PLASTIC

BLEPHAROPLASTY

Blepharoplasty

Effective methods to restore a dynamic look to the face

Explanation

correct tired, sad or severe looks by treating sagging eyelids, fatty pockets and dark circles that appear over the years or sometimes already present in young people

Eyelid surgery or blepharoplasty is one of the most popular and effective methods to restore a dynamic and joyful look to the face because it acts directly on the gaze, one of the essential communication elements of the face. Its aim is to correct tired, sad or severe looks by treating sagging eyelids, fatty pockets and dark circles that appear over the years or sometimes already present in young people.

The procedure may involve the upper eyelids, the lower eyelids, or both. The goal of a successful intervention is not to change the identity of the gaze but on the contrary to find its expressiveness and personality. Indeed, the gaze is a very important element of personal identity. The surgical procedure respects the physiology and delicate anatomy of the eyelids to put the dermo-muscular structures back in the right position in order to restore tone and brightness to the gaze.

The Insight

The MOST Common PROCEDURES Concerns

01.

Main indications

Wrinkled and drooping eyelids above the eye are the classic indications for blepharoplasty. The most frequent requests also concern bags under the eyes, dark circles, excess skin or skin slipping on the upper eyelid and eyelashes. These different alterations are responsible for a change in the expression of the gaze.

With upper eyelid plastic surgery, it is possible to correct other defects that alter the look, including: crow’s feet wrinkles (aggravated by this excess skin), lion’s wrinkles or even the sagging of the external part of the eyebrows. For these purposes, injections of hyaluronic acid, fatty tissue by lipofilling or Botox are used.

With lower eyelid plastic surgery, it is also possible to correct the sagging of the cheekbone as well as a swelling called a “malar sac” which forms a double contour under the fatty pockets of the lower eyelid.

02.

Consultation

I will meet you during the first consultation during which you will be able to freely express your expectations, your questions and your fears.

After an examination, I will suggest the surgical technique best suited to your wishes. I will also show you before/after photos of surgical cases close to yours to clearly visualize the results of the procedure.

I will give you an information sheet and a detailed quote. A legal period of 15 days must be observed before making your decision for the intervention.

03.

The technique

Regarding upper eyelid plastic surgery: excess skin is removed through a hidden incision in the natural crease of the eyelids. The sutures are internal, made with very fine threads placed in the thickness of the skin (intradermal suture) which are therefore invisible. These threads are absorbable and do not require removal.

Regarding lower eyelid plastic surgery: the removal of fat pockets is done through an incision most often placed inside the eyelid (conjunctival route). In addition, the fat pockets can be partly used to fill the depression of the dark circle that descends on the cheek.

If there is significant excess skin on the lower eyelid, it is best to correct this by lateral tightening without scarring under the eyelashes.

04.

Before surgery

An ophthalmological assessment is carried out to look for possible pathologies (insufficient tears, glaucoma, etc.) which may require certain precautions to be taken before or during the procedure, or even contraindicate it.

In the case of general anesthesia, a blood test is carried out and a consultation with the anesthesiologist is mandatory at least 48 hours before the procedure.

Taking medication containing aspirin or anti-inflammatory drugs is prohibited 10 days before the procedure. In case of general anesthesia, it will be necessary to fast for 6 hours before the procedure.

It is recommended to reduce or even stop smoking for one month before and one month after the procedure. Smoking can cause problems with healing.

05.

Blepharoplasty surgery

The procedure lasts approximately 45 minutes for the upper or lower eyelids and therefore 1h30 for all 4 eyelids. It is performed under local, deep local or general anesthesia depending on the case. Hospitalization is limited to half a day in a day hospital.

At the end of the operation, the eyelids are cleaned with physiological serum and left in the open air, without a dressing.

06.

After the intervention

Blepharoplasty is generally a painless procedure. There is often swelling of the eyelid (edema), which varies depending on the case, and is usually accompanied by a small bruise, which disappears after about ten days. However, it is possible to mask them with a covering cream and suitable makeup the day after the operation.

Plan for socio-professional unavailability of 8 to 10 days.

Follow-up visits are carried out within 3 days after the operation, then at 15 days, 1 month, 3 months, 6 months, and 1 year.

Any exposure to the sun is prohibited for one month. It is then possible with covering sunglasses and a sun cream with a maximum protection factor.

In case of lower eyelid surgery via the conjunctival route, wearing contact lenses is not advisable for a week.

The Results

Results of a blepharoplasty

The improvement is immediately visible, the look is refreshed and has retained its identity. The results can already be appreciated after about ten days with stabilization over 1 to 3 months.

In the long term, fat pockets usually do not reappear and sagging skin remains stable for a very long time. The majority of patients do not need to be re-operated. The result is a refreshed, rejuvenated face, giving an undeniable feeling of well-being.

Risks and complications

Apart from the risks inherent in any surgical procedure, complications related to eyelid surgery are very rare: slight hematomas, infection (very rare). Healing anomalies are also very rare because the very thin skin in this area heals well.

Cost of blepharoplasty

The cost of the procedure will depend on the procedure to be performed, the duration of the procedure, the type of anesthesia and any hospitalization costs.

If the reason is purely aesthetic, it does not give rise to reimbursement by Social Security. On the other hand, if it is an act of reconstruction after an accident or illness, it may be covered by Social Security and, where applicable, by your mutual insurance company.

Frequently Asked Questions

Any Question?
Find The Answer Here

I'm 33 and have had very dark circles under my eyes since childhood, which makes me self-conscious. Should I consider surgery or aesthetic medicine?

There are two types of dark circles, sunken dark circles and pigmented dark circles. Ideally, it would be better to see you in consultation so that we can guide you and offer you the best therapeutic option for you.

I want to operate on my lower eyelids due to excess skin. What is the total cost, including operation, clinic fees, and medication?

I suggest you call me at the office so that we can estimate the price range. Only a medical consultation will be able to give you an exact price and a quote for your procedure.

I'm 56, and my upper eyelids are starting to droop. Can you give me some advice?

Indications for eyelid surgery may indeed appear at your age. I suggest you come see me at the office so that we can discuss it. Do not hesitate to contact my secretary at: 01 46 47 40 99.

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