When is muscle resection necessary?
With age, not only the skin, but also the orbicularis oculi muscle stretches. If only the skin is removed, the flabby muscle will remain folded and the result will be incomplete. Resection of a narrow strip of muscle makes the eyelid contour clearer and prolongs the effect. The volume of resection is selected carefully: excessive removal disrupts the closure of the eyelids and leads to dry eye.
What does blepharoplasty solve?
With age, the skin of the eyelids loses its elasticity, the orbicularis muscle becomes stretched, and the orbital fat packs shift forward. The upper eyelid droops, the look becomes heavy, and “bags” appear under the lower eyelids. Cosmetics do not affect these changes - they are anatomical.
Blepharoplasty removes excess tissue and returns a clear contour to the eyelids. This is one of the most common plastic surgeries: it noticeably changes the facial expression, while the scar is hidden in a natural fold and after a few months becomes almost invisible.
The volume of intervention is selected individually
- only skin - with slight excess and good muscle tone
- skin and a strip of orbicularis muscle - with severe flabbiness
- skin, muscle and fatty hernias - with formed “bags”
- additional fixation of the fold - with pronounced age-related sagging
Not just aesthetics
If there is significant overhang of the upper eyelid, the skin may block the upper part of the field of view - then the operation also solves a functional problem. Before the intervention, consultation with an ophthalmologist is required: dry eyes, weakness of the eyelid ligaments and other conditions affect the choice of technique and volume.