{"id":8466,"date":"2026-04-16T13:53:55","date_gmt":"2026-04-16T10:53:55","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/blepharoplastie\/"},"modified":"2026-10-22T16:40:58","modified_gmt":"2026-10-22T13:40:58","slug":"blepharoplastie","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/chirurgie-plastique\/blepharoplastie\/","title":{"rendered":"Bl\u00e9pharoplastie : types, indications, contre-indications, \u00e9tapes de l&rsquo;intervention et complications"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">La bl\u00e9pharoplastie est une intervention chirurgicale visant \u00e0 corriger les modifications li\u00e9es \u00e0 l\u2019\u00e2ge, anatomiques et fonctionnelles de la r\u00e9gion p\u00e9riorbitaire. Au cours de l\u2019intervention, on proc\u00e8de \u00e0 l\u2019excision de l\u2019exc\u00e8s de peau des paupi\u00e8res, \u00e0 la correction des hernies graisseuses, \u00e0 la redistribution ou \u00e0 la pr\u00e9servation des poches graisseuses et, si n\u00e9cessaire, au renforcement de l\u2019appareil musculo-ligamentaire. La r\u00e9gion p\u00e9riorbitaire se distingue par une peau fine, un r\u00e9seau vasculaire d\u00e9velopp\u00e9 et une anatomie complexe, ce qui exige une grande pr\u00e9cision de la technique chirurgicale. La bl\u00e9pharoplastie fait partie des interventions esth\u00e9tiques du visage les plus fr\u00e9quemment r\u00e9alis\u00e9es.<\/p>\n<figure class=\"wp-block-video\" id=\"animation-3d-blepharoplastie\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dermatology\/blepharoplasty\/1-blepharoplasty.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D \u2014 bl\u00e9pharoplastie<\/figcaption><\/figure>\n<h2 id=\"particularites-anatomo-physiologiques-de-la-region-periorbitaire\" class=\"wp-block-heading\">Particularit\u00e9s anatomo-physiologiques de la r\u00e9gion p\u00e9riorbitaire<\/h2>\n<p class=\"wp-block-paragraph\">La r\u00e9gion p\u00e9riorbitaire se caract\u00e9rise par :<\/p>\n<ul class=\"wp-block-list\">\n<li>une peau fine (3 \u00e0 5 fois plus fine que dans les autres zones du visage) ;<\/li>\n<li>une quantit\u00e9 minimale de tissu adipeux sous-cutan\u00e9 ;<\/li>\n<li>un r\u00e9seau vasculaire marqu\u00e9 ;<\/li>\n<li>un appareil musculo-ligamentaire complexe.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Ces particularit\u00e9s anatomo-physiologiques pr\u00e9disposent aux modifications suivantes :<\/p>\n<ul class=\"wp-block-list\">\n<li>apparition pr\u00e9coce de rides et de plis cutan\u00e9s ;<\/li>\n<li>formation d\u2019un dermatochalasis (exc\u00e8s cutan\u00e9 tombant de la paupi\u00e8re sup\u00e9rieure) ;<\/li>\n<li>d\u00e9veloppement rapide d\u2019\u0153d\u00e8mes et d\u2019h\u00e9matomes ;<\/li>\n<li>prolapsus de la graisse orbitaire (\u00ab poches \u00bb sous les yeux) ;<\/li>\n<li>formation de cernes ;<\/li>\n<li>accentuation du sillon nasojugal ;<\/li>\n<li>diminution du tonus des paupi\u00e8res et modification de leur contour ;<\/li>\n<li>apparition de troubles fonctionnels (r\u00e9duction du champ visuel, lagophtalmie, ectropion).<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Ces modifications peuvent avoir une port\u00e9e aussi bien esth\u00e9tique que fonctionnelle (par exemple, une r\u00e9duction du champ visuel en cas d\u2019exc\u00e8s cutan\u00e9 marqu\u00e9 de la paupi\u00e8re sup\u00e9rieure).