14 December 2015

Blepharoplasty: Cosmetic eyelid surgery

Blepharoplasty: Cosmetic eyelid surgery

Over the years, the eyelids, like the rest of the face and body, undergo unwanted changes, giving the look a tired, sad appearance. Many factors, such as heredity or sun damage, can accelerate these changes. Tired eyes or puffy eyes can also result from the presence of pockets of fatty origin in the inner part of the upper eyelids or on the lower eyelids, as well as the appearance of dark circles. Eyelid surgery (blepharoplasty) may offer a solution to correct these natural imperfections and the effects of time, but it must in no way change the patient's gaze and the shape of the eye. The result must remain natural.


Blepharoplasty aims to rejuvenate the eyes and permanently erase a wrinkled appearance, correct drooping eyelids or bags under the eyes, without any risk to visual acuity. Blepharoplasty can be performed on the upper and/or lower eyelids depending on the corrections to be made. Contrary to popular belief, blepharoplasty of the lower eyelids is not an aesthetic response to the problems of surrounded eyes. Indeed, dark circles are often due to the presence of a "hollow" under the eye and the dark or bistre hue of the lower eyelid. In this case, the rings can be treated with:

Injection of filling products (hyaluronic acid),
And/or the application of a "depigmenting" cream if the rings are coloured

If it is a question of correcting an upper eyelid with excess fat and skin, and aesthetic medical solutions such as botulinum acid injection (botox®) are not suitable or insufficient, your plastic surgeon will guide you towards blepharoplasty of the upper eyelids. If you have excess fat (pocket) and/or wrinkled skin under the lower eyelid, it will lead you to lower eyelid blepharoplasty.

The intervention 

On the upper eyelids

The procedure consists of reducing the internal fat pockets of the upper eyelids and removing excess skin. Your plastic surgeon will make sure to remove enough fat to avoid "digging" the eye, but instead to "redistribute" this fat in a harmonious way. Indeed, it is fundamental not to accentuate the deepening of the gaze. The skin and muscle are excised in the palpebral fold, as well as in the wrinkle of the "crow's feet", thus allowing an imperceptibility of the scar. It is a simple, quick procedure, performed on an outpatient basis (discharge the same day of the operation), under local anaesthesia. The threads are removed 4 to 6 days after the procedure.

Bruises on the upper and lower eyelids will appear and persist for 8 to 10 days and the eyes will be a little watery. Social eviction is very short term: between 4 and 10 days, depending on the patient's occupation (public relations or not). The only minor disadvantage of this procedure is that the patient will have to sleep in a semi-seated position for 4 to 5 days to avoid the formation of edema.

The final result is assessed about one month after the operation. A small, completely "camouflageable" swelling persists for about two months and the scar becomes invisible after one month. Complications of this procedure are very rare. 


In the lower eyelids

Blepharoplasty of the lower eyelids consists in removing the excess skin and fat located under the eye in order to restore a fresh, rested appearance to the eyes. Your plastic surgeon will make an incision under the lower eyelashes allowing an invisible scar. It will fill the hollow responsible for dark circles by reshaping the fat, pockets to give volume where it is insufficient. Unlike upper eyelid blepharoplasty, the procedure is performed under general anesthesia. It lasts on average 1 hour and the duration of hospitalization is one day or one day and one night. Swelling and bruising will appear and persist for 10 to 15 days. The threads will be removed 4 to 6 days after the procedure.

The patient should avoid exposing his eyes to extreme conditions (sun, cold, sea spray...) for 3 to 4 weeks. The final result is visible after this period. In the hands of a competent and experienced surgeon, the complications of this procedure are extremely rare.


Blepharoplasty of the four eyelids

If you need to use blepharoplasty on all four eyelids (upper and lower), the procedure will be performed under general anesthesia, and the post-operative outcomes will be the same as those of lower eyelid blepharoplasty. This is why, very often, an experienced plastic surgeon will refer you if possible, to blepharoplasty of the upper eyelids only and will treat the lower area with anti-aging medical techniques.

The importance is entrusting this intervention to a real specialist

As with any surgical procedure, it is essential to choose a safe and competent Plastic Surgeon and Institution. Indeed, the right choice is absolutely essential for the control of the surgical procedure in order to obtain the expected result and avoid complications. If you would like the advice of a specialist in this type of intervention, we invite you to make an appointment now for a consultation with your professional in Aesthetic, Plastic and Reconstructive Surgery.