18.7.2024
Lesezeit:
6 minutes

Eyelid surgery

Eyelid surgery or blepharoplasty can be used to treat drooplasty

Dr. Valéry Vinzent Wittwer

The eyes shape our appearance more than any other part of the body. They reflect the state of mind and express our emotions — be it joy, sadness or fatigue.

1st upper eyelid
2nd upper eyelid furrow
3rd lower eyelid
4th eyeball
5. eyebrow

When the elasticity of the skin decreases with increasing age, so-called drooping eyelids (dermatochalasis) form and the eyes look tired and sad. Very pronounced drooping eyelids can even lead to a restriction of the field of vision.
As part of an eyelid lift (blepharoplasty), such eyelid changes can be successfully treated. Sagging skin is surgically corrected during eyelid surgery to visually open the eyes and give the look an alert appearance.

1. Excess skin

The drooping eyelid is often accompanied by a low brow; this is known as brow ptosis.

1. drooping eyelid
2. brow ptosis

How does the operation proceed?

Before the procedure, excess skin and eyelid furrow are marked while sitting. In the operating room, local anesthesia is performed using lidocaine and epinephrine. The excess skin, including a portion of the underlying muscle fibers, is surgically removed. Adipose tissue that pushes forward from the eye socket is also reduced.

1. Remove excess skin and fat

The wound is closed again with deep sutures of self-dissolving material and an exact superficial skin suture.

1. Fine scar in the natural eyelid furrow
2nd upper eyelid margin is visible again

What do I have to consider before an eyelid lift?

After consultation with your family doctor, medications that inhibit blood clotting are paused or switched to weaker medications (aspirin, Marcumar).

What are the risks and complications of eyelid surgery?

After surgery, minor bruises and swelling in the area of the eyelids and surrounding skin should be expected. These subside after one to two weeks. Asymmetries, overcorrections or undercorrections rarely occur, which can be corrected by further surgery. Wound healing disorders, infections or major bleeding occur very rarely.

What should I keep in mind after the procedure?

Have a family member pick you up after the operation, as eyelid swelling and the effects of the medication can cause uncertainty.
During the first few days after surgery, the eyelids should be cooled several times a day. Medication for swelling, pain and inflammation will help you get fit again more quickly.
The area of the wound should remain dry for the first two weeks and avoid rubbing, scratching or applying makeup. Physical activity, especially bending over, heavy carrying and pressing, should be avoided in the first few days after the procedure.
After a week, the stitches are removed.
After three weeks, you can exercise again and visit the sauna and bathing establishments again.

When will I look normal again after an eyelid lift?

After two to three weeks, you usually don't see any more bleeding and swelling. However, the surgical outcome continues to improve over the following two months.

Does health insurance contribute to the costs of the operation?

Yes, provided that the field of vision is sufficiently limited. We would be happy to carry out the appropriate investigation for you and, if necessary, submit an application for reimbursement of costs.

Can eyelid surgery also be performed with a laser completely without a knife?

No, although the skin can be cut through the surface using a CO2 laser, deeper layers still require the use of sharp instruments.

Are eyebrows lowered as a result of eyelid surgery?

No, but if the eyebrows are low, they can be lifted either by stitching or directly by removing excess skin above the eyebrow (brow lift).

Does it make sense to take a break from smoking before eyelid surgery?

Yes, because this improves wound healing.