Blepharoplasty and Hooded Eyes: Preserving the Identity of the Gaze Over Time

When discussing facial and periorbital rejuvenation, one of the most common misconceptions is that every eye should be treated with the exact same surgical approach. The true goal of modern, high-end aesthetic surgery is not to standardize beauty, but to enhance and preserve the unique characteristics of each patient.


A perfect example is the hooded eye, a very specific eyelid anatomy often characterized by a beautiful, slight Asian hint. In the case of a 46-year-old patient, she presented with a heavy-looking gaze caused by heaviness in the upper eyelid and a subtle bag in the lower eyelid. Accurate diagnosis is crucial here: the upper eyelid heaviness was not merely excess skin, but the natural architecture of a hooded eye.

To avoid altering and worsening this woman’s naturally beautiful gaze, a highly tailored surgical plan was required. The surgery involved a specific blepharoplasty technique designed exclusively for this type of eye, ensuring the natural fold was respected. Simultaneously, we addressed the lower eyelid bag through a transconjunctival approach—a minimally invasive technique that leaves no visible external scars.

Six months post-surgery, the patient’s eye was significantly more open and refreshed, yet its defining hooded characteristic remained completely intact. However, the true measure of surgical excellence is found in its longevity.

Ten years later, at the age of 56, the patient’s results continue to speak for themselves. The eye remains beautiful and structurally true to its original identity, proving that a respectful, targeted surgical technique ages gracefully. Successful surgery does not just erase years in the operating room; it allows the face to age harmoniously and naturally.

To learn more about tailored rejuvenation techniques or to schedule a consultation, please visit our Contact page.

About the author

Prof. Alessandro Gennai, MD, specialist in General Surgery (University of Modena, degree and specialization cum laude), graduated cum laude from the International School of Aesthetic Medicine of the Fatebenefratelli Foundation in Rome. Creator of the MIVEL® (Minimal Incisions Vertical Endoscopic Lift), SEFFILLER® and SEFFIHAIR® techniques, author of "Endochirurgia estetica del volto" (Aesthetic Endoscopic Surgery of the Face). Registered with the Medical Council of Modena, no. 4230, member of AICPE. Practices in Milan, Bologna and Modena.
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