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Eyelid surgery

Eyelid surgery

Why opt for eyelid surgery at Asklepion?

  • We have a unique accredited programme of postoperative care for faster healing
  • We offer postoperative laser treatment for even better results
  • We offer all types of anaesthesia including general anaesthesia for your maximum comfort
  • You can rest assured while being treated in the discrete environment of the largest clinic in the Czech Republic
  • Our surgeons are highly experienced and have trained in the Czech Republic, as well as abroad
  • We use the latest methods with minimum visible scarring

Does the skin over your eyes make you look tired? Is the loose skin around your eyes making you look older? Plastic surgery of the eyelids can give you a livelier more youthful look. Make an appointment with our specialists. They will show you what possibilities there are for you to take a fresh look at the world.

What is plastic surgery of the eyelids and who is it suitable for?

Plastic surgery of the eyelids, so called blepharoplasty, is a very effective intervention for treating the results of ageing. The procedure can be performed as separate interventions on either the lower eyelids or upper eyelids, or on both the upper and lower eyelids at the same time. This is dependent on the diagnosis. Plastic surgery of the eyelids is most commonly performed on patients between 40 to 50 years of age.

Why should you consider correction of upper eyelids?

The upper eyelids move much more, which is why the skin starts to loosen quickly. The resulting dermal overhang, which at first is only small, successively grows bigger. When this overhang reaches the edge of the eyelids it causes the eyelid movements to become more difficult, creating permanent pressure on the eyes, and causing the increased tiredness of already strained eyes.

In addition to poorer vision in the afternoons and evenings, dermal overhang can cause headaches, tearing and sometimes also dermal irritation at the fold of the eyelids or sties. The surgical removal of excess skin is not only suitable for aesthetic reasons, but mainly for functional reasons. After the removal of the excessive skin on the upper eyelids, you will feel relief on your eyelids and a "brightening and opening" of the eyes.

Why should you consider correction of lower eyelids?

The movements of the lower eyelids are not as significant as those of the upper eyelids. Excess skin is therefore not usually the problem. The problem is with so called fat prolapse. In the bone cavity, the eye lies on rolls of fat, which have very fine ligamentous casings. If these casings start to lose their firmness, they prolapse - a bulge of fat forms under the eyelids. As the circular subcutaneous muscle of the eyelids is also very soft and yielding, it cannot bear the pressure of the fat and therefore forces the lower eyelid to bulge. This forms noticeable bags under the eyes.

The swelling and saturation of the eyelids can be permanently removed with an early surgical intervention to remove the fat prolapses. If the swelling and eyelid saturation are connected to any general illness, these manifestations will subside.

For whom is eyelid surgery not suitable?

If you suffer from soft mimic wrinkles, which are mostly localized in the area around the outer eye corners, they can only be partially removed with eyelid surgery. Eyelid surgery cannot smoothen or permanently remove wrinkles on the eyelid skin. It also cannot correct asymmetry of the eyes caused by asymmetry of the facial skeleton, or mimic wrinkles on the whole face which are the result of habitual facial expressions.

To resolve the problems of ageing on the face, patients should consider having a face and neck lift, followed by eyelid surgery and finally by a forehead lift.

What does eyelid surgery involve?

  • During blefaroplasty we remove excessive skin from the eyelids and where necessary reduce the fat bags that form the soft cradle for the eye in the eye cavity.
  • The resulting scar on the upper eyelid is in the natural groove in which the skin is packed while the eye is open.
  • On the lower eyelids, the scar is under the lashes.
  • The intervention is performed under local anaesthesia as an outpatient, or with one day hospitalization.

What does surgery on the lower eyelids involve?

  • When we perform the surgery of the lower eyelids through the conjunctiva, the lower eyelid has to be uncovered.
  • The eyelid conjunctiva is then cut with a laser or radio-scalpel and the fat from all of the fat bags removed.
  • The conjunctiva is only covered with an ointment and the eye covered. There is no dermal incision and no sewing involved.
  • The conjunctiva heals within 3 to 4 days.
  • The surgery has to be performed under total anaesthesia because it is done on an open eye and the patients could not hold it without moving.

The surgery on the upper and lower eyelids usually takes 40 to 50 minutes, depending on the extent of the surgery.

How do you prepare for blefaroplasty?

1) Make an appointment with our plastic surgeon.

2) One week prior to the planned surgery you must provide us with results of both a laboratory and internal preoperative examination. You can undergo the examination at your general practitioner or directly at our clinic one day before the surgery. You must take into account that in this case the surgery might be postponed if the results are not within acceptable limits.

3) Do not take any medications containing acetylsalicylic acid, which influences blood coagulation, for at least three weeks prior to the surgery.

4) You should be fit and healthy and not have had any acute illnesses e.g. cold or viral infection, for at least two to three weeks prior to the planned surgery. Smokers should also temporarily give up smoking. Smoking significantly slows down the healing process.

5) You must come to the surgery on an empty stomach (the patient should not eat, drink or smoke for at least 8 hours prior to the surgery), at the agreed time, clean, with washed hair and no make-up.

6) Your stay at the clinic is limited to 1 or 2 hours after the intervention. During this time, the eyelids will be covered with a cold compression bandage. Before you leave for home treatment, the bandage is removed. For the journey home you must wear dark glasses. The eyes may tear.

7) We recommend you arrange help and transport by car when leaving for home treatment..

What do you have to do after blefaroplasty?

  • After the surgery, it is necessary to rest for one week at home.
  • For the first 3 to 5 days you must change the cold compress regularly.
  • If you have gel glasses, do not attach them directly to the skin, place dry gauze swabs underneath them.
  • Before going to sleep, cover the eyes with a dry elastic bandage. This prevents the eyelids from swelling overnight too much.
  • You can use eye drops 2 - 3 times per day, and at night an ointment into the eyes.
  • Do not remove the steri-strips until the stitches are removed. The swelling and bruising usually persists for 7 to 10 days after the surgery.
  • The stitches are removed 6 days after the surgery.
  • You can use make-up to cover the scars 10 days after the surgery.
  • About 2 weeks after the surgery you can start to perform pressure massages - at least 3 times per day for 10 to 15 minutes. We will teach you the correct massage.
  • Sport and physical exercise are possible 4 to 5weeks after the surgery.
  • Going to the sauna or solarium are forbidden for the first 2 or 3 months.
  • If the skin is pigmented, it is necessary to protect it from the sun, otherwise the pigment changes could become permanent.
  • High factor sun protection creams are recommended. Alternatively cover with make-up or wear sunglasses.
  • The healing time and appearance of the scars is very individual. After the stitches are taken out, the scars are pink and with time turn paler. The pink scars in outer corners of the upper eyelids persist longer, but will eventually pale after several weeks.
  • The stabilization of the scars usually takes a minimum of 3 months after the surgery.
  • You will be regularly invited for postoperative examinations. We will work to ensure that the results of the eyelid surgery correspond to your expectations.

Do you have any further questions with regards to eyelid surgery? If you do, don´t hesitate to contact our specialists. Make an appointmenttoday.

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Jana Hrncirova

client services manager

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