The eyes are important organs that reflect radiance and youthfulness, but the delicate skin around the eyes is often the first place to show signs of aging, including problems such as drooping eyelids, ptosis, or under-eye bags, which make the face look tired and older than its age. These problems not only undermine confidence, but in older adults they may also droop down and obstruct visual field. Blepharoplasty is therefore not just an aesthetic procedure, but a treatment that helps restore personality, vision, and quality of life.
Dermatochalasis
The problem of sagging and drooping eyelid skin is usually caused by the aging process. The skin structures around the eyes lose elasticity, collagen decreases, and they sag downward according to gravity. In some people, it may occur together with fat accumulation in the upper eyelid, causing the eyelid to look puffy and droop over the original eyelid crease until it becomes hidden eyes or monolids.
In this regard, the surgeon will evaluate to distinguish between “true drooping eyelids” and “pseudo drooping eyelids” (such as drooping brows pressing over the eyelids) in order to plan the most appropriate treatment. The main medical treatment approaches are as follows
- Upper Blepharoplasty : Hidden incision at the eyelid crease, removing excess skin and fat, redesigning the eyelid crease to be wider and look beautiful, bright, and natural.
- Subbrow Blepharoplasty : A technique for trimming excess skin by hiding the incision at the lower edge of the eyebrow. It is suitable for those who already have a beautiful original eyelid crease but want to correct sagging without changing the original eyelid shape.
Ptosis from weak eye muscles (Ptosis)
Many people often confuse the problem of weak eye muscles with the problem of drooping eyelid skin, but in reality, the two problems have completely different causes. The condition of ptosis or weak eye muscles (Eyelid Ptosis) is caused by weakness, stretching, or abnormal functioning of the levator palpebrae superioris muscle, making it unable to exert enough force to open the eyes fully. This causes the eyelid margin to droop down and cover more of the pupil than normal, making the face look sleepy, tired, and lifeless.
Correction of weak eye muscle problems cannot be done with ordinary double eyelid incision. If one insists on performing only eyelid crease surgery without correcting the muscle, it will result in a thick, puffy eyelid crease, and the eyes will still be more ptotic and sleepy than before.
- Treatment approach (Ptosis Correction) : The plastic surgeon must use advanced techniques in surgery to adjust the levator muscle (Levator Resection or Aponeurosis Advancement) in order to tighten and suture-fix the eye muscle to be stronger, together with balancing the double eyelid crease. The resulting outcome will help the patient open their eyes more easily, with wide, bright, round, and large eyes, and the pupil visible in a full circle naturally.
Under-eye bags and wrinkles of the lower eyelid (Lower Blepharoplasty)
Problems in the lower eyelid area, such as puffy under-eye bags and wrinkles, are problems that can occur from many factors, whether from genetics that show symptoms from a young age due to excessive fat accumulation in the eye socket, or occurring with increasing age due to weakness of the orbital septum, causing the fat inside to push outward and bulge until clearly visible as bags.
Plastic surgeons have lower eyelid surgery approaches designed according to the patient’s anatomy and age, with 3 main techniques
- Transconjunctival Blepharoplasty : Hiding the incision inside the conjunctiva, with no external scar, quick recovery, suitable for those who have fat bags but still have good skin elasticity.
- External Blepharoplasty : Hiding the incision close to the lower eyelash margin, suitable for those with sagging lower eyelid skin and wrinkles, by removing fat along with trimming excess skin.
- Fat Repositioning : Moving excess fat to fill deep tear troughs, helping the under-eye area look smooth, fuller, and naturally youthful.
Elevating beauty and safety with international standards at PPSI
Eyelid surgery requires both art and medical expertise. Phuket Plastic Surgery Institute (PPSI), Bangkok Siriroj Hospital, therefore provides services under world-class safety standards, JCI and The Patient Safety Diamond, for the most beautiful and safe results.
Close care by a team of specialized plastic surgeons at the lecturer-physician level, who will evaluate and design personalized care to meet the needs of both younger groups who want to increase confidence and older adults who want to restore visual field, with a team of doctors and nurses ready to provide comprehensive care from the consultation stage to long-term postoperative follow-up.
Having round, bright, and smooth eyes without sagging and under-eye bags is the key to a youthful and charming face. Each type of eye problem, whether drooping eyelids, ptosis, or under-eye bags, has physiological structures and medical treatment approaches that are completely different. Elegant and precise correction therefore requires detailed evaluation by a highly specialized plastic surgeon.
Choosing services from an institution with international standards, an experienced medical team, and the highest safety, such as PPSI Beauty Surgery Institute, is therefore the answer that will help create your new pair of eyes to be beautiful, natural, safe, and restore your confidence once again at every stage of life.
Q&A
Q1 : Are drooping eyelids and ptosis from weak eye muscles the same ?
A : They are not the same. Drooping eyelids are caused by sagging skin and tissue, while ptosis from Ptosis is caused by abnormal functioning of the levator palpebrae superioris muscle. Therefore, different treatment methods are required.
Q2 : How can under-eye bags be corrected ?
A : There are both fat removal through internal or external incisions and fat repositioning to fill tear troughs. The doctor will choose the method according to each person’s structure and skin condition.
Q3 : Can eyelid surgery help with vision ?
A : In some cases where sagging eyelids droop down and obstruct vision, surgery may help open the visual field. However, this should be evaluated by a specialist doctor first.
