Dr. Roberto Moltó, a plastic surgeon, analyzes the silent revolution in aesthetic clinics. While it was once common for patients to ask to resemble an influencer, today the trend is to show a photo of themselves from ten years ago and express the desire to return to that person, feeling aged or changed by time.
The goal is to improve without the result looking artificial, maintaining one's own identity. The doctor explains that the aim is to leave the operating room without the face betraying the surgery. In an era where cosmetic surgery can be seen as a consumer product with trendy techniques and promotions, the human body does not respond to standard models, and the loss of individual assessment can lead to disharmonious and artificial results.
For Roberto Moltó, the ultimate purpose is to help improve while respecting the patient's anatomy, expression, and identity. Blepharoplasty, or eyelid surgery, is a clear example of this change in mindset.
The gaze is key to our identity, as it communicates youth, vitality, or tiredness. Eyelid surgery has undergone a revolution in both concept and technology, allowing results that do not change identity but rather how it is expressed through the eyes.
The doctor details five keys to current blepharoplasty: it's no longer just about removing skin and fat, but about rearranging. Orbital fat is repositioned to treat the tear trough, using the patient's own tissue to restore their face. The transconjunctival approach in the lower eyelid allows surgery from the inside, without a visible scar and reducing the risk of droopy eyes.
Furthermore, the support of the eyelid is considered with techniques like canthopexy or preventive canthoplasty to avoid the "fish eye" appearance. The periocular area is treated as an aesthetic unit, combined with fillers if necessary, to achieve a harmonious whole. Almost all procedures are performed under local anesthesia and on an outpatient basis, with a short recovery period.
High-level cosmetic surgery is today less invasive, more precise, and more respectful of who each patient is. The main demand is to recognize oneself again in the mirror, a true medical revolution.
