Blepharoplasty

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Mémento :

Blepharoplasty eyelid lift

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What should you do if your eyelids fall out ?

Progress in blepharoplasty : 3D animation and narration for information purposes Video credit : blausen
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Credit illustration SOF.CPRE : eyelid surgery blepharoplasty incisions / scars transconjunctival incision

Why have an eyelid lift ?

Benefits : This aesthetic eyelid surgery (cosmetic eye surgery) aims to eliminate the drooping of the eyelid (ptosis) that partially or completely covers the eyes, whether due to genetics or ageing. It can affect the upper eyelid, the lower eyelid or both.

Blepharoplasty can be combined with other procedures, such as a mini-facelift of the forehead, temples or neck, and even with medical and surgical treatments, such as a skin peel.

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Who should undergo drooping eyelid surgery ?

Whether it is a lower eyelid blepharoplasty or an upper eyelid blepharoplasty

Age range : Blepharoplasty is a type of eyelid rejuvenation surgery involving men and women aged 35/40. It removes bags under the eyes and excess skin that forms a cap on the upper eyelid.

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3D simulation before and after your possible blepharoplasty after simple and secure registration, from the comfort of your own home.

What effect does double eyelid surgery have on the eyes ?

The subjects are interested in heavy upper eyelids or drooping eyelids and bags under the eyes. The appearance is immediately rejuvenated: the effect is spectacular.

How is blepharoplasty carried out ?

Special ophthalmological examinations are generally necessary to detect any possible eye disease. Routine pre-operative check-ups must be carried out in accordance with regulations, and the anaesthetist must be seen within 48 hours of D-day.

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Credit illustration SOF.CPRE : Cutaneous incision at the eyelid crease
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Photo credit Société Française de Chirurgie Plastique Reconstructrice et Esthétique SOF.CPRE : Cutaneous incision at the eyelid crease

What type of anaesthetic and what are the instructions before eyelid surgery ?

  • Depending on the type of anaesthetic chosen, the operation may be performed on an outpatient basis, with local anaesthetic or intensive anaesthetic.
  • Patients may be asked to fast for 6 hours before the operation.

Will the incision leave a scar ?

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Scars completely hidden in the natural folds of the eyelids

The surgeon makes a small, relatively invisible incision in the crease of the eye. Since then, the unsightly fat hernia has been removed, and the excess sagging muscles and skin have also been removed. The surgeon takes care not to remove too much skin. Future scars will be hidden in the natural folds. However, for the lower eyelid, if there is no skin to remove, the incision made in the eyelid will leave no visible scar.

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SOURCE « Eyes and Eyelids »

« Eyes and Eyelids » The Contribution of Aesthetic Surgery by Édouard MAHÉ & Sylvie POIGNONEC © Les monographies du CCA Wagram

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Contribution of Cosmetic Surgery
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What are the specific instructions after eyelid surgery ?

Do not take any medicines containing aspirin for 10 days after surgery.

If the blepharoplasty is performed on an outpatient basis, you will be discharged the same day after a few hours’ observation. However, a short stay in hospital may be necessary.

  • Patients may experience slight discomfort, such as tight eyelids, visual disturbances and even mild eye irritation.
  • For the first few days, you may not be able to close your eyelids completely.
  • The sutures are generally not absorbable and must be removed over the next few days. The post-operative consequences, in particular bruising and swelling, will remain visible for approximately 8 to 10 days.
  • The scar for the first month will remain slightly pink, but from the 7th day onwards, make-up is permitted.
  • It is possible to resume social and professional life after a week’s rest, during which any violent behaviour should be avoided. It is advisable to wear sunglasses.
  • Results can be seen immediately after the operation.
  • However, few people have been considering repeat operations for more than a decade.
  • The elimination of bags under the eyes is virtually permanent.

Are there any risks associated with cosmetic eyelid surgery ?

  • Fortunately, real complications are rare after a proper blepharoplasty.
  • In practice, most procedures pose no problems and patients are entirely satisfied with their results.

However, even if they are rare, you should always be aware of possible complications :

  • Haematomas and ecchymoses may occur, leaving marks for a week to 10 days.
    conjunctivitis is rare, as eye drops are usually prescribed during the first few days;
    epidermal micro-cysts: these may appear along the scar and generally disappear naturally, otherwise they are easy to remove.
  • Ectropion (downward contraction of the lower eyelid): very rare after a lower blepharoplasty performed correctly, i.e. without removing too much skin.

Concerning surgery : By choosing a qualified and competent plastic surgeon trained in this type of operation, you can limit these risks as much as possible, but not eliminate them completely. If you notice one or more complications, please contact your plastic and aesthetic surgeon immediately.

Calling in a qualified plastic surgeon can ensure that this person has the necessary training and skills to understand how to avoid these complications or treat them effectively if necessary.

In short, we must not overestimate the risk, but simply be aware that any surgical procedure, no matter how simple it may seem, always involves a small element of risk.

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Source : Société Française de Chirurgie Plastique Reconstructrice et Esthétique S.o.F.C.P.R.E
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