Upper and lower eyelid surgery
Some women and men develop excessive skin and/or fat deposits in the upper eyelid and/or lower eyelid at an early age. It is important to remember that smoking, stress, exposure to sunlight, moderate to severe obesity, excessive alcohol consumption and poor diet are some of the factors that accelerate ageing and increase the risk of complications, thereby reducing the chances of a successful cosmetic result from eyelid surgery. It is therefore important to address these factors prior to surgery to ensure that the results of eyelid surgery are optimal.
You will receive a thorough assessment of the best course of action. Eyelid surgery is performed under local anesthesia. The excess skin is removed with fat bags. You will have a scar that runs along the upper eyelid and out to the side, and which in principle is the same length as the eyelid itself. The scar is not very visible. In the lower eyelid, the scar goes straight into the eyelid margin towards the hairline, and in some cases, where there is no excess skin, the scar is placed all the way into the mucous membrane of the eye so that it is not visible.
If the eyebrows are sunken below the edge of the eye socket, this results in excess skin on the upper eyelid. Patients often request eyelid surgery because of this. However, this is not the right procedure in such a situation, and a brow lift is recommended, possibly a brow lift combined with eyelid surgery. This will be decided during a consultation. To achieve an optimal result from eyelid surgery and to avoid complications, it is recommended that you have as normal a weight as possible and comply with the conditions mentioned above. If you smoke, you must stop smoking at least 1 week before the eyelid surgery and be smoke-free 2 weeks after the eyelid surgery.
We close the wound with stitches that must be removed after 5-7 days. Eyelid surgery may be grounds for sick leave. Physical exercise and hard physical work should be postponed for about 6 weeks. The scars are often red, itchy and hard at first, but over time they fade and soften. In rare cases, the scars become wide and clearly visible because this depends on the person's own inherited characteristics. We therefore recommend that you tape the scars for a few weeks after eyelid surgery.
Before surgery
You must be healthy on the day of surgery. If you are in doubt whether you have a cold or similar, please contact us. The operation is not performed when you have influenza with fever, cough or other infection in the body. Before the operation, you will receive a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg/ml, which you can buy at the pharmacy.
The day before surgery and on the day of surgery, you should wash your entire body with Hibiscrub solution in the shower. This is a disinfectant soap that should be rinsed off with water and the skin dried with a clean towel. Put on clean clothes when you leave home. Do not use perfume and lotion. All jewelry, piercings and nail polish/false nails must be removed no later than the day before surgery and replaced 7 to 10 days after surgery.
For the best possible result and to avoid complications, it is recommended that you have a normal weight and not an excessively high BMI. If you smoke, or use nicotine such as snus or electronic cigarettes, you must quit at least 2 weeks before surgery and 2 weeks after surgery.
You should come to the surgery fasting. This means that you should not eat food including fruit or drink juice with pulp or dairy products 6 hours before surgery. You may drink water, juice, juice without pulp or coffee/tea without dairy products or chew chewing gum/drops/throat lozenges up to 4 hours before surgery. Any medication that you may need to take on the day of surgery can be swallowed with 1 glass of water max. 100 ml up to 1 hour before the start of anesthesia.
It is important that you stop taking blood-thinning medication about 14 days before the operation, preferably in consultation with your GP or us. For other medications, please consult the clinic before the operation. A lot of garlic and health food preparations should also not be consumed.
You must arrange in advance for someone to pick you up at the clinic approx. 1 hour after the surgery, as you cannot drive, take public transport or a taxi on your own.
On the day of surgery
You will be met by our staff who will prepare you for the operation before the surgeon sees you. Before the actual procedure, the surgeon will go through the procedure, outline the planned procedure and answer any questions you may have. Anesthesia staff will also come and greet you and answer your questions.
When the surgery is about to begin, the surgical nurse will pick you up and clean the surgical area while the anesthesia staff gives you a sedative in your arm so that you sleep during surgery. In addition, the surgeon will place a local anesthetic in the surgical area for a long-lasting analgesic effect in the surgical area after surgery, which also reduces bleeding in the area.
