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    Upper Eyelid Lift

    The appearance of the eyes is decisive for the impression we make on others. The eyelash line, the natural eyelid crease and the eyebrows interact harmoniously. Below the natural eyelid crease is the movable eyelid, above it is the outer eyelid. The outer eyelid has a harmonious, slightly outward curved contour. The most important beauty feature is a balanced height ratio between the movable eyelid and the outer eyelid. In the case of a drooping eyelid, the sagging skin covers the entire movable eyelid. The eyelid skin rests on the eyelashes and the upper eyelid feels heavy. The brightness of the eyes is lost. The eyes become smaller. Fat loss on the outer upper eyelid leads to an inward bulge and a shadow above the inner eyelid crease. This change is called “A-frame deformity” in English. The so-called “A-frame deformity” makes you look more tired and older than you are. Seemingly small changes play an important role in the first impression.

    1 Formation of drooping eyelids 2 Formation of lower eyelid wrinkles due to loss of skin elasticity 3 Formation of lachrymal sacs above the bone margin due to slackening of the connective tissue wall of the eye socket (“eyelid bags”) 4 Formation of eye circles below the bone edge due to slackening of the skin and loss of fatty tissue (“tear trough”) Supporting ligament: Ligamentum orbitomalare (“orbicularis retaining ligament”, “orbitomalar ligament”, “arcus marginalis”) 5 Formation of a swelling above the zygomatic bone due to water retention and slackening of the supporting ligaments (“festoons”, “malar mounds”, “malar bags”)

    What is an upper eyelid lift?

    In the course of life and with increasing age, the elasticity of the skin and muscles of the eyelids decreases. If there is a familial predisposition, these changes can also occur before the age of forty. When the skin of the upper eyelid sags, so-called drooping eyelids form. Many patients decide to have an eyelid lift for aesthetic reasons and wish to have a lower eyelid lift in combination. In some cases, however, patients also complain of heavy eyelids or even impairment of the field of vision. In these cases, it is not just a desire for cosmetic surgery, but a medically necessary surgical procedure to improve a patient’s daily life. Surgery costs are covered by health insurance for this minor procedure with a major effect.

    During an upper eyelid correction (also called drooping eyelid surgery), the patient has a strip of skin and muscle removed by a specialized and experienced specialist. In the course of this method, fat pads are redistributed and a balanced contour of the outer eyelid can be achieved by using nanofat. The later scar of a drooping eyelid surgery can be hidden in the fold of the eyelid and is therefore not visible. The eyelid correction opens the eye and helps to achieve a “fresher” appearance. In addition, in the before and after comparison, a disappearance of the tired appearance is noticeable due to the plastic-aesthetic intervention. When looking in the mirror, the patient notices the now wider open eyes.

    How is correction of drooping eyelids performed?

    1 eyebrow 2 Fat pad of the eye socket 3 Blood vessel supplying the eye 4 Eye ring muscle 5 Eyelid cartilage (eyelid plate, tarsus palpebrae) 6 Optic nerve 7 Connective tissue sheath of the eye (Fascia capsulopalpebralis) 8 Connective tissue wall of the orbit (septum orbitale) 9 Fat pad of the eye socket 10 Lower oblique eye muscle (Musculus obliquus inferior oculi) 11 Bony rim of the orbit (zygomatic bone) 12 Fat pad behind the eye ring muscle 13 Supporting ligament: Orbicularis oculi ligament (zygomaticocutaneous ligament) 14 Superficial cheek fat 15 Mouth angle elevator (Musculus zygomaticus major)

    The safety of our patients comes first. For your safety, at the surgery appointment, several experts (the surgeon, the assistant and the surgical specialist) check all parameters several times before the surgical procedure. The drooping eyelid correction does not begin until the safety checklist has been completely and correctly filled out.

    A light twilight sleep takes away your fear of the eyelid lift and reduces your sensitivity to pain. Before the eyelid surgery, the surgeon marks the planned incision and checks each step of the eyelid lift for the purpose of removing hanging parts of the eyelid and tightening the eyelid. For maximum precision and optimal results, the plastic surgeon operates with magnifying glasses. The local anesthetic is injected into the eyelid. Within five to ten minutes, the surgical area is numb and the drooping eyelid surgery can begin. If you are not already deeply asleep, you will at most feel something happening on the eyelids thanks to the local anesthetic. The adrenaline contained in the anesthetic prevents bruising. To remove the drooping upper eyelids, the excess skin and muscle is gently removed with a scalpel. Sensitive handling of the tissue keeps swelling to a minimum. According to the patient’s needs, excess fatty tissue is redistributed or nanofat is grafted into the upper eyelid. Depending on the initial findings, the eyebrow can be lifted. To soften the frown line, a small muscle can be removed in the area of the inner corner of the eyelid (Musculus corrugator supercilii). Various procedures can be combined to achieve an optimal aesthetic result. Finally, the edges of the wound are sutured. Local anesthesia lasts beyond the eyelid lift procedure. The total surgery time for upper eyelid lift of both eyes is about 45 minutes. You will receive a small bandage. It is important to cool the eyes after the eyelid lift.

