Eye aesthetics & eyelid surgery
Heavy eyelids, bags, a drooping eyelid: eyelid surgery meets a dual requirement — the health of the eye and the harmony of the eyes. At the Noisy-le-Grand practice, it is carried out by Dr Yaïr Chetrit, an ophthalmic surgeon specialising in eyelids.
Why entrust your eyelids to an ophthalmologist?
The eyelid is not just a matter of appearance: it protects the eye, ensures blinking and spreads the tear film. Any eyelid surgery must preserve these functions — otherwise there is a risk of dryness, irritation or incomplete closure.
The ophthalmic surgeon operates on the eyelids knowing the eye they protect: assessment of the ocular surface and of dry eye before the procedure, a technique that respects function, and ophthalmological follow-up provided at the practice. This is the dual guarantee: a natural aesthetic result, with no compromise on the health of the eye.
Blepharoplasty
Over time, the skin of the upper eyelids stretches and sags — a tired, sad look, sometimes difficulty seeing upwards. In the lower eyelids, orbital fat bulges forward: these are the “bags”. Blepharoplasty removes the excess skin and re-drapes the bags, with a scar hidden in the natural fold.
The procedure is performed as day surgery, under local anaesthetic (one or two hours), in a partner clinic. The scar of the upper eyelid is concealed in the natural fold; for lower bags, the incision can even be made from inside the eyelid, leaving no visible scar. The result is fully apparent after a few months: a rested, open look, without changing your expression.
Good to know: when excess skin cuts into the upper visual field (confirmed by a visual field test at the practice), the procedure is functional and may be covered by the French national health insurance (Assurance Maladie).
Download the SFO leaflet — Blepharoplasty (PDF)Ptosis
Unlike excess skin, ptosis is the drooping of the eyelid itself: the muscle that lifts it (the levator) is not working properly. The eyelid covers part of the pupil, the eyes look dull and vision is impaired — some patients compensate by raising their eyebrows.
Ptosis may be present from birth (levator muscle insufficiently developed) or appear with age — the more common form, due to gradual loosening of the muscle's tendon; prolonged contact lens wear or eye surgery may contribute. An assessment also looks for the rare neurological or muscular causes before operating.
Surgery strengthens the levator muscle to restore the eyelid to its normal height — it is always functional surgery, covered by the French national health insurance (Assurance Maladie). In children, significant ptosis must be treated without delay: a covered pupil can hinder visual development (amblyopia).
Download the SFO leaflet — Ptosis surgery (PDF)Ectropion & entropion
With age, the lower eyelid can slacken and turn outwards (ectropion): the eye waters constantly, becomes red and irritated. Conversely, it can turn inwards (entropion): the lashes then rub against the cornea with every blink and can cause lasting damage.
In both cases, repositioning surgery, under local anaesthetic as day surgery, puts the eyelid back in its proper position and protects the surface of the eye. These functional procedures are covered by the French national health insurance (Assurance Maladie).
Download the SFO leaflet — Age-related eyelid abnormalities (PDF)The chalazion
A chalazion is an inflammatory cyst of an eyelid gland (meibomian gland), whose duct has become blocked. It is the most common eyelid condition seen in consultation — and it is neither infectious nor contagious.
Treatment is first medical, and the earlier it is started the more effective it is: warm compresses (10 minutes, 2 to 3 times a day) to loosen the secretions, massage of the eyelid towards the lid margin, and an anti-inflammatory ointment. Half of chalazia clear up this way within a few weeks.
If it becomes encysted and persists, a small incision under local anaesthetic (incision and curettage), made from inside the eyelid (leaving no visible scar), removes it permanently — a procedure of a few minutes, with a return to normal activities the next day. Chalazion surgery — the only eyelid procedure also performed by Dr Srour — is carried out by both doctors at the practice.
Preventing recurrence: daily hygiene of the eyelid margins (warm compresses, cleaning, careful make-up removal) — especially if you have blepharitis, rosacea or wear contact lenses, conditions that favour gland blockage.
Dr Yaïr Chetrit, eyelid specialist
Consultation, assessment (visual field, ocular surface) and follow-up at the Noisy-le-Grand practice; surgery in a partner clinic, as day surgery.
Eyelid surgery in Noisy-le-Grand and east Paris
The Grand Paris Ophtalmologie practice welcomes patients from Noisy-le-Grand and neighbouring towns (93, 94, 77): Bry-sur-Marne, Villiers-sur-Marne, Champs-sur-Marne, Neuilly-sur-Marne, Gournay-sur-Marne, Noisiel, Torcy, Chelles, Gagny and Marne-la-Vallée, as well as Le Perreux-sur-Marne, Nogent-sur-Marne, Fontenay-sous-Bois, Vincennes, Saint-Maur-des-Fossés, Créteil and Montreuil.
Blepharoplasty, ptosis, ectropion, entropion and chalazion are managed by Dr Yaïr Chetrit — assessment and follow-up at the practice, surgery in a partner clinic, without going into Paris.
Eye aesthetics: your questions
Answers from Dr Yaïr Chetrit, ophthalmic surgeon in Noisy-le-Grand.
Why an ophthalmologist rather than a cosmetic surgeon?
Because the eyelid protects the eye: blinking, closure, tear film. The ophthalmologist checks the ocular surface before operating, respects function during the procedure and personally provides the follow-up — an aesthetic result with no compromise on the health of the eye.
Is blepharoplasty reimbursed?
Yes, if the excess skin cuts into the visual field (functional in nature, confirmed by an examination at the practice). If purely cosmetic, it is not reimbursed — a written quote (devis) is given at the consultation.
What is recovery like after the operation?
Swelling and bruising for 1 to 2 weeks (cold packs ease them), stitches removed around day 5 to 7, pain is rare. The scars, hidden in the folds, fade over a few months.
Does the result change the expression of the face?
No — the aim is a rested, open look, not a different face. The amount of skin removed is precisely measured to preserve eyelid closure and a natural expression.
What is ptosis, and when should it be operated on?
It is the drooping of the eyelid itself due to a weak levator muscle. Surgery is performed when the eyelid interferes with vision or covers the pupil — without delay in children, so as not to hinder visual development.
Watering eye or lashes rubbing: is it serious?
An ectropion (eyelid turned outwards) causes watering and irritation; an entropion (lashes turned inwards) can damage the cornea with every blink — see a doctor without delay. Both are well corrected by surgery, with reimbursement.
My chalazion will not go away: what should I do?
If medical treatment (warm compresses, ointment) has failed, a small incision under local anaesthetic, from inside the eyelid, removes it permanently — a few minutes, no visible scar, normal activities resumed the next day.
Chalazion or stye: how can you tell the difference?
A chalazion is a firm, barely painful lump within the thickness of the eyelid, developing over several weeks — not infectious, not contagious. A stye is a red, painful spot on the edge of the eyelid, centred on an eyelash, appearing within 24-48 hours — it is an infection, treated with a local antibiotic.
Does the operation require a hospital stay?
No: all these procedures are done as day surgery, most often under local anaesthetic — you go home the same day. Post-operative follow-up is provided at the Noisy-le-Grand practice.
Related reading
Let's talk about your eyes
Functional and aesthetic assessment in consultation at the Noisy-le-Grand practice.
The Grand Paris Ophtalmologie practice in Noisy-le-Grand provides consultations, screening and surgery for patients from neighbouring towns: