As the skin elasticity reduces, the eye corners and eyelids begin to droop. The occurrence of the changes varies from person to person; it depends both on the congenital structure of the eyelids and on genetic factors.
For young people the best way of eliminating the upper eyelid droop is by a brow lift. Like a forehead lift, it is performed using an endoscopic technique. There will be small scars on the scalp. The procedure is performed under general anaesthesia. After the surgery the patient stays in the postoperative ward for the night. The area around the eyes will be swollen and there will be bruising for several days. I recommend wearing a headband for two weeks after the surgery. You should reserve three weeks for recovery.
A brow lift can also be performed under local anaesthesia by means of upper eyelid surgery or through an incision along the border the eyebrow. The latter operation leaves scars on the face, and I do not recommend using this method for aesthetic correction.
Upper eyelid surgery
If the distance from the brow to the edge of the upper eyelid is big enough, upper eyelid surgery (blepharoplasty) may be applied.
Blepharoplasty is usually carried out on an outpatient basis under local anaesthesia. Doctors try to minimize the swelling and bruising. Therefore they recommend stopping the use of Primaspan and coenzyme Q-10 preparations two weeks before the surgery. To prevent swelling after the surgery, cold compresses are used. You should avoid bending down and physical strain for at least three days. You should reserve two weeks for recovery.
If necessary, surgery on the upper and lower eyelids may be carried out simultaneously; however, from the point of view of the patient’s recovery, I recommend operating them separately.
Lower eyelid surgery
The reshaping of the lower eyelid is a technically complicated surgery, and bruising and swelling after it are normal. The technique is chosen individually for each customer, depending on whether it is a case of uneven distribution of adipose tissues and/or a case of excessive skin. It is sometimes more sensible to fill the groove under the lower boundary of the eyelid with a fat filler.
The lower eyelid surgery is carried out on an outpatient basis under local anaesthesia. At first, some tension is felt at the outer margin of the lower eyelid; however, it disappears on its own. The recovery takes about three weeks. The final result cannot be seen until three months later.