Upper simple blepharoplasty (without canthopexy)
The upper blepharoplasty or eyelid correction is the surgery that seeks the cosmetic improvement of the upper eyelid. It’s the surgery that removes the skin excess of the upper eyelids and clears the look. This way, we obtain a rejuvenated and more rested look. Besides, when the skin excess is significant, it can cause visual fatigue and a feeling of heaviness. With the surgery, an immediate improvement is also achieved in that sense.
Who is candidate for an upper blepharoplasty?
The most frequent candidates for an eyelid correction are usually women and men starting at 35 years of age, and with a good overall health. Some patients, because of their genetic traits, show an apparent skin excess starting at more premature ages. In these cases, it’s often more similar to an Asian type configuration of the eyelids, with a somewhat lower fold, which gives the appearance of a skin excess.
It’s important to detect those patients that have drooping or low eyebrows, as in these cases the blepharoplasty on its own doesn’t clear the eyelid enough, and it can be necessary to add an eyebrow lifting. As in any aesthetic plastic surgery intervention, for an eyelid correction or blepharoplasty it’s important to have reasonable expectations. This means that this surgery will improve our appearance and can make us feel better about ourselves. However, it cannot achieve drastic changes in your appearance, and the effect is restricted to the upper eyelid. Any previously existing medical problem needs to be controlled before performing an intervention of this kind, especially hypertension and diabetes. There is no medical problem preventing this surgery from being carried out, as long as it’s well controlled. See below.
What does the upper eyelid correction consist in?
Since the beginnings until now, an eyelid correction has been considered as a simple act of “removing skin, muscle, and fat”. For a true specialist in the field of blepharoplasty it’s much more than that. There are several factors that determine the appearance of the upper eyelid. The amount of skin on the eyelid is not the only one. There are other factors, like the state of the eyelid crease, the position of the eyebrow, and the right exploration of each of them. All this makes us achieve the best possible result for each patient. The correct planning is the key to success for a blepharoplasty.
An overly aggressive surgery of the skin, muscle, and fat of the upper eyelid results in “empty” eyelids, hollow eyes, a sad look and in the worst case, difficulty in closing the eyes. Besides the individual differences (there is no such thing as two equal patients), there are significant differences between men and women. In case of the first, the surgery is usually more conservative, as an eyelid cleared too much could feminise a man’s appearance. The microincisions aren’t visible since the day after the treatment (with open eyes) because they are done right in the natural fold of the eyelid. The incisions are performed with a cold scalpel, an electric scalpel, or with laser, depending on the case. This is always done looking for the fastest recovery for the patient.
The use of either one doesn’t influence the final result. Through these incisions, the skin excess can be removed. At the same time, the fat is sculpted and the underlying muscle is tightened in order to achieve the desired final result. In the case of patients with a low or shallow fold, it’s important to reshape it towards the end of the intervention. This detail, ignored by many surgeons because it requires a profound knowledge of oculoplastic surgery, in some cases is the key to obtain a satisfying result. In case the patient requires the correction of a ptosis (droopy eyelid), it can be performed through the same incision used for the blepharoplasty. Some patients have a fat excess on the level of the eyebrow. This manifests as a thick and descended. In these cases, sculpting with a partial removal of the fat is performed through the same incision of the blepharoplasty.
If the eyebrow is very descended, it can be necessary to perform an elevation of it in the very same procedure (see eyebrow lifting).
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With financing for example:
36 months: 57,75€/month
25 months: 82,10€/month
12 months: 155,55€/month
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*Upper Blepharoplasty without canthopexia