To relax the upper part of the face, you can use the botulinum toxin, which allows to achieve a natural softening of the wrinkles of the forehead (the thinker wrinkles and horizontal lines). The products used are of high quality, supported by scientific studies and proven results.

The sagging of the gaze area and volume loss and fat are often associated with the aging process of the face of a man. To restore volume and give back a youth and dynamic appearance to the face, can be used fillers to correct lines or static wrinkles and reduce dark circles, in order to have a more relaxed and cool appearance. Skin hydration around the eyes and face (PRP: platelet rich plasma) allows the skin to regain tone, firmness and radiance without surgery, preserving a natural look.

WHAT AREAS TREATED?

WHAT ARE THE MOST TREATMENTS CHOSEN BY MEN?

Eyebrow Lifting: is the cosmetic surgery procedure that allows to raise the outer part of the eyebrow and stretch the skin at the level of the temples as well as the eyelid skin. The shape and the right eyebrow position play an essential role not only in the aesthetics of the eyelids, but for entire face.

Blepharoplasty: certain men seems to be constantly tired due to heavy and sagging upper eyelids. Blepharoplasty makes it possible to find a youth and fresh look, without changing the shape of the eye. Each operations is customized for every single patient.

Bags under the eyes: it consists of excess of fat under the eyes that weighs down the look and make the face more old. Thanks to surgery (lower blepharoplasty), the patient finds a fresh look, younger and more restored appearance. The lower conjunctival blepharoplasty leaves no visible external scar. The surgery involves the removal of the excess fat present in the lower eyelid (commonly called ‘bags under the eyes’) through an incision in the conjunctiva, inside the eyelid. This technique ensures a complete removal of fat through a completely invisible scar hidden in the inside part of the eyelid.

Lipofilling Microlipofilling: the first symptom of an aging face is the progressive loss of volumes (fat deflation under the eyelid skin). Lipofilling consists in removing fat from a donor area (suction of adipose tissue from the patient’s abdomen, inner thigh or hip), extract the stem cells and adipose cells through the technique of centrifugation or filtration, and  re- injection in the areas that presents a sunken appearance (usually it comes to some areas around the eyelids and mid-face). Recovering the volumes at strategic points of the face and in the area of the eyes, creates a natural rejuvenation effect!

Mini facelift or neck lifting: is the most effective intervention for the treatment of excess sagging skin and subcutaneous tissues of the face and neck. The operation makes it possible to obtain an overall rejuvenation of the face without distorting the facial features and respecting the proportions.

These treatments can be combined with aesthetic treatments to further optimize the result.

WHY REFER TO AN OCULOPLASTIC SURGEON?

The oculoplastic surgeon or oculofacial is a surgeon who after completing his specialization in ophthalmology, has faced a selective course of ‘Advanced Specialisation’ in plastic surgery, reconstructive and aesthetic surgery, the area of the eye and face. As a specialist of the eye area, the oculoplastic surgeon remains a figure of reference in the harmonization of the gaze and face.

FEELING GOOD.

In today’s world we live in an ultra competitive environment, consisting of physical and psychological pressure. Feel good physically and emotionally makes most confident man ready to face the external elements with greater concentration.
There are different types of medical and surgical techniques, all customized, to restore youth to man.

The treatments choice is always determined with the patient with the advice of Oculoplastic, respecting the physical features of the individual

L'articolo Aesthetic treatments for men sembra essere il primo su Oculoplastica Dr. Carlo Graziani.

WHAT ARE THE SOCKED EYES?

When it comes to sunken eyes, the cause can be identified in the upper eyelid which does not have the proper support provided by the fatty tissue. In much less quantity than an ideal condition, the lack of fat deprives the upper eyelid of the volumes necessary for the overall harmony of the face.

The result is an aging look that never reflects the patient’s true state of mind.

Patients turn to the oculoplastic surgeon:

• Because they complain of a tired, depressed and aged look due to sunken eyes.
• Because they find it difficult to camouflage the sunken eye with make-up
• Because a slightly harmonic upper eyelid generates social discomfort and embarrassment in them.
• Because they no longer recognize each other by looking in the mirror and in the photos, where they do not find the desired look.

