Blepharoplasty

Each surgeon adopts his or her own technique for the blepharoplasty and adapts it to each individual case to achieve the best results. However, there are a number of basic principles common to this approach surgical operation :
Skin incisions :
- Upper eyelids: concealed in the furrow halfway up the eyelid, between the mobile and fixed parts of the eyelid.
- Lower eyelids: positioned 1 to 2 mm below the eyelashes, and may extend slightly outwards. Note: For the lower eyelids, in the case of isolated "bags" (without excess skin to be removed), a transconjunctival blepharoplasty can be performed, i.e. using incisions placed inside the eyelids, leaving no scar on the skin.

From these incisions, unsightly fat hernias are removed, and the excess muscle and loose skin are suppressed́. At this stage, numerous techniques can be brought in, to suit each case and according to the surgeon's habits. Usually sutures are non-absorbable (to be removed after a few days).
Two methods:
1- If the surgeon is only treating bags under the eyes without significant skin slackening, the practitioner chooses the conjunctival approach, which hides the incision on the inner mucosa of the eyelid. In this case, no external scar is visible. By applying pressure to the eye, the fat balls are pushed out, reducing the puffy appearance.
2 - The surgeon first removes the fat and then the excess skin, as well as the tissues under the skin to preserve a small muscular flap. The skin is then re-draped to reduce crow's feet wrinkles or fine lines under the eyes.

Duration: Depending on the surgeon, the number of eyelids to be operated on, the extent of the improvements to be made and the possible need for additional procedures, the procedure can last from half an hour to two hours.