Lower Eyelid lift
There are several aspects of the lower eyelid that are important to distinguish:
Lower eyelid from the inside Some people look tired and have neither bags under the eyes nor excess skin. What they do have, however, are dark circles: sunken areas on the bone edge of the eye socket where shadows form.
Do you have tear sacs?A lachrymal sac has nothing to do with tears, but is a bulge of fatty tissue. This is clearly visible, at the latest when you hold your head straight and look up. Then the lachrymal sac bulges out.
Do you have excess skin?Everyone, including you, has a delicate wrinkle under the lashes on the lower eyelid. Underneath these, additional wrinkles can form, which are especially noticeable when laughing.
Do you have dark circles under your eyes?Lower eyelid from the inside Some people look tired and have neither bags under the eyes nor excess skin. What they do have, however, are dark circles: sunken areas on the bone edge of the eye socket where shadows form..
Do you have a swelling below the eye socket??Lower eyelid from the inside The lower eyelid has particularly many lymph vessels. By opening and closing the eye muscle, you "pump" the lymph fluid out. You may have noticed that when you have slept in, you wake up refreshed, but the lower eyelid area is swollen. During the day, the swelling goes down and your appearance improves. If you have not slept in, you wake up overtired, but are hardly swollen. The cause is how long you have pumped out the lymph fluid by opening and closing your eyes.
How can you imagine the procedure?There is the lower eyelid lift from the outside, lower eyelid lift from the inside and the canthopexy. I perform these three surgical procedures in a twilight sleep. The volume treatment of the dark circles can be performed under local anesthesia or in sedation anaesthesie.
Lower eyelid lift from the insideLower lid from the inside I remove the bulging fatty tissue through the conjunctiva (transconjunctival). The procedure is also known as lower eyelid lift from the inside. This gives me the certainty of avoiding with a high probability a watery eye, a sinking of the lower eyelid edge (ectropion). You will not see a scar from the outside. During the procedure the eye is protected by a protective cap.
Lower eyelid lift from the outsideThrough an incision in the delicate crease below the lashes I can remove the excess skin. The scar usually heals so that the scar is no longer visible.
CanthopexyIn order to prevent the edge of the lower eyelid from sinking, I first stabilize the eyelid angle laterally on the bone structure (feel the edge of the eye, this is the bone edge of the eye socket). This is a safety measure that is important (canthopexy).
Volume treatment of dark circlesBy lifting this sunken area, less shadow is formed and you look fresher. You have two options: either with your own fat or with hyaluronic acid. If you have secret fat pads on your body, I can use liposuction to extract your own fat. This is prepared and inserted through very slim, blunt cannulas, always in very small droplets. This is complex, but has the great advantage that the fat cells are better supplied with blood by the surrounding tissue. A good blood circulation means longevity, thus a long lasting, positive result for you. If your own fat is out of the question, hyaluronic acid is a good alternative. Here too, bruising and swelling can occur.
What are the risks??
- An ectropion (watery eye), a sinking of the edge of the eyelid. Therefore it is better to cut away a little too little skin than too much.
- A long-lasting tendency to swelling up to 6 months, so keep cool at the beginning.
- A pre-existing dryness of the eye can be increased.
- An overcorrection in the volume treatment. Therefore it is better to rework a little than too much.
An overcorrection in the volume treatment. Therefore it is better to rework a little than too much.
How long will you be absent?Please plan for 2 weeks of downtime because there are two things I can promise you: bruises and swelling. If I keep my promise, you will need 2 weeks to become socially acceptable again. Bruises will not have disappeared completely, but they can be covered very well with camouflage.
How do you behave after the operation?The eyes will swell and I recommend that you cool your eyes well after the treatment. If you take your time for this at the beginning, they will be swollen again more quickly, you will practically have your luck in your own hands. Helpful are moist compresses, a wet washcloth or special moisturizing glasses (Natragel® eye mask), which I recommend. It contains aloe vera, vitamin E and green tea, which your skin likes. On the lower eyelid I stick a silicone patch. This helps to reduce the initial swelling and remains for 1 week. The thread material is removed after 1 week.
Sports activities and sauna lead to increased blood circulation and swelling. If the surgical swelling has not yet subsided completely, you should wait with sports and sauna. After about 3 weeks you can start slowly. "Your body will tell you when you are ready.