    You can find out which measures take place immediately after eyelid lifting on our Eyelid Correction FAQ page.

    How can you prepare for upper eyelid lift (drooping eyelid surgery)?

    • In the run-up to your retractive eyelid surgery, you will certainly have many questions. Most of the answers can be found on our general Eyelid Correction FAQ page. However, you are also welcome to contact us at any time to arrange a personal consultation to outline your personal concerns and clear up any doubts you may have.

    What do you need to keep in mind after upper eyelid blepharoplasty?

    • Special precautions are recommended after drooping eyelid surgery. The surgeon in charge will explain this to you in a personal consultation. On our Eyelid Correction FAQ page you will find the answers to the most frequently asked questions about the aftercare of an upper eyelid lift. The site also has an explanatory video on the subject.

    Which people have the best conditions for upper eyelid lift?

    Lifting of the upper eyelids is one of the most common aesthetic plastic surgery procedures for patients between the ages of forty and sixty. You will benefit from eyelid lifting if you suffer from a tired facial expression due to excess skin (drooping eyelids). If you have undergone laser treatment to correct a vision defect in the last six months, you should refrain from eyelid lift surgery. Surgery for droopy eyelids may exacerbate pre-existing dryness of the eyes. If you suffer from dry eyes, caution is advised.

    Eye circles, drooping eyebrows, crow’s feet, weakness of the eyelid elevator muscles, drooping tear ducts, or bulging fatty tissue will equally affect your appearance. The surgeon will show you the treatment options for these changes during an individual consultation.

    What can you expect during a consultation for an upper eyelid lift?

    The purpose of the consultation is to discuss your desired outcome. With an excess of skin, the look can appear tired, stern or evil. In order to be able to estimate the extent of the correction, it is very important to know whether you have had any treatment with neuromodulator substances recently. In order to plan the follow-up treatment, you will be asked whether you suffer from defective vision, wear glasses or contact lenses.

    In order to identify and prevent possible risks at an early stage, Dr. Santos Stahl will ask questions on the following topics:

    • High blood pressure,
    • Diabetes,
    • Coagulation disorders,
    • Pre-existing conditions, such as glaucoma or thyroid disease.
    • Previous operations, especially eye operations
    • Taking medication.

    You will also be asked if you smoke or take any dietary supplements. These factors have a big impact on your eyelid lift. In addition, frequent questions will be clarified in the individual consultation and you will receive further information.

    A detailed examination of the skin, the palpebral fissure, the symmetry, the position of the eyebrows, the position of the eye and the elasticity of the eyelid is performed. In addition, the force of the eyelid elevator is measured. After a complete and thorough physical examination, aesthetic surgery specialist Dr. Santos Stahl will discuss with you whether, in addition to the removal of excess skin, the removal or repositioning of fatty tissue may be an option. She will show you various alternatives to drooping eyelid surgery as well as associated risks and limitations. Eye circles, drooping eyebrows, crow’s feet, frown lines, weakness of the eyelid lifting muscles, drooping tear ducts or bulging fatty tissue all affect the appearance. In order to achieve a harmonious overall result, each change should be treated specifically and in a targeted manner.

    Of course, Dr. Santos Stahl will discuss all the details of the procedure with you and also discuss the type of anesthesia. It is presented transparently and comprehensibly, how the costs of the upper eyelid lift are composed. You can find these out in advance with the help of our price calculator.

    If you suffer from dryness of the eyes, at best a so-called Schirmer test should be carried out by an ophthalmologist beforehand.

    Eight benefits of an upper eyelid lift

    1. An upper eyelid lift can leave you looking “rested” and “fresher.”
    2. The scar from a droopy eyelid surgery is usually barely noticeable in the crease of the eyelid.
    3. If you suffer from pronounced drooping eyelids, your visual field may improve after an upper eyelid lift.
    4. Many patients raise their eyebrows to counteract drooping eyelids. Constant tension on the muscles of the forehead can lead to headaches, which can be eliminated with an upper eyelid lift.
    5. The stem cells of a nanofat treatment support skin regeneration.
    6. Correction of drooping eyelids can improve the quality of life.
    7. There is scientific evidence for the positive impact of an upper eyelid lift on personal self-esteem. Nevertheless, this should not be the decisive reason for eyelid lifting.
    8. A drooping eyelid surgery can be performed on an outpatient basis and under local anesthesia.

