One of the areas that reflects the passing years the most is the eyes. Yes, eyes and eyebrows. They are very difficult to disguise, But the solution is very simple: 

Superior Blepharoplasty:

It is performed through hidden incisions in the natural crease of the superior eyelid that is attenuated/erased in a few weeks.  Through this approach  we can:

  1. Remove excess sagging skin.
  2. Eliminate and/or relocate excess fat bags.
  3. Treat the orbicularis (tight) muscle underlying the skin.
  4. Preserve the noble structures of the eyelid and eyeball. 
  5. It is an ambulatory procedure, where the patient can go home the same day.
  6. Operating time: Approximately 1 hour.
  7. Local anesthesia.
  8. Recovery time: 5 days approx.

Lower Blepharoplasty:

The lower eyelids are easy targets over the years and even in very young people due to hereditary factors and the lifestyle they lead, with excessive exposure to light stimuli from screens and very little rest.

Herniation of the adipose bags may occur as a consequence to a hypertrophy of the orbicularis muscle that is observed when smiling, marking a lot of fine lines and wrinkles under the lower eyelid. This does not disappear with moisturizer or any other treatment except surgery.

That is why the lower blepharoplasty is performed, to permanently improve this area by correcting the cause that is generating the problem. This can be done through two surgical techniques:

Classic or Subciliary Approach:

  • Indicated in patients who have excess skin that must be removed
  • A small incision is made below the lash line.
  • Skin is removed
  • Orbicularis muscle is treated
  • Excess fat bags are removed and/or repositioned in place
  • This removal of bags must be sufficient and not exceed it as the eye would be sunken and aged, it is, therefore, advisable to perform this procedure with a trained and experienced surgeon.

Duration of the procedure: 1 hour

Recovery time: 5 days approx.

Transconjunctival approach:

  • Indicated in YOUNG patients who do NOT have excess skin that must be removed.
  • Simple technique and short operating time approx. 30 to 60 minutes.
  • Local anesthesia.
  • A small incision is made in the bottom of the conjunctival sac, behind the eyelid, thus leaving no obvious scar on the skin.
  • Skin is not removed.
  • The excess is removed and/or the fat bags are repositioned.
  • Post-operative time and quick recovery with return to activities in: 3-6 days.
  • Outpatient intervention.

Palpebral Ptosis:

Eyelid Ptosis is the permanent total or partial descent of the upper eyelid below its normal position, that is, one eyelid is more lowered than the other side even covering the pupil, making vision difficult; It may be unilateral or bilateral. This abnormal descent of the upper eyelid, far from being just an aesthetic problem, can cause a deficit in function, partially or totally altering the visual field.


  • Congenital in children.
  • By aging.
  • Incorrect handling of contact lenses.
  • Sequel to poorly performed blepharoplasty.
  • Traumatic (accidents).
  • Other

The solution is given through a surgical procedure called ptosis correction. There are various techniques and the approach is very similar to that of aesthetic blepharoplasty, but the surgery is TOTALLY different and its purpose is to repair the damaged muscle that is responsible for the movement of raising the eyelid and is called the upper eyelid elevator.

It is a simple and safe surgery with a stable result over time, achieving the symmetry of the lid opening, leaving the height and contour of the upper eyelid aesthetically acceptable on both sides.

Operative time: 1 hour.

Anesthesia: Local with sedation.

Recovery time: 5 days.