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Prof. Pietro Lorenzetti
specialista in chirurgia plastica, ricostruttiva ed estetica
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Facial cosmetic surgery
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Blepharoplasty
Blepharoplasty
Blepharoplasty, or eyelid surgery, allows removing excess fatty deposits and sagging skin in both upper and lower eyelids. The surgical procedure removes loose skin, puffiness and bags under the eyes that create folds or disturb the natural contour of the upper eyelid, sometimes impairing vision. Blepharoplasty also corrects laxity of the outer eye corner or droopy eye (canthopexy).
Preparing for eyelid surgery
During the preoperative evaluation, the surgeon analyses the bone structure of the face, skin quality, periocular muscle tone and the presence of any cosmetic and / or functional defects, describing aesthetic goals and achievable results in order to choose, then, the best surgical method to use. The pre-surgical assessment is a very important factor to exclude possible complications (high blood pressure, bleeding or scarring problems) that could undermine the surgical outcome; therefore, it is important to follow any advice about diet, use of medications, cigarettes and alcohol.
Eyelid surgery
An incision is made alongside the palpebral fold to remove excess of skin and fat localized in two positions at the top and three positions in the lower part. Blepharoplasty is performed under general anaesthesia or local anaesthesia in day surgery, it lasts about 40-50 minutes and requires medical gauzes and cold compresses.
Postoperative care instructions
After an overnight hospital stay, patients are discharged and by the third day, they can resume their normal life avoiding strenuous activities, saunas, turkish bath and sun exposure. You could experience bruising and swelling even after 5-7 days and, by the fourth day after surgery, sutures are removed. If not overly tiring, you can return to work after about 10 days and, within three weeks, all normal activities can be resumed, including sports. Blepharoplasty gives a rejuvenated appearance to the surrounding area of the eyes and can be combined with a facelift procedure in order to achieve a more complete and harmonious outcome. The result, already remarkable after the first three weeks, is definitive within six months; although generally very good, it is not always permanent as subject to natural ageing and gravity.
Scars in blepharoplasty
In upper eyelid surgery, incision occurs within the natural creases of the upper eyelid, whereas, in lower blepharoplasty, incision is carried out just below the lower lash line. Scars are well concealed within the natural structures of the eyelid region. A transconjunctival incision, hidden inside the lower eyelid, is required when it is not necessary to remove excess of skin from the lower eyelid.
FAQ
Who undergoes blepharoplasty?
Patients noticing early descent signs around the eyelid region, even with a good skin elasticity.
Is there any age limit to undergo this type of plastic surgery?
Patients aged 35 to 60 request this surgery, although it is technically executable even in patients aged 70 to 80, who retain a good skin elasticity.
Is it possible to combine blepharoplasty with other cosmetic surgery?
Blepharoplasty can be performed alone or in conjunction with other surgical procedures such as facelift, brow lift, breast augmentation, liposuction and other cosmetic surgery.
Are there any risks and / or complications for this type of plastic surgery?
Aesthetic eyelid surgery is a relatively simple surgical procedure and when carried out by qualified surgeons who perform plastic surgery procedures in accredited facilities, results are very satisfactory.
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