Aesthetic procedures on the eyelids modify the position of the lids, the fat, the muscles and the skin. Generally, the eyes look more attractive when the outer corners of the lids are positioned a bit higher than the inner corners. By nature or because of ageing the outer corners may be at or sag to a lower position. Eyelids may be or become baggy when the fat around the eyes sags into a lower and more anterior position and causes bulging. Sometimes the circular muscles in and around the eyes become too active which leads to wrinkling and a more baggy appearance. Finally, the skin may become less attached to the underlying tissues and stretch somewhat because of the ageing process.
Almost all "open" aesthetic eyelid surgery (with an incision in the skin) can be performed under local anaesthesia. The hospital stay varies between day surgery and a one-night admission. The swelling takes about ten days to disappear, the bruises three weeks. Some residual swelling of the upper lid border and a light rigidity caused by the temporary scar hardening may stay longer.
Volume restoration of the eyelids with autologous fat (lipofilling) is usually performed under general anaesthesia.
Eyelid volume and eye contour can be enhanced without operation or anaesthesia by injections of hyaluronic acid gel in the office.