Planning blepharoplasty in Brazil requires more than choosing how much skin or fat to remove. Brow position, true eyelid ptosis, eye-surface health, lower-lid support, bags, hollowing, malar edema and previous injectables must be assessed separately before travel and surgery are confirmed.
Diagnosis comes before the operation
| Finding | Possible treatment | What must not be assumed |
|---|---|---|
| Upper-eyelid skin excess | Conservative skin removal | That all heaviness comes from the eyelid |
| Low eyebrow | Observation, selective toxin or video-assisted brow surgery | That blepharoplasty alone can lift the brow |
| True eyelid ptosis | Selected levator or conjunctivo-Müller correction | That removing more skin corrects eyelid height |
| Lower-eyelid bags | Transconjunctival treatment of selected fat compartments | That bags explain every dark circle or festoon |
| Hollowing | Selective microfat grafting | That filler or fat is required in every patient |
What Hybrid Blepharoplasty means at Belvivere
Dr. June Favarin’s Hybrid Blepharoplasty is an individualized, preservation-based framework. Upper-eyelid surgery generally uses minimal measured skin removal and preserves the orbicularis muscle. Lower-eyelid surgery commonly uses transconjunctival, bi-incisional access to the three fat compartments, avoiding a routine external lower-lid incision.
Selective cantopexy, microfat, nanofat, CO₂ laser or other skin treatment may be added when examination supports it. “Hybrid” does not mean that every component is performed. The aim is to preserve eye closure, shape, expression and recognizable facial identity.
Eye health and functional assessment
Dryness, tearing, contact-lens intolerance, previous cataract or refractive surgery, pterygium, glaucoma treatment and difficulty closing the eyes must be discussed. The examination includes eyelid opening, blink, lower-lid tone, canthal support and pre-existing asymmetry. Ophthalmologic evaluation may be requested before surgery.
Botox, fillers and ultrasound
Botulinum toxin can temporarily alter brow position and mask frontalis compensation. Under-eye filler may persist, attract water or contribute to malar edema. Patients should report the product, date, quantity and episodes of swelling. Dermatologic ultrasound may help identify uncertain material or planes. Hyaluronidase acts on hyaluronic acid only and is not routinely required before every operation.
Risks and limitations
Expected early effects include swelling, bruising, tearing, dryness, temporary blurred vision from ointment and mild asymmetry. Complications can include bleeding, infection, chemosis, lagophthalmos, lid malposition, persistent dryness, scarring, diplopia, visual injury, fat-graft irregularity and revision. Sudden severe pain, rapidly increasing swelling or any visual change requires emergency assessment.
Surgery may improve bags, skin excess, support and shadow, but it cannot guarantee symmetry or erase genetic pigmentation, every wrinkle, festoons or malar edema.
International-patient pathway
- Remote screening: standardized photographs, medical history, eye symptoms and previous procedures.
- Pre-travel planning: tests, medication review, accommodation and an accompanying adult.
- In-person confirmation: examination in Criciúma may refine, reduce, postpone or change the preliminary plan.
- Hospital care: surgery is performed at Hospital São José when appropriate to its extent.
- Follow-up: scheduled examinations determine activity and flight clearance.
Belvivere’s concierge team assists with local logistics. The necessary stay is individualized and is generally longer when brow, midface or facelift procedures are combined. Read more about Hybrid Blepharoplasty indications and limits.
