How is the upper eyelid surgery done?
Prior to the surgery, the patient is placed in an upright position and the natural crease of the upper lid is carefully marked. With the eyes closed, the amount of excess skin is determined by gentle pinching of the loose skin. The excess skin is then marked as an oblong ellipse to be removed. Any excess fat is also marked for removal. Regardless of the type of anesthesia used, local anesthetic is injected into the eyelid skin to reduce bleeding. The skin is excised and bleeding is controlled with an electronic cautery. Sometimes redundant muscle is also removed along with any bulging fat. The skin is then closed with sutures that are normally removed in three to five days. Sterile tapes are also frequently placed over the incisions which should be left in place for several days.