BLEPHAROPLASTY IN PARIS: COSMETIC EYELID SURGERY

UNDERSTANDING BLEPHAROPLASTY: OBJECTIVES, INDICATIONS AND RESULTS

WHAT IS BLEPHAROPLASTY?

Blepharoplasty, or cosmetic eyelid surgery, is a precision facial operation designed to correct the signs of aging around the eyes. It simultaneously treats the ‘excess skin, the displacement of fat pockets and the muscle relaxation.

The drooping eyelids can be the result of several factors: ageing leads to an reduced skin elasticity and a weakening of support structures, while gravity progressively accentuates the palpebral ptosis. Some people also have a hereditary predisposition to this phenomenon, with naturally heavy eyelids from an early age. Environmental factors such as’sun exposure, the smoking or the chronic fatigue can also accelerate this process of tissue relaxation.

In addition, with drooping eyelids, the patient tends to raise the eyebrows, resulting in wrinkles on the forehead.

As a specialist in reconstructive and aesthetic surgery, I have developed particular expertise in this field. The evolution of techniques over the years has enabled me to integrate a number of approaches micro- and nanosurgery, offering increasingly natural results.

My surgical philosophy systematically favors minimally invasive procedures to preserve the naturalness of expression while optimizing facial aesthetic results.

UNDERSTANDING BLEPHAROPLASTY: OBJECTIVES, INDICATIONS AND RESULTS

WHAT ARE THE EXPECTED BENEFITS OF A BLEPHAROPLASTY PROJECT?

This surgical procedure truly transforms the harmony of the face by restoring the ‘open your eyes. In addition to the obvious aesthetic benefits, eyelid surgery also offers a number of other advantages. significant functional benefits. Patients find clear peripheral vision when the excess upper skin was impeding their visual field. This will help them with their upper visual field, their driving and reduce reading fatigue.

For many women, this correction considerably improves the’make-up application : eyeliner becomes sharper, and eyeshadow adheres better, without creasing or migrating.

Lastly, the psychological impact is just as important: eliminating that permanent tired look restores confidence and dynamism to facial expression.

BLEPHAROPLASTY IN PARIS: WHO, WHY, WHEN?

HOW DO YOU KNOW IF YOU NEED EYE SURGERY?

If you have the following symptoms then you may be eligible for blepharoplasty:

• drooping upper eyelid (ptosis) or puffy (sometimes called a cap)
• loose skin that covers part of the eyelashes or impairs vision
• excess skin on the lower eyelid
• under-eye pocket  persistent despite rest, fatty swelling that makes the face look tired,
• under-eye circles caused by loss of volume or fluid accumulation
• daily functional discomfort
• constantly tired look,

Unlike temporary aesthetic medicine treatments, blepharoplasty offers a longer-lasting definitive correction of these facial anatomical alterations.

AT WHAT AGE SHOULD BLEPHAROPLASTY BE CONSIDERED?

Aesthetic eyelid surgery is not reserved for a particular age. Although the signs of ageing appear often after the age of 40, some younger people may have heavy eyelids or bags under the eyes from an early age, sometimes for hereditary reasons. In such cases, earlier treatment can be perfectly justified and bring real benefits.

Familial under-eye bags and asymmetry congenital or congenital palpebral the hereditary ptosis of the eyelids are indications that are independent of age.

As a recognized specialist, I assess each case with precision.

ARE YOU A GOOD CANDIDATE FOR BLEPHAROPLASTY?

Eligibility for this operation is based on several criteria, which I assess during the consultation. A satisfactory general state of health an essential prerequisite. Visit eyelid skin quality has a direct influence on the effect obtained: skin that is too slack or marked by deep wrinkles may require further treatment.

The look psychological just as decisive. Realistic expectations and genuine personal motivation guarantee optimal post-operative satisfaction. As a specialist doctor, I devote a great deal of time to this assessment.

LOWER AND UPPER BLEPHAROPLASTY

Each approach addresses distinct anatomical issues:

UPPER EYELID SURGERY

Correcting upper eyelids is performed under local anaesthetic on an outpatient basis. This approach allows you to return home the same day after removing the excess skin responsible for the wrinkled appearance.

I make an incision positioned in the natural palpebral crease, guaranteeing virtually invisible healing. Selective removal of excess skin (from 0.5 mm to 1 cm) is accompanied, if necessary, by a reduction in herniated fat pockets.

This surgical procedure effectively corrects drooping eyelids while preserving the harmony and balance of the eyes.

