Eyelid surgery (Blepharoplasty)

Eyelid surgery
Example of an upper eyelid blephparoplasty, before (red) and after the operation (blue).

Reasons for this operation include the following: sagging and puffy eyelids, visual impairment because of drooping upper eyelid skin or bags (protruding fat tissue) of the upper and lower eyelids.

The operation

A blepharoplasty removes superfluous skin and bulges of the upper and lower eyelids.

On the upper eyelid, the incision runs in the natural fold and continues 5 – 10 mm beyond the lateral eye margin, depending on the amount of superfluous skin.

On the lower eyelid, the incision runs directly under the eyelashes. If necessary, the attenuated fibers of the orbicular muscle can be fixed on the lateral orbit, leading to improved muscular tone.

When the eyes are deep within the orbit, it is preferable not to resect the fat bulges but to redrape them through the tear trough. In special cases, the incision for a fat bulge removal of the lower eyelid can be performed from inside the eyelid.

With lower eyelid surgery it is not possible to remove crow’s feet or dark circles.

What you should keep in mind
Anaesthesia: local, local with sedation or general (for all 4 eyelids)
Length of operation: 1 – 2 hours
Patient status:outpatient or inpatient (for all 4 eyelids)
Side effects:swelling and bruising of the eyelids for 2 – 3 weeks, sensitivity for light
Recovery:back to work: 1 week (with make-up)
Result: depending on skin texture, lasting for 15 to 20 years on average