Upper eyelid or eyebrow lift? Questions to PD Dr. Mathias Tremp

Excess skin on the upper eyelids can quickly make patients look tired and old. However, older patients in particular often have sunken eyebrows at the same time, which are often unnoticed. Therefore, a combined operation of upper eyelid tightening and eyebrow lifting is advisable from time to time.

How is the upper eyelid lift performed?

During an upper eyelid lift, the excess skin on the upper eyelids is surgically removed. If necessary, the fatty tissue can be removed or redistributed in depth.

How is an eyebrow lift performed?

With direct eyebrow lifting, the position of the eyebrows is raised by removing the skin directly above the eyebrows without reducing the forehead wrinkles.

During the temporal eyebrow lift, a cut in the hairy temple region lifts the outer part of the browbones as well as part of the central brow region. With a forehead lift, the deep forehead wrinkles and the entire position of the eyebrows are corrected at the same time.

What happens if only the upper eyelids are tightened while the eyebrows are lowered at the same time?

If the upper eyelids are tightened without treating the sunken eyebrows, the eyebrows sag, which is cosmetically disruptive.

This mechanism comes about because the activity of the forehead muscle is deactivated by the removal of the skin from the upper eyelids and the eyebrows are lowered.

How can sunken eyebrows be checked?

A typical clinical sign of sunken eyebrows is excess skin, especially on the outer area of ​​the upper eyelids. If, for example, Botox is also injected into the forehead muscle, the eyebrows are lowered. Therefore, when treating the forehead with botulinum toxin, the eyebrows often have to be treated as well.

Do you need an anesthetic?

The procedure can often be carried out on an outpatient basis under local anesthesia or in what is known as twilight sleep. General anesthesia is recommended for forehead lifts.

What are the possible side effects?

After the surgery, there may be some blue discoloration and swelling in the surgical area. You should therefore take care of yourself after the procedure and raise your upper body. Temporary numbness and tension in the scar area are possible.

When does the insurance company cover part of the operation costs?

The insurance companies very rarely undertake the operation and only if the field of vision is clearly restricted.


Do you have any questions about an upper eyelid or eyebrow lift? Book a session with Praxis PD Dr. med. Mathias Tremp