LOWER EYELID SURGERY

Blepharoplasty of the lower eyelid usually requires a general anesthetic, or neuroleptanalgesia. This more technically complex procedure requires a precise medical examination and a prior anesthesia consultation.

There are several ways to treat bags under the eyes:

• Removing fat pockets: elimination of fatty deposits that create a puffy appearance under the eyes.
• Removal of excess skin : extra removal to smooth wrinkles and creases on the eyelid.
• Skin pinch: tightens the skin of the lower eyelid.
• Tightening the corner of the eye (External cantopexy) : restores lower eyelid tone to prevent round eyes, especially if the orbicularis muscle is severed.
• Lipostructure of the tear trough and dark circles Lipofilling: injection of fat (lipofilling) into hollowed areas to smooth the transition between eyelid and cheek and restore a more rested look.

Patients often choose to correct both upper and lower eyelids (4 eyelids) in the same surgery. This combined blepharoplasty can harmonize the entire upper face in a single operation. The decision is taken after a thorough pre-operative examination, which allows us to define a strategy adapted to the anatomy and specific needs of each patient.

BEFORE SURGERY: PREPARATION AND INITIAL CONSULTATION

WHAT HAPPENS DURING THE INITIAL CONSULTATION WITH THE ESTHETIC SURGEON?

Two consultations, at least 15 days apart, are mandatory before any operation. The first consultation enables a precise medical examination of the periocular region and the establishment of a personalized treatment plan for your blepharoplasty project. I sometimes ask my patients for a photo from 10 to 20 years ago, to get a better idea of their expected result.

My meticulous clinical examination assesses the amount of skin to be removed from each eyelid, fat herniation, muscle tone and palpebral symmetry. Medical and surgical history is systematically taken.

Together we assess your expectations and objectives, and I answer any questions you may have. At the end of the consultation, I will provide you with a precise estimate and information documents detailing how the operation will be carried out.

WHAT PRE-OPERATIVE EXAMINATIONS SHOULD BE CARRIED OUT FOR BLEPHAROPLASTY?

The preoperative workup must include standardized photographs from different angles. A ophthalmological examination may be required, particularly in the presence of pre-existing eye disorders.

A blood test (blood count, coagulation) is systematically prescribed. A consultation with a anaesthetist is required when general anesthesia is planned.

PRE-OPERATION RECOMMENDATIONS

The smoking cessation is imperative four weeks before D-day, and continues throughout the healing period. This drastically reduces vascular risks and optimizes healing quality.

Thediscontinuation of anticoagulant and anti-platelet aggregation therapy requires coordination with the attending physician. It is essential to organize and support the patient's return home, particularly after a general anaesthetic.

BLEPHAROPLASTY PROCEDURE

HOW DOES THE OPERATION WORK IN PRACTICE?

Eyelid surgery is performed exclusively on an outpatient basis. I operate at the Clinique des Princes, Boulogne Billancourt. Surgical intervention varies according to the extent of the procedure: 30 minutes for an isolated upper blepharoplasty, 1h30 to 2 hours for combined care upper and lower eyelids. Here's how it's done operating room :

• For upper eyelids, I'm making a carefully positioned opening along the eyelid crease to the crow's-feet wrinkle, then remove excess skin, muscle and, if necessary, the fat pocket, before carefully closing with very fine thread.
• For lower eyelids, Access is gained just below the eyelash line or, in some cases, inside the eyelid (conjunctival approach). Excess fat, muscle and skin are then removed or redistributed, and the closure is achieved with precision.
• In certain situations where the upper eyelid droops to the point where it interferes with vision, I combine blepharoplasty with a ptosis correction, to restore the openness of the gaze.

You can consult a before and after photo of a blepharoplasty procedure to visualize the results obtained after this type of operation.

LOCAL OR GENERAL ANESTHESIA?

The choice of anesthetic depends on the extent of the procedure to be performed. Local anesthesia is enough to handle upper eyelids, for optimum comfort and safety when removing excess skin.

The combined gestures or more complex lower eyelid problems usually require a surgical procedure. general anaesthetic. 

POST-OPERATIVE CARE, HEALING AND CONVALESCENCE

AFTER THE OPERATION: WHAT CAN YOU EXPECT?

Once the operation is over, you will be taken to the recovery room, where the medical team will make sure that everything goes smoothly. If your condition is stable, you can go home during the day to continue your convalescence.

