Rejuvenate your look with addition blepharoplasty
Before / after
Real cases from the practice, unretouched, framed on the treated area only. Each result is individual and does not predict yours.
Photographs published with the patients’ written consent.
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.
Addition blepharoplasty: what is it?
Addition blepharoplasty: definition and differences from conventional blepharoplasty
Addition blepharoplasty, or lipofilling blepharoplasty, is a quick, safe operation. It differs from conventional blepharoplasty, which removes excess skin in order to tighten it.
Addition blepharoplasty, by contrast, treats the origin of the problem, namely the loss of fat volume, by injecting fat where it has disappeared: excess skin is removed only in proportion to its contribution to eyelid sagging.
What are the indications for addition blepharoplasty?
I recommend addition blepharoplasty if you wish to rejuvenate your eyes, in particular by treating drooping upper eyelids, puffiness, hollow and coloured dark circles or lower eyelid sagging. This technique is also ideal for people with constitutionally hollow eyes, or with a hollow eye following an initial eyelid & oculoplastic surgery.
Turn to a specialised oculoplastic surgeon
Addition blepharoplasty is a highly specific technique that calls for the know-how and expertise of a specialised oculoplastic surgeon. The operation must give meticulous, fully satisfactory results; otherwise an unnatural or distorted look has to be corrected afterwards, which is far more delicate.
Precautions to take before addition blepharoplasty
Before performing an addition blepharoplasty, I always see my patients in consultation, to carry out a precise morphological analysis of the face and of the ageing of the eyelids, to rule out any contraindication to the operation and to explain everything in detail. If we opt for this approach, certain precautions must be taken to limit the risks during the operation:
- See the anaesthetist at least 48 hours before the operation.
- Stop taking anticoagulants, including aspirin, a week or more before surgery, to limit bleeding.
- Obtain the prescribed medication before the procedure, so that it is available as soon as you leave the clinic.
- Fast for at least 8 hours before going to the operating theatre.
Filling blepharoplasty: the procedure
On the day of your addition blepharoplasty, I treat the origin of the problem by injecting fat, previously harvested from your body (knees, abdomen, thighs) by liposuction, where it has disappeared from your eyelids. Excess skin is removed only in proportion to its contribution to eyelid sagging.
The harvested fat is cleaned, defibrosed and broken down to make it fluid, before being reinjected deep against the bone with a microcannula. The procedure requires day-case admission only, lasts around 1h30 and is performed under neuroleptanalgesia or general anaesthesia, depending on your preference.
Addition blepharoplasty: what results for the patient?
Addition blepharoplasty gives significant results, definitively visible around 2 months after surgery. The hollow of the eye socket is filled with fat and the effects of time are less visible, because volume has been recreated.
Do not worry: this is a completely normal, temporary side effect that will quickly disappear.
Side effects of addition blepharoplasty
I make sure to give you all the post-operative recommendations:
- Applying ice compresses to limit post-operative oedema.
- Use of eye drops to soothe dry eyes.
And we will see each other again soon after the operation, and several times afterwards, to check the results, the healing and your satisfaction.
This page is for information. It does not replace a consultation: every situation is judged on examination.