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.
    • Limit 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.
    • The intake of hormone-containing medication (pill) may have to be temporarily stopped.
    • Vitamin preparations (A, E) and food 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 restricts your ability to travel by air. For this reason, do not plan any air travel for professional or private reasons in the four weeks following the operation.
    • Prior to the performance of aesthetic surgery, follow-up cost insurance should be taken out.

    How is eyelid correction performed?

    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 can have a drink and, if you tolerate this well, eat something after you have fully awakened. Before you leave the practice, control appointments are arranged and the behavioural measures are 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 an emergency.

    What do you have to consider after the operation?

    • 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.
    • Regular checks on your well-being and the results of the operation will follow.
    • 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 upper body elevation of about 30 degrees (also when sleeping) for five days is beneficial for the 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 swelling and the most severe effusions will have disappeared.
    • Showering is possible immediately before the wound check from the first postoperative day.
    • From the third post-operative week onwards, massaging several times a day for a few minutes in a circle, as well as along and across the scar with greasy creams (e.g. Bepanthen® ointment or Linola® fat) helps to create inconspicuous scars.
    • Excessive UV radiation (solarium/sunbathing) should be avoided for at least three months.

    How is the eyelid correction performed?

    Routine checks are carried out before each operation to ensure that all the prerequisites for maximum patient safety have been met. The operation is not started until the best possible conditions are available according to the checklist.

    If the operation is performed in twilight sleep, you will be given medication that will relieve your anxiety and reduce your sensitivity to pain. Before the operation begins, the planned skin incisions are marked and checked several times. The local anaesthetic is injected into the eye area and the eyelid. The operation area is numb within 5-10 minutes. If you are not already sleeping deeply, you may feel something happening in your eyes. The skin and muscle strips are 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 lifted from the same incision. For this purpose, an access to the upper bone margin of the eye socket is created between the membrane of the eyeball and the fat tissue of the eyebrows. The eyebrow is then sutured to the periosteum. A small muscle (Musculus corrugator supercilii) can be removed from the inner corner of the eyelid to reduce the frown line. 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 lid is flaccid or if the edge of the eyelid threatens to fall later, the eyelid band is fixed to the periosteum of the lateral eye socket. Rings of the eye without excess skin can alternatively be corrected via an access on the inside of the lower eyelid into the conjunctival fold. Finally, the wound edges are sutured. The anaesthesia continues beyond the operation and gradually subsides. The operation of both upper eyelids 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 can drink something after the complete awakening and, if you tolerate it well, eat something. Before you leave the practice, appointments for check-ups will be made and the behavioural measures will be discussed with you in detail. You will receive a comprehensive written report and a telephone number where you can reach the surgeon 24 hours a day in an emergency.

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

    • You may drive a car 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.
    • A lot of rest and cooling of the eye will help to keep the swelling to 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 while sleeping) over five days is beneficial for the reduction of swelling and wound healing.
    • The swelling can cause you to be unable to close your eyes completely on the first day. Use eye drops or gel for a week to prevent the conjunctiva from drying out.
    • The skin threads are removed on the fifth postoperative day. Avoid applying make-up to the scar during the first week.
    • Do not use contact lenses or screen time for the first week.
    • After about one, better two weeks you can go back to work. By then the swelling 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, 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.

    Author's statement

    Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.

     

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