation than with the upper eyelids. Presentability can nonetheless be expected to be restored again after ca. 2 weeks.