Consultation

Each treatment starts with an introductory consultation. I listen to the client's wishes to determine what is expected from the treatment. I will give my assessment or diagnosis, discuss the possibilities, and estimate the expected result.

I will also record a medical history and document any risk factors such as smoking, the use of anticoagulants, high blood pressure, etc. My assistant will be present at the meeting and will provide information about the scheduling and logistics at the clinic.

Upper eyelid lift treatment

Upper eyelid lifting is a relatively minor procedure, removing a strip of skin with the underlying muscle. The procedure takes approximately thirty minutes. The eyelid can be quickly and almost painlessly sedated with a local anaesthetic.

The procedure includes not just the removal of the skin but also part of the muscle and, in some cases, some of the underlying fatty tissue to reduce the swelling in the inner corner of the eye. The skin is stitched with one continuous thread, with the scar in the fold. The stitch is removed after 5 to 7 days. After an hour of cooling in the recovery room, the patient can be escorted home (they cannot drive).

In case of a drooping eyelid or ptosis, the deeper muscle, which lifts the eyelid, is also shortened or repaired during the above procedure.

Lower eyelid lift treatment

A cut is made just below the lash line of the lower eyelid, cutting through the skin and underlying muscle. Some of the bulging fatty tissue can be removed, moved or pushed back through this opening. The scar just below the eyelashes will be barely visible. Because the removal of the fatty tissue can be sensitive, this procedure is performed under mild anaesthesia. The operating time of a lower eyelid lift is approximately one hour.

If the indication only requires the removal of fatty tissue, this can also be done via a cut on the inside of the eyelid. This is called the transconjunctival technique, an elegant technique with the advantage of leaving only a very minute scar below the lash line. This technique is suitable for removing bags under the eyes at any age because it avoids complications. However, the options to improve the contour of the lower eyelid are limited. Raising the lid-cheek junction, thus rejuvenating the ageing lower eyelid, is only possible from the outside [see the detailed photo in the photo album]. That is why the transconjunctival technique is not suitable for everyone. In my experience, this technique is less ideal for those with Asian eyelids.

If the excess skin of the lower eyelids is the main issue, a cut just below the lower lash line under the eyes will detach the skin from the underlying muscle, partially removing and tightening it. Tightening the skin from the outside can be combined with transconjunctival fat removal from the inside.

During the consultation, I will determine which of the above techniques will lead to the best result in your case.