When it comes to eye rejuvenation, the focus is often exclusively on removing excess skin or fat pads. However, as I explain in my latest video deep-dive, to achieve an appearance that is not just “corrected” but fresh and natural, it is necessary to go beyond the simple surgical act.
In my practice in Rome, the approach to blepharoplasty today is an integrated journey that combines surgical precision with the biological power of regenerative medicine.
Tissue Preparation: The Step That Makes the Difference
Many patients come for a consultation presenting with dysmorphias such as sunken, depressed, or exophthalmic (bulging) eyes. But the problem is not only structural: often, the skin of the periocular area is, in medical terms, “dystrophic.” These are thin, dehydrated, loose tissues marked by wrinkles.
Operating surgically on “tired” tissue can lead to correct but not excellent results. This is why I introduced a preparatory phase based on regenerative medicine.
Before the actual surgery, we treat the area with:
- Nanofat (Stem Cells): Harvested from the patient’s own fat.
- PRP or PRF (Platelet Concentrates): Obtained from a simple blood draw.
These substances do not serve to “fill,” but to revitalize. They make the skin more elastic, hydrate it, and improve its texture. Operating on regenerated tissue means guaranteeing better healing and an optimal, much more natural final aesthetic result.
Upper Blepharoplasty: The Importance of the Eyebrow (High Brow Lift)
In upper eyelid surgery, the goal is not just to remove excess skin. Often, the heaviness of the gaze is also caused by a descent (ptosis) of the eyebrow.
A standard blepharoplasty alone cannot correct this drooping. For this reason, I simultaneously perform a High Brow Lift: through a small direct access at the eyelash margin, we reposition and shape the eyebrow. This detail is fundamental to truly “open” the eyes without altering the facial expression.
Lower Blepharoplasty and the Insidious “Malar Mounds”
Lower eyelid surgery is complex and requires great experience. In addition to removing the classic herniated fat pads, we often encounter so-called malar bags (malar mounds).
These are not located exactly in the eyelid, but in the cheekbone area (the SOOF zone) and are caused by persistent swelling that heavily ages the face. Correcting this blemish requires an advanced technique: an extended blepharoplasty, which acts as a true mid-face lift, repositioning volumes and smoothing the transition between the eyelid and cheek.
Long-Lasting Results
The combination of proper biological tissue preparation and an advanced surgical technique (upper, lower, or extended) allows for stable results.
If the surgery is performed expertly, respecting the anatomy and quality of the skin, the result of a blepharoplasty can be considered permanent and definitive.
Do you want to evaluate the health of your periocular tissues and find out if this integrated approach is right for you? I look forward to welcoming you to my practice in Rome for a specialist consultation.