“Each patient will be directed and advised towards the most appropriate and cutting-edge aesthetic medicine practices, according to the most updated guidelines of the international surgical associations.”

WHAT ARE THE MOST COMMON CAUSES OF SOCKED EYES:

Among the most common causes of sunken eyes, we find:

• Genetic predisposition
• Dehydration
• Weight loss
• Facial trauma with orbital fracture
• Enophthalmos
• Aging

WHAT IS AESTHETIC MEDICINE TREATMENT FOR CORRECTION OF SOCKED EYES?

To treat sunken eyes, small injections are performed on the upper eyelids, using an innovative technique that involves the use of a micro-cannula, in order to minimize the risk of hematomas and pain.

The new tool of flexible microcannulas allows to considerably reduce the number of injections necessary for the treatment: once introduced under the skin, the flexible microcannulas can be directed and allow, thanks to a targeted distribution of the product, to sculpt the volumes of the upper eyelid with extreme precision.

Discomfort during facial treatment is minimal and post-treatment swelling and bruising are also reduced. The treatment is carried out in the clinic and lasts 30-40 minutes. The surgeon practices a few entry holes on the upper eyelid with the needle and then inserts the microcannulas.

The soft material and the rounded tip of the flexible cannulas are delicate on fabrics and capillaries, avoiding trauma. After the facial treatment, you can immediately resume your activities.

This new technique brings numerous advantages:

• allows to practice few injections;
• discomfort in the face during treatment is reduced to a minimum;
• already after treatment it is possible to return to normal daily life.

The final effect is an important rejuvenation of the upper eyelids and face, which does not upset the general features.

“The chosen treatment is individualized and personalized, in order to respect the patient’s expectations, the harmony of the look and the proportions of the entire face.”

WHAT ARE THE RESULTS OF AESTHETIC MEDICINE TO ELIMINATE THIS EYE PROBLEM?

The surgery is able to give balanced shape and proportions to the upper eyelid, which in this way will find its harmony with the rest of the face.

The result is a rejuvenation of the look and face, respecting the proportions and ensuring naturalness and harmony of the look. The tired and prematurely senile aspect is corrected, and the patient regains a young and vital look.

Many patients report greater ease in putting makeup on the eye area following treatment.

On this page you can browse the photo gallery of my other cases : Before/After Upper Eyelid Filler Photos

L'articolo Sunken eyes sembra essere il primo su Oculoplastica Dr. Carlo Graziani.

WHAT ARE EYE CIRCLES?

When we talk about eye circles (or dark circles) we commonly refer to a periorbital darkening, which, like a violet shadow surrounds the eye.

The delicate area around the eye contour is one of the first to reveal the signs of aging, and the eye circles may appear in genetically predisposed young women, marking their face prematurely

They appear for two reasons: because the skin is so fine as to show the orbicular muscle through as well as its vascular trama (or plot), or because the skin of that particular area is subject to hyperpigmentation.

Patients turn to an oculoplasty surgeon:

• Because they feel their face is marked and aged by the eye circles.
• Because the gaze which is not lively and depressed does not represent their personality, and that causes their frustration and dissatisfaction with their appearance.
• Because the presence of eye circles which are impossible to cover with the makeup is a source of embarrassment and is limiting in their social life.

Each patient will be guided and advised on the most appropriate and advanced surgical practices, according to the latest guidelines of international surgical associations

WHAT DOES THE EYE CIRCLES AESTHETIC TREATMENTS CONSIST OF?

The new approach to correct this defect and rejuvenating in a natural way the gaze is represented by the mini-invasive techniques of filling which restore the lost volumes, respecting the tissues and guaranteeing natural and harmonious results.

• A filling substance is injected through a microcannula in the zone around the eyes: consequently, the natural volume and tightness typical of a young face will be obtained.
• For that purpose, resorbable filling substances (RADIESSE®: Hydroxylapatite of calcium, REDENSITY II®: hyaluronic acid specific for eyelids) which give visible, long term results and which allow getting back to professional life in a short time.

The chosen treatment is personalised and will take into account each patient’s individuality, respecting his/her expectations, the harmony of the gaze and the proportions of the entire face

WHAT CAN I EXPECT? WHAT ARE THE RESULTS OF THE EYE CIRCLES OPERATION?

