Operation:
The surgeon marks bilaterally equal the exact volume of excess skin on the upper lids,
this excess skin will be then removed and the scar will follow the natural lines of your eyelids, so
it wouldn't be anymore noticeable later.
In certain situations the excess fatty tissue and muscle should also be removed. However,
here the surgeon should be very restrained to eliminate the appearing of deep-set eyes effect in future.
The lower lids can be corrected by means of the lid edge incision (1-2 mm under the lid edge) or the
incision made from the lid mucous membrane. This is one of the most difficult operations and therefore
it's usually done with use of binocular Lupe.
Sometimes the fatty tissue deposits should be removed (also called tear-bags).
By the resection of excess skin the absolute carefulness is required t to avoid getting the hanging lid.
By extremely hanging skin it's additionally recommended the muscle purse-string suture and a side purse-string suture (canthus suture).
Brow lifting - the drooping brows can simulate or intensify the image of excess upper lid skin.
Depending on the diagnostic findings there are three different possibilities to raise the eyebrows:
- The incision on the eyebrow edge with sickle-shaped removing of skin excesses.
- Eyebrow raising by means of inserted under the skin string that pulls up the brows and finally fixes them on the certain position.
- The incision in the temporal region well behind the hairline with eyebrow raising itself and with lifting of the whole forehead area (so-called forehead lift)
All three methods can be done before, after or simultaneously with the eyelid lift.