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  • Wrinkles and deep lines in eyelid skin.
  • Puffiness in the upper or lower eyelids.
  • Excess skin folds in the upper eyelids.

Anaesthesia: Local anaesthesia; however, intravenous anaesthesia may be added if necessary.

Duration: One hour for the upper or lower eyelids only;

2 hours if both the upper and lower eyelids are operated.

Procedure: In the upper eyelid, through an incision hidden within the upper lid fold, excess skin, stretched muscle, and protruding fat pads are removed.

In the lower eyelid, protruding fat is removed through an external incision placed just below the eyelashes. Sagging skin and muscle is trimmed and tightened to re-suspend and support the lower eyelid. In older patients and patients withe lower eyelid laxity, lateral corners may require internal suspension (cantopexy).

Recovery: Swelling and bruising of the eyelids peak at 2 days after surgery and rapidly resolve over the next 2 weeks.

  • Temporary discomfort, tightness of the eyelids, burning and itching, excessive tearing and sensitivity to light are common in the first few weeks.
  • Patients are able to read or watch television after 2-3 days.
  • Return to work after 10 days, but no strenuous activity for 3 weeks.
  • Contact lenses cannot be worn for 2 weeks.
  • Subtle swelling may persist for up to 6 months.

Results: Provides a smoothing of eyelid skin which lasts for years.

The fat removal is permanent.


  • Infection, hematoma, scarring.
  • Residual asymmetry in eyelid shape.
  • Visual disturbances, including blindness (extremely rare).
  • Difficulty in closing the eyes completely (extremely rare and may require revisional surgery).
  • Drying of the eyes or tearing.

Warnings: Before the operation, all the pills /drugs impairing blood coagulation should be stopped at least 1-2 weeks before.

Drinks or fruits such as green tea, red wine, garlic, cherry, pomegrenate and all types of herbal medicine should be discontinued 1-2 weeks before the operation.

Blood pressure should be regulated in necessary and hypertensive patients should be treated with the medicines and the blood pressure should be in the normal range.

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