BLEPHAROPLASTY
The novelty of this integral treatment performed in our Institute is that through one single incision placed in upper eyelid, carefully hidden within the eyelid fold, and a second incision placed within the mucosa (conjuntiva) of inferior eyelids, we can treat properly all these features.
Surgical techniques
Every patient is assessed individually, establishing the personal needs in each case. More often used surgical techniques included in the surgery of the gaze are described herein.
Upper blepharoplasty
At this level, skin excess is removed in an elliptical shape, placing the scar coinciding with upper border of the tarsal plate of the upper eyelid. In this way, the scar coincides with eyelid fold becoming unconspicuous. Eye bags have to be removed when needed, the internal and middle fat pads, being very conservative when performing middle fat pad removal, considering that overresection leads to skeletonized eye. |
Inferior blepharoplasty
We perform the inferior blepharoplasty through transconjuntival approach; it means through the mucosa lining the inferior eyelid avoiding skin incision. A contact lens is placed to protect the eye and the cornea, reaching the fat pads through the mucosa, always below the inferior border of the tarsal plate to avoid its injury. After identifying the three fat pads, they are removed. Sometimes the exceeding fat from the internal fat pad can be transposed to correct the tear trough (eyebath).
Any surgical procedure involving resection of lower eyelid and its orbicularis muscle is avoided which is crucial to avoid scleral show and round shape eye. When excess of skin is present within the lower eyelid, its resection is performed through a small incision below the eyelash preserving orbicularis muscle. It means that fat pads are removed through transconjuntival approach and the excess of skin is removed externally, being very conservative, only when a huge amount of skin is present.
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