Facial Surgery Targeted interventions for a renewed and recognizable face

Dr. Davide Costantino
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Facial Surgery

The face tells who we are. Signs of aging, volume loss, asymmetries, or functional alterations of the nose and eyelids can affect self-esteem and daily comfort.

Facial surgery aims to enhance features while respecting your identity, with natural, proportional, and credible results up close.

Upper and Lower Blepharoplasty

The first visit includes a complete medical history, analysis of facial anatomy (bones, soft tissues, skin quality), photographic evaluation in multiple projections, and definition of the goals.

A tailor-made plan is established with indications on technique, anesthesia, recovery time, management of scars, and possible non-surgical alternatives when appropriate.

“Natural look” approach

Naturalness means recognizability. The project takes into account proportions (facial guidelines adapted to the individual), skin texture, the quality of the deeper layers, and traction directions that respect the expression lines.

The goal is not to erase age but to restore balance and visual coherence.

Anesthesia, safety, and pain management

The choice between local anesthesia with sedation or general anesthesia depends on the duration and complexity of the procedure.

A safety protocol is followed, which includes pre-operative tests, intra-operative monitoring, and multimodal pain management.

Discharge occurs on the same day or after a brief stay, with clear instructions and dedicated contact details for post-operative support.

Scars: Where they are placed and how they are managed

Incisions are placed in natural folds or hidden areas:

Hairline and post-auricular for a facelift;
Eyelid fold or lash line for blepharoplasty;
Columella and alar for open rhinoplasty when necessary;
Alare fold for minor corrections;
Posterior fold for otoplasty.

The scar maturation process takes months; silicone tape, massages, rigorous sun protection, and follow-up visits are used to improve healing.

Integrations with aesthetic medicine

Surgery can be complemented with hyaluronic acid fillers to refine volume or botulinum toxin to modulate muscle overactivity. These integrations enhance the quality of the result and prolong the perceived duration of rejuvenation, always respecting naturalness.

Risks and potential complications

Every procedure carries risks: hematomas, infection, delayed healing, transitory sensory changes, asymmetries, visible scars in rare cases, and the need for revision.

Proper patient selection, adherence to guidelines, and scheduled follow-ups reduce the likelihood of adverse events.

Preparation and good pre-operative practices

Stable weight, smoking cessation, discontinuation of medications that increase bleeding when indicated, skin hygiene, sun protection, and organizing the return home.

A guidebook with what to bring, recommended postures, incision hygiene, and a follow-up calendar will be provided.