Aesthetic Procedures around the Eyes
A bright glance attracts interest! Lively and alert eyes, along with beautiful lips, are the points of attraction in a pretty face! As we age, the skin of eyelids loses some of its elasticity, the fine muscles around the eyes are less tense and small fat bags may become apparent. Some simply look tired! Dark circles under the eyes and puffy eyes in the morning exaggerate this impression. Sometimes the excessive skin on the upper eyelid interferes with vision especially when coupled with a sunken lid or drooping eyebrows. This constellation can be greatly helped by an upper lid blepharoplasty or lifting.
How is this done?
During an upper lid blepharoplasty, the excessive skin, weakened muscles and visible fat bags are all precisely excised with scalpel and fine scissors. After carefully stopping all small bleeding points, the deeper tissue layers are re-approximated and the skin is closed with very fine sutures. The suture is protected with thin Steri-Strips. The entire eye does not need to be bandaged. The operation is always done simultaneously on both eyes to insure maximal symmetry.
Is anesthesia necessary?
A blepharoplasty can be done under local anesthesia and on an outpatient basis. Some patients prefer to be placed in a twilight sleep. This is recommended for patients who are very anxious or restless.
What happens next?
After this outpatient procedure, even under local anesthesia, the patient is not allowed to drive home by himself. The eyes will be somewhat swollen. Light pressure with compresses and repeatedly using a cooling molded eye mask will help reduce the swelling in the hours and days after the operation. Strenuous activity should be avoided and sleeping on the back with the head slightly elevated is recommended. An ophthalmic ointment helps keep the sutures and tissue soft. The sutures are removed at the return visit after 5 days. Afterwards it is important to be very gentle with the upper eyelid - no rubbing or washing! It takes 3-4 weeks for the suture line to become entirely stable. Bruising and swelling can occur during the first 2 weeks. Sunglasses are a great way to protect your eyes from wind and sun, as well as curious glances. After 14 days you can resume your normal daily routine including returning to work. Sporting activities should be delayed a bit more. A blepharoplasty can easily be planned to fit into your busy schedule with the least disruption!
The aesthetic results of a blepharoplasty can first be assessed after 3-4 months. Even at this time, there may still be minor swelling that will slowly and completely disappear. Usually you are the only one able to notice this feature, as it is very subtle.
Which combinations are reasonable?
Dynamic face lines may benefit from regular treatment with botulinum. Then they are less likely to become prominent or permanent - the beneficial botulinum prophylaxis. In addition, a slight elevation of the eyebrows can be achieved with botulinum, producing a more alert and open facial expression. Deep eye rings can be correct with autologous fat or hyaluronic acid. Additional improvement in the skin surface on the lower lid and around laugh wrinkles can be achieved with a fractionated laser and the Hyaluronic-Skin-Booster.
If there is excessive skin of the lower lids or unattractive eye bags are present, a lower lid blepharoplasty is the treatment of choice.
What else can I do?
Using a moisturizing eye cream will make the new look last longer. In the summer, you should apply sunscreens and wear sunglasses.
I would be happy to give you my recommendations for treating your eyelids in a personalized consultation. I would also be happy to share with you a series before and after pictures from patients whom I have successfully treated.