<\/p>\n<h2 id=\"types-de-blepharoplastie\" class=\"wp-block-heading\">Types de bl\u00e9pharoplastie<\/h2>\n<h3 id=\"1-blepharoplastie-superieure\" class=\"wp-block-heading\">1. Bl\u00e9pharoplastie sup\u00e9rieure <\/h3>\n<p class=\"wp-block-paragraph\">Elle est r\u00e9alis\u00e9e en cas d\u2019exc\u00e8s de peau de la paupi\u00e8re sup\u00e9rieure et de prolapsus des poches graisseuses. L\u2019incision est pratiqu\u00e9e dans le pli naturel de la paupi\u00e8re, ce qui rend la cicatrice pratiquement invisible.<\/p>\n<h3 id=\"2-blepharoplastie-inferieure\" class=\"wp-block-heading\">2. Bl\u00e9pharoplastie inf\u00e9rieure<\/h3>\n<p class=\"wp-block-paragraph\">Cette technique vise \u00e0 \u00e9liminer les \u00ab poches \u00bb sous les yeux et \u00e0 corriger les sillons nasojugaux. Il en existe deux types :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>transcutan\u00e9e (classique) <\/strong>\u2014 l\u2019incision est situ\u00e9e le long du bord ciliaire. Elle permet d\u2019exciser l\u2019exc\u00e8s de peau et de corriger les hernies graisseuses ;<\/li>\n<li><strong>transconjonctivale <\/strong>\u2014 l\u2019abord se fait par la conjonctive, sans incision cutan\u00e9e externe. Elle est indiqu\u00e9e en l\u2019absence d\u2019exc\u00e8s cutan\u00e9 marqu\u00e9, principalement chez les patients jeunes.<\/li>\n<\/ul>\n<h3 id=\"3-blepharoplastie-des-quatre-paupieres\" class=\"wp-block-heading\">3. Bl\u00e9pharoplastie des quatre paupi\u00e8res <\/h3>\n<p class=\"wp-block-paragraph\">Correction simultan\u00e9e des paupi\u00e8res sup\u00e9rieures et inf\u00e9rieures au cours d\u2019une seule intervention.<\/p>\n<h3 id=\"4-blepharoplastie-ethnique\" class=\"wp-block-heading\">4. Bl\u00e9pharoplastie ethnique <\/h3>\n<p class=\"wp-block-paragraph\">Elle vise \u00e0 cr\u00e9er un pli supratarsal et \u00e0 corriger l\u2019\u00e9picanthus chez les patients de type asiatique.<\/p>\n<h2 id=\"indications-de-la-blepharoplastie\" class=\"wp-block-heading\">Indications de la bl\u00e9pharoplastie<\/h2>\n<h3 id=\"indications-esthetiques\" class=\"wp-block-heading\"><strong>Indications esth\u00e9tiques :<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>exc\u00e8s de peau des paupi\u00e8res sup\u00e9rieures ;<\/li>\n<li>hernies graisseuses des paupi\u00e8res sup\u00e9rieures et inf\u00e9rieures ;<\/li>\n<li>sillon nasojugal creus\u00e9 ;<\/li>\n<li>modifications de la r\u00e9gion p\u00e9riorbitaire li\u00e9es \u00e0 l\u2019\u00e2ge (pt\u00f4se tissulaire, perte de turgescence cutan\u00e9e, rides) ;<\/li>\n<li>asym\u00e9trie des paupi\u00e8res ;<\/li>\n<li>d\u00e9formations post-traumatiques et postop\u00e9ratoires des paupi\u00e8res.<\/li>\n<\/ul>\n<h3 id=\"indications-fonctionnelles\" class=\"wp-block-heading\"><strong>Indications fonctionnelles :<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>r\u00e9duction du champ visuel due \u00e0 un dermatochalasis ;<\/li>\n<li>st\u00e9atobl\u00e9pharon ;<\/li>\n<li>syndrome des paupi\u00e8res lourdes ;<\/li>\n<li>retournement de la paupi\u00e8re vers l\u2019int\u00e9rieur (entropion) ;<\/li>\n<li>retournement de la paupi\u00e8re vers l\u2019ext\u00e9rieur (ectropion) ;<\/li>\n<li>lagophtalmie ;<\/li>\n<li>d\u00e9formations cicatricielles des paupi\u00e8res ;<\/li>\n<li>d\u00e9faut d\u2019occlusion palp\u00e9brale. <\/li>\n<\/ul>\n<h2 id=\"contre-indications-a-la-blepharoplastie\" class=\"wp-block-heading\">Contre-indications \u00e0 la bl\u00e9pharoplastie<\/h2>\n<h3 id=\"contre-indications-absolues\" class=\"wp-block-heading\"><strong>Contre-indications absolues\u00a0:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>pathologies somatiques d\u00e9compens\u00e9es ;<\/li>\n<li>troubles marqu\u00e9s de la coagulation sanguine ;<\/li>\n<li>processus inflammatoires actifs des yeux et des paupi\u00e8res ;<\/li>\n<li>n\u00e9oplasies malignes.