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What Is Blepharochalasis Syndrome?

Blepharochalasis is a rare condition that affects the eyelids, causing recurrent episodes of inflammation and swelling of upper eyelids. It is a type of eyelid laxity or looseness that is characterised by thinning and stretching of the skin and tissues around the eyes, resulting in the formation of wrinkles and folds.

The swelling typically resolves on its own within a few days, but over time, repeated episodes of swelling and eyelid inflammation can lead to permanent changes in the skin and muscles of the eyelid. This can cause the eyelid to droop or sag, which can affect vision and make it difficult to apply eye makeup or wear contact lenses. Blepharochalasis usually affects young adults and is more common in women than men.

Blepharochalasis Symptoms.

Blepharochalasis symptoms may include:

  • Recurrent episodes of eyelid swelling (inflamed eyelid) that lasts for a few days and then subsides.

  • Eyelid thinning and eyelid stretching, leading to the formation of wrinkles and folds.

  • Eyelid drooping or eyelid sagging.

  • Decreased visual field or blurry vision and swollen eyelid due to the eyelid sagging over the eyes.

  • Difficulty applying makeup or wearing contact lenses due to the changes in the eyelid's appearance.

  • Increased prominence of the blood vessels on the eyelid skin.

  • Redness or inflammation of the eyelid skin.

  • Chronic eye irritation or dryness due to the inability of the eyelid to close properly.


It is important to note that these symptoms may vary in severity and frequency from person to person. Some individuals may experience only mild symptoms, while others may have more severe and frequent episodes of eyelid swelling and changes in the eyelid's appearance.


If you experience any of these blepharochalasis symptoms, it is important to consult an ophthalmologist or an oculoplastic surgeon for diagnosis and appropriate treatment.

Blepharochalasis Causes & Aetiology.

Blepharochalasis is a rare condition characterised by recurrent episodes of eyelid swelling and eyelid inflammation, which can result in a loss of elasticity in the eyelid skin over time. The exact cause of blepharochalasis is not known, but it is believed to be related to immune system dysfunction or inflammation.

There are several theories about the underlying cause of blepharochalasis. One theory suggests that it is an autoimmune disorder, in which the body's immune system attacks its own tissues, leading to inflammation and damage. Another theory proposes that it may be caused by an abnormality in the lymphatic system, which leads to fluid build-up and eyelid swelling.

Genetic factors may play a role in the development of blepharochalasis, although the condition is not considered to be inherited in a straightforward manner. Other potential risk factors for blepharochalasis include exposure to environmental irritants, such as dust, smoke, or chemicals, and hormonal changes that occur during puberty, pregnancy, or menopause.

In some cases, blepharochalasis may be associated with other medical conditions, such as thyroid disease or connective tissue disorders like lupus. However, in many cases, the cause of blepharochalasis remains unknown.

How To Treat Blepharochalasis.

Blepharochalasis treatment depends on the severity of the symptoms and the underlying cause of the condition. In many cases, treatment may not be necessary unless the episodes of eyelid swelling become bothersome or affect vision.

Here are some possible blepharochalasis treatments:

Cold compresses: Applying a cold compress to the eyelids can help reduce swelling and inflammation during an episode of blepharochalasis.

Eyelid massage: Gently massaging the eyelids can help improve lymphatic drainage and reduce fluid build-up.

Topical steroids: In some cases, topical steroids may be prescribed to help reduce inflammation and swelling.

Blepharochalasis surgery: For severe cases of blepharochalasis that lead to significant eyelid drooping or eyelid sagging, blepharochalasis surgery may be necessary to remove excess skin and tighten the eyelid muscles.

Treatment of underlying medical conditions: If blepharochalasis is associated with an underlying medical condition, such as thyroid disease or lupus, treating the underlying condition may help reduce the frequency or severity of eyelid swelling episodes. It's important to consult a healthcare provider for a proper diagnosis and treatment plan for blepharochalasis.

Blepharochalasis Surgery.

Blepharochalasis surgery is a type of eyelid surgery that is performed to treat the cosmetic and functional issues associated with blepharochalasis. The goal of blepharochalasis surgery is to remove excess skin and fat from the eyelids, tighten the underlying muscles, and restore a more youthful and rejuvenated appearance to the eyes.

There are several different types of blepharochalasis surgery, including:

Upper eyelid blepharoplasty: This procedure, (blepharoplasty surgery) involves making an incision in the natural crease of the upper eyelid and removing excess skin and fat. The underlying muscle is then tightened, and the incision is closed with sutures.

Lower eyelid blepharoplasty: This procedure involves making an incision along the lower lash line or inside the lower eyelid and removing excess skin and fat. The underlying muscle is then tightened, and the incision is closed with sutures.

Combination eyelid surgery: In some cases, both the upper and lower eyelids may be treated during the same surgical procedure. Blepharochalasis surgery is typically performed under local anaesthesia with sedation or general anaesthesia, depending on the patient's preferences and the surgeon's recommendation.


Recovery time may vary depending on the extent of the surgery, but most patients can return to their normal activities within a few weeks. It's important to consult an oculoplastic surgeon with experience in blepharochalasis surgery for a consultation and to discuss the best blepharochalasis treatment options for your individual needs.

Before And After Blepharoplasty Surgery.

Before Blepharoplasty Surgery

Consultation: You will meet with your oculoplastic surgeon to discuss your goals, medical history, and any concerns you may have. The surgeon will evaluate your eyelids, take measurements, and discuss the best blepharochalasis treatment options for your individual needs.

Preoperative evaluation: You may need to undergo a medical evaluation, including blood tests and an electrocardiogram (ECG), to ensure that you are healthy enough for surgery.

Medications: Your oculoplastic surgeon may recommend that you stop taking certain medications, such as aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs), for a few weeks before the surgery to reduce the risk of bleeding.

Lifestyle adjustments: You may be advised to quit smoking and avoid alcohol consumption in the weeks leading up to the surgery to promote healing and reduce the risk of complications.

Before Blepharoplasty Surgery

Recovery period: After blepharoplasty surgery, you will need to rest and allow your body to heal. Your oculoplastic surgeon may prescribe pain medication or recommend over-the-counter pain relievers to manage any discomfort.

Post-operative care: You will need to follow your oculoplastic surgeon's instructions for post-operative care, which may include applying cold compresses to reduce swelling, keeping your head elevated while sleeping, and avoiding strenuous activities or heavy lifting for several weeks.

Follow-up appointments: Your surgeon will schedule follow-up appointments to monitor your healing and remove any sutures or stitches.

Results: The results of blepharoplasty surgery can take several weeks or months to fully appear, as the swelling and bruising gradually subside. However, most patients experience a significant improvement in the appearance of their eyelids and a more refreshed, youthful look.

How Common Is Blepharochalasis?

Blepharochalasis is a relatively rare condition, and its exact prevalence is not well documented in the medical literature. However, it is generally considered to be a relatively uncommon condition, affecting less than 1% of the population.

Blepharochalasis is most diagnosed in individuals in their late childhood or adolescence, and it is more common in females than in males. It is also more commonly seen in people of European or Asian descent.

While blepharochalasis is not a serious medical condition, it can be bothersome and affect a person's quality of life. People who experience recurrent episodes of eyelid swelling or who are concerned about the cosmetic appearance of their eyelids should consult with a healthcare provider or oculoplastic surgeon for a proper diagnosis and blepharochalasis treatment options.

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