The upper eyelids show age before the rest of the face does. Drooping upper eyelids develop through laxity of the levator tendon and fat accumulation in the lid area — no make-up resolves this sustainably. Dr. Fetai precisely removes the excess tissue under local anaesthesia.
Medically reviewed · Dr. Nusret Fetai · Specialist in Dermatology · 2025
When the lid fold disappears, makeup becomes difficult — and you look tired.
With heavily drooping lids the visual field is narrowed. The correction is then partly medically indicated.
Main indication age. With allergies, thyroid issues or genetics also earlier possible.
→ Classic indicator.
→ The correction is partly medically indicated.
"After OP gaze looks 'surprised'."
Only with too radical skin removal.
"Scar is always visible."
Scar lies exactly in the lid fold.
"It only lasts 2-3 years."
Typically 10-15 years effect.
"You have to stay home a week."
Swelling lasts 5-7 days.
From day 8-10.
Yes — even recommended.
Lower eyelid is separate. Combinable in one OP.
Only with proven visual field restriction.
As with any procedure: bleeding (rare), infection (extremely rare).
Eyes are the most important social signal. The neuroscience of the 'first second' explains why upper-lid changes appear so clearly.
The brain reads in 200 ms from the upper-lid angle whether a counterpart is awake or tired. Drooping lids unconsciously trigger the rating 'low energy'.
Visual Cognition ResearchThe amygdala processes face signals for trust/distrust. Open eyes (lid fold visible) are positively connoted — heavy lids negatively. This processing is preconscious.
Adolphs · Amygdala & Face TrustAfter upper-lid correction a fascinating phenomenon occurs: patients see themselves in old photos suddenly 'tired'. Their brain map has updated.
Self-Recognition Neuroplasticity"The upper-lid OP is medically the smallest intervention with the largest visual leverage. An 8-mm skin resection doesn't change your character — but everything about the image others read from you. Invisible interventions, visible effects."
No one consciously sees your upper lid — but it decides how awake, energetic, accessible you appear.
The brain reads the visible lid-fold ratio in under 200 ms.
8 mm resection — doesn't change character but changes the whole readability. 97 % satisfaction.
Cut runs in the natural lid fold — invisible after 8 weeks.
No hospital feel. You sit with Dr. Fetai in the treatment room. He sketches with a fine violet pen the exact incision line — in the natural lid fold. You look in the mirror and trust.
Several very fine injections around the upper lid. You feel a brief burn that fades in seconds. Then fully numb. We wait 5 minutes.
Dr. Fetai removes the excess skin fold (typically 6–10 mm), exactly in the marked area. You lie relaxed, hear the soft sound of fine scissors. You feel nothing.
Microsurgical suture directly in the lid fold with self-dissolving thread or ultra-fine suture (removal day 5). After healing: hard to find even with a magnifying glass.
You drive yourself. First 24 h: cool pads, sleep slightly elevated. Day 5: thread out. Day 14: you wear make-up. Day 21: no one suspects an OP — but everyone asks if you came back from holiday.
A glance says more than a thousand words.
A tired glance says one thing:
"I'm not quite here."
The truth: you are. Only your lid lies.
— Dr. Nusret Fetai
Four anatomical reasons — you can't train them away, but you can correct them.
From age 35, lid skin loses 1 % elastin per year. At 50 that's 15 % less tension — visible as "skin excess".
Lid skin at 0.5 mm is the thinnest on the body. Gravity acts disproportionately here.
Some people have drooping lids at 30 — the lid fold is anatomically set too deep.
Even after 8h of sleep you look tired because the eye is optically "covered". Others read this as exhaustion — even when you're energised.
What separates a "cut-open" from a perfect lid correction.
Every person has a natural upper lid fold (sulcus palpebralis superior) — barely visible in East Asians, prominent in Europeans. This line is the only correct incision path — it hides the scar perfectly.
Dr. Fetai marks the line individually, standing, with open eye — not lying down. So it fits the actual mimic. After 8 weeks the scar is hard to find even with a magnifying glass.
Under lid skin lies M. orbicularis oculi — the eye's closing muscle. Cut too deep here, you risk "dry eye" or prolonged lid lag.
Dr. Fetai removes only skin (occasionally minimal fat) — never muscle. Conservative — but medically the only safe path.
Some patients have not only skin excess — but also a bulging upper-lid fat pad. If overlooked, the result looks flat but "indented".
In these cases Dr. Fetai removes a micro-strip of fat — precise, never too much. This is the difference between a standard procedure and an individualised aesthetic OP.
Some patients thinking "my lid droops" actually have a low-positioned brow. Operating only the lid would disappoint.
Dr. Fetai tests in the consult: lift the brow with a finger — if the lid effect disappears, a Botox brow-lift or PDO thread is the right answer. Honesty over sales.
"An open gaze is the smallest change with the largest effect."
— Dr. Nusret Fetai
Privatpraxis · Reine Selbstzahlerleistung
Alle Behandlungen bei Dr. Fetai sind Selbstzahlerleistungen. Keine Kassenabrechnung, keine PKV-Anträge — dafür keine Wartelisten und kein Kompromiss bei Qualität und Technik.
Kostenlose Erstberatung anfragen →Blepharoplastik, Oberlidstraffung und Augenlidstraffung sind Synonyme für denselben Eingriff: Die operative Korrektur hängender Oberlider durch Entfernung von überschüssiger Haut und ggf. Fettgewebe. Dr. Fetai als Facharzt für Dermatologie führt diesen Eingriff ambulant unter Lokalanästhesie durch — kein stationärer Aufenthalt notwendig.
Blepharoplastik bei Dr. Fetai kostet 1.800 € bis 2.800 € — abhängig von Ausdehnung des Eingriffs und ob nur Haut oder zusätzlich Fettgewebe entfernt wird. Ambulant, unter Lokalanästhesie, Fäden nach 7 Tagen. Das finale Ergebnis ist nach 4–6 Wochen vollständig sichtbar. Alle Behandlungen sind Selbstzahlerleistungen.
Die Augenlidstraffung fällt in das Fachgebiet der Dermatochirurgie — nicht zwingend der plastischen Chirurgie. Dr. Fetai als Dermatologe operiert die Lidregion mit maximaler Präzision: das Lid ist eine dünne, sensible Hautstruktur, die subtile chirurgische Technik erfordert. Narbe wird in der natürlichen Lidfalte versteckt — kaum sichtbar nach 6 Wochen.
Schwellungen und Hämatome nach Blepharoplastik klingen innerhalb von 7–14 Tagen ab. Fäden werden nach 7 Tagen entfernt. Sozial präsentabel: nach 10–14 Tagen. Das finale Ergebnis (Narbenreifung) nach 4–6 Wochen vollständig sichtbar. Sport: 3–4 Wochen Pause.
Botox hebt das Augenbrauendach leicht an und glättet Falten — es kann überschüssige Haut am Oberlid nicht entfernen. Wenn das Oberlid tatsächlich auf die Wimpernlinie drückt oder das Sichtfeld einschränkt, ist Blepharoplastik die einzige dauerhafte Lösung. Dr. Fetai empfiehlt in der Beratung ehrlich, was Sinn macht — Botox oder OP.
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