Hyalu-blepharoplasty: Hyaluronic acid and eyelid rejuvenation

Costas Papageorgiou MD, London August 2014

The age related changes in the eyebrow, eyelid and mid-face continuum should be thought of as three-dimensional, with deflation and volume loss rather than just gravitational descent or ‘sagging’. Instead of simply excising and lifting the tissues, the volume paradigm of Hyalu-blepharoplasty invokes the concept of reinstating volume distribution of the affected areas.

With this perspective, the use of hyaluronic acid fillers can be a powerful and predictable tool. Designed to restore a more youthful appearance in an area that conveys so many emotions, subtle changes, when executed correctly, can be transformative.

Unlike traditional surgical techniques, which alter volume proportions, replacing and augmenting what is lost in a minimally invasive fashion, is the key element in enhancing features. The Hyalu-blepharoplasty requires a customizable approach, meticulous surgical skills and the ability to identify and balance all the variables involved in the aging process of the peri-orbital area.

Scientific studies have shown that hyaluronic acid not only maintains skin elasticity but also stimulates collagen production and works as a free radical scavenger and antioxidant. The unique ability of the hyaluronic acid fillers, beyond their immediate volumetric properties and their versatility, is its reversibility; their effect can be modified or even reversed which makes them a much safer and predictable option for non-surgical facial shaping.

In a rather unregulated market where state regulations vary greatly with regards to who can inject fillers and what type of fillers can be used, experience and knowledge can greatly affect the results. Clinicians’ experience, methodology and simple yet critical technical considerations are essential to optimize results.