INTRODUCTION


The condition and general appearance of upper and lower eyelids is very important, we could even say crucial, for the appearance of the eyes, and therefore the appearance of the whole face. Loose lower eyelids, as well as puffy or sunken and dark lower eyelids give the face a tired, sometimes sad, and generally older look. Furthermore, the excess skin on upper eyelids is sometimes such that it can cause functional issues in terms of narrowing the field of vision and occasional headaches.

The upper eyelids are anatomically, functionally and aesthetically in close relation to eyebrows and the entire forehead, while the lower eyelids, on the other hand, are connected to the central part of the face, cheekbones and cheeks area, so it is always necessary to consider the condition of these areas and the possibility for their correction in order to achieve optimum improvement in appearance.

PREPARATION

Considering that the surgery is usually done with local anaesthesia, there are no special preparation, but sometimes it is necessary to do an ophthalmology examination, and to rule out possible illnesses associated with swelling and other changes on the eyelids (kidney diseases, hormonal disorders, etc.).

OPERATION

The operation is usually performed with local anaesthesia, with possible intravenous sedation, but it can be with general as well. One of the advantages of local anaesthesia is the possibility to work with the patient, as well as preserved muscle tone, which enables additional precision.

Surgical correction means correction of the skin, muscle and fatty tissue (so called fat pads), both on the upper and lower eyelids. The incision on the upper eyelids can also lift and stabilise the position of eyebrows, while the incision on the lower lids can improve the position of the central part of the face. Eyelid surgery is considered to be an operation which requires high precision as well as careful and conservative handling of tissues.

RECOVERY, COMPLICATIONS

Swelling occurs after the operation, as well as bruising which can be of various degree. Cold compression for the first several days are recommended. Eye tearing may be increased. The stitches are removed after 5-7 days. Strenuous physical activities and exposure to the sun are not recommended for a month. The patient is recommended appropriate remedies for scar treatment immediately after removing the stitches, and then light makeup can be used.

Incisions on the eyelids heal very well, so the line scar on the lower lid becomes practically invisible after a while, only 1-2mm below the lashes, while on the upper lid it is located in the natural fold and it is hidden.

The final result is assessed after several months.