Edited by Doctor Masino Scutari
An esthete or in our case a cosmetic surgeon must have a marked sensitivity and competence in the aesthetic evaluation of the eyes and the tissues that surround them.
The eye itself, understood as an ocular globe, has no expressiveness while the periorbital tissues express all the various emotions, such as the relaxed or tired aspect, the smiling or sad or even threatening aspect.
But if we analyze the beauty of the eyes, what are the anatomical peculiarities that are continuously detected?
Generally when we talk about beautiful eyes we are referring to Eastern Caucasian eyes. Because?
In oriental people the skin in the upper eyelid is smooth and uniform with a distance of about 10mm of the eyelashes from the eyelid sulcus, as well as the external canthus (the external union of the two eyelids) is higher by a few mm than the internal one. The more the upper eyelid is visible, the more attractive the eyes look.
The periorbital skin should be smooth, there should be no fatty bags that make the face tired and tried by life of excess.
People interact with their gaze, they talk to each other with their gaze, they understand each other with their eyes.
This part of the face is one of the parts that ages first and blepharoplasty is one of the interventions aimed at rejuvenating the face.
Definition
The term blepharoplasty indicates the reconstruction of the eyelids. This reconstruction can involve the upper eyelids, the lower ones or both. It consists in the correction and improvement of the so-called crow's feet, eyelid bags, ptosis of the upper eyelids.
Types of treatment
- Upper blepharoplasty
- Lower blepharoplasty
- Complete blepharoplasty
- Blepharoplasty with removal of bone tissue
- Intraconjunctival blepharoplasty
General indications
The indication for the intervention is given by exuberant skin which generally affects the upper eyelids and by the lipoma (bags) which usually affects the lower eyelids, as it is located in the sub-orbital region.
Preoperative indications
- Photos
- Thorough cleansing of the face skin
- I have been fasting for at least 8 hours
Laboratory and instrumental tests required:
- CBC, Group, BUN, Glycemia, PT, PTT, Electrocardiogram, Chest x-ray, eye examination.
Postoperative indications
In the immediate post-operative period, therapy with antibiotics, anti-inflammatories and decongestant eye drops should be practiced.
The ice pack on the face will be useful for eliminating bruises for a few hours after surgery.
You should avoid exposure to the sun for at least 30 days and massage the area surrounding the eye sockets with draining micro-massages.
The makeup will be allowed after 5 days. The very thin stitches will be excised after 7 days.
Operative technique
The surgical technique will consist in the targeted removal of excess skin from the upper and lower eyelids, furthermore, where it is present, the sub-orbital lipoma.
For ptosis of the upper eyelid, the natural fold of the eyelid is incised, then a more or less abundant flap of skin is excised.
For the so-called Crow's feet it is incised under the eyelashes by cutting out a small flap of skin.
