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    Eyelid Correction

    The eyes are the gateway to the soul. Many characteristics can be read from the eyes of the person opposite. It is not for nothing that one speaks of love at first sight. Women of all cultures have been using make-up for thousands of years to emphasize the radiance of the eyes. Genetic and external influences can falsify the impression our eyes give. Unfortunately, certain changes in the eyelids persist even after a restful night or a relaxing wellness holiday.

    How can you prepare for the procedure?

    • All your questions about possible complications and alternative treatments should be answered before the operation.
    • Keep nicotine and alcohol consumption to a minimum.
    • Blood-thinning medications (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your attending physician.
    • If necessary, take hormone-containing medication (the pill) temporarily.
    • Vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John’s wort preparations, etc.) must be discontinued at least four weeks before the operation.
    • Have cooling pads or cooling goggles ready at home to cool the skin after the operation.
    • You will be sensitive to the sun for the first time. You should therefore bring dark sunglasses with you to the operation. They will of course also hide the unavoidable postoperative swelling.
    • Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel during the four weeks following the operation.
    • Before performing aesthetic surgery, you should take out follow-up insurance.

    How is eyelid correction performed?

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    As a routine procedure, before every operation, we check whether all requirements for the highest patient safety are met. Only when the best possible conditions are available according to the checklist, the operation is started.

    If the operation is carried out in twilight sleep, you will be given medication to take away your fear and reduce your sensitivity to pain. Before the operation is started, the planned skin incisions are marked and checked several times. The local anaesthetic is injected into the immediate eye area and the eyelid. Within 5-10 minutes the area of the operation is numb. If you are not in a deep sleep anyway, you will at most feel that something is going on around your eyes. The skin and muscle strip is removed. If necessary, a little excess fatty tissue is removed from the inner corner of the eyelid. Depending on the initial findings, the eyebrow can also be raised from the same incision. For this purpose, an access to the upper bone edge of the eye socket is created between the membrane of the eyeball and the eyebrow fatty tissue. The eyebrow is then fixed by sutures to the periosteum. In order to reduce the frown line, a small muscle can be removed in the area of the inner eyelid angle (Musculus corrugator supercilii). Various procedures can be combined to achieve an optimal aesthetic result. If there is excess skin on the lower eyelid, access is made parallel to the edge of the eyelid, possibly extending into the lateral laugh lines. The underlying fat pads are redistributed. If the lower eyelid is slack or a later sinking of the lid edge is imminent, the eyelid frenulum is fixed to the periosteum of the lateral eye socket. Rings around the eyes without excess skin can alternatively be corrected via an access on the inner side of the lower eyelid into the conjunctival fold. Finally, the edges of the wound are sutured. The anaesthesia lasts beyond the operation and gradually subsides. The operation on both upper lids takes about 45 minutes. You will receive a small bandage. It is important to cool the eyes after the operation.

    Immediately after the operation you will be continuously monitored in a so-called recovery room. You will be able to drink something and, if you tolerate it well, also eat something after you have fully awakened. Before you leave the practice, control appointments will be made and the behavioral measures will be discussed with you in detail. You will be given a comprehensive written report and a telephone number where you can reach the surgeon 24 hours a day in case of an emergency.

    What do you need to keep in mind after the procedure?

    • You may drive as soon as you have regained your unrestricted view. On the day of the operation, driving should be strictly avoided simply because of the accompanying medication.
    • This is followed by regular checks of your well-being and the results of the operation.
    • Much rest and cooling of the eye will help to keep the swelling at a minimum during the first three days. Use light cooling pads or cooling glasses.
    • An elevation of the upper body of about 30 degrees (also during sleep) over five days is beneficial for the reduction of swelling and wound healing.
    • The swelling may prevent you from closing your eyes completely on the first day. Use eye drops or gel for a week to prevent the conjunctiva from drying out.
    • On the fifth post-operative day, the skin sutures are removed. Avoid putting make-up on the scar for the first week.
    • Avoid contact lenses and any screen time for the first week.
    • After about one, better two weeks you can go back to work. By then the swellings and the coarsest effusions have disappeared.
    • Showering is possible immediately before the wound check from the first postoperative day.
    • From the third postoperative week onwards, several daily massages for a few minutes in a circle and lengthwise and crosswise to the course of the scar with oily creams (e.g. Bepanthen® ointment or Linola® fat) help to inconspicuous scars.
    • Excessive UV radiation (solarium/sunbathing) should be avoided for at least three months.

