New trends in rejuvenation of the upper third of the face require the use of minimally invasive, less traumatic techniques with a good safety profile, with limited use of foreign materials and an aesthetically favorable long-term result of the intervention.
In the article estet-portal.com you can get acquainted in detail with the technique of volumetric blepharoplasty on behalf of plastic surgeon, current president of ISAPS, who was trained by "father" of Aesthetic Surgery by Dr. Io Pittanga, Dirk Richter, Professor of Plastic Surgery at the University of Bonn, Germany.
Blepharoplasty with Volume Preservation
DR: The blepharoplasty technique I presented at the conference can be used on patients who have already had surgery or who have a "sad look"; with loss of tissue volume in the periorbital region.
The main characteristic of this technique is the preservation and/or restoration of volume.
We found that young people have beautiful eyes because they have enough fiber. If we remove this volume, then we do the opposite — we create «age» eyelids. Thus, with our technique, we save all the volume, muscles and fat and simply distribute it, & nbsp; this approach provides an ideal aesthetic result.
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Blepharoplasty without the use of artificial material: key benefits
D.R.: We use our own material, our own fat, we just distribute it so we don't have to resort to artificial material and filler.
Also, we do not resort to lipofilling, we simply use local tissues and match them like valves that we pull towards each other.
The advantage of the method is that you do not need to use any foreign material, sometimes such material is not well accepted by patients or problems arise such as hypersensitivity reactions, infections.
Transconjunctival blepharoplasty: pros and cons of surgery
Blepharoplasty: combination with lipofilling and fillers
JR: This is not an easy operation to perform, you need some surgical skills to perform it properly.
You must have a perfect knowledge of the technique and anatomy of the upper eyelid. So this may be a problem, but for experienced surgeons, this method is possible.
The tissue for the operation, mainly adipose tissue, is taken from the same area, from the orbit, from the eyelid itself.
If we need to add a little more volume, we perform lipofilling and can take fat from the thigh or other area.
We usually do not combine hyaluronic acid injections with surgery. We combine surgery with lipofilling. Therefore, if we need some filler, then the introduction of fat should be preferred.
Blepharoplasty with valves
DR: The long term results are pretty good because you are using your own fat tissue. And if you use the double valve tissue I was talking about, there is no resorption at all because it is still a viable tissue.
If you use lipofilling, more than 30% of the volume will disappear, in some cases 100% resorption occurs, which may be due to smoking or other reasons. So the result of lipofilling is unpredictable. But with this technique, with the two valves we supply, you don't run the risk of losing this fabric.
Complications may include excessive tissue resection, prolonged edema, and lyasthesis, but these are extremely rare. Thank you for staying with estet-portal.com. Read other interesting articles in the "Plastic Surgery" section. You might be interested in Blepharoplasty (eyelid surgery)
Volume blepharoplasty: Dirk Richter's method description
This technique that I presented can be used for patients who already had blepharoplastik or who have a sad look without volume.
The main characteristic of this technique is that I preserve of the volume. We found that young people wonderful eyes because there is still enough volume. If we take away this volume we are doing the opposite, we are creating the old-looking eyes. So with our technique we protecting all the volume, muscle and fat and just distribute it and so it gives a nice appearance.
Blepharoplasty with volume retention
We use the own material, the own fat, we just distribute everything, so there no artificial material, there is no filler.
Well we do not inject fat, we just use the same flaps like from one side to another. The mail advantage is that you do not need to have any foreign material, sometimes foreign materials are not well reserved by the patients or are creating problems like foreignbody reactions, infections.
Blepharoplasty: combination with lipofilling and filler injection
Well it is not easy to perform, you need some surgical skills to do it. You have to know how to do it, the anatomy of the upper eyelid very well. So this can be the problem, but for the advanced, experienced surgeons it is easy to do.
The fat is taken from the same area, from the orbit, the eyelid itself.
If we need some more we do some lipofilling and we can take fat from the knee or another region.
Usually we do not combine hyaluronic acid with surgery. We are combine the surgery with lipofilling because it matches better. So if we need to have some fillers, we would prefer fat.
Blepharoplasty using "valves"
The long-term result are pretty good because you use the own fat tissue. And if you use two flaps, that I was talking about there no resorption at all because it is still the viable tissue.
If you use a lipofilling more than 30% will disappear on a regular basis and this for sure there no 100% uptake. Sometimes it is even 100% of lost because people are smoking or not behavior well. So it is not predictable. But with this technique, with two flaps that we are combining together you are not at the risk of losing this tissue because it is still attach to the body.
The complication can be: a little over resection, prolong swelling, and liastesis but they are not very common.
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