The area around the eyes has the most fragile and delicate skin. It is very thin, almost transparent and it is continuously exposed both to external elements (sun, wind, pollution) and to movements of expressive muscles. All these factors, sometimes joined by a genetic predisposition, may result in a subsidence of the eyelid skin and the onset of localized fat deposits beneath the lower eyelids.
Blepharoplasty is the procedure to fix these kind of flaws, giving the face a younger look through the rejuvenation of the eye. Being able to act both on the lower and upper eyelid, blepharoplasty can improve all components of the eyelid structures such as fat, muscles and skin.
Dr. Macrino also pays particular attention in preserving physiognomy and expressiveness of the patient. For this during the first consultation, the final outcome will be programmed to optimize the ratio between maximum obtainable rejuvenation e and preservation of the natural features. The procedure is perfectly safe and does not include risks for eyesight.
Making two separate incisions, hidden in a furrow upper eyelid and the other along the lower ciliary edge, it is possible to remove both excess skin and fat deposits which can be also repositioned if needed. When necessary, the lower blepharoplasty can also be carried out via transconjunctival (with the lower eyelid incision INSIDE): This solution is adopted in presence of only fat bags but in the absence of excess skin. During a blepharoplasty, the aim is to protect the tarsal restraint to guarantee the preservation of the original eye shape despite the postoperative scar retraction.
Blepharoplasty lasts from 40 to 120 minutes, depending on whether it is lower, upper or complete blepharoplasty; it is performed under local anesthesia with sedation (the patient does not have any perception of the procedure) in day-surgery formula.
The postoperative course for blepharoplasty involves two medications in the first 15 days after surgery, with removal of the sutures at the first one. During the first week may be normal to have discomfort such as excessive tearing or a “dust in the eyes” feeling; these inconveniences tend to fade away day after day until disappear altogether. It is also normal to notice a modest presence of edema and ecchymosis, which disappear within 7-10 days. Make up can be used immediately after removal of the sutures, until then it is advisable to wear sunglasses. Contact lenses can be worn after one week, while exposure to sun with full-screen protection is allowed after 4 weeks.
The very thin consistency of skin in the eye area generally allows a most invisible scar; the incisions appear as thin red lines that tend to clear more and more until they get white and almost undetectable.