The consultation for blepharoplasty with Dr. Stéphane Smarrito The consultation typically unfolds in several stages to fully understand the needs and expectations of the patient seeking eyelid surgery, and to propose the most suitable treatment. Here is a typical overview of how such a consultation unfolds:

1. Home and Initial Discussion:
   • The patient is greeted by Dr. SmarritoAn initial discussion helps to understand the reasons for the consultation, the expectations and the motivations for eyelid surgery.
   • Doctor Smarrito Specialist cosmetic surgeon asks questions about the patient's medical history, including medical and surgical history, allergies, and current treatments.
2. Clinical Examination:
   • Doctor Smarrito performs a thorough examination of the eyelids and surrounding structures. This examination allows for the assessment of excess skin, fat deposits, muscle tone, and any asymmetry.
   • Photographs can be taken to document the initial condition and serve as a basis for comparison after the intervention.
3. Explanation of the Procedure:
   • The doctor explains in detail the blepharoplasty procedure, including the different techniques available (upper blepharoplasty, lower blepharoplasty, transconjunctival blepharoplasty, etc.).
   • It describes the steps of the intervention, the expected results, and the possible complications and associated risks.
4. Personalized Treatment Plan:
   • Depending on the patient's specific needs and the results of the clinical examination, Dr. Smarrito offers a personalized treatment plan.
   • The patient receives information on the necessary pre-operative preparations and the post-operative care to be expected.
5. Questions and answers :
   • The patient has the opportunity to ask all their questions and clarify their doubts.
   • Doctor Smarrito ensures that the patient is well informed and comfortable with the decision to proceed with surgery.
6. Quotation and Decision-Making:
   • A detailed quote is provided, including the costs of the consultation, the surgical procedure, and post-operative care.
   • The patient can then make an informed decision regarding the continuation of treatment.

The consultation is therefore a crucial step to ensure the safety, comfort and satisfaction of the patient in preparation for blepharoplasty.

Laser blepharoplasty with Dr. Stéphane Smarrito The procedure unfolds in several well-defined stages, designed to ensure patient safety and optimize outcomes. Here is a detailed overview of the typical procedure:

1. Preoperative Consultation:

• Medical evaluation: Doctor Smarrito performs a comprehensive assessment of the patient's overall health, taking into account medical history and specific expectations.
• Eyelid examination: A detailed examination of the eyelids and surrounding facial structures is performed to determine the areas requiring intervention.
• Discussion on the procedure: The doctor explains in detail the technique of laser blepharoplasty, its advantages over traditional methods, as well as the potential risks and expected results.

2. Preparation for Surgery:

• Pre-operative instructions: The patient receives specific instructions to follow before surgery, such as stopping certain medications, fasting before the procedure, and precautions to take.
• Sedation and local anesthesia: On the day of surgery, local anesthesia is administered to numb the eyelid area, possibly accompanied by light sedation to ensure patient comfort.

3. Surgical Intervention:

• Marking: Doctor Smarrito carefully mark the areas to be treated to guide the intervention.
• Use of the laser: The CO2 laser is used to make precise incisions on the eyelids. The laser helps minimize bleeding and optimize healing.
  • Upper eyelids: Excess skin and fat are removed through incisions made in the natural folds of the eyelids.
  • Lower eyelids: Incisions can be made either just below the eyelashes or inside the eyelid (transconjunctival approach) to remove or redistribute fat and tighten the skin.
• Closure of incisions: The incisions are closed with fine sutures or left open to heal naturally depending on the technique used.

4. Immediate Post-Operative Care:

• Immediate care: After the procedure, cold compresses are applied to reduce swelling and bruising.
• Recovery instructions: The patient receives detailed instructions on home care, including the application of antibiotic ointments and the use of eye drops to prevent infection and promote healing.

5. Recovery and Follow-up:

• First few days: The patient should rest and avoid strenuous activity. It is advisable to keep the head elevated and apply cold compresses regularly.
• Suture removal: If sutures were used, they are removed after approximately 5 to 7 days.
• Follow-up visits: Several follow-up visits are scheduled to monitor healing and ensure there are no complications.
• Resumption of activities: Most patients can resume normal activities after about 10 to 14 days, but should avoid strenuous physical exercise for a few more weeks.

6. Long-Term Results:

• Complete healing: Complete healing can take several months, with scars gradually fading.
• Final results: The final results of laser blepharoplasty are usually visible after a few weeks to a few months, with a more youthful and rested appearance of the eyelids.

