What are hooded eyes and what causes them?
Hooded eyes (medically named blepharoptosis or ‘ptosis’ for short) is a condition where the skin on the upper eyelid is low lying. This is where the name ‘hooded’ comes from as the skin sags and droops down towards the eye. In some severe cases, the condition can cause reduced vision as well as being an uncomfortable aesthetic problem for many patients. Hooded eyes are often an inherited feature and can actually be congenital which means present right from birth. Some people don’t experience this issue until much later on at which point it is known as an acquired condition. Unfortunately, the condition does worsen over time, but the speed at which it worsens varies.
Ageing, unfortunately, brings with it many unwelcome changes to our body and appearance. For many people, they complain that parts of their body start to appear tired, older looking and saggy. While some parts of our bodies can be disguised well; our eyes remain the focal point of our faces. Treatments like Botox can be used to treat wrinkles around the eyes, but Botox will not alter the appearance of ptosis or hooded eyes. As the old saying goes “eyes are the mirror to the soul”, and many patients find that they simply cannot accept that their eyes don’t look as open and young as other people their age. They feel the condition makes them look older and no matter how much makeup or other treatments are used, the sagging skin stops them looking and feeling youthful.
What treatments are available for hooded eyes?
Treatments for this condition come in the form of both surgical and non-surgical.
Recently, there has been a move towards non-surgical as the preferred option over more invasive cosmetic surgery treatments (which
has seen a slight decrease of 7.9%
last year). ‘Non-surgical’
is also known as non-ablative surgery and essentially means that there are no invasion, blood or high risks associated with treatment. Trends in aesthetics are starting to see much more in the way of natural enhancements rather than overt or extreme body changes.
People have never been so educated about the cosmetic treatments available to them, and recent figures show a slight drop in invasive surgery and a move towards non-surgical and subtle enhancements and procedures.
Traditional surgical blepharoplasty. What is it and what does it involve?
For a long time, eye surgery (known
in the industry as blepharoplasty
) was the only eye lift treatment that could combat the appearance of sagging, hooded eyes. The operation is very invasive. It works by removing excess skin and fat tissue that has built up around the eyes. Unwanted, excess skin tissue is removed with a scalpel before being stitched back up. This procedure is always carried out under local or general anaesthetic and is done in a medical, operating theatre setting by a plastic surgeon.
Of course, this type of surgery brings with it a very large price tag, extensive recovery time and a vast array of risks. When done well it can have very successful, lasting results, with some patients seeing their corrections stay for more than a decade. However, many patients are put off not only because of the costly procedure but also the risks that are involved with undergoing an operation. Serious complications go hand in hand with any surgery and can include scarring, infection and nerve and vessel damage. Dry eyes, the inability to close the eyes and even further dropping (ptosis) of the brows can be associated problems with the surgery. Not to mention the serious risks involved with merely going under general anaesthetic.
As this treatment option involves an operation, the healing time can be considerable. Surgical augmentation, because of its invasive nature, can cause heavy bruising and take up to two weeks be fully healed. It’s no wonder that many people shy away from this as an option but are still left with the frustrating problem of their sagging eyelids.
Plexr non-surgical eyelift treatment. What’s the difference?
Plasma soft surgery
, known as Plexr, was launched in 2014 and is becoming increasingly popular across the world and especially within the UK. It is arguably the perfect solution for patients struggling with hooded, baggy and sagging eyelids who want to avoid more invasive (blepharoplasty)
surgery. This option has revolutionised the treatment of hooded eyes as before Plexr ‘going
under the knife’ was really the only option available.
Plexr was initially developed in Italy by Professor Giorgio Fippi (the president of the Italian society for aesthetic medicine and non-ablative surgery). He was the first to use this treatment to help with conditions on the eyelids.
Since its introduction to the UK, it has been used effectively in a number of conditions including various skin conditions and unwanted signs of ageing, but most noticeably it has been an excellent alternative to blepharoplasty. Plexr can provide surgical-quality results but without the associated risks and healing time that comes with invasive surgery.
The device used to perform this treatment uses the fourth state of matter after solids, liquids and gas: Plasma. While this substance is difficult to create, it naturally occurs in day to day phenomena such as lightning or static sparks. The principle is to ionise gases in the air to produce a small electrical arc, similar to a tiny lightning bolt. This arc interacts with the problem area, and multiple shots are spaced closely together at the required treatment area. This process causes sublimation (the solid matter is turned into gas). Essentially, the affected areas are vaporised. The arc works by creating a series of tiny burn-like marks on the skin’s surface. This encourages the production of more collagen in the skin and gives an instant and visible rejuvenated improvement to the appearance of their eyes.
Unlike actual surgery, no excess skin is removed with Plexr and the fat pads around the eyes are not changed. Instead, the skin is tightened. The outcome of the treatment is therefore dependent on how much excess skin there is to correct. The innovative technology ensures no heat is conducted to unwanted areas, so the dermis (underlayer of skin) is not damaged. This is one of the main reasons that it is a safe procedure to use even on the delicate eyelid tissue. Traditional surgery will always leave a scar, no matter how small and well hidden, but Plexr comes with minimal risk of any scarring.
The procedure can be used on a number of areas and is designed to improve skin tone and texture, giving it a brighter, more contoured and more youthful appearance. Additionally, fine lines and deeper wrinkles are reduced, hyper-pigmentation and discolouration reversed, and more severe skin complaints such as actinic keratosis, acne scarring and seborrheic keratosis can also be treated effectively.
Results are seen instantly, with a visible reduction in the hood over the eyes observed. The effect of Plasma Soft Surgery® is long-lasting/permanent. You will still age naturally, but the results of the treatment will not be reversed.
What is the procedure like?
Time in the clinic is usually around an hour with the actual treatment time lasting between 30-45 minutes. The patient will be given local anaesthetic, often with a topical treatment to help numb the area. During the procedure, slight discomfort may be experienced as a result of the heat being applied to the skin around the eyes, but most patients report it is completely comfortable. For the best outcome, around three follow up treatments may be needed to achieve near surgery results.
Swelling will typically start on the following day and will usually peak on the second day. The third or fourth day after the treatment the swelling usually begins to subside slightly, and in most cases, the swelling will have entirely subsided by the fifth day.
While the swelling starts to subside, small brown spots or scabs known as carbon crusts will begin to form. The scabs will generally have fallen off by themselves by the sixth or seventh day after the treatment leaving the rejuvenated skin visible.
What else can Plexr correct?
- Wrinkles beneath the eyes
- The aged skin around the eye area
- Drooping eyelids/ skin folds
- Fatty deposits underneath the upper eyelid skin (Xanthelasma)
- Sun-induced lesions
- Skin warts, tags and skin coloured moles
- Certain kinds of pigmented patches (age spots/ sun spots)
- Improvement/ enhancement of results from blepharoplasty surgery
- Crepey neck
- Lines around mouth
Who is suitable for this type of treatment?
This treatment is suitable for most patients whether the issue is genetic or early onset of ageing presents or is more severe. It is essential to understand that all procedures take time to heal and therefore it is a good idea to have a relaxed social calendar to prevent the need to rush any treatments or recovery.
Cost and pricing?
At Aesthetics of Liverpool, we can offer Plexr treatments much cheaper than traditional surgery with some procedures starting from as little as £299. Each area is priced differently, so for a full price list, please see our website
How do I book my appointment?
Get in touch today for professional, friendly advice. We will work closely with you to carefully
select the best treatment choice to help you get started on your journey to feeling like the best
version of you. To book your consultation with us, please call Aesthetics of Liverpool on 0151 203 1393