In this article, our specialist Dr Djian<\/strong>, explains the ophthalmological diagnosis<\/strong>, causes such as the aging <\/strong>or the\u2019sun exposure<\/strong>, and the blepharoplasty technique<\/strong>. Find out how surgery performed under local anesthesia can remove excess skin and fat to restore the appearance of your eyes.<\/p>\n We strongly advise you to consult a medical professional to assess the degree of palpebral damage. To begin with, let's look at the definition of this pathology.<\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n Dermatochalasis is not just a simple excess surface skin<\/strong> ; it's the result of a cascade of internal biological changes that alter the architecture of your eyes. To fully understand why the eyelid droops, we need to look at what's happening beneath the dermis:<\/p>\n Some people notice this early onset, sometimes in their thirties<\/strong>, due to a specific genetic heritage<\/strong>.<\/p>\n A clinical examination carried out by a specialist can quantify this excess skin and fat and suggest an appropriate correction strategy.<\/p>\n <\/p>\n <\/p>\n <\/p>\n There is often confusion between the dermatochalasis <\/strong>and the ptosis<\/strong>, Yet these two conditions differ completely in their underlying mechanisms. During your consultation in Paris, the plastic surgeon Dr Djian<\/a><\/strong> will assess, among other things, the position of the free edge of the eyelid<\/strong> in relation to the pupil to make the right diagnosis.<\/p>\n \u00a0<\/strong><\/p>\n <\/p>\n Dermatochalasis<\/strong> is a condition characterized by a excess of <\/strong>skin that slides and falls onto the lashes, creating an unsightly fold and a drooping eyelid.<\/a><\/u><\/strong> In this case, the eyelid muscle functions perfectly, but it is masked by a excess heavy fabric<\/strong>.<\/p>\n To use a simple metaphor, imagine a theater curtain<\/strong> whose fabric has become too long: when you activate the mechanism, the bar rises, but the excess velvet continues to hang down and obstruct the stage. The solution is simply to remove the excess fabric.<\/p>\n \u00a0<\/strong><\/p>\n <\/p>\n Conversely, the ptosis<\/strong>or palpebral ptosis<\/strong>, corresponds to a drooping of the upper eyelid margin<\/strong>, which descends too low over the eye. This problem results from a failure or stretching of the eyelid's levator muscle.<\/p>\n If we take up the image of the curtain, it's as if motor or cables<\/strong> of the curtain were broken<\/strong>. The fabric is the right length, but the mechanism no longer has the strength to lift it. Reducing the fabric would be pointless. repairing the engine<\/strong> or re-tensioning cables<\/strong> (the muscle) to open the eyes.<\/p>\n Distinguishing between the two pathologies is crucial to the choice of surgical procedure, as it determines whether to act on the skin envelope<\/strong> or on the eyelid muscle.<\/strong><\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n One of the most incapacitating symptoms is reduced upper and lateral field of view<\/strong>. When the excess skin becomes too great, it crosses the lash line and conceals the skin. the upper part of the vision<\/strong>. The patient then feels a real functional discomfort<\/strong>, It's as if he's always wearing a cap visor that's too low.<\/p>\n This visual obstruction causes eye fatigue<\/strong> especially at the end of the day. Simple activities such as reading, driving or working on a screen become laborious as the eye struggles against this constant weight.<\/p>\n In advanced stages, we speak of\u2019amputation of the upper visual field<\/strong>, A condition that can impact patient safety.<\/p>\n <\/p>\n <\/p>\n <\/p>\n To counteract the sensation of heaviness, the body sets up a instinctive compensation mechanism<\/strong>. The patient puts excessive strain on his forehead muscle to raise eyebrows<\/strong> and thus mechanically \u00ablift\u00bb the skin that obstructs his vision. This permanent gesture ends up mark the top of the face<\/strong> indelibly.<\/p>\n The appearance of deep horizontal wrinkles on the forehead<\/strong> is often the direct consequence of untreated dermatochalasis.<\/p>\n Using botulinum toxin<\/strong> in this precise context is a risk: relaxing the forehead eliminates the compensatory effort, which can aggravate eyelid droop and visual discomfort. In such cases, surgical treatment of dermatochalasis is the only logical response.<\/p>\n <\/p>\n <\/p>\n Theaccumulation of skin in the upper palpebral crease<\/strong> creates an environment conducive to dermatological complications<\/strong>. Stagnant moisture between the skin folds can lead to a chronic inflammatory phenomenon<\/strong>, like the seborrheic dermatitis<\/strong> or intertrigo<\/strong>. The skin then becomes red, irritated and sometimes painful.<\/p>\n The incessant rubbing of the skin tissue against itself also favours the development of\u2019appearance of small benign tumors<\/strong> like papillomas <\/strong>or the acrochordons<\/strong>. These growths, although harmless, add to the unsightly appearance and can be irritated by contact with eyelashes or when cleaning the eyes.<\/p>\n A upper blepharoplasty<\/strong><\/a> eliminates these areas of friction.