Droopy eyelids
How can you recognize a drooping eyelid?
There are several medical terms for drooping eyelids: ptosis, palpebral ptosis, eyelid ptosis or blepharoptosis. This is a drooping of the upper eyelid, with a very pronounced palpebral crease, sometimes falling onto the ciliary margin, giving the eyes an impression of heaviness. Severe drooping of the eyelid can lead to loss of visual field, reading difficulties and overall discomfort. Ptosis can affect one or both eyes, and its disfigurement can be a source of discomfort.
The causes of drooping eyelids
Most often, drooping eyelids are linked to the natural aging of the skin, as the lift muscle loses tone over time.
Other factors can also cause skin dehydration, such as stress, poor lifestyle habits (alcohol consumption, smoking...), inadequate skincare routine...
The different types of Ptosis
Aponeurotic ptosis
This type of sagging can be observed in the elderly, and is a classic relaxation of the levator muscle.
Neurogenic Ptosis
Ptosis is often associated with a history of cardiovascular risk, sympathetic nerve lesions (Claude Bernard Horner syndrome) or oculomotor lesions: the combination of ptosis, miosis (pupil retraction) and anhidrosis (absence of sweat secretion).
Myogenic ptosis
Congenital ptosis: from birth, a dystrophy of the levator muscle of the upper eyelid is observed, which alters the muscle.
Myasthenia: a neuromuscular disease that causes muscle weakness.
Ocular myopathies: a neuromuscular disease that causes eye problems.
Steinert's myotonic dystrophy: This is a rare genetic disease that causes muscle weakness, with muscles struggling to relax at the end of contraction.
Mechanical Ptosis
This is a dysfunction of the muscles that can no longer lift an eyelid that has become too heavy (enophthalmos, dermatochalasis, hypotropia...).
Ptosis due to trauma
The levator muscle can also become disinserted following certain traumas.
Aesthetic medicine solutions for drooping eyelids
PlexR
What is it?
This is a non-surgical medical blepharoplasty treatment. The use of an electric handpiece on the eyelid causes "tissue sublimation", i.e. instantaneous retraction of the skin, as excess skin changes from a solid to a gaseous state. This smoothes excess skin and gives the eyes an "almond-shaped" effect.
How many sessions are required?
A protocol of 3 to 4 30-minute sessions spaced at least one month apart is recommended to preserve eyelid rejuvenation.
SoftLift
What is it?
This is a firming treatment using HIFU (high-intense focused ultrasound), which acts on the SMAS (musculoaponeurotic system) to energize muscles and boost collagen production. These powerful pulses also act on fat cells to improve tissue tension, particularly around the eyelids.
Absorbable tensor threads
What is it?
Absorbable tensor threads are inserted under the skin to restore tissue tension. Based on a molecule that activates skin rejuvenation, they are a medical alternative to facelifts. Placed at the temples, absorbable tensor threads lift the eyebrow tails, open up the eyes and combat drooping eyelids. In addition to tightening the skin, tensor threads have a firming effect because they are colonized by collagen as they are absorbed.
Botulinum toxin injections
What is it?
Injected in micro-doses, botulinum toxin relaxes the muscles responsible for wrinkles, particularly in the crow's feet area, with a rejuvenating effect. Delivered to the eyebrows, Botox® lifts and opens the eyes. This is the "Brow Lift" technique.
How many sessions are required?
One session smoothes wrinkles, and should be repeated every 4 to 6 months to maintain the effect.
Les solutions "à la maison" contre les paupières qui tombent
Adoptez une routine matinale
- Passez un glaçon sur la paupière qui tombe pour la dynamiser.
- Laissez poser deux tranches de concombre pour hydrater les paupières.
- Réalisez des exercices faciaux pour ouvrir le regard comme un massage Gua Sha.
Suivez une alimentation équilibrée riche en collagène pour raffermir la peau
- L’os à moelle
- Les produits laitiers
- Le kiwi
- L’avocat
- Le saumon
Soignez votre sommeil
- Dormez au moins 8 heures par nuit
- Arrêtez les écrans une heure avant de vous coucher
Questions fréquentes
La ptose palpébrale peut-elle être congénitale ?
Oui, certains patients naissent avec une anomalie du muscle releveur de la paupière, ce qui provoque une ptose congénitale. Cette caractéristique peut être d’origine génétique. Elle se retrouve chez plusieurs membres d’une même famille. L’évaluation spécialisée est alors essentielle dès l’enfance.
Quelles maladies peuvent causer un affaissement des paupières ?
Certaines maladies neuromusculaires, comme la myasthénie grave ou le syndrome de Claude Bernard-Horner, affectent la fonction musculaire ou nerveuse des paupières. Ces pathologies provoquent un relâchement progressif ou brutal, nécessitant une prise en charge médicale adaptée.
Le mode de vie et l’environnement jouent-ils un rôle ?
Le manque de sommeil, le stress chronique et l’exposition répétée au soleil accélèrent le relâchement cutané autour des yeux. Ces facteurs favorisent l’apparition précoce des paupières tombantes, en accentuant la fatigue musculaire et la perte d’élasticité cutanée.
Un traumatisme ou une chirurgie peuvent-ils provoquer une ptose ?
Oui, un traumatisme oculaire ou une intervention chirurgicale antérieure peuvent endommager le muscle releveur ou ses nerfs associés, entraînant une paupière tombante. Une évaluation minutieuse par un spécialiste permettra d’identifier l’origine et de proposer la solution la plus appropriée.
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