Doctor Stéphane Smarrito ensures that each patient receives personalized follow-up tailored to their specific needs to guarantee the best possible results.

Blepharoplasty, or cosmetic eyelid surgery, can be divided into two main types: upper blepharoplasty and lower blepharoplasty. Each addresses specific problems of the upper and lower eyelids, respectively. Here are the main differences between these two types of blepharoplasty:

Upper Blepharoplasty

Goal :

• Upper blepharoplasty aims to correct excess skin, skin laxity, and sometimes fat deposits in the upper eyelids.

indications:

• Drooping eyelids (ptosis) which can lead to a tired appearance and, in some cases, impair vision.
• Excess skin that creates an extra fold and can affect the aesthetic appearance.
• Functional problems related to the heaviness of the upper eyelids, such as difficulty applying makeup or obstructed vision.

procedure:

• An incision is made in the natural crease of the upper eyelid, allowing excess skin, muscle, and fat to be removed.
• The incisions are carefully closed with fine sutures to minimize visible scarring.

results:

• A more open and youthful appearance to the eyes.
• Improvement of visual function if excess skin obstructed vision.

Lower Blepharoplasty

Goal :

• Lower blepharoplasty aims to correct under-eye bags, dark circles, and excess skin in the lower eyelids.

indications:

• Fat pockets under the eyes, giving a puffy or swollen appearance.
• Excess skin that can lead to wrinkles or sagging skin.
• Dark circles under the eyes, often caused by shadows or prominent fat deposits.

procedure:

• There are several techniques for lower blepharoplasty:
  • Transconjunctival incision: The incision is made inside the lower eyelid, allowing fat to be removed or redistributed without a visible scar.
  • Subciliary incision: The incision is made just below the eyelashes, allowing for the removal of excess skin and fat. This technique can also be used for skin tightening.

results:

• Reduction of puffiness and dark circles under the eyes.
• Improves the smooth and taut appearance of the skin under the eyes.

Common Points and Key Differences

• Incisions and scars:
  • Upper blepharoplasty uses incisions in the natural crease of the eyelid, while lower blepharoplasty may use internal (transconjunctival) incisions or just under the eyelashes.
• Target areas:
  • Upper blepharoplasty focuses on the upper eyelids, often for both aesthetic and functional reasons.
  • Lower blepharoplasty targets the lower eyelids primarily for aesthetic reasons, eliminating bags and smoothing the skin.
• Complexity and recovery:
  • Both types of blepharoplasty have similar recovery times, although lower blepharoplasty may sometimes require a little longer due to the delicate nature of the treated area and the techniques used.

In short, the choice between upper or lower blepharoplasty depends on the patient's specific needs and the characteristics of the excess skin or fat around the eyes. A consultation with an experienced plastic surgeon, such as Dr. Stéphane Smarritowill help determine the most appropriate procedure to achieve the desired aesthetic and functional goals.

Blepharoplasty, or eyelid surgery, is a permanent procedure. In fact, in most cases, it is not necessary to have a repeat blepharoplasty later on.

In comparison, facelifts require re-interventions, on average every 5 years for a mini facelift and every 10 years for a full facelift.

On the other hand, blepharoplasty, most often performed either from the age of 20, for familial lower eyelid bags, or in one's forties, for lower bags or excess skin on the upper eyelid, will not be reoperated on a few years later.

In a few rare cases or when surgery, for example of the upper eyelids, was carried out at a young age, additional surgery may be carried out a few years later if there is skin laxity due to aging.

The doctor. Smarrito He is accredited throughout the canton of Vaud. He regularly consults at the RivieraClinic in Lausanne, of which he is the director and medical founder. He also has a surgical practice at Quai Perdonnet 3 in Vevey, where he performs most of his blepharoplasty procedures.

Furthermore, for more complex surgery requiring general anesthesia, he may suggest having the procedure done at upscale clinics in Lausanne, such as Clinique La Prairie in Clarens or Clinique Montchoisi in Lausanne. The type of anesthesia and the cost will depend on the location of the procedure.

The doctor. Smarrito During the consultation, they will analyze not only your upper eyelid but also your lower eyelid.  

As well as the overall appearance and dynamics of the gaze. During his hospital training, he was also trained in functional eyelid surgery, such as ptosis correction.

