Eyelids and aesthetics

Blepharoplasty

Home » Eyelids and Aesthetics » Dermatochalasis and blepharoplasty

Clinical cases
Pictures before and after by clicking here

Dermatochalasis is an excess of skin associated with increased looseness of the eyelids. This slackening of tissue contributes to the formation of wrinkles and makes the eyes look tired and heavy.

The cause is a loss of the collagen fibres and elastic fibres that support the eyelid tissue. This natural ageing process can be accelerated by hereditary factors, stress, sleep disorders, skin diseases or excessive sun exposure.

Manifestations

Upper eyelids : horizontal folds of skin, sometimes with fat prolapses called lipoptosis, resulting in heavy eyelids.

Lower eyelids : excess skin leading to a wrinkled appearance with fine horizontal folds, usually associated with fat prolapse or “bags under the eyes “.

Treatment

Upper blepharoplasty is an outpatient surgical procedure performed under local anaesthesia to remove excess skin from the upper eyelids. If there is excess fat, this is also removed during the procedure. Sometimes the surgeon may need to reposition the lacrimal gland.
The incision is made along the natural crease of the eyelid so that the scar is almost invisible.

There may be some degree of inflammation and bruising in the first few days after surgery, which usually subsides after 7 days.

Lower blepharoplasty is an outpatient surgical procedure performed under local anaesthetic.

If excess skin is present, it is removed through a fine incision below the eyelids that follows the natural crease of the eyelid.

If there is excess fat, this is also removed during the operation.

If there are “bags under the eyes ” without excess skin, then an internal incision is made through the conjunctiva without a visible scar.

There may be some degree of inflammation and bruising in the first few days after the operation, which usually subsides after 7 days.