What are eyelid problems?
The skin of the eyelids contains loose connective tissue, which can sag over the years. Eyelid problems therefore include age-related dermatochalasis in the upper eyelid but also eyelid malpositions (outwardly or inwardly turned lower lids) or neoplasms. Eyelid problems are not only aesthetic problems, but can lead to an increased or reduced flow of tears, or even restrict your field of vision.
How do you notice these diseases?
Your symptoms could be the following:
- You have a “tired” look.
- You have droopy eyelids.
- You have an increase in lubricating disorder of the ocular surface, such as increased lacrimation (epiphora) or an increased sensation of dryness.
- You notice a limitation of your visual field.
- You notice a malposition of your eyelids (outwardly or inwardly turned lower eyelids).
- You have an inflammation of the eyelid margins.
- You have inwardly rotating eye lashes and therefore a foreign body sensation or pain.
- You have tissue growths on the lids.
- You have a stye (hordeolum) or a chalazion
If you have these or similar symptoms, a thorough examination is necessary to clarify the exact cause.
The examination of eyelid problems
Depending on the symptoms, further eye examinations besides a visual examination may be necessary. Depending on the outcome of the examination surgery may or may not be required.
In a comprehensive conversation, I will advise you about the necessity of a surgery, the details of the procedure, the expected outcome and possible side effects. It is a major concern for me to address all of your questions and to explain in detail how the surgery will be performed.
The plastic eyelid and aesthetic surgery
I perform eyelid surgery – depending on the indication – either as outpatient procedure under local anesthesia or as an inpatient procedure. With more than 500 eyelid operations I have a very broad range of experience and can recommend the best method for you.
The procedures include blepharoplasty. This will reduce the mostly age-related sagging of the eyelids (dermatochalasis) in the upper eyelid. If the sagging of your eyelids is severe, your health insurance covers also a part of the operation costs.
These include the ectropion operation, a correction of an eyelid turned outward. An ectropion causes symptoms such as lacrimation (epiphora), inflammation of the eyelid margins (blepharitis) and pain caused by lubricating disorders.
The entropion surgery, on the other hand, is the correction of an inwardly rotated eyelid. An entropion causes painful defects of the corneal epithelium (erosions) and inwardly rotated eyelashes (trichiasis).
I also perform operations of tissue growths on the eyelids, the conjunctiva and/or the cornea as well as chalazion operations. A chalazion (remnant of a stye) is a chronic inflammation of the eyelid margin developing from meibomian gland or gland of zeis. Besides redness and swelling of the eyelids a chalazion can also be painful in the acute phase and cause a foreign body sensation as well as visual disturbens due to pressure on the cornea.
A chalazion can be quickly removed with a tiny incision under local anesthesia, so that you can get back to your regular schedule the next day.
In addition to the correction of eyelid malpositions and eyelid sagging, I perform wrinkle treatments in the facial area as well. These aesthetic treatments are performed with botulinum and fillers (such as hyaluronic acid), and help to improve your appearance.
If you have questions about eyelid or aesthetic surgery, please contact me.