Eyelid surgery

The skin around the area of the eyes is the thinnest of the whole body. It is therefore not surprising that the aging process shows itself early and particularly pronounced in the area of the eyes. The eyes make up a decisive part of our facial expression, the tissue is constantly in motion. Crows’ feet are often the first sign of skin aging even at a young age. The age-related loss of skin elasticity leads to excess tissue in the area of the upper and lower eyelids. These changes make us look tired and exhausted, although we may still be bursting with vitality. In certain cases the sagging skin in the upper eyelid area can even lead to a restriction of our field of vision. An eyelid lift can solve these problems in the long term and restore a radiant, youthful appearance.


Gesicht von weisser Frau im Ausschnitt mit Nase, Augen und Mund hochblickend

What is eyelid surgery?

Eyelid lifting is an operation that leads to an improvement in the eyelids and, in part, the associated quality of vision. Accordingly, a distinction must be made between a lifting of the upper eyelids and the lower eyelids.

Upper eyelid lifting

Upper eyelid lifting, also known as upper blepharoplasty in medical terms, is one of the most frequently performed plastic aesthetic procedures worldwide. The skin in the area of the upper eyelids (drooping eyelids), which has sagged and lost its elasticity due to aging, is removed. In some cases also some fat or even muscle is removed, in order to restore the youthful shape of the eye. The scar is placed in the crease of the upper eyelid so that it is hardly visible. The result is a radiant and fresh appearance.

Before upper blepharoplasty
Incision pattern
After upper blepharoplasty

Lower lid surgery

Lower lid plastic surgery can treat various problems, such as bags under the eyes, excess skin and herniated fat (puffiness of the lower eyelid). The incision is often made in the area of the conjunctiva so that there are no visible scars. This way, excess fat can be removed or repositioned. In the case of excess skin in the area of the lower eyelids, the incision can be made so close to the edge of the eyelid that the scar is hardly visible.

Incision in the area of the conjunctiva
Incision in the area of the lower lid margin

Am I a good candidate for eyelid surgery?

Eyelid plastic surgery can correct drooping eyelids that restrict your field of vision or remove bags or excess skin under your eyes that make you look tired. Your eyes will regain a youthful shape that reflects a vital, youthful self.

What happens during the consultation?

In a detailed consultation, we will decide whether an eyelid plastic surgery is suitable for you. With a thorough examination we will assess and measure your clinical findings. Digital photographs will be taken in order to visualize and explain the clinical  the findings to you. Accordingly, we will recommend a therapy option that is the most suitable for you.

Depending on the clinical picture, we will also explain potential alternative treatment options such as filling hollowed eyes with autologous fat or fillers, as well as the possibility of periocular rejuvenation with our specialized ablative fractional lasers.

It is very important to us to illuminate all sides and consequences of a procedure and to be at your side to advise you on all questions. Our many years of experience help us to understand your goals and set them in relation to the possibilities that suit you best.

How is the surgery performed?

Upper blepharoplasty usually takes 60 minutes and is performed in local anaesthesia. Depending on the procedure for the lower eyelid, the operation can last anywhere from 60-120 minutes and can be performed under local or general anesthesia in our certified operating theatre. It is a day surgery.

Once you have recovered from the operation and eaten a bite, you can return home on the same day. We recommend that you be picked up by an accompanying person. In case of a general anaesthesia you are advised not to spend the first night after surgery by yourself.

What about the follow-up treatment?

As with any surgical procedure, you will feel slight pain in the first few days. We will give you adequate painkillers and will be happy to answer any questions you may have. You can expect more or less pronounced swelling in the first few days. Bruises can last up to two weeks. The first check-up takes place the day after the operation. The stitches can already be removed after 5-7 days.

What are the risks?

Every operation involves surgical and anaesthesia-related risks. There is an increased risk of surgical complications, especially for patients who smoke or suffer from obesity or diabetes.

Risks associated with any surgical procedure

  • Bleeding
  • Infection
  • Unfavorable or excessive scarring
  • Wound healing disorders
  • Thrombosis

Risks of eyelid surgery

  • Swelling and hematoma
  • Dry eyes
  • Tearing Eyes
  • Sensitivity to light
  • Impaired lid closure
  • Corneal injury
  • Corneal infection
  • Ectropion (outward rolling of lower eyelid)
  • Retrobulbar haematoma
Snapshot Eyelid Surgery
  • Duration
    1-1.5 hours
  • Anaesthesia
    Local anesthesia or twilight sleep
  • Clinic stay
  • Ability to work
    After 3-4 days
  • Post-treatment
    Stitches removal after 5-7 days
  • Sport
    After 2-3 weeks

Would you like to learn more

If you are interested in an eyelid surgery, we will be happy to assist you as an objective consultant. It is important to us to give you a comprehensive picture of the procedure.

Get in touch with us.

Arrange a non-binding appointment online here.

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