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WHAT IS BLEPHAROPLASTY?
Blepharoplasty is the cosmetic surgery of the eyelids to correct the signs of aging present at the level of the gaze. The operation overcomes the heavy eyelids, drooping to the tired look and makes it possible to find a more harmonious and refreshed appearance.
Upper Blepharoplasty involving the drooping and heavy eyelids.
Lower Blepharoplasty concerning the eyelids wrinkled by sagging skin and collapsed.
Fat hernia: they are the origin of “pockets under the eyes” located at the level of the lower eyelids and make the eyelids puffy or puffy.
The management by the Health Insurance is rare except in the case of very specific pathologies (in particular congenital causing a discomfort for the vision).
THE GOAL ?
Blepharoplasty helps to rejuvenate the eye by eradicating the drooping eyelids, erasing wrinkles under the eyes due to a surplus skin, remove the dark circles and greasy pockets under the eyes without distorting the expression of the face.
WHO IS THE BLEPHAROPLASTY SURGEON?
Blepharoplasty is performed in quarantine when the first signs of skin alteration due to aging appear. It is possible to resort to this operation earlier if the dis- orders are congenital (hereditary factors) and not age-related, such as certain “fatty constitutional pockets”. This operation concerns both men and women.
PRE-OPERATIVE PHASE AND RECOMMENDATIONS
During the first consultation, the practitioner will conduct an interrogation, an examination in order to properly evaluate the mechanisms involved and carry out a photographic assessment.
A preoperative assessment is carried out in accordance with the prescriptions in order to eliminate in particular a bleeding disorder (especially if a history exists). In addition, an ophthalmologic examination will be prescribed in order to detect any ocular pathology likely to contraindicate the operation.
At the first consultation, a detailed estimate must be submitted detailing all the modalities of the intervention. A period of reflection of 15 days will be obligatory as for any intervention of cosmetic surgery.
If the procedure is not performed under local anesthesia, an anaesthesiologist will be consulted at least 48 hours before surgery to obtain his consent.
Taking medication containing aspirin is prohibited during the 10 days before surgery.
Tobacco cessation is strongly recommended 10 days before and one week after surgery (tobacco may cause delayed healing).
In principle, an eyelid lifting, if not associated with other facial surgeries such as a facelift, lasts between 20 minutes to 1 hour depending on the number of eyelids to be treated and the type of correction to bring. Generally, blepharoplasty is performed under local anesthesia (or assisted local anesthesia) as recommended by the surgeon.
A good practitioner will be sure to be precise in order to avoid an over-correction which would make the result surreal or unnatural.
Cutaneous incisions concealed in the natural folds are made at the site of future scars.
Concerning the upper eyelids: they are concealed in the furrow located halfway up the eyelid, between the moving part and the fixed part of the eyelid.
Concerning the lower eyelids: if excess skin is to be treated, they are placed 1 to 2 mm under the eyelashes, and can extend slightly beyond (patch of the goose). In the case of isolated “pockets” (without excess skin to be removed), bleeding by the trans-conjunctival route (incisions placed inside the eyelids) will be indicated, leaving no visible scars on the skin.
It is possible that the blepharoplasty juxtaposes to other surgical gestures such as:
Lipofilling involves taking a small amount of fat on the patient himself and reinjecting it into the dark circles thus diminishing or erasing the hollowed out appearance.
The practitioner will be able to create a palpebral groove for patients of Asian origin who are genetically deprived of them.
A canthopexie makes it possible to restore an “almond” shape to a naturally sad look or to drape by retensioning the lower eyelid (ectropion).
Thus, unsightly fatty hernias are suppressed and excess muscle and relaxed skin is eradicated.
The sutures are then made with very fine threads, usually non resorbable (to be removed after a few days).
The first few days, it is advisable to take a lot of rest avoiding any violent effort. Few pains are caused the first 24 h