Ptosis is not the same as sagging skin
With blepharochalasis, excess skin hangs over, and the edge of the eyelid itself is positioned normally. With true ptosis, it is the edge of the eyelid that is drooping: it blocks the pupil, narrowing the field of vision. The causes are congenital weakness or age-related stretching of the aponeurosis of the muscle that lifts the eyelid, less often neurological pathology. The operation consists of shortening or suturing the aponeurosis, which raises the edge of the eyelid to the desired height. In children, congenital ptosis is operated on early: a closed pupil leads to amblyopia and persistent vision loss.
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.