We distinguish between the surgical treatment of the upper and the lower eyelids. On the upper lids, hooded eyelids form with age or by predisposition: a considerable excess of skin develops which can also restrict the field of vision. In addition, small fat pads can protrude from the eye socket and make the findings worse. In technical terms the upper lid correction is called upper lid blepharoplasty or upper eyelid lift.
If slackening of the subcutaneous structures, excess skin on the lower lid and protruding fat pads lead to the formation of tear troughs, we speak – in the case of surgical correction – of lower lid blepharoplasty or lower eyelid lift.
The upper eyelid lift is one of the most frequent lifting operations on the face. With markedly slackened upper lids, some patients even try to fix them upwards with adhesive strips – it should not get that far. The advantage of this small procedure is its marked effect with a barely visible scar, provided the incision is correctly placed. It is also very well suited to raising the brow slightly at the same time.
With the lower lid correction, rather little skin is removed. Instead the underlying soft tissue is tightened and fat protruding from the eye socket is removed. The so-called tear troughs thereby become considerably smaller and the expression looks fresher. The incision lies below the lash line.
With the upper eyelid lift a spindle of skin is removed under local anaesthesia. In the same procedure, fatty tissue bulging out of the eye socket can be removed as well – that ensures an aesthetic and long-lasting result. With the lower eyelid lift the structures lying beneath the skin are gently tightened using a skin-muscle flap. Upper and lower eyelid lifts can also be combined with each other, and both go well with a facelift or a forehead lift.

A lid correction of the upper lids is frequently not paid for by the health insurance fund. If considerable slackening of the lids restricts the field of vision and an ophthalmologist confirms this, an application for cost coverage of the upper eyelid lift can under certain circumstances be made.
The swelling usually subsides noticeably within the first 7 days. Promoting lymph drainage with a lid massage does the inner wound healing a great deal of good. Occasionally prolonged swelling occurs which can last six months.
7 days after the operation the stitches are removed and the slight swelling then subsides noticeably. From 14 days, massage can promote lymph drainage and counter prolonged swelling of the upper or lower lid.
There are various offers on the market that promise to undercut the cost of an eyelid lift. In our experience we often see these patients again afterwards with unsatisfactory results. The surgical eyelid lift remains one of the most effective methods of rejuvenating the eye area.
We will gladly advise you on the options and on the solution that makes sense in your case – including the combination with other procedures on the face. Arrange a consultation appointment at our practice clinic.
With the upper eyelid lift (blepharoplasty) a spindle of skin is removed, if necessary together with fatty tissue bulging out of the eye socket. With the lower eyelid lift little skin is removed; instead the underlying structures are tightened with a skin-muscle flap and protruding fat is removed. The two can be combined.
On the upper lid in the natural lid crease – with the incision correctly placed it is barely visible. On the lower lid the incision runs just below the lash line.
Yes, the procedure is very well suited to raising the brow slightly at the same time. For a more pronounced lift, a brow lift is the more suitable method.
Usually not. If considerable slackening restricts the field of vision and an ophthalmologist confirms this, an application for cost coverage of the upper eyelid lift can under certain circumstances be made to the health insurance fund.
It usually subsides noticeably within the first 7 days. Massaging the lid promotes lymph drainage and does the inner wound healing good. Occasionally swelling lasts longer – up to six months.
7 days after the operation the stitches are removed and the slight swelling then subsides noticeably. From 14 days you can promote lymph drainage with massage in order to counter prolonged lid swelling. During the first week you should avoid work above head height, cool the area during the first 2 days and sleep with the upper body raised.
There are many cheaper offers. In our experience we often see patients again afterwards with an unsatisfactory result. The surgical eyelid lift remains one of the most effective methods of rejuvenating the eye area.
The procedure takes about 45 minutes and is carried out as an outpatient under local anaesthesia. Most people are able to face others after 2 days; the check-up takes place after a week together with the removal of the stitches.
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