Pre-treatment for both upper and lower eyelid: On the day of treatment, a light layer of topical anesthetic is applied for 15 to 20 minutes and then removed, followed by the removal of corrective lenses (if any).
Upper eyelid treatment: The patient raises their eyebrows, at which point the provider covers the brow with wet gauze or Aquaphor. The provider then holds the upper lid closed by using a silicone facial spreader to grip the lid during the treatment while covering the lashes.
Lower eyelid treatment: The patient closes their eyes, and the provider has the patient use gauze to pull down on the cheek to expose and stretch the lax under the eye tissue. The leading edge of the silicone facial spreader is then placed under the lower lashes.