Technology and research have allowed us to achieve a high level of perfection in this surgery, with less invasive techniques.

As we age, the skin and periocular tissues change. In the lower eyelids, the sagging of the skin, muscles and tendons causes wrinkles and the fat in the orbit accumulates, forming ‘bags’. These bags are delicately handled and in most cases are no longer removed but relocated to achieve a more natural appearance. With Canthopexy, the structures of the eyelid are tightened and sometimes it may be necessary to remove a small amount of skin.

In the upper eyelids, the most common thing is sagging of the skin over the eye, causing, in addition to the aesthetic issue, eye fatigue and a decrease in the visual field. Excess skin, fat and sometimes a part of the orbicularis muscle is removed.

In my procedures I associate 95% of upper blepharoplasty surgeries with endoscopic frontoplasty and the lower one with cheek suspension. This allows comprehensive management of the middle and upper third of the face and results with a 7 to 10 years younger appearance.

Endoscopic frontoplasty

Forehead surgery is performed endoscopically. A small camera is introduced through incisions that are hidden in the scalp in order to elevate the forehead, eyebrows and minimize frontal expression lines. The tissues are fixed to the bone or fascia with implants that are then resorbed.

It is the most effective surgery among facial rejuvenation, it is conservative and improves all the middle and upper facial structures, with rapid recovery.

Cheek suspension

Over the years, the fat and muscles in the cheekbones descend and the bone thins, causing the orbital cavity to expand. The mid-third lift recovers the angulation of the face and accentuates the oval of the face, giving the appearance of freshness and youth.

There are different techniques to reposition these tissues, achieving their mobilization and elevation, with the consequent shortening of the distance between the eye and the cheekbone and the reduction of lateral eye wrinkles or ‘chicken feet’.

This surgery is also called Zygomatic Suspension or Minilift. It is usually performed at the same time as frontoplasty using the same endoscopic technique and the same incisions. It is combined, as I have mentioned before, with blepharoplasty, achieving rejuvenation of the middle and upper third of the face.

Cervicoplasty – Neck surgery

Cervical facial lifting is an aesthetic surgery that improves excess fat, sagging skin on the neck and redefines the jaw contour. The bands that are formed by the separation of the muscles are also treated, recovering the youthful appearance of the neck.

It is mainly performed on two groups of patients:

Those who have alterations in the fat component, who may be thin people, although they generally have some associated overweight disorder. For them the procedure is laser liposuction.

The second group are older individuals, who, associated with the fat component, have sagging skin and muscles. For this group of people, a dissection and firming of the entire muscular apparatus is performed

Complete rhytidoplasty

It is, in short, the combination of all the Facial Rejuvenation procedures previously described. Personally, I prefer the term ‘Facial Repositioning’ since, within the new philosophy of plastic surgery, what is sought is not to ‘stretch’ but to return the tissues to their original position.

Each segment of the face ages with a different vector, so a vector replacement must be done. Also important is the recovery of volume with the patient’s own fat –Facial Lipoflling-, with the additional benefit that the stem cells from the injected fat also stimulate the production of collagen.