Thanks to continuous research and numerous studies in the field of beauty, the evolution of aesthetic medicine makes it possible to treat almost all types of imperfections.

Sofia asked me how to improve the asymmetry of her gaze, presenting a sunken and asymmetrical right eye that resulted in a dull and unnatural gaze.

Through an aesthetic medicine treatment aimed at filling the upper eyelids with hyaluronic acid – and therefore without having to resort to surgery – today Sofia can finally boast a young and bright look, in line with her age and personality.

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

There are no absolute values to measure asymmetries and often a slightly asymmetrical face can be more characteristic than a perfectly symmetrical one.

However, when what is perceived as an imperfection by a patient impacts on her psychological well-being, or there are functional problems, it is possible to intervene both with surgery and with aesthetic treatments.

Each intervention for the resolution of eyelid asymmetries requires a careful pre-operative analysis of the individual patient, to guarantee a highly personalized approach that is inclined to the expectations and needs of each individual person.

Eyelid asymmetry is a way more common problem than one might think.

Raffaella came to us with a case that involved both eyes: on the one hand, a more open right, and on the other a more excavated left.

To harmonize her gaze, we opted for a blepharoplasty associated with a levator eyelid muscle correction, together with a lower eyelid lift that helped restore fullness to the periocular region.

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

When planning a corrective intervention for the resolution of a post blepharoplasty complication, it is necessary to follow a well-defined protocol.

There are four phases, from the evaluation of the defect to the actual intervention.

Sometimes an aggressive blepharoplastic surgery may alter the eye shape.

Simona presented a lowering of the margin of the eye (round eye) due to excessive removal of lower eyelid skin.

Thanks to a corrective and personalized surgery (malarlifting, canthoplasty, lipofilling) that left no scars, today Simona boasts a harmonious look that truly reflects her personality.

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

The percentage of people who report defects after a blepharoplasty is very low.

Though, when it happens, in some cases, this calls for a corrective surgery, with the aim of rearmonizing the characteristics of the face.

Every treatment is personalised following the patient’s need and with the aim of meeting the patient’s expetation as much as possible.

Blepharoplasty is the surgical procedure that improves the aesthetic appearance and functionality of the eyelid, during which the skin, muscle tissue and excess adipose tissue is removed and / or reshaped.
Post-operative complications can be observed in a small percentage of cases; some are transient and resolve without the need for further interventions (post-surgical hematomas, post-surgical ptosis), while others require surgical correction.
The need for surgical intervention is determined by an overcorrection of the initial defect, which leads to aesthetic dissatisfaction and functional disorders complained of by the patient.
One of the examples of post-operative complication is the Ectropion.

Surgery: correction of post blepharoplasty complications
Gaze area: eyelids
Recovery: short
Objective: ectropion correction and eyelid repositioning.

Every eye filler treatment must be preceded by a specialist visit.

This is because not all patients with bags under the eyes, dark circles and dark circles are good candidates for a hyaluronic acid filler treatment.

The gaze region, given its delicacy, can in fact, in some cases, present complications following injections with hyaluronic acid.

The most important complication of hyaluronic acid in the gaze region is the appearance of chronic swelling or edema in the lower eyelids.

The management of complications from hyaluronic acid-based fillers is represented by hyaluronidase, an antidote to hyaluronic acid.

Thanks to the personalized treatment with hyaluronidase, Laura can reopen and rebalance the eyes, removing that unnatural and tired look.

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.

Not all patients are excellent candidates for under eyes bags and dark circles treatment with a filler.

The oculoplastic surgeon, during the first visit, will analyze the quality of the skin, the density of the tissues and the potential deficits of the lymphatic drainage system.

Only in this way will it be possible to obtain important aesthetic results, minimizing complications.

Daphne came to us complaining of an unnatural swelling in the lower eyelid. When it comes to a weighed down gaze, we are probably dealing with eye bags.

Since this is a not too significant loss of volume, it was sufficient to intervene with an aesthetic treatment, using a hyaluronic acid-based filler.

The result is a rejuvenation of the eyes and face, following the proportions and ensuring naturalness and harmony of the appearance.

