Signs of aging

• Excess skin develops on the upper eyelid which gradually covers the lower half of that eyelid.
• The skin loses its tautness and subcutaneous fatty tissue begins to bulge out, particularly in the inner corner of the eye.
• The skin begins to wrinkle on the lower eyelid, and excess skin develops under the eyelashes.
• Subcutaneous swelling occurs in this eyelid, particularly in the inner half, caused by bulging of the subcutaneous fatty tissue.
• A deepening groove forms between the eyelid and the nose.

Preparation

• Take Arnica Montana 200K pellets for four days in advance to avoid bleeding and blue discoloration
• Stop taking aspirins, blood diluents and vitamin E 12 days before the operation
• See your ophthalmologist to check your eyesight, eye pressure and quality of the tear film
• Have artificial tears prescribed preventively if necessary

Technique

In the upper eyelid an incision is made in the natural fold at approximately eight millimeters above the eyelid edge.
The overhanging skin and muscle are removed, and protruding fatty tissue – mainly in the inner corner of the eye – is removed as well.

In the lower eyelid the incision is made along the eyelid edge, just below the eyelashes.
Excess muscle and skin are removed sparingly.
Protruding fatty tissue is removed or used to fill up the deep groove between the nose and eyelid.
If the eyelid edge has slackened, it is attached to the edge of the eye socket bone.

Evolution and postoperative care

• Occurrence of swelling and blue discoloration of the skin of the eyelids lasting 5 to 10 days
• Regularly put cold compresses on the eyes during the first two to three days
• The sutures may be removed after six days
• The scars gradually become less red over a period of three to six weeks