Lower eyelid lift in Zurich

A lower eyelid lift that only removes fat therefore falls short. What matters is which of these components create the visible findings.

Excess skin

Fine creasing and loose skin, influenced by elasticity and sun damage.

Fat prolapse

The fat compartments behind the orbital septum bulge forward and cast a shadow.

Tear trough

The hollow at the transition to the midface arises from tissue anchoring to the bone and from volume loss beneath it.

Lid tension

Reduced tension of the lower lid alters the lid position and increases the risk of malposition after surgery.

Descent of the midface

When the midface moves downwards, the lid region appears longer — even without relevant fat prolapse.

Transconjunctival approach

Access via the inner surface of the lid, with no external scar. Suitable when fat prolapse is the main concern and skin and lid tension are good.

External approach

An incision just below the lash line. Additionally allows treatment of excess skin and work on deeper layers.

Fat preservation and repositioning

Instead of simply removing fat, it can be moved into the tear trough to smooth the transition to the midface. Whether this is useful depends on the findings.

Canthal support

Where lid tension is reduced, the outer corner of the lid is tightened or stabilised to prevent lid malposition.

Relationship to the midface

If the midface is substantially involved, a lift or volume addition may be needed in addition; the lid operation alone will not then achieve the goal.

Skin quality, fat distribution, lid tension using simple clinical tests, the position of the outer corner of the lid, the midface and previous ophthalmological findings — particularly dry eyes — are assessed. Standardised photographic documentation is part of this.

Depending on the extent, the procedure is performed under local anaesthesia with sedation or under general anaesthesia. The duration depends on the approach and any combinations, for example with an upper eyelid lift.

Bruising and swelling are marked in the first few days and subside over one to three weeks. Cooling, an elevated head position and avoiding bending and straining support recovery.

Office work is usually possible after about a week, and patients are often socially presentable after two to three weeks. Contact lenses, make-up and sport only after medical clearance. The final result becomes apparent after several months.

Lid malposition

Sagging or outward turning of the lower lid is the most relevant complication. As a precaution, lid tension is tested and stabilising measures are planned where necessary.

Dry eyes

A temporary feeling of dryness is common; with pre-existing conditions it can last longer.

Asymmetry

Differences between the sides in swelling, contour or lid position are possible and cannot be entirely avoided.

Further risks

Postoperative bleeding, infection, wound healing and scar problems, over- or under-correction, remaining shadows. Very rare serious complications are discussed during the informed consent consultation.

Revision

Corrections are possible after healing is complete; the timing is determined individually.

The medical consultation for surgical procedures costs CHF 250. Following the examination, you will receive an individual cost breakdown for the recommended procedure. This should clearly state which services are included.

• Dr. med. Michael W. Payne

  Specialist in Plastic, Reconstructive and Aesthetic Surgery

• Upper eyelid lift
• Brow lift
• Facelift
• Lower eyelid lift or fat transfer — decision guide
• Facial surgery — overview

The initial consultation is about clarification, not selling. It does not necessarily end with a surgery date — often it brings the realisation that a different approach, or no procedure at all, is the right choice.

The consultation process

1. 01

   Discussion

   We listen to your concerns, medical history, expectations and what you would like to change about your appearance.

2. 02

   Examination

   A careful clinical examination and assessment of your underlying anatomy.

3. 03

   Options

   Possible procedures, alternatives, limitations and risks — explained clearly and without time pressure.

4. 04

   Time to reflect

   You decide in your own time. Any outstanding questions can be addressed in a further consultation.