Upper and lower Blepharoplasty
“The eyes are the mirror of the soul and the eyelids are the frame”
The eyelid region is, without a doubt, one of the most important areas of the face. A redundant upper eyelid or the presence of voluminous adipose pads at the level of the lower eyelid gives the entire face a tired and aged appearance. Too often the eyelid is the first alarm bell of premature aging and the first imperfection that the patient notices looking at the mirror and that he would like to eliminate. Blepharoplasty is the intervention that allows the removal of skin and excess fat at the eyelid level, both upper and lower, restoring a normal harmony of the face.
Often the “traditional” Facelift does not allow to obtain good results at the level of the middle third of the face and, more precisely, at the level of the naso-giugal sulcus (tear-trought deformity), the zygomatic region, the cheek and the nasolabial groove. In fact, unlike the “traditional” Facelift, the Medium Facial Facelift is the only procedure that allows a repositioning of full-thickness soft tissues (skin, adipose tissue, muscles) following a vertical vector. Only this method allows to obtain an effective and lasting correction over time of the imperfections typical of this region, in the most natural and harmonious way possible. A further advantage of this surgical procedure, which has made it very popular and in demand in recent years, lies, without a doubt, in the fact that it does not require additional skin incisions except those used in a “simple” Blepharoplasty and, in some cases, a further small incision at the level of the temporal region (in the capillitium).
The ptosis (descent) of the eyebrow is a phenomenon often underestimated in the treatment of facial aging both by the patient and, unfortunately, by some surgeons. In fact, in more than half of the cases of patients candidates for a superior blepharoplasty, the problem is not only represented by the eyelid skin exuberance but also by the ptosis of the eyebrow, especially at the level of its lateral portion. The ideal treatment must necessarily combine Blepharoplasty with the intervention of Brow Lift. The most used and effective methods involve either a so-called “direct” approach, with an easily camouflaged incision in the highest portion of the eyebrow itself or, as is most frequently preferred, through a trans-temporal approach by means of a small incision in the capillitium, which remains completely invisible and through which the lateral third of the eyebrow is raised.
Facelift Cervico – Facial
The aging of the face appears with a progression and a speed that can vary depending on the individual, his family predisposition and the lifestyle he leads. It manifests itself in all the elements of the face: skin, subcutaneous fat and deep musculature. The result is a burden that, often, is particularly evident at the level of the lower third of the face and neck. In these cases only the Cervico-Facial Facelift, which represents the main procedure in facial aging surgery, allows to correct these imperfections by repositioning, stably over time, the structures involved in this process. In fact, the skin and the deepest tissues, in particular the musculature, are properly tractioned and stabilized trying to restore the right proportions and the correct harmony of the face.
Aesthetic and Functional Rhinoplasty
Rhinoplasty surgery is performed to correct the aesthetic deformities of the nose and / or functional structures without distorting the physiognomy and respecting the proportions of the face. The architecture of the nose depends on elements such as the bone component, cartilage and the thickness of the overlying skin. Aesthetic rhinoplasty is aimed at modifying some or all of the parts that make up the nasal pyramid, with the aim of improving and harmonizing the shape of the nose by reducing or remodeling the bone and / or cartilage skeleton. Whenever there is also a nasal breathing difficulty, due to congenital deformities or consequent to trauma at the level of the nasal septum, it will be appropriate to associate the aesthetic rhinoplasty intervention with a Functional Septoplasty, thus solving both aspects (Aesthetic and Functional).
The physiological processes of aging, in addition to a skin ptosis, lead to the progressive resorption of the various adipose compartments present, both subcutaneously and in the deep layers, leading to an inevitable emptied and tired appearance of the face. These volumetric deficits can be effectively corrected by using the Lipofilling technique.
Lipofilling means the removal of adipose tissue from an area of the body defined as donor (abdomen, hips, thighs, etc.) and its subsequent transfer, after appropriate treatment, to another area defined as recipient (nasolabial grooves, naso-jugal grooves, zygomatic region, lips). The advantage of this method will be to have a harmonious result using a natural and completely biocompatible “filler”, as is the autologous adipose tissue.
Otoplasty is a surgical intervention aimed at correcting the imperfections of the auricle. The most frequent malformation is represented by the so-called “fan ears”, characterized by an auricle particularly detached from the head due to an open oto-mastoid angle and the absence of the antihelix (the major fold of the auricle). This surgical procedure allows to change the shape, size and attachment of the auricle by remodeling the cartilaginous scaffolding, which is performed by weakening the cartilage and, if necessary, also using stabilization sutures that allow to restore the physiological folds and curvatures typical of normal auricular anatomy. The residual scar is completely hidden at the level of the retro-auricular groove.
Canthopexy o Canthoplasty is a surgery aimed at remodeling the structures that compose the lateral canthal region through which the eyelids are anchored to the orbital rim. The aim of this surgery is in fact to reposition the lateral canthus more superiorly providing an elongated and oriental (fox eye/cat eye) eye shape. This procedure is often performed with blepharoplasty or with mid face lifting in order to prevent lower eyelid retraction, a frequent complication in lower eyelid surgery. There are more conservative techniques for canthopexy/canthoplasty where sutures are used in order to anchor the lateral canthus to the orbital rim periosteum or more invasive procedure where some bony holes are created at the level of the supero-lateral orbital rim through which with permanent suture the canthus is tightly anchored.
Genioplasty (or chin surgery) consists on a chin remodeling surgery in which shape and dimension of the symphysis are modified. It is possible to distinguish a reduction genioplasty, through which the bone is milled or osteotomies are performed, from an advancing genioplasty in which dimensions are increased. In this case, it is possible to insert prosthetic implants (silicone or medpore) or specific osteotomies can be performed in order to displace anteriorly the mandibular bony profile. Sometimes, genioplasty is performed together with rhinoplasty ot lip-lifting in the context of rhinoplasty.
The lip-lifting is a new highly requested technique that ensures a definitive remodeling of the upper lip. Often the upper lip, even as a consequence of a progressive aging process, loses the definition of the cupid’s arch, it thins and even its vertical dimension increases (the distance between the columella and the vermilion). Several surgical techniques with different cutaneous incisions have been described, among the most used ones, the incision that guarantees a properly hidden scar at the level of the nasal-facial junction and at the level of the columella is the “bullhorn” one. This technique infact, allows the achievement of a well defined upper lip that appears natural and harmonious that does not require any additional fillers injections.