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

Not all patients are excellent candidates for eye bags treatment with a filler.

The oculoplastic surgeon, during the first visit, will analyze the quality of the skin, the density of the tissues and the potential deficits of the lymphatic drainage system.

It is important to remember that the surgical removal of bags (in combination with lipofilling of the face) remains an always valid option and, in consideration of the new minimally invasive techniques, not to be underestimated.

Carla complained of a dull look weighed down by consistent bags under her eyes. The extent of the volume loss required lipofilling.

Lipofilling – combined with a blepharoplasty – is able to restore fullness and turgidity to the face, and youthfulness to the look

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

What to do when the outer corner of the eye is not raised?

My personal technique does not involve increasing the volume of the cheekbone, but rather the restructuring – with fillers dedicated to the eyes – of the external orbital arch, the one that supports the outer corner of the eye!

The result is a rejuvenation of the eyes and face, respecting the proportions and ensuring naturalness and harmony.

Lucrezia turned to us complaining of a dull and sunken look, in contrast with the harmony of her face. The cause: a loss of volume in the lateral orbit.

The final effect of the intervention is an overall rejuvenation of the gaze and face, without altering the harmony of the face or distorting the general features.

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

What is the first thing we do to increase expressiveness?
One of the symbolic gestures of femininity: apply mascara, perhaps parting the lips.

But is focusing everything on your lashes really the right solution?

My point of view on the importance of taking care of one’s 360 ° gaze in the article by Alice Rosati, published vanityfairitalia on March 5, 2022.

We consider every woman a work of art, because beauty lies above all in the expressiveness of the gaze.

Each woman gaze is in fact unique and unparalleled, and our technique aims to enhance it and never distort it, because – just like any painting or sculpture – it is its singularity that makes it inestimable

The congenital defect of pediatric ptosis affects the functionality of the eyelid, which is therefore compromised. In the long run, the kid’s vision could be severely affected.

This particular pathology must be treated and corrected within 5 years of the child, to allow a correct development of sight.

It is important that the child is treated at a very young age by a specialist who takes care not only of the medical aspect but also of the psychological one.

Little Beatrice presented a congenital ptosis in the right eye causing problems in the visual field and consequently in posture.

Thanks to an operation performed by a team specializing in pediatric interventions, today Beatrice’s gaze is as harmonious and brilliant.

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

Pediatric eyelid ptosis refers to a condition in which one or both of a child’s upper eyelids are lower than their normal level.

Each patient, together with his parents, is directed and advised towards the most appropriate and cutting-edge surgical practices according to needs.

The child is followed by a highly specialized team for interventions on pediatric patients, which ensures maximum sensitivity and attention from the pre-operative phase to discharge.

Riccardo came to us complaining of an asymmetrical look, caused by a drooping eyelid which, moreover, affected the field of view of the right eye.

Thanks to the ptosis correction surgery, the normal position of the upper eyelids has been restored, with a benefit that is not only functional but also aesthetic.

The causes of eyelid ptosis are many and do not always depend on the age factor.

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.

Recent international studies have shown how many patients suffering from mild forms of eyelid ptosis were subjected exclusively to upper blepharoplasty with the result of having a look that is always dull.

The importance of identifying the drooping eyelid defect is fundamental in planning a combined upper blepharoplasty and simultaneous correction of the ptosis.

The intervention will be customized to maintain a natural appearance, to reflect the patient’s personality and the individuality of her image, to respect the needs expressed during the pre-operative interview.

Bruno presented a case of drooping eyelid, which covered the pupil in such a way as to block his field of vision, and gave him a dull, dull and asymmetrical look.

Thanks to the ptosis correction surgery, today Bruno’s gaze has completely changed, obtaining a balanced and harmonious EYFRAME

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

Not all patients are excellent candidates for hyaluronic acid treatment. Patients suffering from chronic eyelid edema or with laxity of orbicular ligaments are usually excluded from treatments with fillers.

In this case, during the first visit, the surgical technique of nano lipofilling will be proposed to eliminate or reduce dark circles and dark circles.