Eyelid surgery

Blepharoplasty

The aim of the procedure is to reduce excess eyelid skin and eliminate fat pockets. The upper and lower eyelids can be operated on separately or simultaneously.

Blepharoplasty is also recommended to treat dark circles if these are caused by excess fatty tissue. In this case, the procedure is called transconjunctival lower blepharoplasty.

Anesthesia can be local or general. The procedure generally does not require hospitalization (an outpatient stay is sufficient).

After the operation, you may feel a little discomfort if you close your eyes for a few days. Thanks to a careful technique, bruising is almost always avoided, but only lasts a few days. Eye drops and an ice pack will relieve bruising or watery eyes.

Complications are rare, with the possibility of haematomas, infections, ectropion (everted eyelid) or ptosis (drooping eyelid).

Orbito-palpebral-lacrimal surgery

Ectropion

This is when the eyelid tilts outwards, causing lacrimation (sometimes permanent), exaggerated redness of the free edge and even recurrent conjunctivitis. It is treated surgically. Failure to intervene can lead to serious infectious complications.

Ectropion often begins with a drooping of the inner part of the lower eyelid. If this ectropion is neglected, it can only progress to an advanced form. Fortunately, surgery is highly effective in restoring the eyelid to its normal shape.

Entropion

The opposite is true, with the eyelid curling inwards, causing major irritation as the eyelashes rub against the lower part of the cornea. In the absence of intervention, the risk of infection is very high. To limit the risk of infection, this anomaly must be operated on before any cataract-type intraocular surgery.

Ptosis

This is the drooping of the upper eyelid, resulting in closure of the upper visual field.

The patient tilts his or her head back to compensate for this fall. Congenital or age-related, ptosis can appear at any age.

Palpebral tumors

The eyelids can also be the site of “lumps” or “tumors”. They can vary in size and pigmentation, and their development needs to be monitored.

The presence of a lesion that changes, bleeds on contact or is hard to palpate should prompt prompt consultation. Only excision surgery with anatomopathological analysis can rule out a tumoral lesion.

After removal of a lesion on the eyelid, it needs to be reconstructed as faithfully as possible, so that the eyelid fulfills its main role of protecting the eye and looks as good as possible. Your surgeon will be able to advise you on the best course of action.