In dealing with a pediatric case, I never neglect the technical preparation of the whole team or the emotional component, and the impact that surgery can have on both my little patient and his family.

For this reason, it is important for me to create a serene environment where everyone involved feels comfortable.

The child lives the experience of the intervention with serenity, followed in every step by a team of great experience with pediatric users and professionalism.

The epiblefaron consists of a horizontal skin fold of lower eyelid tissue, which rotates the lashes inward by coming into contact with the cornea.

Congenital epiblepharon is more frequent in Asian populations and in most cases it resolves spontaneously.

When this doesn’t happen, surgery is necessary.

Malai had congenital epiblepharon which caused her a foreign body sensation, irritation and epiphora – excessive tearing.

In my experience, epiblefaron improves considerably in the first years of life.

For Malai it wasn’t like this and therefore it was necessary to rebuild the lower eyelid crease to correct the defect and restore serenity.

Results may vary from patient to patient
Malai is an actual patient of Dr. Graziani
.The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

Hyaluronic acid is essential for the maintenance of hydration, turgidity and elasticity of the skin, thanks to its ability to absorb and retain large amounts of water in the extracellular spaces.

Filomena had a tired look, also accentuated by the loss of tone of the skin of the face and lips.

Thanks to a customized fullface approach, using the latest generation of hyaluronic acid fillers, it has been possible to give Filomena a rested look without distorting the natural harmony of her face.

Results may vary from patient to patient
Filomena is an actual patient of Dr. Graziani
The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

When we look at a face, we often dwell, even involuntarily, on some details: the shape of the eyes and lips.

This has also been demonstrated by scientific studies performed with eyetracking cameras in which clear evidence of the attention that an observer gives in looking at a face has been demonstrated.

For this reason, in the analysis of harmonization of a face I never neglect two details, the eyes and lips.

New lower blepharoplasty techniques allow you to leave no visible scar.

As in the case of Samuel the repositioning of the lower eyelid fat towards the middle face, allows to obtain an effective and natural result of removal of bags.

Results may vary from patient to patient
Samuele is an actual patient of Dr. Graziani
The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

The fat of the eyelid bags can not be removed completely, but repositioned downwards, towards the middle face. In order to correct the defect of the tear groove and, at the same time, create a harmonious outline between the lower eyelid and cheek.

The repositioning of the lower eyelid fat is certainly my favorite technique to achieve a harmonious passage between the lower eyelid and the middle face.

From the aesthetic point of view this technique allows me to obtain natural and effective results both in men and women.

Today we tend to look for a beauty that allows us to keep a look always natural.

For this reason the most requested and used fillers are those based on hyaluronic acid, a substance that is already naturally found in our body and that can make significant improvements on certain imperfections.

Over the years, our “stocks” of hyaluronic acid decrease and fillers are an excellent solution to restore the volumes lost in certain areas where it is necessary.

The use of filler techniques allows to mitigate the unsightly emptying and darkening of the periocular region. The final effect is an overall rejuvenation of the eyes and face, without altering the harmony of the face or distorting the general features.

Aisha complained of a dull, depressed look that made her dissatisfied with her appearance.

Thanks to a targeted treatment, that is a filler based on hyaluronic acid injected into the area below the lower eyelid, dark circles are significantly reduced, giving Aisha a rejuvenated look and in line with her young age.

Results may vary from patient to patient
Aisha is an actual patient of Dr. Graziani
The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

Patients who want to eliminate or reduce dark circles without resorting to surgery turn to the oculoplastic surgeon because they complain of a face marked and aged by the presence of dark circles and loss of volume in the lower orbital arch.

The presence of dark circles, which cannot be masked with make-up, is a source of embarrassment.

The new minimally invasive filling techniques eliminate dark circles by rejuvenating the look in a natural way. Lost volumes are restored in accordance with the fabrics to achieve freshness and harmony in the results.

Often, in Italy, blepharocalasis is associated with dermatocalase or drooping eyelid. In reality, these are different pathologies, with different symptoms and appearance.

Blepharocalase is an episodic inflammation of the eyelids that very frequently tends to affect especially the upper eyelids; much rarer cases in which the lower eyelids are involved.

People with blepharocalase complain of episodic swelling of the eyelids. In most cases this condition does not cause pain although sometimes a rash may appear in the affected area.