<\/p>\n <\/p>\n <\/p>\n <\/p>\n Sagging eyelids<\/strong> is the result of a combination of internal biological factors and external aggressions<\/strong> which alter the structure of the eyes. Here are the main causes of this pathology:<\/p>\n Mechanical trauma:<\/strong> vigorous rubbing of the eyes (due to dry eyes) or the daily manipulations associated with the wearing contact lenses<\/strong> end up breaking the support fibers of this extremely fragile zone.<\/p>\n <\/p>\n <\/p>\n <\/p>\n The treatment of dermatochalasis is based on a surgical procedure called upper blepharoplasty<\/strong>. This procedure involves removing excess skin and, if necessary, a small amount of muscle and fat. The surgeon makes a meticulous incision concealed in the skin. natural eyelid fold<\/strong> to guarantee virtually invisible results.<\/p>\n The operation is generally performed under simple local anaesthetic<\/strong> or combined with light sedation for patient comfort. On average, it lasts between 30 and 60 minutes<\/strong>. This is a outpatient surgery<\/strong> You enter the clinic in the morning and leave a few hours after surgery, accompanied by a relative.<\/p>\n To benefit from our recognized expertise, you can book an appointment on Doctolib with Dr Djian in Paris 16th arrondissement<\/strong> for a precise, personalized diagnosis of your eyes.<\/p>\n <\/p>\n <\/p>\n <\/p>\n The postoperative period is marked by the appearance of edema<\/strong> and sometimes some bruising<\/strong>. These effects are normal and generally subside within a few weeks. ten days<\/strong>. The application of cold compresses<\/strong> and a ophthalmic ointment<\/strong> prescribed by your surgeon, helps reduce swelling and protects the surgical area.<\/p>\n The stitches are removed between days 5 and 7<\/strong> after the operation. The scar, placed in the upper palpebral crease<\/strong>, After just a few weeks, the result is virtually imperceptible. The final result offers a reduction in the obstructed visual field and a spectacular rejuvenation of the eyes, significantly improving the patient's quality of life.<\/p>\n <\/p>\n <\/p>\n As with any surgical procedure, blepharoplasty involves risks such as a infection<\/strong>, a hematoma <\/strong>or a temporary dry eyes<\/strong>. However, in the hands of a specialist surgeon, such complications are rare. It is essential to follow the pre-operative instructions scrupulously to minimize any potential danger.<\/p>\n <\/p>\n <\/p>\n Let's be honest: tensor\u00ab cosmetic creams\u00bb<\/strong> have no effect on proven dermatochalasis<\/strong>. These products act on surface hydration but cannot remove structural excess skin. Only surgical treatment can correct tissue subsidence<\/strong> and permanently restore the upper visual field.<\/p>\n <\/p>\n <\/p>\n Walk through the door of a plastic surgery in Paris<\/strong> is an important step. At your first consultation, the Dr. Djian will perform a complete examination<\/strong> to ensure that no associated ocular pathology, such as glaucoma or retinal disease, contraindicates the operation.<\/p>\n The aim is not to transform your face, but to give it a new look. restore its natural freshness<\/strong> by eliminating the heavy eyelid appearance that weighs you down. A complete medical file, including photos and an information sheet, will be given to you in order to make your decision with peace of mind<\/strong>.<\/p>\n Dr Djian, an expert in facial surgery in Paris<\/a><\/strong>, We'll work with you to restore harmony to your eyes. Don't hesitate to contact our secretariat for a tailor-made treatment.<\/p>\nWHAT IS DERMATOCHALASIS? WHAT IS DERMATOCHALASIS?<\/h2>\n
CHANGES IN EYE STRUCTURE LINKED TO SKIN AGING<\/h3>\n
![\"Young](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2026\/03\/peau-jeune-vs-peau-mature-1.jpg\")
<\/p>\n\n
![\"A](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2026\/03\/une-question-specifique.jpg\")
<\/a><\/p>\nTHE DIFFERENCE BETWEEN DERMATOCHALASIS AND PTOSIS: HOW TO TELL THEM APART?<\/h3>\n
DERMATOCHALASIS: EXCESS SKIN TISSUE<\/strong><\/h4>\n
PTOSIS: FAILURE OF THE LEVATOR MUSCLE<\/strong><\/h4>\n
DERMATOCHALASIS SYMPTOMS: HOW TO RECOGNIZE EXCESS SKIN?<\/h2>\n
IMPACT ON PERIPHERAL VISION AND VISUAL FIELD<\/h3>\n
![\"Dermathocholasis](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2026\/03\/dermathocholasis-homme-e1773133780864-1024x360.jpg\")
<\/p>\nFOREHEAD WRINKLES AND RAISED EYEBROWS: A COMPENSATORY SIGN OF DERMATOCHALASIS<\/h3>\n
![\"Forehead](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2026\/03\/rides-du-front-e1773134016341.jpg\")
<\/p>\nSKIN COMPLICATIONS: IRRITATION, REDNESS AND GROWTHS<\/h3>\n
WHAT CAUSES DERMATOCHALASIS AND WHAT ARE THE RISK FACTORS?<\/h2>\n
![\"Causes](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2026\/03\/causes-dermathochalasis-1024x1024.jpg\")
<\/p>\n\n
TREATMENT OF DERMATOCHALASIS: BLEPHAROPLASTY OR EYELID SURGERY<\/h2>\n
OPERATION (ANESTHESIA AND PROCEDURE)<\/h3>\n
POST-OPERATIVE CARE, HEALING AND RESULTS<\/h3>\n
![\"Blepharoplasty](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2019\/08\/blepharoplastie-4-paupieres.jpg\")
<\/p>\nRISKS OF BLEPHAROPLASTY<\/h3>\n
LIMITS OF CREAMS OR TREATMENTS WITHOUT SURGERY<\/h3>\n
REDISCOVERING OPEN EYES: TAKING THE STEP TO DERMATOCHALASIS CONSULTATION<\/h2>\n
![\"Banner](\"https:\/\/docteurdjian.com\/wp-content\/uploads\/2019\/08\/banniere-prise-de-rdv-dr-djian-generale-1.jpg\")
<\/a><\/p>\n