    The upper eyelid surgery with the laser

    Excess skin can also be removed with a laser scalpel. Fact-based advantages of the technique with the CO2 laser compared to the conventional technique with the scalpel or the electrocautery, respectively, do not exist. The high-energy laser beam of the laser causes burning of the tissue. The energy of the carbon dioxide laser scalpel penetrating deeper into the tissue additionally leads to the obliteration of vessels. The cutting radius of a scalpel blade is over 2,000 times smaller than that of a laser scalpel. Scalpel blades are typically made of stainless steel and have a cutting radius of five to one thousand nanometers. The scalpel cuts through tissue selectively and spares surrounding structures.

    An upper eyelid lift without surgery

    CO2 laser treatment

    Carbon dioxide lasers produce a high-energy light with a wavelength of 10,600 nanometers. The laser pulses are emitted fractionally in short intervals. Where the laser beam hits the skin, vaporization of the skin cells occurs. This results in a slight burn on the surface of the skin. The repair mechanisms of the skin are accompanied by a slight shrinking and smoothing of the skin. We will be happy to refer you to a specialist in this field.

    Ultrasound (Ultherapy®)

    High-energy ultrasound waves heat the tissue a few millimeters below the epidermis. The changes in the tissue resemble a mild burn. In the course of the healing process, a slight tissue shrinkage occurs. The application of ultrasound treatment is therefore limited to a minimal excess of skin. The effect lasts only a few years.

    Filler

    Various hyaluronic acids are available to compensate for tissue shrinkage. The differences are mainly in the duration of action and the filling effect. Hyaluronic acid is a natural component of connective tissue and is therefore well tolerated. Fillers can correct a loss of volume in the upper eyelid (in English “hollowness”). The effect lasts twelve to eighteen months.

    Therapy with platelet derived concentrate

    The treatment can improve skin elasticity. Small skin wrinkles can be improved with it. However, in the case of a drooping eyelid, this form of treatment is not the procedure of first choice.

    Neuromodulator substances

    Neuromodulator substances are suitable for the treatment of dynamic wrinkles. In the eye area, crow’s feet can be treated well with it. Forehead wrinkles and frown lines also respond well to this treatment. However, the substance should not be used in the area of the upper eyelid. It can lead to paralysis of the eyelid elevators and, under certain circumstances, to a reduction in the field of vision. The effect lasts four to six months. Therefore, be sure to select a specialized practitioner for treatment.

    What are the risks of an upper eyelid lift?

    On our Eyelid Correction FAQ page you will find everything you need to know about the risks of an upper eyelid lift.

    What does an upper eyelid lift in Saarbrücken cost?

    If you would like to know the costs of an upper eyelid lift quickly and easily, try our price calculator now.

    Does the health insurance cover the costs of an upper eyelid lift?

    Your health insurance will pay for an upper eyelid lift if the procedure is medically necessary. If an ophthalmologist determines and certifies a restriction of the visual field, an application can be made for the costs to be covered by the health insurance fund. An eyelid lift, paid for by health insurance, is performed to restore the field of vision. Cosmetic surgery of the upper eyelid improves the appearance. Although both procedures are called “upper eyelid lift”, the goals and thus also the results, the surgical techniques and the expenditure differ from each other. A medically indicated drooping eyelid surgery excludes a cosmetic surgery (aesthetic surgery without medical indication). Cosmetic surgery must therefore be performed independently of a medically indicated operation. You can find more information on our page about the health insurance companies’ obligation to pay benefits.

    Before and after pictures of an upper eyelid lift.

    For detailed information about before and after pictures upper eyelid lift, please visit our before and after pictures page.

    Why an upper eyelid lift in Saarbrücken?

    There are numerous reasons to have your planned upper eyelid lift performed by the specialists at CenterPlast. The Eyelid Correction FAQ page explains in detail why you are in very good hands with the doctors at CenterPlast.

    Testimonials of an upper eyelid lift at CenterPlast Saarbrücken.

    Reports of a lower lid tightening in the CenterPlast Saarbrücken.

    On our home page you will find a variety of testimonials, reviews as well as patient testimonials about the treatments we offer. Please also visit the testimonials page.

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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.