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Patient with very marked palpebral bags at upper and lower level. Upper blepharoplasty and lower blepharoplasty are performed with repositioning of the fat bags, without any cut or scar in the lower eyelid.
Upper and lower blepharoplasty with skin tightening and canthopexy
In this case we were looking for an improvement of the upper third of the face, looking for a very natural result. We perform an endoscopic brow lift, upper blepharoplasty and lower transconjunctival blepharoplasty. You can see a clearer look, improvement in the crow's feet, forehead and dark circles under the eyes. All with great symmetry.
Patient presenting with drooping of the left upper eyelid. Good result after reinforcement of the eyelid lift muscle by transconjunctival mode.
Lower transconjunctival blepharoplasty in a middle-aged patient In this case the bags were removed because of their size. Recovery is very fast as there is no skin incision or stitches.
This middle-aged patient wanted a rejuvenation of his upper eyelids. In addition to the aesthetic aspect, he complained about the feeling of heaviness in the eyelids and the reduction of the visual field due to the visor effect caused by the excess skin. In this case we perform a conservative upper blepharoplasty, since a very clear upper eyelid in a man can feminize his appearance.
Correction of drooping eyelid in right eye (palpebral ptosis) by transconjunctival approach. Fast recovery without skin incision (no scar)
Lower transconjunctival blepharoplasty with fat pad reduction.
Lower transconjunctival blepharoplasty in young patient, with reduction of fat packages.
This patient had excess skin in both upper eyelids, which was also asymmetrical. After upper blepharoplasty, you will have clearer eyelids, a rejuvenated and rested appearance and improved symmetry.
Patient before and after lower blepharoplasty with canthopexy, orbicular suspension and skin tightening. There is a great improvement in the wrinkles and folds of the lower eyelids.
Patient with left eyelid droop (palpebral ptosis). Results after conjunctival palpebral ptosis surgery, without cuts or scars on the skin.
Middle-aged patient with excess skin in upper eyelids and palpebral ptosis. Result after upper blepharoplasty plus conjunctival ptosis surgery. In this type of patient, isolated upper blepharoplasty without correction of the palpebral ptosis would give an unsatisfactory result, since it would remove excess skin from the eyelid but it does not have the effect of "opening" the eyes that the patient really needs. However, the combination of blepharoplasty and palpebral ptosis correction gives the perfect result.
Young patient with excess and sagging skin of both upper eyelids, in an asymmetric way. Result after superior blepharoplasty with adequate correction of the asymmetry.
Before and after a palpebral ptosis correction, together with an upper blepharoplasty. The great aesthetic improvement and in the opening of the eyelids is appreciated, as well as the correction of the existing asymmetry.
Results after upper and lower blepharoplasty surgery. At a lower level, a technique of repositioning (or transposition) of the fat pads was performed to eliminate the grooves presented by the patient. All this was done by transconjunctival means.
Before-and-after assembly by a patient with her own photographs. The result can be seen after an upper and lower blepharoplasty with repositioning of the fat of the bags to erase the furrows under the eyes. The only incision is that of the upper eyelid since the lower blepharoplasty was performed by transconjunctival route. (there are still traces of bruising on the lower eyelids).
Results after lower transconjunctival (scarless) blepharoplasty surgery and upper blepharoplasty.
Results after lower transconjunctival blepharoplasty surgery with fat repositioning (no scar) and upper blepharoplasty
Results after upper blepharoplasty and brow lift. In these types of cases where the eyebrow is very low, especially the tail of the eyebrow, isolated upper blepharoplasty cannot achieve much. Therefore, we recommend an elevation of the eyebrow's tail, which is performed through two small incisions in the scalp with the help of an endoscope.
Asian blepharoplasty or double eyelid operation. This is a specific intervention for Asian patients who seek to soften (not westernize) their features while maintaining their eastern appearance.
Before and after lower transconjunctival blepharoplasty with fat redistribution.
Lower blepharoplasty with redistribution of fat pads to fill in the furrows under the eyes. Surgery performed by transconjunctival route without scar.
Before and after lower blepharoplasty for correction of bags and conjunctival furrows, and correction of drooping eyelids (palpebral ptosis) in upper eyelids.
Lower transconjunctival blepharoplasty with fat redistribution Correction of droopy eyelids, with great aesthetic and functional improvement.
Childhood Asian patient with a droopy eyelid from birth (congenital ptosis). In this case the eyelid occludes the pupillary axis, preventing the normal development of vision and has a high risk of developing a lazy eye (amblyopia). In this case we perform a shortening of the eyelid lift muscle, with an elevation of the eyelid to the normal position, preserving its Asian features and without visible scars.
Dr. Nieto is a reference in oculoplastic surgery. He combines his activity in reconstructive surgery in public medicine with his private reconstructive and cosmetic activity at the Clínica Corachán in Barcelonaand the Instituto Oftalmólogico Gabriel Simón in Madrid.
Clínica Corachán 2, bajos. Plaza Manuel Corachán 4, Despacho 8 Barcelona 08017
Instituto Oftalmológico Gabriel Simón Fuencarral, 7 28004-Madrid
