How is eyelid surgery performed?
The procedure starts with anesthesia, either through intravenous sedation or general anesthesia. You and your doctor will discuss the best choice for you.
The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles and removal of excess skin. Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed. These incision lines for eyelid surgery are designed so the scars which result from the surgery will be well concealed within the natural structures of the eyelid region.
A transconjunctival incision, a technique where the incision is created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed. Eyelid incisions are typically closed with sutures or skin glue. Sutures are removed within one week.
Your surgeon may also suggest the use of a laser or chemical peel to reduce discoloration of the lower eyelids.
The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and a more alert and rejuvenated appearance.