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Lower eyelid correction

The expressiveness and appearance of the face
is largely determined by the eyes.
When it comes to evaluating the beauty of a person, the eyes play a crucial role.

Lower eyelid correction:

The lower eyelid contributes largely to the expression of the eye and the effect of the face on others.

The lower lid should sit tight and, with the gaze directed forward, no white sclera should be showing between the iris and the lower lid. Ideally, it should have a smooth contour without visible excess skin or visible bone edges, especially of the eye socket.

The edge of the lower eyelid covers the lower edge of the iris.
The lower eyelid is smooth and tight.

When with advancing age the lower eyelid loses tension or when a scar pulls it downwards, a condition referred to as ectropion develops. Here, the white sclera is visible between the iris and the edge of the lower eyelid. An ectropion can also result from a surgical procedure that was not properly performed, especially when too much skin was removed from the lower eyelid and no stabilisation of the outer corner of the eye (canthus) was performed (canthopexy). In this case, the face always looks tired or sad or even disfigured. This condition is commonly referred to as watery eyes.

To correct this deformation can be challenging, if possible at all. Therefore, you should take great care to ensure that the surgeon you place your confidence in has the necessary experience in performing lower eyelid reconstruction surgery.

Here, the white sclera is visible between the iris and the edge of the lower eyelid.
The eye looks tired and sad.

If you are interested or have any further questions, feel free to email us or arrange for us to call you back or make an appointment for a personal and comprehensive consultation at our plastic surgery practice.




How does lower eyelid correction work?

With the eye open, the incision line is marked as it runs along the lower lid just below the eyelashes and extends a fraction beyond the outer edge of the eyelid. The underlying muscle is tightened sidewise and fixed at the lateral edge of the eye socket. This provides support and stability for the lower eyelid. In addition, the skin of the lower eyelid is tightened and smoothened with this procedure. In the next step, the excess skin is carefully removed. Finally, the lower eyelid is stabilised with adhesive strips for approx. 10 days.

Incision to form a small muscle flap and fixation of this flap at the
bony lateral edge of the eye socket. This tightens and stabilises the lower eyelid.

Removal of the excess skin along the blue line

The post-op period

The sutures are removed after 4-5 days. To stabilise the lower eyelid, you will have to wear adhesive tapes for approx. 10 days, but these will be skin tone. The swelling will be visible during the first 2 weeks after surgery, but then you will be able to socialise again. However, a minor residual swelling will be very slow to resolve and it can take up to 6 months for it to disappear completely.

You should not touch your lower eyelid for 2 weeks and sleep on your back with the upper part of your body slightly elevated for 3 weeks to prevent the sutures that stabilise the eyelid at the side from tearing out.

Already after one week, you should start to press the scar along its course. Doing so promotes scar healing and helps to reduce the swelling. Be careful not to massage the scar, just press it with the tip of your index finger!

Female patients can start to put on make-up again after 3 weeks.

You should avoid direct sunlight for at least 6 months after the procedure. While in the sun, you should wear sunglasses and use a sunscreen with a high protection factor.

The costs

The costs of the lower eyelid correction surgery depend on the extent and duration of the procedure and range from EUR 4,000 to EUR 4,800. The procedure can be combined with eye bag removal or upper eyelid correction surgery.

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