With the upper eyelids, an excess of wrinkled skin gives an unsightly appearance. It weighs down the eyelids and plays a part in the closure of the palpebral fissures and interferes with makeup. In extreme cases, this excess skin can hang over the eyelids and partially hinder the field of vision
In addition, there is the variably noticeable protrusion of a little bulb of fat on the upper eyelid near the nose (fatty globule).
Surgical removal of excess skin and internal fat pockets is performed through an incision concealed in a natural fold of the upper eyelid. If there is a lot of excess skin the incision can sometimes extend towards the crow’s feet.
With the lower eyelids, excess skin gives a withered look to the eyelid. The excess fat is responsible for the “puffiness or eye bags”.
These pockets are removed by a trans-conjunctival incision located on the far side of the eyelid on the side of the eye. The excess skin is removed through an incision located 2 mm below the lashes.
Your plastic surgeon, Dr. Laveaux, considers your eye as a whole, and in some cases, he will propose additional procedures to get a better result :
- Botox injections are used to raise the tail of the eyebrow and smooth frown lines and crow’s feet. The result is temporary, injections are repeated every 5 to 6 months to maintain the results ;
- The temporal lift can permanently raise the tail of the eyebrow ;
- Fat injections or hyaluronic acid injections can correct the hollows under the eyes and plump up the lateral half of the eyebrow. The result after fat injections is permanent. However, hyaluronic acid injections need to be repeated every 8-12 months ;
- A centro-facelift can correct round eye (or scleral show) and fill eye hollows. It also helps to raise cheekbones and correct nasolabial furrows, even if it is beyond the scope of the eye surgery.
Fat injections, the temporal lift or centro-facial facelift are performed in the same operation as blepharoplasty. Botox injections or hyaluronic acid injections are given in the doctor’s office 15 days before or after eyelid surgery.