Blepharoplasty - eyelid surgery

Drooping eyelids or bags under the eyes are usually the result of a relaxation of the elastic fibers of the skin and a bulge of fat deposits and can be corrected with an eyelid, the eyelid surgery is usually performed under local anesthesia and outpatient basis. In the upper and lower lid skin folds are the cuts in the natural laid, thelower eyelid at approximately 1-2 mm below the lashes. The finest fibers are easily between 3 and 5 Days taken, if no absorbable stitches are used.

Slight bruising and swelling after blepharoplasty are normal and disappear quickly. After healing the scars are virtually invisible. The success of 8-10 years and generally holds one eyelid surgery can be repeated easily. With overhanging eyebrows and pronounced forehead lines the eyelid forehead lift combined with a will. The incisions are behind the hairline or just above the eyebrows. Here, the slack muscles and removes the excess skin.

Before Blepharoplasty - OP:

Preliminary investigation required: laboratory

How is operated at a blepharoplasty and eyelid surgery?

The procedure is generally performed under local anesthesia and takes 20-30 minutes per eyelid. Anxious patients can be sedated before the procedure as drops or as an infusion given. First, the surgeon of the excess skin is measured accurately and determine the cut. This must be done thoroughly, carefully and calmly. The doctor should let himself this time. For if the anesthetic is injected only once, to change the contours and the orientation of the incision is made solely on the basis of the drawings. The operation by laser brings to patients as a result no advantage, but higher risks. The various types of lasers have their legitimate applications, but are not the results of blepharoplasty with a scalpel and worse due to the lower risks even prefer. The anesthetic is injected with a very Dänner needle on the side of the upper eyelid. It is felt usually only a short stitch, the other small injections, the patient feels no more often. Under the influence of the drug, which also reduces the bleeding, the first of the excess skin is excised with a scalpel. Bleeding is controlled with a fine electric tweezers. Then carefully spread the annular flat muscle of the eyelids, a connective tissue layer cut and exposed the two Fettkompartimente. Here, it is sometimes necessary that the assistant person lightly on the eyeball pressing, since thereby the fat invaginates slightly forward, and thus more accessible. The fat tissue is grasped with a clamp Chen and worn. Occasionally, an additional Muskel-/Bindegewebestreifen away. Then the two skin edges are sewn together. The used Nahmaterial is about as strong as a strong hair. Subsequently, the seam covered with a sterile plaster and will - still placed in the operating room - cooling-compress. This is very important to keep the immediate swelling and discoloration to a minimum. If in addition is the lower eyelids, the incision is first marked and tested the resilience of the Unterlidrandes. This is done by the physician grasps the Unterlidrand with two fingers, withdrawing from the eyeball and suddenly let go. Grab the lid margin does not return quickly, but only very slowly, the muscles (relaxed so-called "snap test"). Prerequisite for engagement is a sufficient elasticity of the Unterlidrands. In the case of the lower eyelid at the lateral corner of the eye, the drug is injected below the lashes. The lateral incision is parallel to the crow's feet and runs about 1-2 mm below the lashes to the inner corner of eye. Alternatively, here also with a fine scissors cut through the skin. There will be a thread in the middle of the lid is fixed and pulled up. For the surgeon, the fine muscle that must be cut, thus more accessible. must be maintained below the muscle to the bony rim of the orbit to expose the three Fettkompartimente. After division of a thin fibrous layer, the assistant person presses lightly on the eyeball and the fat pads are removed with a clamp Chen. Now, the excess skin can be measured. It is therefore important that the patient's mouth (under the sterile cloth) wide open and with eyes looking upward. This is for the measurement of the amount of skin to be removed extremely important. Therefore, it is not ideal if patients receive anesthesia, as they tighten the skin and then not be able to. The measured skin is removed and then carefully quenched small hemorrhages. The skin edges are closed with the same thread as on the upper eyelids and provides the wound with a sterile plaster. For one to two hours, the patient should cool the eye area with cooling-compress and monitoring remain in practice.

After the OP:

Pain medications are usually not required. 
Threads after 3 - 5 Days taken. 
Swelling and discoloration is generally between 8 and 14 Days gone. 
Sun and tanning beds are months to avoid the use of third 
To work after about 1 week. 
Socially after about two weeks.