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FAQ – Eyelid reshaping and eye bag removal

When does it make sense to undergo eyelid correction?
Small wrinkles around the eyes, eye bags and saggy eyelids usually run in the family. Sometimes they are more pronounced than in other cases, and may even lead to an abnormal restriction of your eyesight. This natural ageing process results in an unpleasant change in your eye area and affects a youthful look.
Oculoplasty is usually performed for aesthetic reasons. The decision is yours if and at what age you wish to undergo this procedure.

What exactly happens during the procedure?
When undergoing oculoplasty, the excess skin on the upper and lower eyelid is removed using a scalpel. The extent of this procedure depends on your eyelids. By precisely measuring the skin, the surgeon is able to achieve even and symmetric results.
Tightening of the skin and musculature occurs naturally when the excess skin is removed. Eye bags, which consist of fat tissue, will also be removed.
If suffering from pronounced crow’s feet, parts of the strong eyelid muscle will additionally be removed.

What are the possible results?
After surgery, the lower lids are unlined at rest except when you smile. The sometimes dark and extremely thin skin of the lower lids may not be brightened or tightened. You will be left with a fine thin line, which proceeds along the natural lid fold. The upper lids will be noticeably smoother and your eyes seem brighter.

What type of anaesthetic will I be given, and how long will I be hospitalised?
This is usually an outpatient procedure; you will be hospitalised for one day at the most. A sedative shot will put you in a doze and allay any nervousness or excitement. The local anaesthetic is injected via a fine, thin cannula, which you will barely feel.
Should you not wish to witness the surgery, you can be placed under general anaesthetic. You will have to undergo certain pre-operative check-ups and consult the anaesthetist in this case.

How can I prepare for surgery?
Before surgery, you will have to be examined to rule out any damage to the retina or eyeground. Please bring the medical report with you to your appointment at the clinic. You should not take any painkillers such as aspirin for at least 14 days before surgery, as they affect your blood-clotting ability. It is also best to refrain from consuming alcohol or sleeping pills. Purchase some compresses as well as two or three cold packs. A cold eye mask is also advisable. There is nothing more to prepare. You should check in without make-up on, be relaxed and bring dark sunglasses.

What is the exact surgery procedure?
Before performing the actual procedure, the surgeon must determine the course of the incision that will lead to the best results. With a special pen, he will draw an accurate draft onto the skin. The excess skin will be removed with a scalpel. The incision will be stitched intracutaneously so that the stitches are invisible. The procedure takes up to approx. 1.5 hours.

What happens after surgery?
Directly after surgery, the eye area will start to swell more or less heavily. The swelling will subside after a few days. There will also be haematomas around the eye, which will fade within one week. The scar along the lid fold will therefore barely be visible after 8 days. If the incision had to be made above the fold, their redness may be visible for a few weeks. Your vision may seem restricted due to the swelling, which will subside entirely after a few weeks.

What are the risks?
Please inform us if you are allergic to certain medication or care products, for example, or if you suffer from other illnesses. If you tend to bruise easily or bleed persistently from small injuries, your blood-clotting ability must be tested before surgery.

What are the possible complications?
After-bleeding is fairly rare, but can occur 1-2 days after surgery. After having eye bag removal, the lower lid may protrude slightly, resulting in the overproduction of lacrimal fluid due to individual scarring and haematomas. This is very likely if the patient is older or undergoing a second procedure.
Patients, who tend to scar more easily, may have visible, reddened scars for a few weeks. In this case, we will advise of the appropriate aftercare. A slight dryness of the eye is normal after surgery.
If your eyes are abnormally reddened and irritated, please consult an eye specialist.

What about aftercare?
Try to cool your eyes with damp and cold compresses for 1-2 days. This will help reduce the swelling faster. Any leftover bloodstains can be removed carefully using a damp pad.
Your family doctor will remove the intracutaneous stitches after 7-10 days.

What do I need to be aware of after surgery?
You should not use any lotions or ointments during the first week after surgery. In addition, you should not apply any make-up to the fresh scars for one week. Please note that the skin recovers best by itself. Ideally wear sunglasses to cover up any haematomas.

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