Introduction: The real explosion of blepharoplasty took place in the 20th century. In the 1960s, with the advent of the beauty and wellness culture, the procedure established itself as an effective solution for those wishing to combat the signs of time. However, blepharoplasty patients have always experienced a recovery and return to full normal activities within 15 days to several weeks, depending on the techniques, the instruments and processes used by surgeons and their staff. For more than ten decades, the norm for patients was prolonged recovery with bruising, swelling, discomfort and impaired vision.
Materials and Methods: The Milano BAT Blepharoplasty Study began in January 2015 and finished in January 2024. We performed a total of 580 blepharoplasties, 340 upper and 240 complete (lower and upper). The procedures were conducted with toil and commitment, in order to reduce the invasiveness, the trauma, and the recovery time. We used fundamental concept derived from biology and physics, video recording with multiple cameras, Ray-Ban Meta glasses and then documenting every action that took place during the procedure.
Results: Delivering Bloodless Atraumatic Technique blepharoplasty results need that surgeons study with attention, practice carefully, employ specific devices, implement all of the procedures and protocols that have been described and identified. Evidence shows undoubtedly that not adopting all of the identified protocols results in a failure to deliver this level of healing and reduction of complications and side effects. During many hours of video analysis, actions that were useless were eliminated and other movements refined or combined to make them more efficient and less traumatic.
Discussion: Materials and instruments were selected appositely and developed to facilitate surgeon visualization, to reduce mechanical and thermal trauma, and to better control the procedure. Surgical techniques were refined to dramatically reduce all kind of trauma to tissues, and to virtually eliminate bleeding and blood soaking into tissues, causing pain, swelling and inflammation and increasing risks of other complications like hematoma, chemosis, conjunctivitis, scleral show.
Conclusion: Bloodless Atraumatic Technique Blepharoplasty presents drastic improvements in recovery, complications, reoperation rates, and patient experience, but it is not possible without substantial commitment of the surgical staff and effort of the surgeon. This advanced level of patient experience requires that cosmetic surgeons learn all the entire method and follow the protocols and specific techniques.
