Clinical Case #8058-1
(Before and after)

Before and after photos of Blepharoplasty

Image 1: Before and after facelift with fat grafting, upper and lower blepharoplasty (front) and fractionated C02 laser.

Image 2: Side view of facelift with fat grafting, upper and lower blepharoplasty and fractionated C02 laser (left side)

Image 3: Side view of facelift with fat grafting, upper and lower blepharoplasty and fractionated C02 laser (left side)

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Description Clinical Case

The patient is a 55-year-old woman who felt discouraged when she looked in the mirror due to her sagging face and the appearance of constant tiredness.

She underwent a neck and face lift with fat grafting and upper and lower blepharoplasty (eyelid surgery). After the surgery, she underwent a Fractional CO2 Laser session to achieve a more rejuvenated appearance (attenuate spots and fine wrinkles on the face). The aim of this surgery and facial rejuvenation treatment was to improve the appearance of the face, to achieve a bright, rejuvenated but natural look.

As well as removing excess skin on the eyelids and face, deeper structures of the face (muscles) that sag as part of the natural ageing process were also repositioned.

The incisions were made in front of and behind the ear (facelift) and in the natural folds of the eyes (blepharoplasty). The scars are still noticeable, but with time they become thinner and more discreet.

These before and after photos are taken four months apart.

Facial rejuvenation surgeries last between 3 and 6 hours and are most often performed under local anaesthetic and sedation. The recovery period varies from one week to 15 days. They are not particularly painful procedures, but you can expect significant discomfort and oedema (especially in the first few days) and some bruising, which quickly subsides.

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About the doctor
Dr Luísa Magalhães Ramos / Plastic Surgery

DOCTORS' ASSOCIATION: registration no. 42810, specialising in Reconstructive and Aesthetic Plastic Surgery.

Graduated from the Faculty of Medicine of the University of Porto, specialising in Plastic, Reconstructive and Aesthetic Surgery, He specialised in University Hospital Centre Lisboa Central - St Joseph's Hospital.

Throughout his training, he sub-specialised in the area of Aesthetic Plastic Surgery, He has worked in world-renowned centres. At the same time, he also worked on breast reconstruction and the reconstruction of facial malformations.

She is currently working mainly on Aesthetic Plastic Surgery of the Face (eyelids, nose and cervical-facial lift), Breast Surgery and Female Genital Surgery.

About the doctor
Dr Alice Varanda Pereira / Plastic Surgery

DOCTORS' ASSOCIATION: registration no. 47051, specialist in Reconstructive and Aesthetic Plastic Surgery and Subspecialist in Aesthetic and Cosmetic Medicine.

Graduated by Lisbon Medical School, It was at this institution that she took her Master's degree in Human Sexuality and is currently working on her PhD.

She has been a member of the faculty's teaching staff since 2008, as Assistant Professor at the Institute of Anatomy. It is in this unit that she produces most of her research projects, essentially in the area of surgical anatomy, and she is also the supervisor of master's theses.

About the doctor
Dr Mariana da Rocha Martins/ Plastic Surgery

DOCTORS' ASSOCIATION: registration no. 55124, specialising in Reconstructive and Aesthetic Plastic Surgery.

He graduated from Abel Salazar Institute of Biomedical Sciences at the University of Porto and completed his speciality in Plastic, Reconstructive and Aesthetic Surgery at the University Hospital Centre Lisboa Central - St Joseph's Hospital.

During her specific training in Plastic Surgery, she worked at internationally renowned institutions such as the Kaplan Institute (Barcelona), in La Clinic (Montreux) and Great Ormond Street Hospital (London).

About the doctor
Dr Marta Gouveia Duarte/ Plastic Surgery

DOCTORS' ASSOCIATION: registration no. 57817, specialising in Reconstructive and Aesthetic Plastic Surgery.

Graduated in Medicine from School of Health Sciences, University of Minho, where she completed her Master's thesis in Human Ageing.

He completed his speciality in Plastic, Reconstructive and Aesthetic Surgery at the Centro Hospitalar de Lisboa Central - Hospital de São José.

Collaborates in various research projects in NOVA Medical School.

About the doctor
Dr Filipa Oliveira/ Plastic Surgery

DOCTORS' ASSOCIATION: registration no. 59147, specialising in Reconstructive and Aesthetic Plastic Surgery.

Graduated in Medicine from Faculty of Medicine, University of Porto, where she completed her master's thesis on paediatric scars.

She holds a doctorate in medicine from the University of Münster in Germany.

After completing her speciality, she became a Senior Graduate Assistant (Oberärztin) at the Fachklinik Hornheide and the University of Münster. She is currently collaborating on various research projects at the University of Münster, where she is supervising doctoral students. Dr. Filipa is also a regular correspondent for scientific and leisure magazines in Germany.