The skin of the lower- and upper- eyelid is very thin, and the connective tissue substance under the skin has few fibers. For this reason, aesthetically the eyes can appear “older” at a younger age, when the upper and lower eyelids loose their elasticity, or flabbiness around the eyes causes pronounced wrinkling and swelling around the eyes.
If the skin of the upper eyelid becomes flabby and it hangs downward due to the weakening of the connective tissue, vision can sometimes be affected as well as creating an aesthetically “less attractive” appearance. The lower eyelid may appear to develop “bags” underneath as aging skin accumulates of the fatty tissues behind the overhanging skin, and conspicuous wrinkles begin to develop.
Cosmetic Upper Eyelid Surgery
Cosmetic correction of the upper eyelid may be suggested if the skin of the upper eyelid has stretched, wrinkled or its overhang impedes the eyesight.
Making an incision in the overhanging upper eyelid, the plastic surgeon is able to remove any excess skin and/or fatty tissue. The resulting white scar will be barely noticeable after 2 to 3 weeks.
Cosmetic Lower Eyelid Surgery
Surgeries on the lower eyelids are mainly performed to remove wrinkles and bags from the lower eyelid skin.
The surgical incision is made directly under the lower eyelashes, and the resulting white scar is barely noticeable after 2 to 3 weeks.
After the Surgery
- The tissue around the eyes are some of the most delicate in the body, and as a result, the eyelids get swollen and hemorrhage after surgery. Pink areas, and minor blood secretion may be detected in the area of incision within the first 48 hours following surgery. The patient may feel tension and may experience temporary eye watering, as well as an inability to close the eyes entirely immediately following surgery. In the case of surgery on the lower eyelids, small ectropium may occur.
- The surgical area must be iced for two days and in the case of secretion it may be advisable to clean the region with chamomile.
- The use of eye drops can reduce tearing.
- It is suggested that the patient wear dark sunglasses for a few days following surgery.
- The washing of eyelids is allowed after 4 to 5 days, after the sutures have been removed.
- It is not advisable to wear makeup until two weeks after surgery; however, mascara is not to be applied to the eyelashes for at least three weeks.
The surgical scars are barely noticeable a few weeks following on from surgery, and after 3 to 4 months they are almost invisible. The final shape of the eyelids is completely formed within 2 to 3 weeks, but the final results of the procedure are visible at 4 weeks.
About Potential Complications
During cosmetic eyelid surgeries (as in all surgeries), there are possible complications such as bleeding or infection, but there are hardly any complications beyond those.
Following on from surgery, if irritation such as burning, sensitivity, twitching, or frequent catarrhal conjunctivitis should occur, these effects are usually temporary and rarely long lasting, although an individual patient’s irritation may be more or less pronounced than another’s.
Sight is not affected, and the surgery may need to be repeated in 10-15 years for optimal results.
Advantages: Rejuvenating, more youthful appearance of the eyes. In some cases, there is improvement of eyesight. The bags under the eyes disappear.
Method of Anesthesia: Typically local anesthesia (though general anesthesia may be used in some cases)
Duration of Surgery: 1 to 1.5 hours
Duration in Clinical Treatment: outpatient surgery (in the case of surgery performed under general anesthesia one night in observation following surgery is required)
Suture Removal: 5 to 7 days after surgery
Return to Work: 1 week following surgery
The surgery can be performed on most patients, however existing conditions such as thyroid gland dysfunction, diabetes, high blood pressure, or the taking of anticoagulants may cause the patient to be deemed unsuitable for the procedure.
The surgery can be performed under local anesthesia absolutely painlessly (apart from the unpleasantness of the local anesthesia injections).