Upper blepharoplasty is a surgical procedure that removes excess skin (and sometimes fat) from the upper eyelid. When the eyelid is drooping, the palpebral crease disappears, and the eyelid is lifted. gaze seems closed and looking tired becomes permanent, even after a full night's sleep. Visit facial plastic surgery, The aim of the project is to redesign the eyelid crease, to rejuvenate the eyes and restore a clean eyelid line.
This aesthetic surgery of the upper eyelids, frequently performed from the forties onwards, but sometimes earlier in cases of marked slackening, acts where creams, make-up or simple injections are insufficient. It corrects the excess skin that forms a cap over the lashes and weighs down the upper part of the eye. When there are also palpebral fat pockets, blepharoplasty removes this excess fat to enhance the eyes and make the face more youthful, without changing the features.
Finally, the upper blepharoplasty has a functional dimension. When the skin of the upper eyelid falls back over the eyelashes, it can reduce the upper visual field, fatigues the eyelid levator muscle and causes a feeling of tension or heaviness at the end of the day. By removing this excess skin and fat, the procedure improves visual comfort and reduces the constant effort required to keep your eyes open.
Eyebrow injections mainly act on the eyebrow position and forehead muscles. With visit botox injections, the surgeon or aesthetic doctor relaxes certain muscles that pull the eyebrow downwards, allowing a slight lifting of the tail or body of the eyebrow. This procedure does not remove any excess skin, but it can open up the eyes by creating more visible space between the eyelash and eyebrow.
Hyaluronic acid injections, can be used to support the eyebrow locally, to fill in a hollow, or to give the eyebrow its own shape. restore a lost volume in the upper third of the face. By restoring support to this area, the upper eyelid appears less droopy, as if the curtain were slightly tautened. This non-surgical treatment is suitable when the eyelid does not yet have significant excess skin, but the eyebrow is starting to droop.
Eyebrow injections are therefore effective for slight signs of aging, or moderate asymmetry. However, they do not have the power to remove genuine excess skin from the upper eyelid. They do not correct under-eye puffiness nor a marked lower eyelid.
That's why it's essential to identify whether the main problem is with the eyelid, eyebrow or forehead volumes before deciding. A consultation following a precise medical examination is essential.
Dr. Djian, both aesthetic doctor and Plastic surgeon in Paris will help you make the right choice following a personalized consultation.
Upper blepharoplasty is indicated when the excess skin is clear, visible in the resting position, and forms a thickened fold. Make-up becomes difficult to apply: blush disappears into the crease, pencil lines become distorted, and mascara marks the drooping skin. The eyes appear constantly tired, as if “weighed down” by the upper eyelid. At this stage, injections are no longer enough.
Beyond simple skin excess, surgery also treats the dermatochalasis, A pathological relaxation of the upper eyelid. This disorder results in a loss of visibility of the eyelid crease, limiting the visual field and interfering with daily life. When it becomes functional and not just aesthetic, blepharoplasty offers a consistent and lasting correction.
In the presence of fat pockets, especially in the inner corner, the eyes appear puffy. Blepharoplasty removes this excess without emptying the eyelid. The objective is simple: lighten without hollowing, respect the natural volume and avoid a “skeletal” eye.
The procedure is appropriate when the problem has been present for years, rather than when it's a one-off variation in fatigue. Old photos showing more open eyes are a reliable indicator: when the skin forms a real curtain, upper eyelid surgery becomes the most consistent solution.
The consultation serves to confirm the indication, rule out the idea of an “express facelift” using injections, and define a realistic surgical plan. The procedure must be proportionate: remove what's in the way, preserve what structures the look.
In some cases, excess skin is not just aesthetic. It can lead to reduced upper visual field, This visual strain causes eyestrain, making it difficult to read or work on a computer screen, especially at the end of the day. This visual strain causes eyestrain, making it difficult to read or work on a screen, especially at the end of the day. Upper blepharoplasty provides real functional improvement.
