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    Eyelid Plastic Surgery

    Home »  Facial »  Eyelid Plastic Surgery


    The removal of excess skin which through the aging process deforms the upper and lower eyelids; in this way providing a rejuvenating look to the region.


    Anatomical Definitions

    The eyelids region is the first part of the face that reveals facial aging;

    The excess skin and the flaccidity of the upper and lower eyelids contribute to a look that is dull and without expression;

    Associated to this aging process is also the dropping of the musculature within the central region of the face which is identified by:


    1. Formation and presence of fatty bags

    2. Formation of the lower eyelid furrow (dark rings)

    3. Formation of the nasolabial furrow (diagonal line which begins adjacent to the nostril wings and runs down and outwards beyond the lip corners);



    This procedure is recommended for patients around the age of 40 where there is an excess of skin and fat on the lower and upper eyelids, and where the aging process is seen on the central portion of the face (middle-third).

    Where the skin around the lower-third of the face, the jaw and neck, are still in good condition.



    Details about the upper eyelid scar:


    Details about the upper eyelid scar:

    It will be hidden mostly within the eyelid fold, except for a small part that extends outside the eyelid which will be also hidden by natural wrinkle of the skin in lateral region of this eyelid.

    Details about the lower eyelid scar:

    It will be hidden mostly within the eyelash fold (without affecting the eye lashes), except for a very small part that extends outside of the eyelid which is hidden within a natural wrinkle of the skin, in the lateral region of this eyelid.

    The length of the scar, for either the upper eyelid or the lower eyelid, will depend on the amount of excess skin that is removed.


    Surgical Aspects

    Through the same incision made to correct the lower eyelid, it is possible to access the musculature of the middle-third of the face and then to reposition it. In other words, if desired, while undergoing surgery to correct the lower eyelids it is possible to undergo an anatomical face lift. (see section Face Lifting).

    Through this additional intervention, the cheek muscles are elevated, improving the nasolabial furrow, allowing the patient to gain a youthfulness to the eyes and at the same time to the central region of the face.

    The eye lid surgery and the anatomical face lift can be made together when the patient shows general aging throughout the face. In common language, for when the person needs to “refresh the face”.



    Local or local with sedation. If the eye lid surgery is associated with an anatomical face lift, then general anesthesia may be preferred.



    • The eighth day after the operation, approximately 50% of objected result can be observed. This may vary to each person. Definitive result will be seen after the sixth month.
    • Regarding “crow’s feet”: they will never totally disappear but will show a significant improvement when compared to the pre-surgical state. The small wrinkles that may remain are primarily due to the contractions of the eye muscles around the region, as well as the loss of elasticity of the skin.

    Post-Surgical Care

    • It is common that “red splotches” appear after a blepharoplasty, which are only the infiltration of a small amount of blood into the adjoining skin. This infiltration may extend to the eye, temporarily causing a “red eye”. This is not considered a surgical complication but it is a normal, transitory, occurrence originated from the surgical intervention, something which is completely reversible and does not compromise the vision.
    • Apply over the eyebrows cotton or gauze wet compresses, with either cold filtered water, physiological saline solution or chamomile tea is recommended. These compresses should be changed every thirty minutes during the first five days.
    • Do not traumatize or ‘scratch’ the eyes even though they may itch from the healing process.


    • Formation of bruises due to high blood pressure;
    • Necrosis of the skin on patients who smoke, because of the effect of the nicotine on the walls of the blood vessels (uncommon);
    • Injury to the nerve that controls the facial muscles, possibly causing temporary or definitive paralysis (uncommon);
    • Hematoma behind the eye ball. (rare).

    Personal Observations from a Feminine View

    I ask the patient to bring me a photograph of her face when younger. Clarifying that the purpose is not because I will be returning the youthful look of the picture, but so that I can have a reference regarding the natural height of the musculature, when repositioning the cheek muscles during the surgery.

    With relation to plastic surgery to the lower eye lids: I take special care NOT to leave the eyes ROUNDED, since rounded eyes are also a clear indication of having done plastic surgery.

    Knowing from personal experience how important eyelashes are to a woman’s vanity, I pay attention to leaving the upper and lower eye lashes intact. (See testimonial A.R.)

    Regarding the fatty deposits that cause bags under the eyes: I have a belief, along with other colleagues, that they should not be removed since this may induce a deepening of the eyes.

    We have observed patients who have undergone plastic surgery of the eyebrows and who have had these fatty deposits removed, and have verified that their eyes look smaller and deeper.

    Instead of removing these fatty deposits, I reposition them within the eye orbits, in their original anatomical position. In this way the eye balls look in their natural position, giving life to the patient’s look.


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    Dr. Mariangela Santiago. – CRM 45138 states that this is a spontaneous and illustrative deposition procedure performed after medical consultation and indication of surgery and all medical and laboratory exams required as CFM’s recommendation.

    Even though this one was a successful case, no conclusion can be drawn based on this evidence, moreover, as in any case of plastic surgery, medical consultation with a Plastic Surgeon Specialist is required for making any decisions

    Following the rules of the Brazilian Federal Medical Council, to illustrate the results with photos made before and after procedures is not allowed.

    Dr. Mariângela Freitas Lima Santiago
    CRM-SP 45.138 (São Paulo Regional Medical Council)
    Plastic Surgery - RQE nº 11476 | General Surgery - RQE nº 7678

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