The eyelid skin is delicate, constantly in motion, and exposed to the elements. It is inevitable that with time, the eyelid skin will loosen, stretch, and take on an aging look. This can often be so extreme that it inhibits vision or is an aesthetic problem that makes you look older than you feel.
Eyelid surgery most commonly treats the upper eyelids. The procedure is usually performed with local anesthesia and intravenous or oral sedation, and takes about two hours to complete. Once the area is numbed, a delicate incision is placed within the natural fold of the eyelid.
A tiny crescent of excess skin is removed and the eyelid is restored with tiny sutures. Some patients may require more work, such as tightening loosened eye muscles or treating puffy eyelids.
Lower eyelid surgery is usually performed through an incision placed within the lash line to avoid visible scarring. Through this incision, excess fat can either be removed or added (if the under-eye area has become hollow due to volume loss).