We perform eyelid surgery using both classic techniques and through the conjunctiva.
The eyes are one of the most prominent parts of the face, where aging is most noticeable. Due to aging, the periorbital (eye) area loses elasticity, and the muscles weaken – nature has given it very thin skin, which is exposed to the formation of undesirable manifestations, such as wrinkles, during facial expressions. Other issues include sagging skin, drooping eyelids, and unsightly bags under the eyes. These problems are effectively addressed by eyelid surgery.
Eyelid adjustment affects not only appearance but also improves proper motor function; additionally, it can correct puffiness, painful sensations, tearing, increased strain on the eyes, and thus limit the field of vision or subsequent headaches. Getting rid of so-called bags under the eyes or drooping eyelids is a procedure intended for both women and men with a resulting effect of smoothing and tightening, and it can be combined, for example, with the application of botulinum toxin or a facelift.
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In addition to aesthetic aspects, improving skin texture, eyelid surgery also has a preventive effect as it helps to prevent visual difficulties. Depending on the individual, the results of the surgery are generally long-lasting, but it can be repeated over time. The advantage of the conjunctival approach over surgical methods is the shorter strain on the body, less pain and bleeding, and faster healing without scars.
Eyelid surgery can be combined with other procedures on the same day of surgery. For the suitability of procedure combinations, we recommend taking advantage of a free consultation with a doctor.
Eyelid surgery, also known as blepharoplasty, can be performed surgically – removing unsightly excess skin, or using a modern technique through the conjunctiva focusing on the lower eyelids, known as bags under the eyes, where attention is mainly paid to subcutaneous fat and excess stretched skin. This method of treatment also avoids unnecessary scars and bleeding.
The procedure is performed on an outpatient basis under local anesthesia or analgesosedation or general anesthesia. First, the areas to be removed or adjusted are marked on the eyelids. Typically, there is a surgical reduction of excess skin (eliminating the sagging), removal of fat bags at the inner corners (the incision is made from the inner part of the eye through the skin fold, at the bottom just below the lashes), and surgery on the lower eyelids also takes place. The plastic surgery of the upper and lower eyelids lasts about 1.5 hours. The procedure for lower eyelid surgery through the conjunctiva is typically performed under approximately half an hour of general anesthesia or analgesosedation. The incision is made in the mucosa of the conjunctival part, where excess fat tissue is removed. No stitches are needed here; an eye ointment is used, and the treated eye is covered with a special patch.
Adjustment of both upper and lower eyelids can be done on the same day; however, if the transconjunctival surgery is performed under general anesthesia, hospitalization for 1 day is necessary. After the surgery, accompaniment is required.
At least a week before the procedure, the use of medications containing acetylsalicylic acid, which can reduce blood clotting, is not recommended.
Suitability is limited if:
– The area around the eyes shows damage or redness
– You have an ongoing inflammation or infection
– You are being treated for a tumor disease, thyroid issues, or internal organ diseases
– You are being treated for diabetes type II or III
– You have a blood clotting disorder
– You suffer from increased intraocular pressure
– You have high blood pressure
The procedure is usually well tolerated, but swelling and small bruises may occur; icing the area is advisable. After transconjunctival surgery, the treated areas may be red, and stitches are typically removed about a week after the surgical procedure.
Restrictions involve a period of rest, no sports for at least 3 weeks, and during the first week post-procedure, we recommend avoiding eye strain – computer, television, reading in low light, etc., and sunbathing is also not advisable during this time. Eyes may be more sensitive after the procedure, so we recommend wearing dark sunglasses for a few days and applying high-quality protective creams with a high UV factor, and possibly using antiseptic eye drops for about 3 days.
Recovery after eyelid surgery is individual, depending on the patient’s healing ability, proper adherence to postoperative instructions, and minimizing unnecessary excessive eye strain. In the first few days after the procedure, it is advisable to sleep in an elevated position. A follow-up is recommended about 7 days later, and it is also advisable to remain on sick leave during this time.
The final effect is noticeable about 1–3 months after the procedure, as recovery activates the regenerative processes in the skin of the eyelids gradually.
Eyelid surgery is not just about aesthetics; it often also concerns health aspects.
The visibly rejuvenated, healed, and tightened eye area will certainly not go unnoticed and will boost your confidence. It doesn’t matter how old you are.