The procedure will be personalised to maintain the natural look, reflect patient’s personality and the individuality of his/her image; also to respect the needs expressed during the preliminary consultation. The concern of seeing one’s own face distorted and ‘not being able to recognise oneself’ is one of the primary considerations faced together with the patient

Filling techniques allows for attenuating the aesthetically unpleasant hollowness and darkening of the area around the eyes. The final result is an overall rejuvenation of the gaze and face, without altering the harmony of the face nor distorting the general features.

On this page you can browse the photo gallery of my other cases: Before/After Eye Circles Filler Photos

L'articolo Eye circles – Dark circles sembra essere il primo su Oculoplastica Dr. Carlo Graziani.

WHAT ARE EYE BAGS?

When we speak about the eye bags, we mean the presence of adipose or fat tissue protruding out of its natural seat. It is kept in its position by the eye socket septum and by the orbicular muscle, but the loss of muscle tone of those structures causes the protrusion of the fat and appearance of the bags under eyes.

The result is an unnatural puffiness, more often of the lower eyelids, which makes the gaze heavier and the face look older.

The patients turn to an oculoplasty surgeon:

• Because they complain about a tired look, aged and depressed due to the eye bags.
• Because the presence of the adipose bags makes them feel uncomfortable and embarrassed when with other people.
• Because they don’t recognize themselves anymore looking in the mirror and at the pictures, where they don’t find their personality and desired look.

Each patient will be guided and advised on the most suitable and cutting-edge surgical treatments, based on the most updated guidelines of the international surgical associations

WHAT DOES THE EYE BAGS SURGERY CONSIST OF?

To treat the eyelid bags, the small injections are practiced to below them, by means of an innovative technique that involves the use of a micro-cannula, so as to minimize the risk of hematoma and pain.

The mini-invasive non-surgical treatments with fillers (RADIESSE®: Calcium Hydroxyapatite, REDENSITY II®: a specific hyaluronic acid for eyelids) attenuate the insightly bags under the eyes. The filling of the tissues below the eyes reduces the visibility of the bags because it determines a gradual transition between the lower eyelid and the cheekbone.

The chosen treatment is personalized so to respect the patient’s expectations, the harmony of the gaze and the proportions of the entire face

WHAT CAN I EXPECT? WHAT ARE THE RESULTS OF THE EYE BAGS SURGERY?

The aesthetic treatments is able to significantly reduce the eye bags.

The result is a rejuvenation of the gaze and face, preserving the proportions and guaranteeing natural and harmonious look. The tired and prematurely senile look is corrected, and the patient finds his young and lively expression.

On this page you can browse the photo gallery of my other cases: Before/After Eye Bags Filler Photos

L'articolo Eye bags – Bags under eyes sembra essere il primo su Oculoplastica Dr. Carlo Graziani.

Fillers are so successful because painlessly, quickly and without limiting their work or social activities, they allow us to improve significantly, eliminating the sad and tired aspect of our face.

THE PRE-TREATMENT SPECIALIST VISIT: THE FIRST STEP TO NOT HAVE COMPLICATIONS FROM FILLER

The innovations in aesthetic medicine allow those who are not inclined to surgery to make aesthetic improvements to the eyelids and the face as a whole by using the latest generation of fillers.

One of the substances most used in injectable fillers is hyaluronic acid. Hyaluronic acid is in itself very well tolerated by our body because it is a natural substance already present in the human body and is also a powerful cutaneous energy that is injected in the form of a gel to give a filling and / or bio-revitalizing effect.

We strongly believe that every filler treatment in the region of the eye must be preceded by a specialist visit, during which the oculoplastic surgeon will analyze the type and severity of the defect, the quality of the skin, the density of the tissues and the potential deficits of the lymphatic drainage system. This is because not all patients who have bags under the eyes, dark circles and dark circles are excellent candidates for a filler treatment with hyaluronic acid.

Filler complications are rare. It is normal to find after a filler treatment:

• Mild redness of the skin
• Slight discomfort in the treated area (including itching or small reduction in sensitivity due to the use of local anesthetics)
• Small localized and transient swellings

“In my personal experience, most medium- and long-term complications from filers occur in the eye area.”

What makes the eye region so delicate and frail?