    What are the risks of eyelid correction?

    Treatment is associated with opportunities but also with risks. The local anaesthesia, the swelling or excessive scar healing can cause incomplete eyelid closure. Under conservative measures (elevation of the head, cooling, lymphatic drainage) the tissue tension usually subsides. Irritation of the tissue during eyelid lifting or disinfection can lead to swelling of the connective tissue. With rest and cooling, the swelling usually goes down. It may be necessary to take concomitant medication. Irritation of the cornea by disinfectants may cause temporary visual blur. In the unlikely and very rare case of hemorrhage behind the eyeball in the first few hours, the optic nerve must be immediately relieved surgically. Scar healing takes six to twelve months. As a rule, after a year scars are pale, soft, painless and flat. Side differences, which exist in every person, can also cause slightly different scarring or skin wrinkles after eyelid lifting. Due to injury to the lacrimal gland or a change in the closure of the eyelid, there may be a disturbance in the flow of tears or dryness of the eye. Eyelid lift is one of the five most common cosmetic surgical procedures performed worldwide. Compared to the most common aesthetic plastic procedures, eyelid correction is one of the plastic aesthetic surgical procedures with the lowest risks.

    Why an eyelid correction in Saarbrücken?

    Brazil has been a pioneer in aesthetic surgery for decades and is considered the cradle of cosmetic surgery.

    Dr. Santos Stahl completed her specialist training in Brazil with first-class representatives of aesthetic and plastic surgery. Subsequently, Dr. Santos Stahl acquired the German as well as the European specialist qualification. She specialized in the field of facial surgery for 4 years in Stuttgart and another year in the field of ear surgery in Paris. Dr. Santos Stahl has also expanded her spectrum and knowledge with the most influential representatives of aesthetic surgery in Dallas, Oakland and Salt Lake City – thanks to a scholarship from the largest professional association of plastic surgeons in Germany (VDÄPC).

    Dr. Stahl trained with one of the world’s leading plastic surgeons in the field of eyelid surgery, Mark Codner, MD (www.markcodnermd.com). PD Dr. Stahl became a senior consultant and permanent deputy of the medical director at the University Hospital of Tübingen in 2015. From 2016 to 2018, he moved to Lüdenscheid as clinic director. Over the years, PD Dr. Stahl has continued to refine his microsurgical techniques, so that today he enjoys a reputation among experts as a particularly gentle and precise surgeon. Various fellowships have taken him to outstanding plastic surgeons in Brazil, New York, Atlanta and Salt Lake City.

    Medical decisions and recommendations must be made on the basis of proven effectiveness. In order to assess the validity of scientific evidence, a physician’s scientific skills are important. For this purpose, an additional qualification as an investigator and experience in the conduct of clinical trials is an advantage. These conditions apply to Fr. Dr. Santos Stahl and PD Dr. Stahl.

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    The author

    Dr. Adelana Santos Stahl

    “Our goal is to provide the best, most discreet and precise treatment based on our extensive expertise in plastic surgery. „

    Dr. Adelana Santos Stahl is distinguished by a unique international perspective with a feminine view of plastic surgery. Her personalized and detailed approach is key to the beautiful and natural results she achieves. Having trained in Brazil, one of the largest and most well-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.She completed her medical studies and her training as a specialist for plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the medical state examination. Two years later, in 2011 she received the German and in 2012 the EU specialist recognition (EBOPRAS) for plastic surgery.From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.A VDÄPC Fellowship (continuing fellowship for graduate students) in Switzerland, France and the USA has further enriched her professional experience.Dr. Santos Stahl is active in several prestigious professional societies. Besides the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.

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