Blepharoplasty of the upper lid is one of the most frequent functional and cosmetic facial surgeries. The reasons for performing this surgery include:
Congenital factors and ageing can lead to excess skin of the upper lids, which can even hang over the lash line. In addition, deep tissue also becomes weaker, and the pads of fat protectively surrounding the eyes protrude becoming sack-like. Both phenomena lead to a tired and sagging facial expression, and can lead to pressure on the eyes
Droopy skin of the eyelids restricting the visual field, in particular when looking sideways
Blepharoplasty of the upper lid is mostly commonly performed under local anesthesia in combination with sedation, or under general anesthesia. This relatively minor intervention may improve field of vision restricted by the eyelid, and rejuvenate ones appearance.
Firstly, the excessive skin is measured and the dissection lines are marked, then varying quantities of skin, soft tissue, muscle and/or fat are removed. The aim is to attain a fresh and youthful appearance of the eyelids, and improve any restriction of the visual field.
I use a electric very fine surgical needle for the lid surgery, resulting in less bleeding and post-operative haematoma. Sutures are removed 7-10 days after the operation. Very occasionally, a small haematoma may occur.
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Prominent lower lids are caused by either excessive skin of the lower lid or protrusion of the fat tissue of the eye socket, often due to age-induced weakening of the tissue, or a combination of both. The surgical intervention has to be adapted to the individual. In cases of combined excess skin and fat prolapse, the blepharoplasty of the lower lid is performed via an incision just below the lashes. In cases with solely fat prolapse, the incision is made on the inside of the eyelid. During surgery, the structures of the soft tissue are strengthened, regardless of the access path, and the lower lid is tightened by a suture at the outer corner of the eye. The surgery is aimed at rejuvenating the eye area and eliminating the impression of tiredness.
Post-operative cooling considerably reduces the possible formation of haematoma. The sutures are removed seven days after surgery. For the surgery with an incision at the inside of the lower lid, absorbable sutures are used requiring no removal.