Lid correction: Upper lid and lower lid (Print version)

The objective of lid correction is an expressive face and a larger-looking eye region. Large, open eyes with clearly defined lid folds, unhooded eyelids and a perfect-looking skin are the definition of a young eye region. However, changes occur with age. The lids become heavier, bags appear under the eyes, together with wrinkles, making the eyes appear tired. Environmental influences such as excessive sunbathing, certain habits such as smoking, or genetic disposition can all play a role. 

before and after a lid correction
before / after

Further examples can be found under

Preparation

It is important that the operation to correct the eyelids is scheduled to allow adequate time for the immediate results of the operation and post-operative treatment. The consumption of alcohol and nicotine should be avoided on the day, and above all the evening, before the operation.  As for any operation, steps must be taken to ensure that no existing illnesses increase the risk of the intervention. As a rule, upper lid correction can be carried out under local anesthetic. Lower lid correction (or in combination with the upper lids) is best carried out under twilight sedation. For this reason, a blood test and an electro-cardiogram (ECG) have to be carried out. Please inform us beforehand about any medication taken regularly. This can be taken as prescribed after consultation with the anesthetist.

Operative intervention

Lid correction is carried out under twilight sedation or local anesthetic. For less pronounced bags under the eyes, an incision in the skin of the lower eyelid can be dispensed with completely.  Instead, fat is removed through a totally invisible incision on the back of the eyelid. 

The necessary incisions are carried out using a radio-wave scalpel, thus reducing swelling and discolouration to a minimum compared with the usual methods. 

The incisions in the upper and lower lids are both sutured with a single stitch, holding the edges of the incision together under the surface of the skin. A skin-coloured plaster is then applied.

Postoperative treatment

In order to reduce swelling to a minimum, the region of the eyes and cheeks are cooled immediately after the operation using cooling packs.

 

In most cases, eyelid correction can be carried out as an out-patient. If a patient has to travel far to the clinic, a stay of one or two days is recommended.

The stitches are removed after five to six days. After seven to ten days patients are usually able to resume normal social activites.  Any reddness still remaining can be covered by make-up.

After about six weeks all swelling has usually subsided. Until this time, sports activities should be restricted.  

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