How it works
Everything begins with a consultation. Your doctor listens to what concerns you, examines the eyelid and the area around the eye, and checks how loose the skin is, how much fat is present, and how well the lid muscle lifts. Your doctor also asks about your eye history, the medicines you take, and what you hope for, then explains what the procedure can and cannot do.
The procedure is usually done with local anaesthetic, sometimes with sedation to help you relax. You are usually awake but feel no pain at the surgical site. Your doctor marks the incision lines before starting, to plan how much skin to remove.
Your doctor makes an incision along the natural crease of the upper lid, where the scar can later hide within the fold. Through this incision, your doctor removes excess skin and, if needed, removes or repositions some of the fat that makes the lid look heavy. Your doctor keeps enough tissue so the eye closes fully and works normally.
Once the shaping is done, your doctor closes the incision with fine sutures. The time varies from case to case, usually around one to two hours. You usually go home the same day and return for a follow-up visit to have the sutures removed.