Due to the age-related breakdown of the frontal skull bone, the skin/soft tissue is no longer lined and sags downwards like a curtain. This is how drooping eyelids develop. Genetic factors can also play a role. In addition, the forehead and eyelid muscles can slacken, which promotes the development of surplus skin/soft tissue. In addition, a protrusion of the fatty tissue surrounding the eyeball can exacerbate the finding. During upper eyelid correction (blepharoplasty), surplus skin and, if necessary, fat and/or muscle tissue on the upper eyelid are removed. The incision and the resulting scar are positioned in the existing upper eyelid crease.
In principle, both eyes are operated on in parallel. In this way, existing asymmetries can be balanced out.
Before a blepharoplasty, the existing surplus skin in the upper eyelid area is first precisely determined and marked in a sitting position.
The procedure is done under local anaesthesia. This can be supplemented by a “twilight sleep”.
During the plastic surgery to perform an upper lid lift, the existing surplus skin and, if necessary, the surplus fat at the inner corner of the eye, are removed. The scar is positioned in the crease of the eyelid so that it is almost invisible later.
BRIEF INFORMATION ON UPPER EYELID CORRECTION
|Approx. 30 minutes
|Local anaesthesia + twilight sleep (if desired)
|after 7-14 days
|after 6 weeks
As with all operations, blood-thinning medication should not be taken before eyelid surgery. Even the use of apparently harmless preparations – such as arnica and Wobenzym – can increase the tendency to bleed. It is prudent to perform lymphatic drainage before and after surgical interventions in the head area. After the operation, Arnica, for example, can be taken to speed up the reduction in swelling. Cooling with compresses soaked in a saline solution at room temperature also helps.
Depending on the individual wound healing process, swelling and bruising will vary in severity. Especially in younger patients, the consequences of the operation can sometimes barely be visible after two to three days. It is advisable not to schedule any important appointments for about 10 days after the procedure, as swelling and haematoma may still be visible for this period.
Especially with upper eyelid surgery, the scars are almost invisible because they are located in the crease of the upper eyelid.