After the operation, you will be moved to the recovery room where you will have your own bed. You will then rest for 1-2 hours and be served food and plenty of drinks in the form of bread, yogurt and juice (remember to inform us of any allergies). Painkillers are given if necessary.
The surgeon will check on you before your return home/hotel stay and you will be cleared by anesthesia staff before you go home with an adult companion. The PVK attached to your hand will be removed before you leave. A car or taxi must be used as a means of transportation immediately after surgery, we do not recommend public transport or walking.
After surgery
All patients come for a post-operative check-up the day after surgery. We recommend that you do not travel by air for the first 48 hours after surgery. During this time, a check-up appointment will be arranged in the clinic and you should come to the clinic for a check-up the day after surgery.
In the first few hours after surgery, you may feel a little tired and sometimes a little nauseous. It is important that you take painkillers as prescribed and as needed, and make sure you drink plenty of fluids for the first 24 hours. Some people may feel a little dizzy, so it's a good idea to take a few minutes to get up. For the first two days, you should rest and lie as still as possible. For the next five days, you can move around gently. If you have an active job, it is a good idea to stay at home.
The final result can only be assessed after 3-6 months. Follow-up check-ups are arranged with the clinic; the day after surgery, after 1-2 weeks and 3-6 months, as well as a final check-up after one year. You must call to arrange the check-ups yourself, or make an appointment with the clinic on the day of surgery.
Bleeding and infection are uncommon and in very few cases require reoperation and/or antibiotic treatment. Anesthetic complications, such as allergic reactions to anesthetics, are extremely rare.
Physical exercise and hard physical work should be postponed for about 4 weeks.
The scars are often red, itchy and hard at first, but over time they will both fade and soften.
If correction is necessary due to complications or unsatisfactory results, this is done free of charge within one year, provided that there is a medical indication and a clear potential for improvement. This is our guarantee period.
Pick-up and accommodation
You must arrange in advance for someone to pick you up at the clinic approx. 1 hour after the end of the operation, as you cannot drive, take public transport or a taxi on your own. You must also have someone with you the same day and the first night.
If you live far from the clinic, we recommend that you stay overnight in Oslo, either with family/friends or in a hotel.
Hotels close to Oslo Plastic Surgery;
Hotel Gabels Hus in Gabelsgate 16.
Frogner House Apartments, Bygdøy Allé 53.
(We have an agreement with Frogner House Apartments, inform about us when booking a room).
Ask for guidance and advice
We can provide the best advice face-to-face. We will guide you to the optimal solution for your needs.
The responsible physician is Dr . Amin Kalaaji, senior consultant dr.med, specialist in plastic surgery and head of clinic at Oslo Plastic Surgery, and head of the Norwegian Society for Aesthetic Plastic Surgery (NFEP) 2018-2020.
Dr. Kalaaji holds many positions and gives lectures and training around the world. This benefits all our patients as he is always up to date on the latest and most advanced treatments and surgical techniques.Â
Patient safety, high quality and individual treatment are always our top priorities at Oslo Plastic Surgery.Â
FAQ - Frequently asked questions
Oslo Plastic Surgery answers frequently asked questions here, and we hope this will provide you with good information. We want to be helpful in the process before an operation. If you have any further questions, just write or call us.
Those who have heavy eyelids and bags under the eyes.
All patients must undergo a consultation before surgery. The consultation is conducted by our experienced plastic surgeon, who will ask you questions about your medical status; previous or current illnesses, previous operations, use of medication, etc. An examination will then be carried out and the surgeon will consider a possible operation.
If you are suitable for surgery, you will receive information about the surgery itself, precautions for the time before and after the procedure, and you will get answers to your questions.
For patients with long travel distances, we offer consultations by telephone and/or video consultation. We will then send you a health information form to be completed and returned to us before the consultation. You also send us some photos.
Should surgery be required, the surgeon will conduct a thorough assessment the day before the planned surgery.
You must be healthy on the day of surgery. If you are in doubt whether you have a cold or similar, please contact us. The operation is not performed when you have flu and/or fever or cough or other infection. Before the operation, you will receive a prescription for antibiotics, painkillers and Hibiscrub solution 40 mg/ml, which you can buy at the pharmacy.
