Eyelid correction is a surgical procedure performed when due to lowering of excess skin of the upper eyelids or sebaceous hernia eye area is narrowed, the face looks tired, resulting in physical and/or psychological discomfort. Eyelid correction is most often performed by women, but it can also be performed by men.
The skin of the eyelids is very thin. Over the years the tissues in this area are likely to lose elasticity, wrinkles, skin folds and “bag” under the eyes are formed. Due to sagging eyelids and under eye wrinkles, women may look surly and tired, when in fact this is not the case.
The problem of sagging or hooded eyelids is rather common. Although it is most commonly experienced in older age, some people have sagging eyelids from birth due to a congenital eyelid levator muscle development disorder.
Hooded upper eyelids are not just an aesthetic problem. Excess skin on the upper eyelid falls over the eye, covers the field of vision, and the narrowed eye area interferes with vision causing frequent eye inflammation, aggravated driving ability or work on the computer, the eyes get tired faster and it is difficult to use cosmetic products.
Excess tissue in the eye area can only be removed surgically. Correction of the upper and/or lower eyelids not only restores a more vibrant, refreshing look, and a more youthful appearance, but also ensures better vision.
Consultation with a plastic surgeon is necessary prior to surgery, who will help assess the changes of the eyelids, discuss the patient’s expectations, plan and details of the surgery. The surgery can involve only the upper, only the lower or both the upper and lower eyelids, depending on the extent of changes.
Local anaesthesia is usually used during the operation, but general anaesthesia may be used at the patient’s request. Depending on the extent of the surgery, it takes about 1-1.5 hours.
During the upper eyelid correction procedure, the excess skin, a small muscle strip and excess fat bags are removed. In order to make the incision as least noticeable as possible, it is made in natural fat creases.
Excess fat bags and, if necessary, excess skin are removed during the lower eyelid correction plastic surgery. The incision is made along the eyelash crease or through the conjunctiva. The lower eyelid correction surgery is performed under general anaesthesia.
After the operation, the skin is sutured and the incisions are covered with special patches.
Patients are usually discharged home on the same day after surgery, and care is continued on an outpatient basis. The time of the postoperative visit will be appointed by the operating doctor.
Rest and cold compresses are recommended to reduce swelling and bruising during the first two days after surgery. Painkillers may be taken if the patient experiences pain. During the healing period, which lasts about 2 weeks, it is recommended to sleep on your back, with your head raised, and avoid bending your head down.
The sutures are removed after the wound has healed – in 7-10 days after the operation. Following this period, it is recommended to use a special scar gel, and avoiding direct sunlight and solarium for about 6-8 weeks.
Results to expect after surgery
The final aesthetic result of the operation can be evaluated after 1-2 months. The correction of the eyelids seems to open up the eyes, granting the look, as well as the whole face, an obvious rejuvenating effect. The surgery also often results in an improved vision. Tissue healing in the eyelid area is very good, thus postoperative scars are usually not visible.
Depending on the elasticity of the patient’s tissues, the results of the operation can often be enjoyed for the rest of the life, occasionally, a repeat surgery may be required after 10 to 20 years.