<\/li>\n<\/ul>\n<h3 id=\"contre-indications-relatives\" class=\"wp-block-heading\"><strong>Contre-indications relatives\u00a0:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>syndrome de l\u2019\u0153il sec ;<\/li>\n<li>glaucome ;<\/li>\n<li>diab\u00e8te sucr\u00e9 au stade de sous-compensation ;<\/li>\n<li>maladies auto-immunes ;<\/li>\n<li>troubles psychiatriques.<\/li>\n<\/ul>\n<h2 id=\"principales-etapes-de-la-blepharoplastie-des-quatre-paupieres\" class=\"wp-block-heading\">Principales \u00e9tapes de la bl\u00e9pharoplastie des quatre paupi\u00e8res<\/h2>\n<p class=\"wp-block-paragraph\">La bl\u00e9pharoplastie des quatre paupi\u00e8res implique la correction simultan\u00e9e des paupi\u00e8res sup\u00e9rieures et inf\u00e9rieures. L\u2019intervention est r\u00e9alis\u00e9e sous anesth\u00e9sie locale associ\u00e9e \u00e0 une s\u00e9dation intraveineuse ou sous anesth\u00e9sie g\u00e9n\u00e9rale \u2014 le choix d\u00e9pend de l\u2019ampleur de l\u2019intervention et des particularit\u00e9s individuelles du patient.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Pr\u00e9paration pr\u00e9op\u00e9ratoire. <\/strong>Elle comprend le recueil des ant\u00e9c\u00e9dents somatiques g\u00e9n\u00e9raux, un examen ophtalmologique avec \u00e9valuation obligatoire de la fonction lacrymale et un examen clinique. L\u2019\u00e9valuation globale de l\u2019\u00e9tat somatique, des particularit\u00e9s anatomiques et de l\u2019\u00e9tat fonctionnel des paupi\u00e8res permet de r\u00e9duire le risque de complications et de d\u00e9terminer l\u2019ampleur optimale de la correction chirurgicale.<\/li>\n<li><strong>Marquage pr\u00e9op\u00e9ratoire. <\/strong>Il est r\u00e9alis\u00e9 en position assise ou debout, en tenant compte des rep\u00e8res anatomiques, du degr\u00e9 de dermatochalasis, de la position des sourcils, de l\u2019importance des hernies graisseuses et du tonus de la paupi\u00e8re inf\u00e9rieure. Les lignes d\u2019incision et le volume de tissus \u00e0 exciser sont d\u00e9termin\u00e9s.<\/li>\n<li><strong>Anesth\u00e9sie par infiltration (lorsque l\u2019intervention est r\u00e9alis\u00e9e sous anesth\u00e9sie locale). <\/strong>L\u2019anesth\u00e9sique associ\u00e9 \u00e0 un vasoconstricteur est inject\u00e9 couche par couche afin d\u2019assurer l\u2019analg\u00e9sie et de r\u00e9duire les pertes sanguines perop\u00e9ratoires.<\/li>\n<li><strong>R\u00e9alisation des incisions :<\/strong><\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>sur la paupi\u00e8re sup\u00e9rieure \u2014 dans le pli cutan\u00e9 naturel ;<\/li>\n<li>sur la paupi\u00e8re inf\u00e9rieure \u2014 abord sous-ciliaire ou transconjonctival.<\/li>\n<\/ul>\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>Dissection des tissus. <\/strong>Les tissus sont diss\u00e9qu\u00e9s avec pr\u00e9caution en pr\u00e9servant les structures anatomiques et en \u00e9valuant l\u2019\u00e9tat du septum orbitaire et du muscle orbiculaire de l\u2019\u0153il.