Aout 2024 1

Upper and Lower Blepharoplasty with Lipostructure for Visual Fatigue

Patient presenting with visual fatigue due to hypertonia of the frontal and corrugator muscles (frown lines) and elongation of the upper eyelid, causing headaches at the end of the day. There is also a lack of support in the anterior cheek, leading to a loss of support in the lower eyelid, the appearance of a fat orbital pouch, and the beginning of rounding of the lower eyelid.

A transconjunctival upper and lower blepharoplasty, combined with lipostructure, was performed. This surgery restores normal upper and lower eyelid function, provides a healthy appearance, and eliminates visual fatigue. Muscle relaxation was achieved with botulinum toxin.

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Facial Aesthetic Surgery and Prevention

The face is an extremely complex structure anatomically and very delicate aesthetically. Combining skills in facial surgery, aesthetic surgery, and aesthetic medicine allows for comprehensive and optimal care.

For this patient, an upper and lower blepharoplasty was performed with no visible scars to brighten the eyes. A lipostructure was carried out to enhance the cheekbones and improve facial contours. Additionally, hyaluronic acid injections were applied to the smile lines and jawline to harmonize and perfect the overall appearance.

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Upper Eyelid Surgery

Upper eyelid surgery is indicated when an excessive amount of skin covers the free eyelid and maximal medical treatments such as Botox and/or hyaluronic acid support on the temples have been surpassed. This excess skin, known as blepharochalasis, often leads to visual fatigue and headaches caused by the hypercontraction of the frontal muscles that lift the eyebrows and upper eyelids. In advanced cases, it can even result in a reduction of the visual field.

This surgery, also called upper blepharoplasty, involves removing the excess skin through a small incision mostly hidden in the supratarsal fold. From an anatomical perspective, the eyelid’s role is to protect the eyeball by closing. Thus, the pretarsal eyelid, which is the mobile part near the lashes, is preserved.

The procedure is performed under light general anesthesia, without intubation, allowing the use of a state-of-the-art electronic scalpel that both cuts and cauterizes at the same time. As a result, bruising is rare.

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Surgical Blepharoplasty

Visual fatigue is a common reason for consultation in facial surgery. The appearance of bags under the eyes and the lack of support for the lower eyelid can lead to dry eyes. Excess skin on the upper eyelid can also result in a reduced field of vision and headaches by the end of the day.

Surgical blepharoplasty is the gold standard treatment for bags under the eyes and excess skin on the upper eyelid. It is an outpatient procedure with excellent results and minimal discomfort for the patient.

The result shown here is observed one year after the procedure.