Ageing, loss of skin elasticity and gravity can cause the eyelids to sag and develop excess skin. In some people, genetic factors cause more pronounced sagging at an earlier age. Both surgical and non-surgical treatments are used.
Non-surgical eyelid aesthetics uses plasma energy. When the needle of the plasma-generating device approaches the skin without touching it, water vapour and nitrogen in the treatment area are converted into plasma through high energy. This energy vaporises the lesion or excess skin, removes the affected tissue and initiates healing. Excess skin is removed, and the healing process refreshes the skin. Both sagging and wrinkles can be treated without surgery using plasma energy. Other effective methods include high-intensity focused ultrasound and gold-needle treatments.
A specialist doctor performs the procedure in a sterile setting. One session is usually sufficient for this non-surgical treatment. The procedure begins 30 minutes after local anaesthetic cream or an injection is applied. Although duration varies, it averages 10–15 minutes. Severe sagging may require repeat treatment after one month. The effect lasts an average of 2–5 years, similar to surgery. Treatment can be repeated provided there are no anaesthetic problems.
Swelling and crusting occur during the first 3–4 days after non-surgical eyelid treatment. Dressings are not required, and the eyes do not need to be covered. Skin renewal as the crusts fall away takes 10 days. During this period, sunscreen with concealing properties should be used and sunglasses worn outdoors. Apply suitable creams as advised by the doctor and wash the face regularly. The face can be washed the morning after treatment. Some discomfort may occur. Temporary redness and pigmentation may develop in some people; appropriate treatments are used if this happens. Non-surgical eyelid aesthetics leaves no scar and does not create an unnatural appearance.