Initial person-to-person contact takes place via the eye area, and emotional impressions, with associated character features, are conveyed through it.
Eyelid plastic surgeries are very popular and, as a result, are also performed in many medical specialties.
But precisely this rather simple surgical procedure must be carried out with accurate preoperative expertise, exact operation planning and perfect execution – otherwise errors in treatment can scarcely be corrected later on.
That becomes really very clear with upper lid plastic surgery.

First of all, it is worth finding out the causes of drooping eyelids (eyelid ptosis) in order to select the correct therapy procedure for restoration of the upper eye (sulcus) groove.
If it is a matter of an isolated prominence of soft tissue, usually fat from deeper tissue layers (fat herniation), slack eyelid muscles (musculus orbicularis oculi), then the covering, extremely thin, upper lid skin droops. One can observe this already in young patients with a particular predisposition, but illnesses can also exacerbate this process. Here the operation on the upper lid region is limited to performing a so-called blepharoplasty.

With aging persons, on the other hand, there is a drooping of slack forehead skin, which pushes the skin of the eyebrow region over the eyes. Surplus skin and muscle in the upper eyelid area can also occur secondarily. In addition, one observes deeply sunken eyebrows, so-called crowfeet wrinkles on the temples on the sides and forehead wrinkles. The patient’s effort to open the eyelids by lifting the forehead only intensifies these changes. Carrying out an isolated upper eyelid plastic surgery would be a mistake. The removal of the surplus skin of the eyelid would lead to a broad pulling down of the skin of the forehead and only emphasis all the more the changes of aging in the eyebrow-forehead region.

These changes can only be eliminated by a forehead/eyebrow lift, raising all of the skin of the forehead via a minimally invasive operating technique.

Only upon its conclusion can one decide about the necessity of an additional upper eyelid reduction.