The eyes are the center of attention in every glance, and one’s gaze is a main part of their personality. Over the years, our faces continually undergo modification due to changes in our skin, loss of volume, and the fall of facial tissue. The loss of elasticity in the skin around the eyebrows, the upper-eyelid, or bags under the eyes, are some of the signs the show the aging process of the face and the accumulated solar damage to our skin.
Changes in the contours of the eyes with the appearance of wrinkles and bags in the eyelids give us a tired appearance, and make our gaze look older and make us appear older than we actually are.
Aesthetic eyelid surgery o blepharoplasty (commonly known as an eyelift) is done when there is excess skin or fat around the eyes. Blepharoplasty of the upper eyelids corrects the skin and pat through incisions in the natural folds of the skin without visible scars. When done in the lower eyelids, annoying bags and dark circles are eliminated, by reducing and molding the palpebral fa through the ocular conjunctive membrane, without scars. Only when necessary to eliminate certain cutaneous flaccidity, incisions are made that are completely invisible in the long term.
With this minimally invasive surgery, we look to rejuvenate one’s gaze and reduce the effect of aging, especially tiredness and the look of bad health. In this way, we will be able to obtain a look that is younger, brighter, and over everything, natural.
Women and men that are looking to rejuvenate their gaze in a way that is natural and permanent, without changing their expression or the shape of the eyes. Usually fallen eyelids, skin folds, eye bags and dark circles, begin to become noticeable in the third decade of life, although there are people that may notice these changes earlier due to family traits.
Blepharoplasty will improve your appearance and your self-confidence, always in a natural way that maintains your essence, without changing your ability to express yourself.
Each blepharoplasty should be personalized to each patient. There does not exist any blepharoplasty that would work for everyone but must instead by planned in a precise way to fit and achieve the desired goals of each person. Each patient needs to have a unique blepharoplasty procedure.
Usually, in the upper eyelids, we eliminate the extra skin that causes fallen eyelids, and uncomfortable bags. The incisions are hidden in the natural folds of the eyelids, so that they are imperceptible. When is it necessary, we are able to do a canthopexy in adjust the gaze and thin the eyelid.
It is also necessary to take into account the position of the eyebrows, since they have a large influence on the aesthetic appearance of the upper eyelids. In the case that there is any falling of the eyebrows, we will carry out an eyebrow lifting procedure without surgery or through minimally invasive techniques.
Techniques for the lower eyelids:
▪ Transconjunctival blepharoplasty: In this case, the incision is made behind the ocular conjunctive membrane, without external wounds, eliminating the fatty bags through the internal mucous of the eyelid. It is not necessary to stitch the wound as the tissue heals itself. This technique is the most typical, because it is less invasive, the safest, and has the best results. In the case that it is necessary to tighten the skin, the extra skin is eliminated without damaging the underlying muscle, nor the ligaments, achieving results without leaving a visible scar.
▪ Subciliary blepharoplasty: With this technique, a small incision is made below the eyelashes, the fatty pockets are extracted and closed through a very small suture that, at the same time, helps to tighten the skin. This technique is not used as often so it does not have many instructions.
There are other techniques related to lower eyelid blepharoplasty, such as canthopexy, skin pinch, lifting of the orbicularis muscle, or lipostructure or lipofilling which, in necessary cases, the doctor will explain what these procedures consist of as well as their benefits after the final results.
We also will inform you of the possibility of a blepharoplasty without surgery, in which we can improve the appearance of the signs of aging in the periocular area without the necessity of surgery.
Blepharoplasty surgery is always an outpatient procedure, without the necessity of staying in the hospital after the surgery, unless the surgeon recommends it.
We will use local anesthesia with sedation, absolutely painless. The surgery usually takes between 30 minutes and 1 hour.
In the first consultation, Dr. Alejandro Álvarez, Orbital and Oculoplastic Surgery specialist at HC Marbella, will evaluate your case through an ophthalmologic study and an aesthetic facial exam. As an ophthalmologist, he has ample anatomic knowledge in terms of the eyelids, with strong training in plastic surgery techniques and exclusive dedication to palpebral plastic surgery.
You will have to report any medications you take, if you smoke, or have an allergy to any medication. Also, you will have to indicate if you normally wear glasses or contact lenses. In this first consultation your problem will be evaluated and the need for operation will be assessed, whether it should be done in all four eyelids, two, the upper or the lower, and the if it is necessary to carry out any other procedure. In this way, the techniques will be explained to your and the type of anesthesia that will be employed. Finally, you will be provided specific instruction about how to prepare yourself for aesthetic eyelid surgery. Careful compliance will assure that your blepharoplasty is done in the best conditions and with the best guarantees for excellent results.
You should know.
• Blepharoplasty is a facial surgery that requires great accuracy and knowledge of anatomy on the part of the surgeon.
• The oculoplastic surgeon is an ophthalmologic surgeon specializing in periocular plastic surgery, with an exhaustive knowledge of palpebral anatomy and function, as well as a mastery of all plastic surgery techniques and aesthetic medicine applicable to such a delicate area, and great experience and specialization in this area.
• At HC Marbella we have the only Oculoplastic Surgery Unit on the Costa del Sol.
• Blepharoplasty is completely compatible with other procedures, such as neuromodulators, facial fillers, laser treatments, or chemical peelings.
• The results of the blepharoplasty are immediate and permanent; with the disappearance of the facial signs of fatigue and aging, a younger and healthy facial appearance is achieved and will give the appearance of larger eyes.
• Blepharoplasty is a facial surgery that has enormously evolved in recent years.
February 19, 2021
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