A New Perspective to the Periorbital Aesthetics: Bella Eyes
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The term beautiful eyes can be defined as youthful, brilliant, vivid, and attractive eyes. The anthropometric findings about beautiful eyes may differ according to gender or race. In order to form such a beautiful eye, a variety of surgical, nonsurgical, or combination methods for periorbital region rejuvenation have been proposed. The surgical methods include coronal/peritrichial, endoscopic, upper and lower eyelid, or transconjunctival incisional procedures. Neuromodulators, fillers, and laser treatments are some of the nonsurgical approaches. Regardless of the method, while treating this particular area, the aesthetic unit concept should always be taken into consideration.
We attempted to combine an endoscopic dynamic canthopexy procedure with endoscopic temporal and brow lift, which we call “bella eyes” to achieve a more attractive look, especially in young people who desire a slanted eyelid. We aim to share our clinical experience from 35 patients and the technical details of the bella eyes procedure.
Patient satisfaction was high, and the endoscopic technique eliminated all of the minor deformities and provided excellent harmony through each subunit of the periocular area with minimal discomfort and well-hidden scars.
We believe that this procedure is a good way to achieve a beautiful eye in young women.
Level of Evidence IV
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KeywordsPeriorbital rejuvenation Bella eyes Endoscopic brow lift Endoscopic dynamic canthopexy Slanted eyelid
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest to disclose.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
All patients signed an informed consent.
The endoscopic dissection starting from the temporal zone down to the lateral canthal retinaculum. The suture is passed from the middle 1/3 of the retinaculum. You can see the effect of dynamic canthopexy with adequate vectoral pull on our patient (MP4 129478 kb)
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