The surgery is preceded by the first consultation where I make sure my patient is in good health, listen to  wishes and identify the achievable results. The surgery takes from one to three hours depending on whether the lower eyelids, upper eyelids or both are affected.

In the case of the upper eyelid I make a small incision following its natural fold, separate the underlying tissue from the skin and remove or reposition the adipose tissue. At this point, I stretch the skin in order to eliminate or reduce wrinkles and finally close the incision. My particular attention is not to remove too much in order to give natural results and keep the shape of the original shape of the eyes. 

For the lower eyelid, I make a small incision near  the area near of  lashes changes  along the natural creases of the lower eyelids or inside the lower eyelids (transconjunctival approach) to minimize visible scarring. The choice of incision technique depends on factors such as the amount of excess skin and fat to be removed. Once the incisions are made, I will access the underlying tissues of the lower eyelids. I may remove or redistribute excess fat deposits to eliminate puffiness or bags under the eyes. Additionally, I may tighten or reposition the muscles and tissues to address sagging or drooping eyelids. If there is excess skin present, I will trim it away to create a smoother and more youthful appearance. Care is taken to ensure that the eyelid retains its natural shape and contour.

At the end of the operation, bruises and swelling may appear, a completely natural and temporary phenomenon, after a few days the situation returns to normal. Seven days after the operation I will remove the stitches: the scars will fade with time until they become very small white lines.

For about two weeks it is important to rest, avoid physical strain and bending down or forward. A further visit allows me to verify the patient’s complete recovery. And the result of all this? Smoother skin around the eyes for a more toned and youthful face.