The initial examination serves to clarify whether the annoying change to the lower eyelid has been caused by protruding fat tissue (tear sac), skin and muscle slackening, or a combination of these factors. The operation plan for the lower eyelid correction is drawn up on the basis of this analysis. If slackened skin is the sole cause, the skin on the lower eyelid is ablated by making a fine incision below the eyelashes and extending the incision sideways into a laugh line. It is also important to assess the elasticity of the lower eyelid in advance, as it is necessary in some circumstances to additionally suspend the edge of the lower lid to avoid a droopy eyelid after the operation. If a tear sac is present, this is generally opened and the protruding fatty tissue distributed in a hollow (tear duct) leading to the cheek. Thus it is possible to pad out and permanently correct the racoon eyes in the area of transition from the lower eyelid to the cheek.
1.5 - 2.5 hours, up to 3 hours in complex cases.
Local anaesthetic with sedation (half-sleep).
The lower eyelids are sealed with a plaster for one week after the lower eyelid correction until the sutures are removed. The skin in the lower eyelid is very thin, meaning that blue discolorations are inevitable. These generally disappear after 2-3 weeks.
Secondary bleeding and infection occur rarely, while scar problems are hardly ever observed. The risk of a droopy eyelid is low with secure suspension at the edge of the lower eyelid and appropriate skin removal.
Work: 2 weeks (office). Reading: 2-3 days. Physical exertion/sport: 4 weeks. Avoiding exposure to strong sunlight or extreme cold: 6-8 weeks. Final result after 6 months.
Permanent. The redistribution of the tear sac towards the cheek remains stable, but the skin may slacken again after 10 years at the earliest as the ageing process continues.