The causes of blepharocalase often stem from the analysis of known cases. We can, say that almost always blepharocalase is a manifestation of an angioneurotic edema.

This is why we tend to think that hormonal changes and puberty may be the basis for the onset of this pathology and this also explains why the average age of activation is around 11 years old.

The problem can affect both men and women, but from known cases it has been found that so far the latter are the most affected.

The skin of the eyelids affected by blepharocalase is usually thinner and more wrinkled than usual, with an appearance similar to that of a “cigarette paper”. Often blepharocalase also determines: 1. eyelid ptosis; 2. rounding of the outer corner of the eye; 3. loss of support of the lower eyelid;

Riccardo presented a particularly important case of blepharocalase, on which drug therapies have not had any improving effect.

Only thanks to the combined surgical approach of ptosis, malar lifting and cantoplasty, it was possible to correct the important abnormalities of the eyelid tissues caused by blepharocalase.

Results may vary from patient to patient
Riccardo is an actual patient of Dr. Graziani
The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

It is not uncommon for a patient to arrive in my office with a precise idea of the surgery he wants to do, after having been informed through various sources, including authoritative ones.

However, as I often repeat, each case is unique, which is why it is important to trust and rely on the professional you choose to contact. Even if this means “upsetting” one’s expectations and preparing for a different protocol than what was thought.

Often, it is in fact necessary to intervene with more interventions and treatments, as in the case of this week. Contrary to what one might think, a more complex protocol can lead to more natural and long-lasting results.

It’s becoming increasingly clear that blepharoplasty surgery alone isn’t enough to give a fresher look to the whole face.

In Giovanna’s case, we can observe a loss of tonicity of the upper and lower eyelid tissues which gives her a tired and dull look.

An integrated approach of traditional blepharoplasty plus ptosis correction combined with a malar facelift, has made it possible to restore tone and volume to the area below the lower eyelid and to open the patient’s gaze.

Results may vary from patient to patient
Giovanna is an actual patient of Dr. Graziani
The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

Patients turn to the oculoplastic surgeon to correct and rejuvenate the main imperfections of the periocular region.

In the figure, however, we can observe all the areas on which a professional can intervene, often with treatments or interventions in combination that guarantee a homogeneous and natural result to harmonize full face.

An oculoplastic surgeon treats all areas of the face, each having different needs and approaches depending on the case studies: in the figure, it is possible to observe how they are divided in the study of the optimal protocol.

For me it’s important to have a full face overview, identifying customized protocols to make the result of an aesthetic treatment or surgery as effective as possible.

To treat malar edema, small injections are made underneath it, using an innovative technique that involves the use of a micro-cannula.

This technique allows to minimize the risk of bruising, resulting painless and does not leave scars.

For those who are not an optimal candidate, it is important to remember that the surgical treatment of malar edema remains an option that is always valid and not to be underestimated.

Facial aging often results in a loss of volume and sagging skin.

In Laura’s case, we can also observe a marked malar bursa in the lateral area of ​​the lower eyelid.

Thanks to the use of a filler based on deep hyaluronic acid, we have greatly improved the imperfection by restoring the right volumes of her face to Laura.

Results may vary from patient to patient
Laura is an actual patient of Dr. Graziani
The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

The correction of eyelid ptosis is undoubtedly one of the most advanced practices.

Those who decide to resort to eyelid ptosis surgery often do so not only to solve a problem that could compromise vision but also for an aesthetic issue.

More and more attention is paid to the eyes and what they are able to convey and this pushes many women, but also many men, to want to improve the appearance of the gaze region.

Rebecca had a major fall of her upper eyelids from birth. This forced her to adopt an incorrect posture to compensate for her reduced vision.

Thanks to a front suspension surgery, it was possible to restore the normal position of the upper eyelids, giving Rebecca the entire field of vision, as well as giving her a lively and brilliant look again.

Results may vary from patient to patient
                                                                                                          Rebecca is an actual patient of Dr. Graziani                                                                                                       
     The photos are used with the consent of the patient and copyrighted. Please do not reproduce.

In cases where the levator muscle of the eyelid is so deficient that it cannot be strengthened, I will be able to elevate the eyelid using the replacing action of the frontal muscle.

The suspension can take place with autologous (ie taken from the patient) or heterologous (ie synthetic) material.

The intervention has a variable duration depending on the complexity of the case; it tends to last from 45 minutes per hour and is performed under local anesthesia without pain.