Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.
The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles and removal of excess skin.
Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.
A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed.
Step 3 – Closing the incisions
Eyelid incisions typically are closed with sutures or skin glue. Sutures are removed within one week.
Your surgeon may also suggest use of a laser or chemical peel to reduce discoloration of the lower eyelids.
Step 4 – See the results
The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and a more alert and rejuvenated appearance.
Incision-based eyelid surgery is mostly suitable for patients with fatty tissue in and around the eyelid, or who have particularly thick eyelid skin. The incision allows your surgeon to remove some of the fatty tissue, allowing for more flexibility in contouring your eyelid crease and, in the case of excessive or thicker than normal skin, allows for the removal of some of that tissue as well.
The ability to remove tissue that might otherwise interfere with the formation of the crease allows for more reliable results when compared to the suture methods, and those results are permanent, which is not the case for purely suture-based methods. This increased reliability and level of permanence is at the expense of longer recovery times and a slightly greater chance of visible scarring.
Step 1 – Anesthesia