Blepharoplasty...

Surgery of the Eyelids

Surgery of the Eyelids - Before
Surgery of the Eyelids - After

figure 1

The eyes play a significant role in our facial expressions. They are a key factor in communicating our feelings and emotions. The muscles surrounding the eye, that is, the upper and lower eyelids, are responsible for these visual displays. Blepharoplasty or Eyelid Surgery is of particular interest to women when they start noticing an increasing droopiness and puffiness of the upper eyelids and wrinkling of the lower lids. Ageing makes eyes look tired and alludes to a diminished level of energy. Blepharoplasty is an effective way of countering these impressions.

The Eyelids...

Anatomy and Ageing

Anatomy and Ageing - Before
Anatomy and Ageing - After

figure 2

With age,the eyelid thins, wrinkles and loses its elasticity thereby allowing excess skin to form and sag. The muscles around the eyes lose their tonus and begin to atrophy (become thinner). In some people, surplus skin appears on both the upper (fig.1) and lower eyelids (fig.2) as well as puffiness caused by fatty deposits in lower lids (bags under the eyes), while people with low levels of facial fat will tend to develop sunken eyes with unattractive circles. A Blepharoplasty Surgery can help.

Several factors can influence eyelid ageing :

  • Over-exposure to the sun
  • Genetic predisposition
  • Muscular tonus

Certain health related factors like allergies, the use of tobacco as well as cardiac and thyroid problems can also accelerate ageing effects.

CHANGES WITH AGE TO THE UPPER AND LOWER LIDS
Childhood to Adolescence Twenty to Forty Fifties Sixty and more
Skin
  • Firm skin
  • No wrinkle
  • Upper lid convex and projecting outward
  • Fine lines
  • Gradual appearance of crow's feet
  • Upper lids become thin
  • Wrinkles, crow's feet quite visible
  • Very thing upper lids
  • Deep wrinkles
  • Abundant and permanent crow's feet
Muscles
  • Firm orbital muscles
  • Good eyelid muscular tonus
  • Slight lessening of muscular tonus
  • Noticeable lessening of muscular tonus
  • Major lessening of muscular tonus
  • Ectropion
Fat
  • Absence of fatty tissue or
  • Absence of sunken eyes and lower lid circle
  • Appearance of fatty tissue or
  • Appearance of circles associated with excessive fatigue
  • Fatty bags under the eyes or
  • A sunken look to the eye socket
  • Permanent depression in the lower lid
  • Prominent fatty bags under the eyes or
  • Sunken eye socket

Surgery...

The Importance of Expertise

An analysis of the tissues surrounding the eye makes it possible to define the degree of ageing. A diagnosis then determines the appropriate surgical procedure and the steps to achieve optimal results.

There are several ways of carrying out a blepharoplasty. The incisions or scars, for example, may appear similar but in fact, are not. Close attention to minute detail and meticulousness, delicate handling of tissues, technical skill, knowledge and critical judgement on the part of the surgeon greatly influence the final results.

Blepharoplasty is generally practised under local anaesthesia with sedation. The surgery lasts approximately 1 to 3 hours.

Today ablasive fractional laser treatments can give spectacular results similar to eyelid surgeries. Dr Bernier acheive these results by a serie of laser treatments for
more details : laser 2940.

Surgery of the Upper Eyelid

An incision in the shape of a crescent is made along the palpebral slant (normal fold of the upper lid) and completely masks any scarring that may occur. The excess skin is removed and the skin is stitched closed again. The stitches will be removed by Dr. Bernier one week after surgery.

Surgery of the Upper Eyelid

figure 3

Surgery of the Upper Eyelid

Surgery of the Lower Eyelid

An incision is made along the edge of the lower lid under the lash, making the scar, if any, almost invisible. Fat is then withdrawn or repositioned, by an conjonctival incision (transconjonctival) in the lower eyelid and the skin is redraped, excess skin is removed and the incision closed. In certain types, often very young people, the lower lid can slant in such a way that they appear sad or shy. This can be easily corrected by a Canthoplasty. This type of eyelid surgery makes it possible to reposition the external angle of the eye, to raise the lower lid and partially correct the sunken part of the eye.

Surgery of the Lower Eyelid

figure 4

Surgery of the Lower Eyelid

When there is no excessive skin, the surplus fat can be removed through the conjunctival sac (inside the lid), leaving no scar.

Surgery of the Lower Eyelid

figure 5

Surgery of the Lower Eyelid

Blepharoplasty (eyelids surgery)

Clinical and surgical fees (1h45 to 3 hours surgery), postoperative follow-ups. Sale taxes non-included. *Only a medical evaluation with Dr Bernier can determine if you are an ideal candidate for the surgery. **Price may vary, a medical evaluation with Dr Bernier is required.

4300$-8650$

External Rhinoplasty/Septorhinoplasty

Clinical and surgical fees (5 to 6 hours surgery), anesthesia fees, postoperative follow-ups.Sale taxes non-included. *Only a medical evaluation with Dr Bernier can determine if you are an ideal candidate for the surgery. **Price may vary, a medical evaluation with Dr Bernier is required.

10500$

Otoplasty

Clinical and surgical fees (2 hours surgery), postoperative follow-ups. Sale taxes non-included. *Only a medical evaluation with Dr Bernier can determine if you are an ideal candidate for the surgery. **Price may vary, a medical evaluation with Dr Bernier is required.

5100$
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