Candidates. Men or women aged 20 or older, whose upper eyelid demonstrates: laxity of the skin or muscles, excess wrinkles, absence of the palpebral fold for different reasons, or fatty deposits. In the lower eyelid: increase or herniation of orbital fat (bags under the eyes), skin laxity, and wrinkles below and to the sides of the eyes.
Surgery. This procedure is usually performed under local anesthesia and intravenous sedation. The incisions in the upper eyelid run along the palpebral fold to avoid visible scarring following the operation. In the lower eyelid the incision is 1 mm from the edge of the eyelashes, so that no scar is visible. In young patients with minimal excess skin the operation may be performed from within the eyelid (transconjunctivally) to eliminate the external cut altogether. Given that the skin on the eyelids is the thinnest of the body, a very slender thread is used to close the incisions.
Postoperative care. Following 1 hour of surgery, a soft dressing is placed on both eyes, the patient remains in the clinic or hospital for 4 hours, unless a 24 hour stay is preferred. The stitches are removed in 3 days, with relative rest prescribed during the first five. Within a week the patient may resume their regular activities, with some temporary restrictions such as sun-bathing and strenuous exercise.
Appearance before and four months after surgery:
ocular contour has been improved, fatty deposits excised and the upper palpebral fold rejuvenated.