Eylidlift (Blepharoplasty) 


 

What makes the eyes tired:

The eyes, as `window to the soul,` show the world most clearly how a person feels. Shining, lively eyes convey happiness and positive attitude. The skin of the eyelids is the thinnest in the body. The consequences of advancing age, but also of diseases of the heart, kidneys or thyroid gland are seen here first. Wrinkles, hanging upper lids and bags under the eyes convey the impression of tiredness and lack of strength; such a person appears ineffective and devoid of vitality.

What is the blepharoplasty and what are the options to eliminate the problem?

The upper eyelid lift consists of the removal of excessive skin of the lid, condition known as `hanging upper lid`. If you suffer from so-called `bags under the eyes,` which is an excess of skin of the lower lid or protrusion of the orbit fat tissue due to age-related tissue loosening, a lower eyelid lift can help.

Upper eyelid lift

What bothers patients:

There are many reasons why patients want an upper eyelid lift. Affected patients sometimes report emotional discomfort caused by a tired, worn-down look. They suffer from their stressed-out and exhausted facial expression. Apart from aesthetic and emotional reasons, there are medical indications for the upper eyelid lift. Examples are restricted visual fields due to the weight of the eyelids or enormous psychological stress leading to social withdrawal.

Description of the procedure:

General anaesthesia with a laryngeal mask (sedation): we strongly recommend the performance of lid surgery under sedation. If only local anaesthesia of the lids is used, even the most relaxed patient will have tense forehead muscles or light fluttering of the eyelids. When the skin is marked, this leads to underestimation of the skin excess. This could result in undercorrection or inappropriate correction. In view of this we always perform the operation under sedation. We achieve a high success rate and a high level of patient satisfaction.

  • Disinfection of the facial skin
  • Marking of the incisions in sitting position (elliptical incision directed upwards at the outer lid angle. If the incision is directed downwards, skin retraction could result, causing an optically smaller eye. The incision directed upwards and to the side causes an optical opening of the eye, which appears larger).
  • Removal of the excessive skin
  • Removal of the excessive fat pad at the inner lid angle if necessary
  • Removal of a narrow muscle strip at the level of the desired lid furrow
  • Closure of the wound with the finest suture material
  • Cooling dressing

Postoperative care for your safety

Adhesive plaster known as “stripes” is applied immediately after the operation. The wound is then cooled with gauze compresses to minimise swelling. It is recommended to avoid heavy physical activity for 2 weeks. The head should be bent forward as little as possible in the first 2 days. Direct sun exposure should also be avoided for 2 weeks. You may take a shower the day after the operation, but direct contact with the water jet should be avoided.

Possible risks

The upper lid lift is a procedure which, like any operation, has certain risks and possible complications. We will explain all these at your consultation.

Blood collections, swelling and mild pulling pain may generally develop. Wound-healing problems, injuries of the eye, intolerance to medications, disturbances of sensation and scar formation are quite rare.

Cost of the upper eyelid lift

It is difficult to create a general cost schedule. Each treatment is individual. After a comprehensive evaluation, we will be able to send you a detailed cost estimate. We understand that many of our young patients or patients who have travelled from far away are very interested in the early discussion of the cost issue. You may contact us by telephone or email to discuss this. Please take 5 minutes time and describe in an email your question or problem as clearly as possible. We can then give you an approximate cost estimate for your orientation before the evaluation. We answer emails on business days within 24 hours.

One more important thing: front-view and side-view photographs of the affected body area will help us give you by email an estimate of the operation cost. We will do all we can to give you a list of the costs before the treatment, so that you have something to rely on when you make your plans. Costs may change in exceptional cases (longer operation time due to high tissue vascularity, adhesions, anatomic peculiarities, complications).

In most cases, the cost for an upper eyelid lift ranges from €2,000 to €3,000.

