The eyes are the windows to the soul, but as we age, the muscles around our eyelids gradually weaken, and we tend to accumulate excess skin and fat around the upper and lower lids. This can cause the eyes to look smaller, the browline to sag, and the development of under-eye “bags” that make us look perpetually tired. Peripheral vision can become impaired if the upper eyelid becomes too heavy and drooping. More and more patients in Greece perform blepharoplasty.

WHAT IS BLEPHAROPLASTY
It’s a surgical procedure that reforms excess fat and aging skin from around the eyelids. Blepharoplasty can be done on the upper eyelid, the lower eyelid, or both.

WHAT ARE COMMON BLEPHAROPLASTY TECHNIQUES?
There are many different blepharoplasty techniques:
PINCH BLEPHAROPLASTY TECHNIQUE
In a pinch blepharoplasty, we make an incision just below the eyelashes, at the outer corner of the eye, so that any scarring will be concealed in the natural crease that forms in that area. It can be a great solution for relatively young patients without much excess upper eyelid volume, or patients who have already had a blepharoplasty, but need a bit of a refresher for under-eye sagging that has developed since.

SUTURE BLEPHAROPLASTY TECHNIQUE
It’s been done when too aggressive fat resectioning was done causing brow tissue to migrate downward. Initial correct to this problem is by lifting the brow line.

ANCHOR BLEPHAROPLASTY TECHNIQUE
Anchor blepharoplasty is a popular type of blepharoplasty that an incision is made above the eye, and is “anchored” to the cartilage just below the lower eyelid.

5 POINT BLEPHAROPLASTY TECHNIQUE
5 point blepharoplasty is an excellent option for patients with a tear trough deformity — meaning a concave under-eye area. In a 5 point blepharoplasty, fat injections are first done underneath the eye, and certain muscles and ligaments around the eye are then manipulated before sutures are installed to lift the upper eye. The procedure thus has the effect of tightening and lifting the entire periorbital area.

LOEB’S BLEPHAROPLASTY TECHNIQUE
Like 5 point blepharoplasty, Loeb’s blepharoplasty technique addresses under-eye depressions, but instead of injecting fat under the eye, the natural fat pads underneath are grafted or lifted higher up before being stitched back together, plumping up any sunken areas beneath the lower lid.

WHAT ARE THE NEWEST BLEPHAROPLASTY TECHNIQUES?
The most current trends in blepharoplasty tend to emphasize minimally-invasive techniques involving fat transfer or supplementation rather than simply making incisions to remove existing tissue.

WHAT BLEPHAROPLASTY TECHNIQUES SHOULD I AVOID?
There is no particular “wrong” way to do a blepharoplasty, and any mixture of techniques may be utilized to give the patient the results they are seeking. In your initial consultation, you should always feel free to ask about the methods and their rate of complications, and be sure to look at before/after photos from previous blepharoplasties so you can decide.

WHAT IS PERIORBITAL REJUVENATION?
Periorbital rejuvenation refers to any Aesthetic surgery or treatment addressing the area between the upper cheekbone and the brow.

IS SWELLING NORMAL AFTER BLEPHAROPLASTY?
Yes. You should expect some swelling and bruising after blepharoplasty, and possibly some itching around the eyes as well. You may also feel that your eyelids are “tight,” or stretched, but all of these symptoms should resolve.

WHAT ARE THE HEALING STAGES AFTER BLEPHAROPLASTY?
You should expect to take some time off work, or from your regularly-scheduled activities. Initial healing after an upper eyelid blepharoplasty takes about 7-10 days, while lower lid procedures usually take about 10-14 days.

WHY WOULD I NEED BLEPHAROPLASTY REVISION SURGERY?
Blepharoplasty revision surgery is not uncommon-Dr Liapakis MD PhD European Boards Certified Plastic Surgeon died many of them- because the skin around the eyes continues to age and patients find that after a while, they need to have the procedure repeated in order to maintain their desired look.