Eyelid skin is the thinnest skin on the entire human body, and therefore it is the first area to show wrinkles. In human communication, eye contact is established first. Wrinkled and sagging eyelids can reflect a person's inner world. Often, by looking at changes around the eyes, it is possible to gain insight into a person's mental and physical state. Furthermore, symptoms of conditions such as kidney, heart, and thyroid diseases, or alcohol and drug addiction, can also be observed in the eyelids. In psychosomatic approaches, under-eye bags are defined as "unshed tears," a reflection of suppressed emotions.

Considering all these reasons, achieving a more dynamic, refreshed, and healthy appearance through eyelid surgery is of great importance.

Upper eyelid surgery is one of the smallest but most effective procedures in aesthetic surgery. Due to its relatively easy application, low risk of complications, and significant effect on facial expression, it is frequently preferred by both women and men. Especially with the increasing importance of a fresh and energetic appearance in modern business life, the interest of male patients in this surgery has also increased in recent years.

Aging and changes around the eyelids involve four main structures: skin, muscle, the thin layer separating the eyelid from the eye socket, and fat tissue. In surgeries performed in this area, these four structures are evaluated together to plan the treatment. Wrinkles on the outer part of the eye, caused by smiling and squinting, can be reduced with small lifting procedures from the temporal region, while preserving the natural expression.

Correct assessment of muscle position is of great importance. In approximately 70% of upper eyelid sags, the downward displacement of the eyebrow also plays a role. Surgeries performed without correcting this condition can lead to the eyebrows approaching the eyelashes and a harsh facial expression.

In upper eyelid surgery, excess skin and muscle tissue are removed in an elliptical shape, without preventing the eye from closing. The thin membrane in front of the eye socket is opened, and excess fat tissue, especially that accumulated in the inner part, is removed. In some patients, ptosis (drooping) due to weakness of the muscle that lifts the eyelid can also be corrected during the same surgery.

At this point, attention should be paid to botox applications. The tired look that appears after botox to reduce forehead wrinkles is often due to congenital weakness of the levator muscle (the muscle that lifts the eyelid). When this muscle is weak, the person tries to keep their eye open by raising their eyebrows and using their forehead muscles. When this balance is eliminated with botox, the eyelid may appear lower, and a tired expression may emerge.

Today, the classic "excess skin removal" approach in upper eyelid surgeries has been replaced by modern "combined treatment" methods. In addition to procedures performed on the skin, muscle, and fat tissue, internal fixation techniques can be applied to prevent tissues from sliding downwards. Brow lifting can be performed through the same incision line, and the muscles that cause frowning can be weakened.

In lower eyelid surgeries, classic methods have largely changed. Today, only skin and fat removal is rarely performed. Before surgery, the skin, muscle, fat bags, the area around the cheekbone, and the midface should be thoroughly evaluated.