Not just a cosmetic problem
Xanthelasmas are soft yellowish plaques, most often at the inner corner of the upper eyelid. By themselves, they are safe, but in a significant proportion of patients they are associated with lipid metabolism disorders, so when they appear, it is reasonable to check the blood lipid spectrum. Small formations are excised under local anesthesia with suturing with a cosmetic suture; for large ones, plastic surgery with local tissues is required. It is important to understand: without correction of lipid metabolism, xanthelasma often reappears.
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.