20 November 2020 Author: Luís Azevedo The face is a fundamental element of our identity ... it is our image! The face region around the eyes , which includes the eyelids and other structures, has an important role and the periocular aesthetics is central to the harmony of the entire face. In fact, the region of the eyes faithfully transmits our youth or old age. For example, " drooping eyelids " or " puffy eyes " are two important aging stigmas that characterize the periocular region of an aged face. In addition to the aesthetic impact , periocular aging can also condition functional disorders, including visual impairment . Thus, periocular cosmetic surgery allows not only rejuvenation, but also improves visual function. Cosmetic surgery of the eyelids and attached structures The cosmetic approach of the periocular region is not limited to the eyelids. It covers the entire periocular region. Without an adequate assessment of the entire region, the result of cosmetic surgery will certainly be compromised! For example, before any cosmetic surgery intervention on the eyelids, it is also necessary to consider the correct positioning of the eyebrows and the malar projection. Blepharoplasty Blepharoplasty is the main periocular cosmetic surgery procedure. This eyelid surgery allows to: Remove excess skin on the upper eyelid, lower eyelid or both; Remove puffiness from the eyes; Correct the groove of tears and dark circles. The removal of skin from the eyelids must be carefully planned and carried out to obtain an effective and harmonious result with the facial aesthetics of each person. Blepharoplasty does not remove wrinkles from the corners of the eyes (“crow feet”) nor does raise the eyebrows. Eyebrow lifting and periocular lipofilling Eyebrow lifting and periocular lipofilling are procedures that are often done with a blepharoplasty and complement it. When lifting the eyebrows , the upper repositioning of the eyebrow tail is performed. The falling tail of the eyebrow causes discomfort and gives a sad look to the facial expression. In periocular lipofilling , a fat filling is performed in the area to give it a greater volume and a full and youthful appearance. Periocular cosmetic surgery is usually performed on an outpatient basis , that is, without the need for hospitalization. Local or general anesthesia can be used, depending on the type of intervention. The procedures and the postoperative period are practically painless and well tolerated. The recovery period after a periocular cosmetic surgery is short, about a week. The definitive results are observable after about 3 months. Meet the reconstructive and aesthetic plastic surgery team from Hospital da Luz network and book your consultation . The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.