• The eyelid skin, only 0.04mm thick, is among the thinnest of all the skin surface of the body
• The area of ​​the gaze has a peculiar lymphatic drainage system that must be respected during the treatment

This is why it is important to inject the right products (safe and specific for the eyes), with the right technique (not too superficial) and by an expert doctor specialized in the eye area,

Below you will find some examples of products currently available on the market that can be used in the gaze regions:

• Redensity II by Teoxane, with dual filling and revitalizing effect.
• Volbella by Allergan, which is the ideal solution to redefine small expression lines around the eyes.
• Radiesse® which is a biocompatible and resorbable substance that stimulates collagen production.
• Skinbooster that has the aim of progressively and lastingly improving the quality of the skin.

THE MOST FEARED FILLER COMPLICANCE: SWELLING AND CHRONIC BAGS

The most important complication, from hyaluronic acid in the region of the eye, is the appearance of a swelling or chronic edema (which does not improve over time) at the level of the lower eyelids.

This highly unsightly complication can also occur months or years after treatment.

HOW TO SOLVE COMPLICATIONS FROM FILLER

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

In my experience this treatment has proven to be safe and effective as well as an excellent ally in the aesthetic re-harmonization of eyes and face.

On this page you can browse the photo gallery of my other cases: Before/After Resolution Of Complication From Fillers Photos

IS IT TRUE THAT HYALURONIDASE “EATS” OUR HYALURONIC ACID ALSO? AFTER THE HYALURONIDASE, WHEN CAN I AGREE TO THE EYE FILLER AGAIN?

These are two questions that I often have to answer in my daily oculoplasty practice. In my experience it has never happened to me that hyaluronidase “also ate our hyaluronic acid”.

L'articolo Complication from filler – Hyaluronidase resolution sembra essere il primo su Oculoplastica Dr. Carlo Graziani.

WHAT IS FILLER?

PERSONAL BEAUTY

The perception of beauty varies over time: it can change depending on the age or the time in which we live. Today we tend to search for a beauty that maintains a natural appearance to reflect one’s own personality and individuality. Each Filler treatment is personalised to meet the needs of the individual patient.

The injectable fillers are minimally invasive substances used in aesthetic medicine to settle treat facial wrinkles (nose-genieni furrows or ‘marionette’ lines perilabial wrinkles) and to restore to facial areas volume, fullness and firmness that may have been lost (cheekbones, lips , dark circles).

Commonly used fillers are ialuronic acids essential for the maintenance of hydration, firmness and plasticity of the skin, due to their ability to absorb and retain large quantities of water in the extracellular spaces.
The concentration of hyaluronic acid and collagen in the dermis tends to decrease with advancing age.

CAN I HAVE TREATMENT WITH FILLER?

Treatment with fillers is recommended in the following cases:

• To fill lines or static wrinkles in the face: the nasolabial wrinkles, area around the eyes (“crow’s feet”) or lips (“barcode”).
• To soften the lines and signs of prolonged exposure to the sun (photoageing).
• To reduce dark circles.
• To restore volume to the cheekbone area.
• To give fullness and hydration to the lips.
• To minimise the bumps and irregularities of adolescent (acne) and scars.
• To soften the neck and décolleté wrinkles

The injection of fillers can be performed in combination with other treatments, surgical or not, such as peeling, face lifting, blepharoplasty, infiltration of botox and laser treatments.

WHY CHOOSE THE OCULOPLASTIC SURGEON?

Oculoplastic surgeons are eye doctors who are specialised in eyelid and facial plastic surgery.
During the visit, the oculoplastic surgeon will examine the patient’s skin, the type of wrinkles (static or dynamic), their depth and position and any other aesthetic problems on the entire face.
The surgeon will discuss the expectations of the patient and evaluate what would be the results of treatment and if necessary suggest alternative or complementary operations.

Each patient will be advised and the most appropriate and new techniques will be recommended, according to the latest guidelines issued by international professional associations

WHAT DOES THE TREATMENT WITH FILLER CONSIST OF?

FAST AND INNOVATIVE TREATMENT

The treatment is fast, effective and almost painless. The treated area is injected with the substance chosen by micro cannula, a minimally invasive procedure which does not traumatise the tissue, reducing incidence of post treatment hematoma and bruising. It leaves no visible signs and allows a quick recovery. The products used are of the highest quality, supported by scientific studies and results.