In the hours or days that follow, it is common to temporarily feel :

• blurred vision (due to the ointment applied to the eyes)
• watery eyes
• light sensitivity
• dual vision
• sensation of sand grains in the eyes
• swollen or numb eyelids
• bruising and edema (swelling around the eyes) known as the «black eye» effect»
• mild eyelid pain or discomfort

These side effects are normal and disappear gradually.

SCARS: WHERE ARE THEY, HOW DO THEY DEVELOP AND HOW LONG DO THEY REMAIN VISIBLE?

The scars left by blepharoplasty are discreet and carefully positioned so that they gradually become invisible. On the upper eyelids, the fine incision line generally fades after a few weeks. 2 to 3 weeks, to the point of being difficult to see with the naked eye.

On the lower eyelids, depending on the surgical approach chosen, the scar may be placed at 1 or 2 mm below the lash line or inside the eyelid, in the mucous membrane, rendering any external trace almost non-existent.

Overall, the very thin skin in this area heals quickly, with an aesthetically pleasing finish. harmonious and discreet finish, without altering the expression of the eyes.

PAIN, SWELLING, BRUISING: WHAT CAN YOU EXPECT AFTER SURGERY?

Post-operative follow-up is remarkably straightforward. The pain is generally moderate, The pain is easily relieved by conventional analgesics. Palpebral edema, which is maximal during the first 48 hours, gradually subsides over a week.

The bruises, These symptoms, which vary according to each person's individual sensitivity, fade spontaneously within 7 to 10 days. No specialized nursing care is required, facilitating recovery at home.

WHAT TO DO AFTER SURGERY :

• Apply cold compresses on your eyes for 10 minutes every hour on the evening after surgery. The next day, continue to apply it 4 or 5 times a day to limit swelling.
• Use eye drops and ophthalmic ointment with vitamin A for about 1 week.
• Sleep with the raised head in relation to your chest for a few days, to help reduce swelling.
• Wear dark sunglasses outside to protect your eyelids from wind and UV rays.

The final appearance gradually evolves until it is completely stabilized. As a specialist in blepharoplasty, I provide precise and comprehensive follow-up care throughout the recovery period.

RISKS, COMPLICATIONS AND MISTAKES TO AVOID

THE CLASSIC SIDE EFFECTS OF THIS OPERATION

All surgical procedures involve transient side effects perfectly normal. Moderate palpebral discomfort, temporary tightness and increased skin sensitivity are the norm for the first few days.

These manifestations, although sometimes impressive for the individual, remain benign and regress spontaneously without specific treatment.

RARE BUT POSSIBLE COMPLICATIONS OF BLEPHAROPLASTY

Although very rare in my practice as a plastic surgeon, certain adverse events need to be known about to guarantee full information.

Local infection may occur, requiring appropriate antibiotic treatment. A large hematoma may require rapid surgical evacuation.

The transient dry eyes, and healing disorders or a slight asymmetry are among the exceptional risks we have observed.

Blindness, although mentioned in the medical literature as an extreme case, underlines the importance of entrusting this surgery to an experienced practitioner, in a safe setting.

HOW TO MAKE UP FOR A FAILED BLEPHAROPLASTY OR PERFORM A REVISION?

Surgical touch-ups are still possible in cases of legitimate dissatisfaction, generally after a six-month healing period. These corrections are more delicate than the initial intervention, and require the expertise of a recognized specialist.

The rework may concern a specific side or require a global overhaul. Visit hyaluronic acid injections  can sometimes correct minor asymmetries without surgery, offering a less invasive aesthetic medicine alternative.

COMBINING BLEPHAROPLASTY WITH OTHER AESTHETIC PROCEDURES

BLEPHAROPLASTY AND COMPLEMENTARY PROCEDURES: HOW TO COMBINE THEM EFFECTIVELY?

Combining blepharoplasty with other aesthetic procedures can optimize results in a single operation. global approach to facial rejuvenation. 

It can be combined with a cervico-facial lift, a mini temporal lift (eyebrow lift), a forehead lift or a lipofilling of dark circles to correct sub-ocular depressions and restore lost volume.

Blepharoplasty can also be combined with other procedures.  injections in the frown lines, crow's feet or malar area.

Some surgeons combine this with non-invasive procedures such as the Plexr (plasma treatment that tightens the skin without surgery) according to the patient's specific needs.

A GLOBAL APPROACH FOR RESULTS IN HARMONY WITH YOUR FEATURES

Grouping several gestures together on the same day is not only conceivable, but often relevant to maintain the coherence of the face while reducing recovery times.

