The eyes are one of the most important attributes of female beauty – a symbol of attractiveness and desire. Many women are not completely happy with the folds and wrinkles around their eyes and today women who are unhappy with their eyes have many options which include Eyelift surgery.

The normal ageing process and often heredity plays an important factor making us look older than we are. The stretching of the eyelid skin resulting in excess folds and wrinkles, sagging of the fat around the eye itself appears as bulges in the upper and lower lids. Sometimes, even after a great nights sleep, it can be hard to feel alive and vibrant when those tired, drooping eyes look back at you from the mirror. Eyelid surgery will help to improve the appearance of the upper and/or lower lids to give a rejuvenated appearance to the surrounding area of the eyes giving a more rested and alert look.

Although Eyelift surgery can correct drooping upper lids and puffy bags below your eyes, it cannot remove crow’s feet lines, or eradicate all eyelid creases. Any attempt to do so would invariably require excessive tensioning of the skin, which would result in a downward pulled or staring appearance of the eyelid. Nor does it improve or lift sagging eyebrows. Procedures such as laser skin resurfacing (for lines and wrinkles) and the Brow lift (for sagging eyebrows) are designed for these purposes.

• To increase self confidence and enhance self image
• To give a more youthful appearance in a natural way
• To correct bags under the eyes
• To correct droopiness of the lower eyelids, showing white below the iris (coloured portion of the eye)
• To correct excess skin and fine wrinkles of the lower eyelid
• To correct loose or saggy skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
• To reduce puffy appearance that gives a tired appearance

The best candidates are those who are in good physical health, are mentally and psychologically stable, preferably do not smoke, those who want to improve their appearance and those who have realistic expectations about the procedure and the results. Extra reasons may include:

• Most are 35 years of age or earlier if droopy eyelids run in the family.
• Are looking for a more alert and rejuvenated appearance.

Please be sure to tell your surgeon if you have any of the following medical conditions:
Eye disease such as

• Glaucoma
• Dry eye
• Detached retina
• A thyroid disorder such as Graves disease or an under or overactive thyroid

Pre-visit and during consultations the surgeon will try to evaluate your physical-mental health and any medical conditions. In order to obtain the best results it is important that you are honest with the surgeon, that you advise any previous surgeries, if you are taking any medications, herbal supplements, vitamins or other drugs and if you smoke. Be sure to discuss your expectations and goals. The surgeon is here to guide, advise and explain to you how the surgery will be performed, possible alternatives that may offer better results, the risks and limitations of each as well as details of follow up and after care.

The Procedure

The incisions for eyelid surgery are made in order that scars will be concealed within the natural contour of the eyelid region. In the upper eyelid area an incision will generally be made 1 cm above the eyelashes, the incisions may extend into the crow’s feet or laughter lines at the outer corners of the eyes repositioning of the fat deposits, tightening of the muscle and tissue the excess skin and muscle is trimmed from the upper eyelids together with any fat. The incisions are then closed with very fine stitches. For the lower eyelid surgery often an incision is hidden just below the lower lashes, excess fat can be removed, muscles and tissue tightened and repositioned. If the problem is mainly prominent lower bags without excessively loose skin, a Transconjuctival Blepharoplasty may be performed. In this procedure the incision is made inside your lower eyelid leaving no visible scars.

Alternatively, when loose skin needs to be trimmed, the incision starts underneath the eyelashes and extends 1cm or so outwards into the crows feet area. The skin is then lifted upwards and outwards, gently tensioning the area and overlapping skin removed.

Eyelid surgery can also be performed by laser using local anaesthetic. An initial incision made by the lasers beam, seals blood vessels to provide better visualization for the surgeon, with less bruising and quicker recovery for the patient. The fatty deposits are removed and the incisions are closed using tiny stitches. The stitches are removed after 5 or 6 days. Since the laser seals blood vessels as it touches them, there is less bleeding swelling and bruising than with conventional eyelid surgery. Laser surgery also allows a more precise and rapid surgery.

After surgery the eye area will be bruised for about 2 weeks. Patients should keep their head elevated and apply cold compresses periodically to the eyelids. Initially a ‘tight’ sensation may be felt around the eye area and some mild discomfort which can be controlled with oral medication. Vision may continue for be blurred for a few days or longer. Eyes may be sensitive to light. You may experience excess tearing or dryness. Eyedrops may be recommended to help relieve burning or itching. Dark glasses and an eyeblock may be recommended for wear for a couple of weeks to protect the eyes and eye area from the sun and wind irritation. You will be able to watch TV after 2-3 days and most people feel ready to go public in a week-10 days. Within the first week of surgery stitches will be removed after which makeup can be worn and the patient may feel ready to return to work although vision may still be slightly blurry which could make reading or other paperwork more difficult

Healing is a gradual process and final results will appear within several weeks but may take up to 6 months for final incision lines to fully refine. Contact lenses should not be worn for up to 2 weeks. The results will be long lasting and may be repeated in about 10 years.

Any hairline scars which follow the natural contour of the eyelids usually fade in about 2 months.

The results of eyelid surgery are long lasting but they may be affected by heredity and lifestyle factors. Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may at some point, return. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows which mimics a recurrence of drooping upper eyelids. If this happens, correction may require a forehead lift or a secondary eyelid procedure.

If you are looking for a brighter look and to restore a more youthful appearance to your face then Eyelift surgery may be for you.

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