Historically the mainstay of eyelid surgery consisted of tissue removal, which resulted in a hollowed eye appearance that looked nothing like the appearance in the young. This then progressed to the technique of redraping of the existing eyelid fat. In recent years, the importance of fat transfer, in those with volume loss, has gained traction.
Your eyelids will be assessed with regards to several factors such as the presence of skin excess, puffiness due to excess fat or hollowing due to volume loss. In addition, attention is paid to the position of the eyebrows (which may be causing or exacerbating upper lid problems- in which case a brow lift is required), and the position of the cheek (which may be causing or exacerbating lower lid problems- in which case a midface lift and or fat transfer is required).
The exact procedure will need to be tailored to your presentation and anatomy. Any excess skin is trimmed, the underlying structures are tightened if required, and the underlying fat is either redraped, or supplemented with a fat transfer if required.
The procedure will occur under local or general anaesthesia, depending on the exact technique used. You will be able to go home that day.
Bruising and swelling usually settles in one week, occasionally two weeks.
You will be asked to sleep with your head propped up on an extra 1-2 pillows in the first few days to limit the swelling.
These will be discussed with you during your consultation, including the risks that may be specific to you if you have a significant medical history.
It is important to take your time and consider them carefully. You will have the opportunity to return for a second consultation to discuss them further, as well as any other queries you may have.