Thus, after the functional analysis and careful listening to your aesthetic requests, he will propose a surgical action plan to improve the look which can effectively target either only the skin of the upper eyelid or fat pockets of the upper or lower eyelid, as well as a complete reshaping of the look, i.e. hollows, excess skin and fat pockets.

Recovery after blepharoplasty involves several important steps to ensure optimal recovery and minimize complications. Here are the main stages of recovery:

1. Immediately after the procedure:

   • Monitoring in the recovery room: After the operation, the patient is monitored in the recovery room until they are alert enough to go home. Surgery is often performed on an outpatient basis.
   • Application of cold compresses: To reduce swelling and bruising, cold compresses are applied to the eyes.

2. First few days after the operation:

   • Rest : It is essential to rest and avoid strenuous physical activity. The head should be kept elevated, even while sleeping, to help reduce swelling.
   • Incision care: The incisions must be kept clean and dry. Antibiotic or lubricating ointments may be applied as recommended by the surgeon.
   • Pain and discomfort: Mild pain and discomfort are normal and can be managed with painkillers prescribed by the doctor.

3. First week:

   • Suture removal: The sutures (if they are not absorbable) are usually removed 5 to 7 days after the procedure.
   • Medical monitoring : A follow-up visit with the surgeon is scheduled to check the healing and ensure there are no complications.

4. Second week:

   • Reduction of bruising and swelling: Bruising and swelling begin to decrease significantly. Most patients can resume light activities.
   • Wearing sunglasses: It is advisable to wear sunglasses to protect the eyes from direct light and irritants.

5. First month:

   • Resumption of normal activities: Most patients can resume their normal activities, including work, approximately 10 to 14 days after surgery. However, strenuous physical activity should be avoided for at least 3 to 4 weeks.
   • Avoid eye makeup: Eye makeup should be avoided until the incisions are completely healed, usually after about 2 weeks.

6. Long-term monitoring:

   • Complete healing: Complete healing of the incisions can take several months. The scars become less and less visible over time.
   • Regular follow-up visits: Regular follow-up visits with the surgeon allow monitoring of healing progress and addressing any questions or concerns.

It is important to strictly follow the surgeon's post-operative recommendations to optimize the results of blepharoplasty and minimize the risk of complications.

Resuming sports activities after blepharoplasty should be done gradually and in accordance with the surgeon's instructions to avoid any complications. Here are the typical steps and recommendations for a safe return to sports activities after blepharoplasty:

1. First Week:

• Total rest: The first few days after the operation are crucial for initial healing. Rest and avoidance of physical activity are recommended.
• Light activities: Walking slowly is permitted, but bending over, lifting heavy objects, or any activity that could increase blood pressure in the head and eye area should be avoided.

2. Second Week:

• Gradual resumption: Light activities can be gradually reintroduced. Gentle activities such as walking can be resumed, but any activity that could cause jolts or impacts to the face should be avoided.
• Avoid strenuous activity: Intense cardiovascular exercises, weight training sessions, and contact sports should be avoided.

3. Third to Fourth Week:

• Gradual increase in activity: If the healing process progresses well and according to the surgeon's recommendations, more moderate activities can be reintroduced. This may include stationary cycling, gentle yoga, or low-intensity exercises.
• Beware of sudden movements: Avoid sudden movements and activities where there is a risk of blows or pressure to the eyes.

4. After one month:

• Resumption of normal activities: Most patients can resume most of their normal sporting activities approximately one month after the operation, depending on their individual progress and specific advice from their surgeon.
• Ongoing monitoring: Continue to monitor for any unusual reactions or excessive pain. If in doubt, consult the surgeon.

5. Two to Three Months:

• Full resumption: In general, patients can resume all types of sporting activities after two to three months, including contact sports, intense exercise, and activities requiring significant physical exertion.
• Follow-up visit: It is important to attend scheduled follow-up visits to ensure that healing is complete and that there are no delayed complications.

General Tips:

• Listen to your body: Each patient recovers at a different rate. It is essential to listen to your body and not push yourself.
• Protect your eyes: Wear protective eyewear or sunglasses to protect your eyes from irritants and potential impacts during sports activities.
• Hydration and nutrition: Maintain good hydration and a balanced diet to promote healing.

By following these steps and respecting Dr.'s instructions Stéphane Smarrito, you can ensure a safe and effective resumption of your sporting activities after blepharoplasty.