Rejuvenation of the look and eye contour

Eye rejuvenation is a branch of medicine and cosmetic surgery aimed at preventing and treating the signs of aging around the eyes. The aesthetics of the look is based on the harmony between the forehead, eyebrows and eyelids. Over time , it exists :

a reduction in the height of the eyebrow which moves downwards which closes the gaze.
a sagging of the skin which weighs down and hides the mobile eyelid
hyperlaxity of the ligaments which makes the fat around the eye visible and forms bags

The first treatment is preventive to reduce oxidative stress in tissues: UV protection, smoking cessation, skin hydration, diet rich in vitamin A, B6 and B12.

Secondly, we aim to restore the balance of the gaze while keeping the natural anatomy of the face. For this, eye rejuvenation combines several techniques. The two main ones are botulinum toxin injection and hyaluronic acid injection.

Treatment of periocular volume loss therefore the hollowness of dark circles by injection of hyaluronic acid or lipofilling by MicroFat
Treatment of sagging skin and improvement of skin quality through regenerative medicine (NanoFat and PRP), chemical peels or resurfacing lasers such as fractionated CO2.
Treatment of fine lines and wrinkles using botulinum toxin injection
Treatment of excess skin, drooping eyelids or eyebrows, bags under the eyes by cosmetic eyelid surgery also called blepharoplasty associated with an eyebrow lift or midfacial lift.

I have dark circles

There are several types of dark circles:

The colored blue, purple or red ring

The red coloring of the ring is caused by the dilation of micro capillaries located in the internal corner of the ring. The dilation of these vessels can be linked to heredity, age or even extreme climatic conditions.
The solution to make the red circle disappear is a vascular laser.
It causes vasoconstriction of the vessels making them less visible. The result lasts for several years.

Brown or dark rings

The brown coloring of the dark circles is caused by deep pigment spots. It is linked to heredity and ethnic origins (Maghreb, India and Mediterranean basin).
Treating brown circles is difficult, but advances in regenerative medicine have made it possible to develop an effective treatment: NanoFat injection.
It can be combined with a depigmenting product. Several sessions are necessary to reduce the coloring of the dark circles but the result is visible in the long term.

The hollow ring

In young patients it is linked to great tone of the orbicularis oculi. It is often constitutional and familial.

The treatment of periocular volume loss aims to restore the harmony of volumes in the face and more specifically in the eyes. Loss of periocular volume is one of the signs of aging which can give a tired and aging look.

Different techniques exist to restore lost volume mainly at the temples, eyebrows, upper eyelids, dark circles and cheekbones.
The first aesthetic medicine technique consists of carrying out hyaluronic acid injections in the hollow areas around the eye in order to restore the harmony of the volumes.
The second technique, more invasive, consists of performing cosmetic eyelid surgery to remove fat from the patient and reinject it around the eyes. Restoring volume allows you to lift the eyebrow, recreate a bulge on the upper eyelid, make dark circles disappear and thus allow a rejuvenated look with a less tired facial appearance while keeping your natural personality through your eyes.

My eyelids are drooping

Sagging skin on the face, particularly around the eyes, can lead to a tired look, with more or less deep wrinkles that age the eyes and make the eyelids look heavier.

Sagging skin can be treated using aesthetic medicine techniques to tighten the skin by synthesising new collagen and renewing the skin’s fibroblasts.

This can be achieved by injections of PRP combined with microneedling, chemical peels, CO2 laser treatment of the skin’s surface, combined with treatment of deep sagging using radiofrequency or focused ultrasound.

If the skin sagging is too significant around the eyelids, it results in drooping eyelids. The upper eyelids can droop for two reasons:

excess skin on the eyelids that covers the mobile eyelid: known as dermatochalasis
the eyebrow dropping downward, which weighs down the eyelids and narrows the gaze

Therefore, it will be necessary to treat the eyebrow by lifting it through injections or surgical lifting and treat the eyelids through cosmetic eyelid surgery called aesthetic blepharoplasty by removing the excess skin.

I have wrinkles around my eyes

Wrinkles around the eyes include the wrinkles on the sides of the eyes, also known as crow’s-feet wrinkles, the wrinkles between the eyebrows, known as frown lines, and the wrinkles around the lower eyelids, the first sign of sagging skin in this area.

There are also wrinkles in the upper third of the face, particularly around the forehead.

In order to treat these wrinkles, we need to understand the mechanisms by which they appear.

Dynamic wrinkles are linked to the contraction of the muscles around the eyes. Wrinkles are formed by the repeated action of the muscles of facial expression which fold the skin firmly attached to these muscles until the appearance of a wrinkle. Forehead wrinkles, frown lines and crow’s feet wrinkles are some of them. The main treatment is then the injection of botulinum toxin commonly called “botox” (Bocouture©, Azzalure©, Vistabel©) which treats the wrinkle by reducing the action of the muscle responsible for it. The toxin is injected directly into the muscle. The muscle relaxes, causing the wrinkles to disappear. The expression of the eyes and face is not modified.