The operation at a glance:

  • Duration: 30-45 min
  • Anaesthesia: sedation
  • Hospital stay: the patient can be discharged the same day accompanied by an adult
  • Postoperative care: 2 weeks intensive, long-term postoperative checks up to 6 months after the operation
  • Suture removal: after 10 days
  • Resumption of normal activities: after 2 weeks
  • Physical exercise: after 4 weeks
  • Cost: starting form €2000
Lower eyelid lift

This is what bothers our patients:

The lower eyelid lift is performed in patients with the following findings: bags under the eyes, eye rings, loose lid skin and wrinkles of the lower lid.

`Bags under the eyes` are the result of age-related skin-elasticity loss. Sometimes they can be hereditary, in which case they are visible at a young age. Factors such as excessive alcohol consumption, smoking, sun exposure over years, sleep deprivation and frequent crying play a role in the aging process. In rare cases, the indication for the lower eyelid lift is a pathologic condition such as ectropion or entropion (abnormal turning outwards or inwards of the eyelid).  

Description of the procedure:

  1. Induction of anaesthesia (sedation): we strongly recommend the performance of lid surgery under sedation. If only local anaesthesia of the lids is used, even the most relaxed patient will have tense forehead muscles or light fluttering of the eyelids. When the skin is marked, this leads to underestimation of the skin excess. This could result in undercorrection or inappropriate correction. In view of this we always perform the operation under sedation. We achieve a high success rate and a high level of patient satisfaction.
  2. Disinfection of the skin around the lid
  3. Marking of the incisions in sitting position
  4. Incision under the eyelash line
  5. Preparation of a layer of skin or skin-muscle going to the lower edge of the orbit
  6. Measuring the skin excess by overlapping the wound edges
  7. Resection of the excess
  8. Tightening of the lower lid with a special muscle stitch at the outer lid angle
  9. Closure of the wound with sutures
  10. Cooling dressing

Postoperative care for your safety and for a great result:

The postoperative care after a lower eyelid lift begins immediately after the end of the operation. The wounds are covered with adhesive plaster and cooled in order to minimise swelling. Opening the eye is possible immediately after waking up from anaesthesia. The lids should however be protected, so we recommend you to take 2 weeks off and avoid heavy physical activities. Also, you should avoid creams and make-up in the wound area for 10 days. You may engage in physical exercise 4 weeks after the operation. The sutures are removed after about 7-10 days.

Possible risks:

Like any operation, the lower eyelid lift has certain risks and possible complications. Swelling and blood collections are common, however they resolve in 1 or 2 weeks in most cases. Pain and burning in the area of the incisions could also occur, but they are in most cases mild. Postoperative bleeds, as well as disturbances of sensation and injuries to the eye are exceedingly rare, however they need to be mentioned.

Cost of the lower eyelid lift

It is difficult to create a general cost schedule. Each treatment is individual. After a comprehensive evaluation, we will be able to send you a detailed cost estimate. We understand that many of our young patients or patients who have travelled from far away are very interested in the early discussion of the cost issue. You may contact us by telephone or email to discuss this. Please take 5 minutes time and describe in an email your question or problem as clearly as possible. We can then give you an approximate cost estimate for your orientation before the evaluation. We answer emails on business days within 24 hours.

One more important thing: front-view and side-view photographs of the affected body area will help us give you by email an estimate of the operation cost. We will do all we can to give you a list of the costs before the treatment, so that you have something to rely on when you make your plans. Costs may change in exceptional cases (longer operation time due to high tissue vascularity, adhesions, anatomic peculiarities, complications).

In most cases, the cost for an upper eyelid lift ranges from €2,400 to €3,500.

At a glance:

  • Duration: 1 hour
  • Anaesthesia: sedation
  • Hospital stay: outpatient
  • Postoperative care: 3 weeks intensive follow-up with checks in our practice (total 3-6 months)
  • Suture removal: after 7-10 days
  • Resumption of normal activities: after 2 weeks
  • Physical exercise: after 4 weeks
  • Cost: starting from €2,400

Your consultation for the eyelid lift

We can discuss in our practice which treatment is best for you or if there is an alternative to surgery, such as the treatment of the wrinkles around the eyes with CO2 Fraxel Laser. Schedule your personal consultation for the eyelid lift with Dr Julia Berkei at +49 (0)69 920 200 96, or send us an email with your problem at info@berkei-aesthetic.de