My vision of facial rejuvenation is based on a global approach, taking into account the balance between the different facial zones: forehead, temples, eyebrows, cheekbones... All these elements influence the intensity and openness of the eyes, and deserve an overall analysis during the consultation.

The aim is to achieve a subtle result that is faithful to your expression, without rigidity or overload.

BLEPHAROPLASTY AND DIVERSITY: ADAPTING TO YOUR PROFILE

Ethnic adaptation is a fundamental aspect of my work as an aesthetic surgeon. Each genetic origin has its own anatomical characteristics, requiring a specific approach. personalized approach in the skin and orbit. Certain morphologies, particularly Asian eyes, do not present the same characteristics. no upper eyelid crease, giving the eyes a heavy, tired look.

The Asian blepharoplasty aims to recreate an upper palpebral crease and «open» the eye. This procedure, common in Asia but not yet widely used in the West, requires specific expertise. It opens up the eyes while respecting the particular anatomy of the Asian eyelids.

Realized under local anaesthetic, It involves few complications, very discreet scars and an immediate visible result.

PRICE OF BLEPHAROPLASTY IN PARIS AND REIMBURSEMENT CONDITIONS

HOW MUCH DOES A BLEPHAROPLASTY IN PARIS COST?

Surgical fees reflect the surgical complexity and expertise required to perform a blepharoplasty. Treatment of the upper eyelids costs From 2,500 euros, including clinic and anaesthesia fees according to our rates section.

A combined blepharoplasty, which is technically more complex but avoids a double operation, requires a higher investment (5,000 to 6,000 euros).

Complementary procedures (lipofilling, cantopexy or fox eye) can increase this price according to the specific needs of each person. A precise estimate will be given to you after a detailed medical examination.

MEDICAL VERSUS AESTHETIC INDICATIONS: SOCIAL SECURITY COVERAGE

The distinction between medical blepharoplasty and aesthetics is essential, especially when it comes to reimbursement. In the vast majority of cases, this procedure is carried out for aesthetic reasons, and is therefore not reimbursed. not reimbursed by health insurance.

However, certain specific situations may be covered by social security. This is the case, for example, of a major palpebral ptosis significantly altering the visual field, provided that an ophthalmological examination attests to its functional impact. Similarly, a rare condition such as blepharochalasis, characterized by recurrent palpebral oedema, may fall within the scope of the reconstructive surgery and benefit from a partial or total refund.

In short, only a well-documented medical indication is eligible for coverage; purely cosmetic projects are not covered.

CHOOSING YOUR PARIS SURGEON: TRUST CRITERIA

WHO IS THE BEST SPECIALIST FOR EYE SURGERY?

Successful blepharoplasty depends on the expertise of a qualified plastic surgeon, ideally specialized in facial plastic surgery. This specialization ensures perfect mastery of periocular anatomical subtleties and the most advanced techniques. The choice of practitioner must be based on objective criteria:  university career, experience in plastic surgery and professional reputation. But beyond technical skills, the relationship of trust established during consultations plays an essential role in the project's success.

HOW TO CHECK THE DOCTOR'S QUALIFICATIONS AND EXPERIENCE?

To ensure the real skills of a surgeon, it is essential to check your diplomas and qualifications with the Conseil National de l'Ordre des Médecins, which guarantees the validity of its registration and specialty. Visit online notice can offer a first glimpse, but their reading must remain nuanced because of their subjective nature. Conversely recommendations from colleagues or the professional word-of-mouth often provide a more reliable assessment. Whenever possible, talk to former patients provides concrete feedback on care and support quality.

CONCLUSION: BLEPHAROPLASTY IN PARIS - RESTORE A RESTED, REJUVENATED LOOK

The blepharoplasty in Paris, Whether it involves the upper or lower eyelids, or both, this is a meticulous surgical procedure aimed at open your eyes, correct the drooping eyelids, reduce bags under the eyes and restore facial balance. Performed under local or general anaesthesia, It offers long-lasting results with light after-effects.

This surgery can be combined with other aesthetic treatments for a more comprehensive approach. Each project is the subject of a personalized assessment, tailored to your morphology and expectations.

To consider eyelid surgery in Paris and ask all your questions, you can :

• or take online appointment via our contact form,
• or by contacting the office secretariat directly on 01 88 33 61 61
• or via Doctolib

Every intervention begins with an attentive ear and customized support.