<\/li>\n<li><strong>Correction des poches graisseuses. <\/strong>Une r\u00e9section, une redistribution ou un repositionnement de la graisse orbitaire (en particulier au niveau du sillon nasojugal) peut \u00eatre r\u00e9alis\u00e9 afin de cr\u00e9er une transition harmonieuse entre la paupi\u00e8re et la joue.<\/li>\n<li><strong>Excision de l\u2019exc\u00e8s de peau. <\/strong>Le volume de r\u00e9section est strictement dos\u00e9 afin de pr\u00e9venir la lagophtalmie et la r\u00e9traction de la paupi\u00e8re inf\u00e9rieure.<\/li>\n<li><strong>\u00c9tapes compl\u00e9mentaires (selon les indications) :<\/strong><\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>canthopexie ou canthoplastie en cas de diminution du tonus de la paupi\u00e8re inf\u00e9rieure  ;<\/li>\n<li>renforcement du tendon canthal lat\u00e9ral ;<\/li>\n<li>association \u00e0 un lipofilling de la r\u00e9gion p\u00e9riorbitaire.<\/li>\n<\/ul>\n<ol start=\"9\" class=\"wp-block-list\">\n<li><strong>H\u00e9mostase minutieuse. <\/strong>Le contr\u00f4le du saignement est assur\u00e9 \u00e0 toutes les \u00e9tapes de l\u2019intervention afin de minimiser le risque d\u2019h\u00e9matomes.<\/li>\n<li><strong>R\u00e9alisation de sutures esth\u00e9tiques. <\/strong>Des fils fins atraumatiques sont utilis\u00e9s. Les sutures sont r\u00e9alis\u00e9es de mani\u00e8re \u00e0 minimiser la cicatrisation et \u00e0 pr\u00e9server le pli naturel de la paupi\u00e8re.<\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\">La dur\u00e9e de l\u2019intervention est en moyenne de 30 \u00e0 120 minutes.<\/p>\n<h2 id=\"periode-postoperatoire\" class=\"wp-block-heading\">P\u00e9riode postop\u00e9ratoire<\/h2>\n<p class=\"wp-block-paragraph\">Au cours de la p\u00e9riode postop\u00e9ratoire pr\u00e9coce, on peut observer :<\/p>\n<ul class=\"wp-block-list\">\n<li>gonflement\u00a0;<\/li>\n<li>h\u00e9matomes ;<\/li>\n<li>une sensibilit\u00e9 douloureuse mod\u00e9r\u00e9e ;<\/li>\n<li>une s\u00e9cheresse oculaire transitoire.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Les fils sont retir\u00e9s entre le 4\u1d49 et le 6\u1d49 jour. La convalescence compl\u00e8te dure environ un mois. Le r\u00e9sultat esth\u00e9tique d\u00e9finitif est \u00e9valu\u00e9 3 \u00e0 6 mois apr\u00e8s la maturation compl\u00e8te de la cicatrice.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"banner-icons-wrapper\"><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 id=\"complications\" class=\"wp-block-heading\">Complications<\/h2>\n<p class=\"wp-block-paragraph\"><strong>Pr\u00e9coces :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>h\u00e9matomes ;<\/li>\n<li>gonflement\u00a0;<\/li>\n<li>complications infectieuses.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><strong>Tardives :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>h\u00e9matomes ;<\/li>\n<li>lagophtalmie ;<\/li>\n<li>ectropion (retournement de la paupi\u00e8re inf\u00e9rieure vers l\u2019ext\u00e9rieur) ;<\/li>\n<li>asym\u00e9trie ;<\/li>\n<li>syndrome de l\u2019\u0153il sec ;<\/li>\n<li>modifications cicatricielles.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">La fr\u00e9quence des complications est minimale lorsque la s\u00e9lection des patients est appropri\u00e9e et que la technique chirurgicale est respect\u00e9e.