Blepharoplasty in the upper and/or lower lid region
Unattractive changes in the upper or lower lid (bags under the eyes / drooping lid) can be corrected effectively. Sagging lid skin often produces a tired or prematurely aged appearance.
If your eyebrows are low, you may need to consider brow lifting or temple lifting.
What results can be achieved?
Following this surgery, you can expect your eyes to appear larger and to look refreshed and alert. After the surgery, it will also be easier to apply make-up to the lids again.
Forms of anaesthesia
I generally perform this procedure on an outpatient basis under local anaesthetic and analgo-sedation ("twilight sleep"). In special cases and on request, the surgery can be performed under general anaesthetic. Patients can go home a few hours after the surgery.
How should I prepare for the operation?
Eyelid correction: blood-thinning medications such as e.g aspirin should not be taken for 14 days before the surgery - consult the doctor treating you. Alcoholic drinks should not be consumed for approx. one week before the surgery and for several days afterwards.
The use of eye/skin care creams also improves elasticity. Eye disorders must be ruled out or treated before the surgery. The operating surgeon should be informed about patients' eye disorders.
What happens during the operation?
Before the operation, the excess skin on the upper lid is identified and marked. It is removed with a scalpel under local anaesthetic. Excess muscle is also removed if required and the excess of fat in the inner corner of the eye and below the eyebrow is cut out. After carefully stopping bleeding using very fine electric forceps, the wound is sutured intracutaneously (below the skin surface) with a very thin thread. The incision on the lower lid lies on the lash line, and the skin is separated with a scalpel or with a radiofrequency needle. The skin and the muscle are trimmed and the wound is closed again with an extremely fine thread, after bleeding has stopped. Where there is pronounced fat swelling (fat hyperplasia), a skin incision is sometimes not required. Access is gained transconjunctivally via the inside of the lower lid, from where the fat is then located and carefully removed.
What risks do I need to be aware of?
In patients with elevated blood pressure or those taking anticoagulant medication, haematomas (bluish discolouration in the cheek region) are likely to last somewhat longer. In the (very rare) event of post-operative bleeding, the area operated on will need to be re-examined and obliterated. The shrinkage of the internal scars occasionally causes downward distortion of the lower lid. Massage with ointment helps to relax the tissue and thus to correct this spontaneously. In exceptional cases, a re-correction operation may be required.
What follow-up treatment is required?
The lids can be cooled dry using cooling gel pads or wet using cold saline solution or cold teabags. You are advised not to exert yourself physically for two to three days. Applying ointments to the fresh scar speeds up scar-free healing.