How do we rejuvenate the look?
With age, the eyes may suffer with different: accumulation of fat or excess skin at the upper and lower eyelids, loss of fat from the lower eyelids, sagging eyebrows … with the result of drooping eyelids or cap, bags under the eyes or a ring hollow aging eyes.
For each of these defects, cosmetic surgery solutions exist. Acts on the eyelids are grouped under the term “blepharoplasty”. It is common to combine action at eye level with a facelift.
How to correct sagging or drooping eyelids with excess skin (dermochalasis)?
It carries a skin resection (one removes the surplus) by conventional surgery or laser surgery. For upper eyelids, the incision is made in the natural crease of the eyelid to avoid a visible scar. For lower eyelids, it is performed on the eyelashes.
The operation is performed under local anesthesia and tranquilizers (neuroleptics). General anesthesia can be performed if several interventions are planned (e.g., simultaneous operation of upper and lower eyelids). It is not painful and lasts 20 minutes for the upper eyelid, 45 minutes for the lower eyelid.
After surgery, ice bags were put in place to reduce edema (swelling) and ecchymosis (blue), which nevertheless often persist for several days. Wearing tinted glasses and a “social restraint” of ten days are expected. A total sun protection must be applied on the scar for 1 month.
A normal appearance is achieved after two weeks, the scar becomes invisible after 2 months. Aging can then repeat the same damage but the result remains a dozen years.
How to fix the unsightly pockets and eyes puffy with excess fat (lipoptose)?
It removes excess fat by conventional surgery or laser ablation. If the pocket is not associated with sagging skin (young subjects), we pass through the inside of the eyelid (transconjunctival route) to avoid scarring. If the pocket is associated with sagging skin (elderly), it passes through sub-ciliary (as for dermochalasis).
The procedure is done under local anesthesia and tranquilizers (neuroleptics). General anesthesia can be performed if several interventions are planned (eg, simultaneous operation of the eyelids and puffiness). It is not painful and lasts 45 minutes.
After surgery, ice bags were put in place to reduce edema (swelling) and ecchymosed (blue), which nevertheless often persist for several days. Wearing tinted glasses and a “social restraint” of ten days are expected. The result is usually permanent.
What are the cons-indications for blepharoplasty?
There is no formal information-cons, but a history of eye disease (cataract, glaucoma …), an ophthalmologic examination (including fundus) is necessary.
Case by case
How to fix a ring hollow?
- By injecting filler (hyaluronic acid).
- By lipostructure or lipofilling, namely autologous fat. It is charged with a syringe in the abdomen, hips or buttocks and then centrifuged and purified and then reinjected. – Note: If a ring hollow pocket in front, it uses the fat pocket and inject it in the outliner (fat transfer). It then passes through the inside of the eyelid to reposition the fat.
- By malar lift: to trace the tissue had slipped down over time at the edge of the orbit.
- Risks and disadvantages with hyaluronic acid and lipofilling, blue (bruise) can be formed. There is also a risk of overcorrection. The results obtained with hyaluronic acid is less durable (8 months to 1 year) with fat transposition or lipofilling. With the fat graft, however, there is uncertainty of the “survival rate” of grafts: the outcome is final, a touch is needed.
How to fix a dark circles?
This is the most difficult problem to solve and at present there is no effective treatment 100% risk-free.
How to correct drooping eyebrows?
It is possible to raise the external part of the eyebrow by a temporal lift and all of the eyebrow by an endoscopic brow lift. Sometimes injections of botulinum toxin sufficient.
In the case of an upper blepharoplasty, it is possible to take the opportunity to weaken the muscles between the eyebrows: the “step-down” being weakened levator muscles are naturally eyebrow.
How to correct wrinkles?
Cons the frown lines or crow’s feet, it is possible to inject botulinum toxin. The effect only lasts 6 months.
What are the costs and reimbursement?
It depends on the practitioners and the type of intervention. Count between 1 500 and 3 500 euros for a blepharoplasty, between 250 and 500 euros for an injection of hyaluronic acid, 450 euros for an injection of botulinum toxin.
A detailed estimate is required for surgery, with a period of 15 days incompressible reflection. Such acts are never reimbursed by health insurance.
Who does what?
Doctors who perform blepharoplasty are oculoplasticiens or plastic and cosmetic surgeons. For peels, lasers and injections of hyaluronic acid or botulinum, it is possible to speak to specialist dermatologists and cosmetic lasers.
Posted in Health and Beauty | 
Tags: Cosmetic, Cosmetic lasers, Dermatologists, Eye disease, Eyes, Rejuvenation, Rejuvenation of the eyes, Skin, Specialist dermatologists
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