WHAT CAN I EXPECT? WHAT ARE THE FILLER RESULTS?

Restoring facial volume has a fundamental role in the natural eyelid and face rejuvenation process. A fresh and young face looks full, swollen and hydrated and has a compact and tight skin. The proper use of fillers allows you to get an effective facial rejuvenation without altering the face proportions and retaining balance and expression.

• After injection, the effect of filling and wrinkle reduction is immediately clearly visible and noticeable.
• The duration of the effect varies from individual to individual, depending on the type of preparation used and on the individuals reaction to the treatment. On average, a hyaluronic acid filler lasts between 6 to 12 months.
• You can repeat the treatment periodically to maintain the benefits achieved by the previous injections.
• The treated area looks plump, soft and youthful and results in a fresh and lively appearance.

On this page you can browse the photo gallery of my other cases: Before/After Full Face Filler Photos

L'articolo Filler – Hyaluronic acid sembra essere il primo su Oculoplastica Dr. Carlo Graziani.

BOTULINUM TOXIN (BOTOX)

PERSONAL BEAUTY

The perception of beauty varies over time: it can change depending on the age or the time in which we live. Today we tend to search for a beauty that maintains a natural appearance to reflect one’s own personality and individuality. Each treatment with Botox is personalised to meet the needs of the individual patient.

BOTOX: A QUICK AND SAFE TREATMENT WITH A NATURAL RESULT

Eyes are the most prominent and communicative facial element. A tired and sad look can age the entire face. Today, the treatment with botulinum toxin makes it possible, if carried out by expert hands, not only to remove the tired and neurotic features of facial expression, but also to maintain a natural and fresh look.The effects of the treatment last for about 4-5 months: two or three treatments per year give a fresh and natural look to the entire face.

The products used are only of the highest quality and are supported by scientific studies and proven results. In Italy there are three commercial types of botulinum toxin that are approved for aesthetic purposes, namely Vistabex, Azzalure and Bocouture; all of them are equally effective and have long-lasting effects.

WHY CHOOSE THE OCULOPLASTIC SURGEON?

Oculoplastic surgeons are eye doctors who are specialised in eyelid and facial plastic surgery. During the visit, the oculoplastic surgeon will examine the patient’s skin, the type of wrinkles (static or dynamic), their depth and position and any other aesthetic problems on the entire face.
Patients are examined with their face with and without facial expressions (static and dynamic phase).
The oculoplastic surgeons will interview the patient in order to find out their expectations and to determine whether the results of Botox injections are going to be appropriate. If need be, alternatives or additional interventions are suggested.

Each patient will be advised and recommended the most appropriate and new techniques, according to the latest guidelines of the international professional associations

The oculoplastic surgeon uses the botulinum toxin in the treatment of certain diseases of the eye and eyelid, both in children and adults (strabismus, corneal ulcers, blepharospasm, facial asymmetry). Botox is also used to treat excessive sweating in the armpit, hands or feet, with a significant reduction of hyperhidrosis.

WHAT DOES THE BOTOX TREATMENT CONSIST OF?

• The patient is asked to contract the muscles of the area to be treated, in order to determine the correct position for the injections.
• The effect increases in the first few days, and it reaches its maximum in the first two weeks.
• The effects of the treatment last around 4-5 months.
• It is recommended to repeat treatment to maintain the benefits.

WHAT SHOULD I EXPECT? WHAT ARE THE RESULTS AFTER BOTOX?

The operation will be personalised in order to preserve a natural look, to reflect the patient’s personality and the individuality of his/her image, as well as to respect the needs expressed to the surgeon during the pre-surgical interview. The concern over seeing one’s look distorted and ‘not being able to recognise oneself’ is one of the main issue I discuss with the patient

Within a few days, expression wrinkles will straighten out, and furrows on the forehead and around the eyes will be visibly reduced.
Patients will lose their frowning, angry and sad look: the treatment will give a fresh, rested and relaxed gaze, whilst maintaining the naturalness and expressiveness of the face.

L'articolo Botulinum toxin (Botox) sembra essere il primo su Oculoplastica Dr. Carlo Graziani.