Eyelid Surgery, surgical treatment of the eye bagginess, will fight one of the first visible ageing signs...
Normal ageing is usually first noticeable by changes in facial skin, downward shifting of the brow, and fullness of the eyelid skin.

This fullness leads to wrinkling and sagging of the eyelid (commonly called “bagginess”) which may become apparent under the lower eyelids and at the inner corners of the upper eyelids. The tendency for this to occur may be hereditary, and may become evident from an early age. More often, however, the fullness is developmental, and appears in the mid thirties, becoming even more marked in later years. Once the tendency for this to occur is apparent, the condition will progressively worsen.

The skin around the eyelid may become so stretched, as to impair sight. Once this has occurred, repair is much more difficult and the results may not be as good as with cases of earlier intervention. The rule of thumb with eyelid surgery is: the earlier the better! That is, as soon as any of the above conditions become evident, it is the time to take corrective action, in order to ensure optimum results.
What sort of treatments are there?
The results of early treatment can be highly successful. There may be more wrinkling or fullness of the skin as years go by, but once fatty tissue “bags” are removed, in general, they do not return.

Correction may be performed along with a face-lift operation, or as an entirely separate procedure, when this area alone is primarily involved.

This cosmetic surgery operation involves the eyelid structure and the surrounding soft tissue only. There is no interference with the muscles or organs of the eye itself. Therefore, there should not be undue concern about the possibility of any visual impairment.

The repair of incisions is performed with very fine sutures (stitches).

In the upper lid, the excess skin and any overstretched muscle fibres, is removed, along with the protruding fatty tissue.

In the lower lid, the procedure may be performed in a similar way, from the outside, at which time usually some loose skin is removed. The incision line is very fine, takes the shape of a natural lid crease, and usually heals without any mark.

The cosmetic surgery procedure may also be performed from inside the lid, where the incision is made in the conjunctiva, with no marking on the outer aspect of the lid. This is called a “transconjunctival blepharoplasty”, and is often combined with laser resurfacing.