Blepharoplasty in men: the specific features

Blepharoplasty is no longer a women's procedure: men make up a growing share of patients, often motivated by a "tired" or "stern" look at odds with their real energy. But a masculine eye area is not treated like a feminine one.

A masculine eye area has its own codes

In men, the brow is naturally lower and more horizontal, and the eyelid crease more discreet. Surgery that removed too much skin or raised the brow excessively would result in a feminised or startled look — the main pitfall. The aim is the opposite: a result that those around you don't notice, except for a more rested look.

What the consultation changes

The examination distinguishes excess skin (dermatochalasis), brow descent and a possible ptosis — three common problems in men aged 50 and over, with different treatments (our article ptosis or excess skin? details this distinction). Under-eye bags are addressed by lower blepharoplasty, often via the transconjunctival approach, with no visible scar.

In practice

The surgical technique is close to that of classic upper blepharoplasty: local anaesthesia with sedation, day surgery, stitches removed around day 7. Male skin, thicker and more vascular, can bruise a little more; return to work generally takes 7 to 10 days. As for insurance cover, the rules are the same for everyone: functional if the visual field is impaired, cosmetic otherwise — see our article price and reimbursement.

Finally, discretion is part of what men ask for: a scar hidden in the crease, a gradual and natural result. That is precisely the expertise of the oculoplastic surgeon, the eyelid specialist.

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