When the eyelid falls, the levator muscle works continuously to compensate for the weight of the skin. The forehead then takes over: repeated contraction, eyebrow raised in spite of itself, tensing of the orbicularis muscles. This over-solicitation of the forehead ends up generating tension headaches, The result is a feeling of heaviness around the eyes, and mental fatigue disproportionate to visual activity. By removing excess skin in a measured way, blepharoplasty reduces these chronic muscular efforts.
When the skin no longer presses on the eyelid, vision is freed up, reading is stabilized and the gaze returns to a neutral position. Patients no longer need to strain to keep their eyes open. Visual comfort improves in everyday tasks, without the need for postural tricks.
A medical and ophthalmological examination to assess this functional dimension. Depending on the severity of the disorder and documented visual discomfort, partial reimbursement by Social Security may sometimes be discussed.
Upper blepharoplasty is most often performed under local anaesthetic, The procedure is performed under the supervision of the surgeon, sometimes with light sedation, depending on the case and the patient's preference. Before the procedure, a pre-operative consultation is held to assess the eyelid, skin quality, eyebrow position, and aesthetic and functional expectations. This is also the time to discuss risks, recovery, post-operative follow-up and the cost of the procedure.
The key moment is the incision marking, performed in an awake, seated position. The surgeon outlines the excess skin to be removed, precisely respecting the natural fold of the eyelid. This outline determines the final shape of the eyes and the discretion of the scar. In the operating room, the incision is made in this fold, the excess skin is removed and, if necessary, a pocket of fat is carefully resected to preserve volume. The suture is made with a very fine thread.. The procedure lasts an average of 30 to 60 minutes. for both upper eyelids.
Follow-up is generally straightforward swelling, small bruises and a slight sensation of tightness for a few days. Swelling decreases in one to two weeks. It is recommended to gently clean the eye and palpebral rim with saline solution according to instructions.
After a few days, you can resume your social life, sometimes with the help of make-up. Final results can be appreciated after a few weeks to a few months, when the tissues have softened.
A personalized follow-up at Docteur Djian's Paris office accompanies the patient from the first examination to the end of the healing process.
Botulinum toxin acts on the depressor muscles that pull the eyebrow downwards to obtain a slight «eyebrow" effect.« Brow lift« . By relaxing these muscles, the eyebrow can rise slightly, especially at the tail, clearing the upper eyelid and opening the eyes in a subtle way. This treatment is of particular interest to women who are beginning to perceive sagging, but without major excess skin. At the same time, botulinum toxin can be injected around the eyes to smooth the skin. crow's feet wrinkles, This softens the eye contour and reinforces the rejuvenating effect.
The effect must remain natural. The aim is not to freeze the forehead or create an “astonished look”, but to rebalance the muscular forces of the upper third of the face.
Injections are carried out in consultation at Cabinet, 5 square Thiers, Paris 16, in just a few minutes, after a precise medical examination.
Improvement generally begins to be seen between day 3ᵉ and day 5ᵉ, stabilizing around day 10ᵉ-15ᵉ, then lasting an average of 4 to 6 months before the musculature gradually returns to its original tone.
This gesture is particularly appreciated by women who wish to test an initial medical treatment before considering surgery. It can give a glimpse of what a slightly more open look might look like.
However, it does not replace an upper blepharoplasty when excess skin is significant. This limit must be clearly explained during the consultation to avoid unrealistic expectations.
Hyaluronic acid injections can be used on the eyebrow or temporal region to restore lost volume and support tissues. By restoring structure to this area, the skin of the upper eyelid appears less slack and the eyes more youthful. Complementary treatment, hyaluronic acid can be injected into dark circles to fill the hollow under the eye. Combined with treatment of crow's feet with botulinum toxin, The result is a truly global rejuvenation of the periorbital region, without surgery.
This type of injection is best suited to women with mild to moderate sagging, often in their forties, without marked skin excess.
Results are temporary, lasting from several months to over a year, depending on the products used, the area and the patient's metabolism.
Injections are of practical interest: the procedure takes 5 to 10 minutes, As a result, social life is resumed immediately and no surgical scars are created. Swelling generally remains discreet. Performed by an experienced physician, complications are infrequent. Some do exist, however, and should not be underestimated, notably the rare but serious vascular complications described with hyaluronic acid injections in the periorbital area.
