Blepharoacalasia is the fall of the skin of the upper eyelid along with pockets of fat in the lower eyelid, which causes the aging of the periorbital area.
The surgical treatment is Blepharoplasty or Surgery of the eyelids, which is performed under local anesthesia with sedation and without admission. It is a surgery that is done in 60-90 minutes and the result is the rejuvenation of the look.
The surgical technique in the upper eyelid consists of removing the excess skin that rests on the eyelashes and that produces tiredness in the eyelid throughout the day. The upper internal bag is also extracted taking advantage of the same incision.
In the lower eyelid there are always "bags" that are the herniated fat of the orbital basin and that, under normal conditions, serves as a pad for the eyeball. Over time, due to the laxity of the orbicular muscles, there is a small herniation of the same towards the exterior that results in three pockets: internal, medial and external, perfectly defined and that produce the bulging or swelling of the eyelid lower.
The extraction of them is usually done via transconjunctival, that is, inside the eyelid so that the scar is not visible. Only in the case that an excess of skin is associated with the eyelid can it be done externally, making an incision 2 mm from the edge of the eyelashes.
The postoperative period is not painful, only uncomfortable because we leave some steri-strip that cover the spots and that bother when blinking. Inflammation causes dry eyes, so moisturizing eye drops should be used. The stitches are removed in 5-7 days and healing is always good, because the skin of the eyelids is very thin.
To achieve an integral facial rejuvenation we recommend to associate blepharoplasty with a lipofilling or filling with facial autologous fat. It is extracted from the periumbilical fat by means of a liposuction technique with special cannulas that do not damage the adipocyte and, after undergoing a centrifugation and preparation process, it is injected in the malar area, eyebrow tail, eyelids and nasolabial folds.