Dark circles

The anatomical structure of the lower eyelid is given by skin, orbicularis muscle (which serves to close and wink) and adipose tissue (there are three adipose bags). It is essential to evaluate the tone of the skin and muscle and the functionality of the eyelid. In fact, the procedure must lead to aesthetic improvement while fully respecting functionality.

Lower blepharoplasty techniques

Traditional (or external) blepharoplasty

It involves an incision approximately two mm from the ciliary margin, parallel to the eyelid margin which extends slightly beyond the external canthus, curving in a few wrinkles for approximately 0.5 cm. The skin and muscle are incised and the bags are removed. A part of the excess skin is then eliminated and, if necessary, the orbicularis muscle is suspended to give greater tone to the eyelid.

Transconjunctival (or internal) blepharoplasty

It consists of making 3 small incisions inside the conjunctiva through which it is possible to easily reach the fat bags. This technique avoids external incisions in most cases and allows for quicker recovery. It is often associated with skin treatment with a CO2 laser which allows the skin to be amazingly toned thanks to the “retraction” effect.

In cases characterized by a particularly deep nasojugal sulcus, the grafting of adipose tissue taken and appropriately centrifuged (lipostructure) is useful. In fact, the time of heavy eyelids which, once treated, caused the appearance of unsightly sunken eyes is over.

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