Eye lids have a personality and are very individual. In the case of upper lids, it is important to correct the droop keeping the eyes in a natural oval shape. Over corrected eyes are hollow and round looking. In westernizing an Asian eye to Eurasian form, over correction is to be avoided. In this case the skin fold is elevated to the western level but the softness of the outer and inner corners of the eye must be preserved to look natural. The lower lid also must not be over corrected. Taking out all the fat in some cases will cause a hollow. In some cases the tear trough below the eye needs to be filled with fat to correct the appearance of a tired baggy eye.

Surgery time: 1-3 hours

Preparation: Before surgery, for 10 days, you should eat a high protein diet and avoid anticoagulants such as vitamin E, over the counter feel good meds, alcohol, antihistamine, herbal oils.

Procedure: Upper lids are carefully measured to allow the necessary skin for the eye to close easily. The incision is in the natural crease of the mid upper lid and usually is hard to detect, once it is healed. Lower lids are carefully marked and in doing the surgery, the supporting lateral ligament is secured, fat removed if required and the muscles and skin tightened.

Care: You need to rest for a day or two. You can readily go out and about with dark glasses if your surgery is not a secret. You need to sleep on your back with your head elevated on three or more pillows and not roll over onto your face for 3-4 weeks. Liquids are very good idea for the first 2 days. This is to control salt intake and thereby limit the risk of swelling post op. I prefer low carb protein powder over sugar sweetened products.

Results: Eye surgery is very long lasting. Some people only have to do them once in a life time.
Good results look natural, and are not tight, round eyed, or operated looking