13 March 2014Artikel

An Alert Gaze – Upper and Lower Eyelid Tightening

This article explains why the eye area has such a strong influence on our appearance – and how modern blepharoplasty techniques can restore an alert, friendly expression.

Understanding the Ageing Process

Hooded eyelids, under-eye bags, and descended eyebrows arise from diminishing skin elasticity and weakening musculature. A thorough analysis determines whether excess skin, fat pads, or combined findings need to be treated.

Individual Surgical Planning

Upper eyelid tightening is performed via incisions in the lid crease, removing excess skin and portions of the orbicularis oculi muscle. Lower eyelid corrections use transconjunctival approaches to reduce fat pads without leaving visible scars. It is important not to be overly aggressive – otherwise the eyes can appear hollow.

Combinations & Limitations

Where the brows have descended, a forehead or brow lift is often beneficial, whilst pseudo-hooded eyelids merely create the optical illusion of excess skin. Lasers, peels, or skin boosters can additionally improve skin texture. Realistic goals and thorough patient education are essential.

After the Procedure

Cooling, sleeping with the upper body elevated, and avoiding nicotine all accelerate healing. Sutures can be removed after just a few days. Fine make-up can conceal residual swelling until the final result becomes visible after several weeks.

FAQ

When is upper eyelid tightening advisable?

When excess skin rests on the lashes, restricts the visual field, or creates a permanently tired appearance. We first assess whether a brow lift would be more appropriate.

What happens during lower eyelid tightening?

Protruding fat pads (under-eye bags) are removed or redistributed via an incision on the inner surface of the lid or below the lashes. Fine excess skin is smoothed.

How long does recovery take?

After seven to ten days, most patients are ready to return to social activities. Swelling subsides more quickly with cooling, rest, and specialist skincare products.

Are costs covered by health insurance?

Where there is a medical indication (e.g. restriction of the visual field), a contribution towards costs may be possible. Aesthetic corrections are self-pay treatments.

Über den Autor

Dr. med. Karl Schuhmann

Dr. med. Karl Schuhmann

Facharzt für Plastische und Ästhetische Chirurgie & Handchirurg

Mit mehr als 30.000 Eingriffen und mehrjähriger Tätigkeit als Chefarzt führt Dr. Schuhmann seit 2016 als Gründer von artethic® seine Praxen in Düsseldorf und Berlin.

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