What makes your face look tired and sad?

The main cause of sagging upper eyelids and bags under the eyes is ageing, which is why blepharoplasty is not recommended before the age of 35. However, certain illnesses or paralysis can also cause aesthetic problems in the eyelids at any age.

What is blepharoplasty in cosmetic surgery?

In cosmetic surgery, there are several types of blepharoplasty:

Lower blepharoplasty.

Lower blepharoplasty is performed by a surgeon under local or general anesthesia, depending on the patient’s needs. The surgeon operates on the eyelid using a transconjunctival approach, i.e. he works inside the lower eyelid to remove excess fat. Suture closure of the conjunctival mucosa is not necessary in this type of blepharoplasty.

Upper blepharoplasty

Upper blepharoplasty is performed under local anesthetic. The surgeon operates to remove excess skin and the internal fat pocket of the upper eyelids. After the operation, the scars remain hidden in the natural crease above each eyelid. Ultimately, the scars are invisible to the naked eye. Sutures are required for this type of blepharoplasty, and the surgeon removes them a few days after the operation.

Addition blepharoplasty or lipofilling

Addition blepharoplasty is performed by a surgeon, using a micrograft of fat previously aspirated from another area of the patient’s face. The aim of addition blepharoplasty is to harmonize eyelid volumes by filling in any missing fat.

Pinch blepharoplasty

Pinch blepharoplasty is a minimally invasive procedure that removes excess skin from the lower eyelid by pinching.

Is blepharoplasty reversible?

Blepharoplasty is a non-reversible operation, which is why it’s important to consult the surgeon beforehand, so that he or she can best meet the patient’s needs. However, touch-ups can be performed a few years after the operation if the eyelids sag further with age. It is also possible to inject hyaluronidase, an enzyme naturally present in the body, to correct a blepharoplasty that does not correspond to the patient’s expectations (over-correction, asymmetry, etc.).

What is the alternative to blepharoplasty? (medical blepharoplasty)

An alternative to blepharoplasty is medical blepharoplasty, which does not require surgery.
Medical blepharoplasty uses ultrasound to correct eyelid imperfections such as dark circles, puffiness and sagging. The procedure is non-invasive, painless and, in a single session, restores a youthful glow to the patient’s eyes.
This technique can be used to treat both upper and lower eyelids, and no anaesthetic is required.