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Upper eyelid correction

Upper eyelid correction

We are all getting older and with the years the upper eyelids can hang. The excess skin that develops affects your vision, but can also make you look older and more tired than you actually are. If you suffer from this, we can perform an eyelid correction. This is a surgical procedure that can be combined with a correction of the lower eyelid. An upper eyelid correction is usually performed under local anesthesia. You can return home shortly after the procedure.

During a personal consultation with the surgeon, we look at the upper eyelids, the eye sockets and the position of the eyebrows. The aim of the treatment is to remove the excess skin so that you receive good vision again and look less tired. This allows you to take a fresh look back into the world.

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With aging the skin of the upper eyelid can become droopy, which is referred to as “blepharochalasis”. When the skin touches the eyelashes or hangs over them the field of vision will become impaired. The excess skin also will give an aged and tired appearance. This can be aggravated by any descent of the forehead and eyebrows. Furthermore, orbital fat may protrude forward creating a bulge above the eyelid. An upper eyelid correction can be performed with plastic surgery and this is referred to as a “blepharoplasty”. An upper eyelid correction can be performed at the same time as a lower eyelid correction.

During the first consultation your eyelids, the orbits and the position of the eyebrows are examined. The amount of excess skin and any excess fat is noted. Furthermore, the vision and the possible presence of dry eyes are of importance. If the eyebrows have descended significantly the option of performing a brow lift together with an upper eyelid correction is discussed.

Normally an upper eyelid correction is performed under local anesthetic, if required in combination with sedation, it is an outpatient procedure. Shortly thereafter you can go home. Before the procedure, pictures will be taken and the amount of skin that needs to be removed is accurately marked. After local anesthetic sedation, the excess skin is excised and if necessary any excess fat as well. The wound is closed with one stitch running from the side of the face towards the nose. The scar will be located in the natural eyelid crease and possibly extending laterally into a crease of the crowfeet.

After an upper eyelid correction, the eyes will become bruised and swollen to some extent. Cold compresses using iced water or ice glasses can be applied to the eyes for 30 minutes, 3 times a day in the first 3 to 5 days. This will contain and reduce the swelling and bruising and painkillers are often not required.  At night the head should be elevated higher than the heart by using an extra pillow. The stitches will be removed after 5 to 7 days and your appearance will be very acceptable after 1 to 2 weeks. Any residual bruising can be camouflaged with make-up and the remaining swelling will continue to subside in the coming weeks. During the healing process you may feel some pulling and the scar may be slightly sensitive. You may experience some numbness of the eyelids for some time but this will all settle down after a while.

​​​​​​The removal of excess skin of the upper eyelids can improve your peripheral vision and sensation of comfort. Also, your appearance will improve by reducing a tired look. The scars are well hidden in the natural upper eyelid crease and in a wrinkle the crowfeet area. In general, the scars will therefore be hardly visible. The results are sustainable, but the aging process continues and an upper eyelid correction may need to be repeated in the future.

Sometimes the eyes are more bruised than normal; this will eventually resolve itself completely, but it may take a bit longer for the eyes to look normal. It is very important that you stop taking any blood thinning medication such as aspirin, prior to your procedure. It may be that you cannot open or close your eyes completely for some time after the procedure or that the eyes feel dry. Moisturizing eye drops may be used until the eyes are able to close properly and the tear production is restored. Pre-existing asymmetry of the position and movement of the eyebrows can create asymmetry of the eyelids. The eyelids may end up not completely symmetric, but if the asymmetry is significant and bothersome, a correction can be performed on one side. In rare instances an inclusion cyst can develop in the scar which can be surgically removed. An extremely rare complication is excessive bleeding behind the eye (retro bulbar hematoma), which can lead to blindness if not aggressively immediately treated.

Before
Before
After (Dr Karel Taams)
After (Dr Karel Taams)
Before
Before
After (Dr Karel Taams)
After (Dr Karel Taams)