On the other hand, their effects are temporary. Botulinum toxin must be renewed approximately every 4 to 6 months, hyaluronic acid every 9 to 18 months depending on the zone.
In financial terms, the cost of each session may seem lower than that of a superior blepharoplasty procedure. But, over time, the cumulative budget for injections sometimes approaches or exceeds that of long-term surgery. It is therefore important to think in terms of an overall project: a few years of light injections, followed by surgery when excess skin becomes evident, can represent an intelligent compromise.
If you're on the fence about whether to have more injections or schedule a procedure, a consultation with a specialist can help you establish a realistic treatment plan, tailored to your age, needs and budget.
Doctor Djian's office in Paris can help you make an objective comparison between upper eyelid surgery and aesthetic eye medicine, based on your specific situation.
Choosing between upper blepharoplasty and eyebrow injections means above all choosing how you want to live with your eyes every day.
Upper blepharoplasty modifies the “structure”: it removes excess skin, frees up the eye opening and can also correct under-eye bags when combined with an upper blepharoplasty. lower blepharoplasty. In concrete terms, this can change your comfort on the screen, the way your glasses rest on your nose, and how tired you feel at the end of the day, with the result remaining stable over time. On the other hand, you will have to accept a few days of slowdown: swelling, bruising, organization of your professional activity, sometimes a short break from work, and avoid sport and travel immediately after the operation.
Injections, are more about “fine-tuning”: softening a furrowed brow, slightly raise the tail of the eyebrow, They're ideal if you're a busy person with a busy schedule, frequent travel, media exposure or a job with a lot of public contact. They are interesting if your priority is to remain immediately presentable, with a busy schedule, frequent travel, media exposure or a job that involves a lot of public contact. But they require you to accept a regular interview, and therefore a long-term commitment.
In a consultation, the challenge is not just to look at your eyelids, but to understand how you work, play sport, manage your image... so that the chosen treatment fits into your life rather than the other way round.
The price of an upper blepharoplasty depends on several parameters: complexity of the eyelid plastic surgery procedure, clinic chosen, type of anesthesia, surgeon's and anesthesiologist's fees, and whether or not the operation is combined with a lower blepharoplasty.
Care, follow-up and certain technical costs may be included, depending on the structure's prices. During the consultation, this point becomes the focus of your project: a precise estimate is drawn up, adapted to your situation, so that you know exactly what is included before you decide.
In the majority of cases, upper blepharoplasty treats a excess skin for aesthetic purposes and is therefore not covered by the’health insurance. However, when an objective visual field amputation, a partial coverage can be discussed. The surgeon then documents the discomfort and codes the procedure in corrective surgery. If the medical criteria are met, health insurance may reimburse part of the operation, with the remainder depending on your mutual insurance company and contract.
Everything is clearly explained during the consultation, on the basis of a detailed quotation.
| SERVICE | PRICE INCL. VAT* from |
|---|---|
| Upper eyelids (blepharoplasty x 2) | 2,500 -3,000 euros |
*Plastic surgery prices are given as an indication and are non-contractual.
The first cosmetic surgery consultation at our office in the 16th arrondissement of Paris costs 100 euros.
Whether botulinum toxin or hyaluronic acid, injections come at a price per session. Individually, this often seems more affordable than surgery. But renewed once or several times a year, they represent a recurring budget. Over several years, the cost can exceed that of an upper blepharoplasty, especially if several areas are combined.
There is no such thing as a universal “right” choice. depends on your degree of discomfort, You'll need to know your age, the speed at which your drooping eyelids are progressing, and your financial priorities. The most important thing is to have clear, honest information, with price indications and explanations of the various options.
| SERVICE | PRICE INCL. VAT* from |
|---|---|
| Botulinum toxin: eyebrows | 400 euros |
*Aesthetic medicine prices are given for information only and are non-contractual.
The first cosmetic surgery consultation at our office in the 16th arrondissement of Paris costs 100 euros.
A consultation at Docteur Djian's office in Paris enables you to compare the cost and benefits of each medical or surgical procedure in complete transparency.