Static wrinkles are linked to sagging skin which loses elasticity and remains hollow in the absence of muscle contraction. Botulinum toxin will be less effective on these wrinkles. It is then necessary to consider treatments with hyaluronic acid to fill deep wrinkles or with resurfacing treatments using fractional CO2 laser or chemical peels. Finally, it is necessary to improve the quality of the skin and its elasticity through microneedling treatments coupled with PRP. When the sagging of the skin is too severe, cosmetic eyelid surgery should be considered in order to lift the sagging skin.

I have bags under my eyes

Excess skin around the eyes gives a wrinkled appearance to the lower eyelids which can be compared to bags depending on the stage.

At a very early stage, sagging skin gives a slight wrinkled appearance to the lower eyelids. It can be treated with non-invasive aesthetic medicine techniques such as skin resurfacing using laser, peeling and fractional radiofrequency techniques.

At an advanced stage, cosmetic surgery of the lower eyelids is necessary in order to lift the skin of the lower eyelids, reduce wrinkles and fine lines under the eyes and rejuvenate the look. To this can be added excess fat or simply a displacement of pockets of pre-existing fat.

This is because the fat around the eye is retained behind the eyelids by a tissue called the orbital septum.

Over time, this septum loosens, making the fat visible through the skin and creating “bags” around the lower eyelids.

Treatment is always surgical in order to reduce the visible bags: this operation is called lower blepharoplasty.

During this eyelid surgery, the pockets of fat on the lower eyelids can be removed or repositioned.

This may be combined with injections of the patient’s own fat, known as microfat or lipofilling, in order to make up for a loss of volume in the eye contour around the dark circles, temples, eyebrows and cheekbones.

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NEWS

How can I make my eyes look younger?

To look younger, you need to prevent and treat the signs of ageing around the eyes. To begin with, you need to maintain a healthy lifestyle: protect yourself from the sun with sunscreen and protective glasses, eat a balanced diet, keep well hydrated, don't smoke, get enough sleep and use quality cosmetic creams around the eyes. If this is not enough to rejuvenate the look of your eyes, you can have botulinum toxin and hyaluronic acid injections to reduce wrinkles and fine lines around the eyes, and laser and peel treatments to improve the quality of the skin around the eyelids and correct skin imperfections and hyperpigmentation.

How to lift the eyes without surgery?

Botulinum toxin and hyaluronic acid can be injected to lift the eyes without the need for cosmetic eyelid surgery. The aim of these two complementary products is to reduce wrinkles and fine lines around the eyes and forehead, and to fill in wrinkles that are too deep and lost volume in the eye contour area, particularly around the dark circles. The result will be brighter-looking eyes and an overall rejuvenation of the face and eyelid skin.

Why do our eyes change with age?

The ageing of the face, and more specifically the eye contour area, leads to signs of ageing in the eyes. The skin loses its elasticity and becomes thinner and dehydrated around the eyelids, causing wrinkles and fine lines. There is also a loss of volume around the eyebrows and temples, resulting in a more tired, sunken look. Repeated muscle contractions lead to expression lines and a more fixed look due to age-related muscle spasms. These signs of ageing can be aggravated by factors such as a poor lifestyle, excessive exposure to the sun and the absence of a specific eye cream.

Is an anti-wrinkle product effective?

Anti-wrinkle products such as firming creams and serums are designed to reduce wrinkles around the eyes. The composition of these creams varies, but certain active ingredients are effective in combating the signs of ageing around the eye area: retinol, antioxidants such as vitamin C, hyaluronic acid and collagen work at several levels on the skin around the eyelids. Caffeine-based serums help to relieve puffiness under the eyes. This daily routine should be combined with a healthy lifestyle to delay the onset of the signs of ageing: a healthy diet, quality sleep, daily sun protection and no smoking.

Why do I have bags under my eyes?

There are two types of under-eye bags. Fatty bags under the eyes are physiological but are not normally visible. In some cases, they may be present from an early age due to a protruding eye with a small bony orbit, causing visible pockets of fat around the eyes and lower eyelids. These are accentuated by the presence of associated dark circles. The only treatment for these bags is lower eyelid surgery or aesthetic blepharoplasty to remove the bags. In some cases, when the bags are discreet, it is possible to camouflage them by injecting hyaluronic acid in consultation.

L’autre type de poches sont des poches de liquide lié à un mauvais drainage lymphatique appelées également poches malaires. Le traitement est alors un traitement conservateur réalisé à l’aide de laser, de radiofréquence ou d’injection de hyaluronidase. Dans ce cas-là, il s’agit d’une très mauvaise indication à l’injection d’acide hyaluronique au risque d’aggraver le problème. Parlez-en à votre chirurgien esthétique afin de trouver le traitement adapté à votre problème.