Eyelid correction



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Upper eyelid correction

With age the skin of the eyelid starts to droop and the amount of underlying fatty tissue will decrease resulting in excess skin. In some cases there is a surplus of fatty tissue and thus a swollen eyelid. In both of these cases an eyelid correction offers the solution.

Photo album eyelid correction (upper)

1. Moderate procedure

An (upper) eyelid correction is a moderate procedure whereby a small strip of skin will be removed from the upper eyelid. This will result in an open look in the eyes and the weary feeling and the pressure on the eyes will diminish. Fatigue, but especially headaches can be caused by eyebrows that are low or drooping. See the treatment forehead lift

2. Ptosis

Ptosis or drooping of the upper eyelid, resulting in a sleepy look, is caused by a long eyelid muscle. The eyelid can be so long that it covers part of the pupil, partially blocking the sight. At a young age the condition is congenital in most cases, at a later age it can develop by, for example, wearing contact lenses. To correct this condition, the eyelid muscle will be shortened. 

See the 'before and after surgery' photos on the right.

Photo album eyelid correction (upper)

3. The surgery

The procedure takes about 30 minutes. Local anesthetic can be easily applied to the eyelid and will be almost painless. The surgery will be performed on closed eyes. The excess skin will be marked with ink. Besides the skin often part of the underlying muscle is removed and sometimes some of the underlying fat. The skin will be sutured with one long continuous thread, leaving a scar in the crease of the eyelid. The suture will be removed after 5 days. The patients can go home the same day, but will not be able to drive themselves.

In case of ptosis the muscle that lifts the eyelid will be shortened or reconstructed. For this procedure I prefer general anesthetic.

4. After surgery

Take a rest at the day of the surgery and cool the eyes with cold, wet gauzes. It is important to avoid increased blood pressure. Therefore preferably avoid bending or force. The second day you can move around the house. Your eyes can get irritated because of the healing process and show a swelling and an increased or decreased amount of tear fluid. Typically the recovery period is 5 to 7 days. If your activities require you to be representable, it is saver to take a 10 days margin, by which time you can start to use make-up again. I advise you to wait for 14 days before wearing contact lenses. 

5. Final outcome

The scars can be a bit red at the beginning, but that will mostly disappear in a few weeks. Eventually a small line will remain visible, but it is nicely hidden in the crease of the eyelid. In case you have a sensitive skin, the redness of the scar can show for a few months. 

6. Complications

When capillaries are not fully cauterized large bruises can be the result, especially in people with high blood pressure or in people who use blood thinners. An infection is rare. You do not have to worry about not being able to close your eyelids anymore after surgery. I have performed this surgery numerous times and this has never happened in my practice.

Dr. Erik J.F. Timmenga