Like all medical procedures, upper blepharoplasty and injections involve risks.
For surgery, these include
These risks remain limited when the procedure is carried out by a qualified specialist, in optimal safety conditions, with careful post-operative follow-up.
Injections, whether they use botulinum toxin or hyaluronic acid, can cause
Prevention is based on a prior medical examination, a clear understanding of your expectations, adherence to doses and, in the case of hyaluronic acid, the use of products adapted to the facial environment.
Preparing for your procedure or injections, complying with pre- and post-operative instructions, avoiding certain blood-thinning drugs before the procedure, and informing the doctor of your medical history all contribute to your safety.
The choice of an experienced surgeon or physician, as at the Docteur Djian's office in Paris, This is an essential element in limiting complications and ensuring a harmonious improvement in the appearance of your eyes.
Between upper blepharoplasty and eyebrow injections, the question is not which technique is “better”, but which addresses the real cause of the problem. closed gaze. When excess skin and heaviness come from the eyelid, upper blepharoplasty provides a lasting solution. When the problem is positional, muscular or very slight, injections offer a fine, reversible adjustment. This choice is not just about before/after blepharoplasty photos or an abstract aesthetic preference. It depends on your anatomy, the way you move your face, your tolerance to the post-operative after-effects and your short- and long-term priorities.
When aging extends beyond the palpebral zone and affects the oval or neck area, a cervico-facial lift can complete the upper blepharoplasty to restore facial harmony. The techniques are not mutually exclusive: they can be combined according to the area actually responsible for the discomfort.
The specialized consultation serves to precisely identify the origin of the problem, frame expectations and define a coherent plan. A cosmetic surgeon who masters both palpebral surgery and aesthetic medicine of the eyes helps to avoid unbalanced compromises: too many injections to compensate for excess skin, or isolated surgery that doesn't treat overall sagging. Doctor Djian's office in Paris accompanies this choice in a pragmatic way: treating what's in the way, preserving naturalness and maintaining a look in harmony with your face.
Yes, it's quite possible, and often even relevant. Injections allow you to test a slight eyebrow lift and see how you live with a slightly more open look. When the excess skin becomes too great, or the injections no longer bring enough improvement, upper blepharoplasty can be considered for a longer-lasting result.
In theory, you can repeat botulinum toxin and hyaluronic acid injections as long as there are no medical contraindications and you're happy with the result. However, it's important to maintain a reasonable approach: doses must remain appropriate, time intervals respected, and your face must retain its mobility and naturalness. In the long term, if genuine excess skin appears, continuing with injections alone is likely to become costly and less effective than a well-performed upper blepharoplasty. Regular reassessment with your doctor or surgeon is therefore essential.
Upper blepharoplasty does not preclude subsequent injections into the forehead, glabella or temporal region. On the contrary, many patients combine stabilized surgery with small touches of aesthetic medicine to maintain the freshness of the upper third of the face. You'll simply need to adapt the doses and injection points to your new anatomy, so as to respect the position obtained for the eyebrow and preserve a natural look.
No, a well-managed upper blepharoplasty or well-dosed eyebrow injections should not transform you into a different person. The aim is to correct excess skin, sagging or imbalances that make you look tired, severe or sad, while respecting your features. During your consultation, explain clearly what you already like about your look and what you want to preserve: this helps the specialist to propose a treatment that suits you and that you'll feel really comfortable with.
After blepharoplasty, We recommend sleeping on your back, with your head elevated. with two pillows for about 7 to 10 days to limit edema and swelling. Avoid sleeping on your side or stomach, so as not to press on the eyelids or pull on the sutures. Don't rub your eyes, even if they itch. If your surgeon authorizes it, you can apply cold during the day, but never directly on the skin.
In the event of unusual pain, very red eyes or reduced vision, contact your surgeon immediately.
Dr Jérémy Djian is a plastic surgeon based at 5 square Thiers, near the Victor Hugo roundabout, in the 16th arrondissement of Paris.
He trained in Paris and remains attached to the hospital in the prestigious department of Pr Laurent Lantieri.
