The upper eyelids usually present dominant, large skin excesses, which may even protrude and hang over the inside corner of the eye. Upper eyelid surgery is performed under local anaesthesia and takes about 50 minutes.
Performance of upper eyelid surgery
During the upper eyelid surgery a delineated strip of the skin is resected using a normal scalpel or laser; the width of the strip is usually 10-20 mm. In the created open surgical field, the orbicularis oculi muscle must be cut lengthwise at the inside corner of the eye to gain access to the fat pads pushing from below. This way they can be fairly easily removed. The muscle is then sutured with a very delicate, absorbable fibre. To improve the contour of the outer half of the upper eyelid, corrective surgery of the orbicularis oculi muscle is carried out.
As the last step in the upper eyelid remodelling, sutures are applied to the skin cover of the eyelid using a thin nylon fibre. The resulting scar is located in the natural crease of the eyelid. Stitches are usually removed after 5-7 days according to the surgeon's practice.
Sometimes it is appropriate to combine upper eyelid surgery with lower eyelid laser surgery or conventional surgery. Upper eyelid surgery is also often performed during eyebrow surgery or facelifting.