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Qu\u2019est-ce que la bl\u00e9pharoplastie et quel r\u00e9sultat permet-elle d\u2019obtenir ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Il s\u2019agit d\u2019une correction chirurgicale des paupi\u00e8res visant \u00e0 \u00e9liminer les modifications li\u00e9es \u00e0 l\u2019\u00e2ge et anatomiques. L\u2019intervention permet de supprimer le regard \u00ab lourd \u00bb, l\u2019exc\u00e8s de peau tombante (dermatochalasis) et les hernies graisseuses (\u00ab poches \u00bb). Le visage para\u00eet ainsi plus jeune et repos\u00e9.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. \u00c0 qui convient la bl\u00e9pharoplastie transconjonctivale ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Cette m\u00e9thode est optimale pour les patients (souvent jeunes) pr\u00e9sentant des hernies graisseuses marqu\u00e9es sous les yeux, mais sans exc\u00e8s de peau. Son principal avantage est que l\u2019incision est pratiqu\u00e9e \u00e0 l\u2019int\u00e9rieur de la paupi\u00e8re, sur la muqueuse, de sorte qu\u2019aucune cicatrice visible ne subsiste \u00e0 l\u2019ext\u00e9rieur.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quels signes de vieillissement des paupi\u00e8res justifient l\u2019intervention ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les principales indications sont l\u2019exc\u00e8s cutan\u00e9 tombant de la paupi\u00e8re sup\u00e9rieure, les \u00ab poches \u00bb sous les yeux, l\u2019accentuation du sillon nasojugal et la diminution du tonus des paupi\u00e8res. L\u2019intervention est parfois r\u00e9alis\u00e9e pour des raisons m\u00e9dicales, lorsque la paupi\u00e8re tombante commence \u00e0 r\u00e9duire le champ visuel.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Combien de temps dure la convalescence et quand les fils sont-ils retir\u00e9s ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019\u0153d\u00e8me principal et les ecchymoses disparaissent en 7 \u00e0 14 jours. Les fils sont retir\u00e9s tr\u00e8s t\u00f4t, entre le 4\u1d49 et le 6\u1d49 jour. Les tissus se restaurent d\u00e9finitivement au bout de 3 \u00e0 6 mois, lorsque la cicatrice est compl\u00e8tement form\u00e9e. Durant cette p\u00e9riode, il est important de prot\u00e9ger les yeux du soleil et d\u2019\u00e9viter les efforts physiques.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Sous quelle anesth\u00e9sie la chirurgie des paupi\u00e8res est-elle habituellement r\u00e9alis\u00e9e ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le choix d\u00e9pend de l\u2019ampleur de l\u2019intervention. La correction des seules paupi\u00e8res sup\u00e9rieures ou inf\u00e9rieures est souvent r\u00e9alis\u00e9e sous anesth\u00e9sie locale avec s\u00e9dation (vous \u00eates d\u00e9tendu(e), mais ne ressentez aucune douleur). En cas de bl\u00e9pharoplastie des quatre paupi\u00e8res, l\u2019anesth\u00e9sie g\u00e9n\u00e9rale est plus fr\u00e9quemment utilis\u00e9e.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. L\u2019intervention peut-elle r\u00e9soudre le probl\u00e8me des cernes ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, si les cernes sont dus \u00e0 l\u2019ombre port\u00e9e des hernies graisseuses ou \u00e0 un sillon nasojugal profond. Dans ces cas, le chirurgien redistribue les poches graisseuses afin d\u2019harmoniser le relief, ce qui rend la transition entre la paupi\u00e8re et la joue plus douce.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Existe-t-il des contre-indications strictes \u00e0 la bl\u00e9pharoplastie ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, l\u2019intervention ne peut \u00eatre r\u00e9alis\u00e9e en cas d\u2019inflammation oculaire active, de troubles de la coagulation sanguine, de pathologie oncologique ou de cardiopathies d\u00e9compens\u00e9es. Le syndrome de l\u2019\u0153il sec et le glaucome constituent des restrictions relatives \u2014 dans ces cas, une consultation ophtalmologique est n\u00e9cessaire.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Quels risques et complications sont possibles apr\u00e8s l\u2019intervention ? <\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les ph\u00e9nom\u00e8nes transitoires habituels comprennent l\u2019\u0153d\u00e8me et la s\u00e9cheresse oculaire. Parmi les complications sp\u00e9cifiques rares figurent l\u2019occlusion incompl\u00e8te des paupi\u00e8res (lagophtalmie) et le retournement de la paupi\u00e8re inf\u00e9rieure vers l\u2019ext\u00e9rieur (ectropion). Les risques sont r\u00e9duits au minimum gr\u00e2ce au choix appropri\u00e9 de la technique et au calcul pr\u00e9cis de la quantit\u00e9 de peau \u00e0 exciser.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie).<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible depuis\u00a0: https:\/\/catalog.voka.io\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Nahai F, Niazi F, Nahai F, Niazi S, Foster JA, Doroodgar F, et al. An Overview of Surgical Approaches for Lower Eyelid Blepharoplasty [Aper\u00e7u des voies d\u2019abord chirurgicales de la bl\u00e9pharoplastie inf\u00e9rieure]. Aesthet Surg J. 2023 Nov 16;43(12):1429-1440. doi: 10.1093\/asj\/sjad245. PMID\u00a0: 37531619.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Alghoul M. Blepharoplasty: Anatomy, Planning, Techniques, and Safety [Bl\u00e9pharoplastie : anatomie, planification, techniques et s\u00e9curit\u00e9]. Aesthet Surg J. 2019 Jan 1;39(1):10-28. doi: 10.1093\/asj\/sjy034. PMID\u00a0: 29474509.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Rodrigues C, Carvalho F, Marques M. Upper Eyelid Blepharoplasty: Surgical Techniques and Results-Systematic Review and Meta-analysis [Bl\u00e9pharoplastie sup\u00e9rieure : techniques chirurgicales et r\u00e9sultats \u2014 revue syst\u00e9matique et m\u00e9ta-analyse]. Aesthetic Plast Surg. 2023 Oct;47(5):1870-1883. doi: 10.1007\/s00266-023-03436-6. Epub 2023 Jul 10. PMID: 37430010; PMCID: PMC10581926.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La bl\u00e9pharoplastie est une intervention chirurgicale visant \u00e0 corriger les modifications li\u00e9es \u00e0 l&rsquo;\u00e2ge, anatomiques et fonctionnelles de la r\u00e9gion p\u00e9riorbitaire. Au cours de l&rsquo;intervention, on proc\u00e8de \u00e0 l&rsquo;excision de l&rsquo;exc\u00e8s de peau des paupi\u00e8res, \u00e0 la correction des hernies graisseuses, \u00e0 la redistribution ou \u00e0 la pr\u00e9servation des poches graisseuses et, si n\u00e9cessaire, au [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":0,"template":"","diseases_category":[510],"class_list":["post-8466","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-chirurgie-plastique"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bl\u00e9pharoplastie : types d&#039;interventions, indications, \u00e9tapes et complications<\/title>\n<meta name=\"description\" content=\"Analyse d\u00e9taill\u00e9e de la bl\u00e9pharoplastie : types de correction des paupi\u00e8res sup\u00e9rieures et inf\u00e9rieures, anatomie de la r\u00e9gion, 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