{"id":30979,"date":"2020-05-07T07:42:36","date_gmt":"2020-05-07T07:42:36","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=30979"},"modified":"2020-11-20T14:28:44","modified_gmt":"2020-11-20T14:28:44","slug":"puffiness-under-the-eyes-and-the-risks-of-surgery","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/puffiness-under-the-eyes-and-the-risks-of-surgery\/","title":{"rendered":"Incha\u00e7o debaixo dos olhos - e os riscos de uma cirurgia"},"content":{"rendered":"

As bolsas - ou papos - debaixo dos olhos d\u00e3o muitas vezes a impress\u00e3o de cansa\u00e7o. Pode n\u00e3o parecer bem ao espelho, mas sem d\u00favida que ouvir\u00e1 coment\u00e1rios de amigos e familiares como \"dormiste mal?\" ou \"porque \u00e9 que pareces t\u00e3o cansado?\" Se n\u00e3o gosta do que v\u00ea ao espelho, o que \u00e9 que pode fazer?<\/p>\n

Incha\u00e7o sob os olhos: como \u00e9 que surge? Humidade nas p\u00e1lpebras<\/strong>
\nNas crian\u00e7as, o l\u00edquido acumula-se nas p\u00e1lpebras (especialmente nas p\u00e1lpebras inferiores) quando est\u00e3o cansadas ou doentes, mas desaparece durante a noite quando dormem. O mesmo acontece nos adultos, mas esta situa\u00e7\u00e3o pode ser agravada pelo envelhecimento e pelo tabagismo. A inflama\u00e7\u00e3o cr\u00f3nica atrai fluido para as p\u00e1lpebras e este estica a pele das p\u00e1lpebras inferiores. Al\u00e9m disso, \u00e0 medida que as pessoas envelhecem, o seu tecido conjuntivo altera-se, fazendo com que a pele se torne menos el\u00e1stica e descaia e enrugue, e que as p\u00e1lpebras superiores e inferiores se tornem mais fracas.<\/p>\n

Gordura nas p\u00e1lpebras<\/strong>
\n\u00c0 medida que o tecido conjuntivo enfraquece, a gordura \u00e0 volta da \u00f3rbita ocular pode avan\u00e7ar e aparecer nas p\u00e1lpebras inferiores. A isto chama-se um prolapso de gordura. Ao contr\u00e1rio dos fluidos, que podem ser afastados, os prolapsos de gordura - literalmente protuber\u00e2ncias de gordura - n\u00e3o podem, e s\u00f3 podem ser removidos com cirurgia.<\/p>\n

\"\"<\/a><\/p>\n

Antes da corre\u00e7\u00e3o da p\u00e1lpebra inferior com a t\u00e9cnica de Hamra, realizada pelo Dr. Paridaens (publicada com a autoriza\u00e7\u00e3o do paciente).<\/em><\/p>\n

\"\"<\/a>
\nAp\u00f3s a corre\u00e7\u00e3o da p\u00e1lpebra de Hamra pelo Dr. Paridaens. H\u00e1 um bom preenchimento da transi\u00e7\u00e3o da p\u00e1lpebra inferior para a bochecha, o que significa que as bolsas praticamente desapareceram! (Publicado com a autoriza\u00e7\u00e3o do paciente).<\/em><\/p>\n

Bolsas faciais: quando fazer uma cirurgia?<\/strong>
\nSe houver uma flacidez evidente das p\u00e1lpebras inferiores, bem como excesso de pele e gordura em prolifera\u00e7\u00e3o (em oposi\u00e7\u00e3o a n\u00f3dulos subcut\u00e2neos), a cirurgia das p\u00e1lpebras tamb\u00e9m pode trazer melhorias est\u00e9ticas a essa regi\u00e3o. Estes procedimentos s\u00e3o frequentemente realizados sob anestesia local, mas se for necess\u00e1ria uma cirurgia mais extensa, esta tamb\u00e9m pode ser efectuada sob anestesia geral.<\/p>\n

\"\"<\/a>
\nSe existir uma goteira lacrimal oca que contribua para uma apar\u00eancia cansada, esta pode ser preenchida com um preenchimento natural: o excesso de gordura das p\u00e1lpebras inferiores. Atrav\u00e9s de uma cirurgia com um corte na pele, esta gordura pode ser libertada e movida sobre a \u00f3rbita inferior do olho - isto \u00e9 conhecido como a t\u00e9cnica de Hamra (Dr. Paridaens).<\/p>\n

\"\"<\/a><\/p>\n

O excesso de gordura nas p\u00e1lpebras inferiores \u00e9 utilizado para preencher o sulco oco. Aqui pode ver como o avental de gordura \u00e9 fixado ao peritoneu (azul) sob o bordo da \u00f3rbita inferior do olho. Isto significa que a inje\u00e7\u00e3o de enchimento j\u00e1 n\u00e3o \u00e9 necess\u00e1ria!<\/p>\n

Incha\u00e7o sob os olhos: que cirurgia?<\/strong>
\nSe houver uma flacidez horizontal das p\u00e1lpebras inferiores com excesso de pele e gordura, opto normalmente por uma corre\u00e7\u00e3o da p\u00e1lpebra inferior, em que o acesso ao anteparo de tecido conjuntivo \u00e9 obtido atrav\u00e9s de um corte na pele, alguns mil\u00edmetros abaixo do bordo das pestanas. Depois disso, o tecido conjuntivo pode ser \"alimentado\", sendo a gordura trazida de volta para a cavidade ocular, onde funciona como um \"amortecedor\" para o olho. A gordura tamb\u00e9m pode ser redistribu\u00edda sobre o bordo do olho, caso exista um defeito de enchimento nesse local (t\u00e9cnica de Loeb-Hamra). Raramente \u00e9 necess\u00e1rio remover a gordura. O que \u00e9 fundamental para o sucesso desta t\u00e9cnica \u00e9 que a p\u00e1lpebra do lado seja fixada ao osso, caso contr\u00e1rio, surge uma queda pouco funcional e cosmeticamente perturbadora. Esta chamada cantopexia \u00e9 uma opera\u00e7\u00e3o que muitos cirurgi\u00f5es consideram dif\u00edcil de efetuar. \u00c9 por isso que uma opera\u00e7\u00e3o deste tipo \u00e9 melhor realizada por um cirurgi\u00e3o com experi\u00eancia em cirurgia da p\u00e1lpebra inferior e que realiza frequentemente a cantopexia.<\/p>\n


\n<\/a>\"\"<\/a>
\nA cantopexia permite a fixa\u00e7\u00e3o da p\u00e1lpebra inferior ao peritoneu, de modo a que o contorno permane\u00e7a bom: um passo importante na corre\u00e7\u00e3o da p\u00e1lpebra inferior<\/em><\/p>\n

\"\"<\/a>
\nMulher jovem com apar\u00eancia cansada devido a bolsas sob os olhos com base numa pequena perda de gordura e margem inferior vis\u00edvel da \u00f3rbita ocular (reproduzido com a autoriza\u00e7\u00e3o da doente)<\/em><\/p>\n

\"\"<\/a>
\nP\u00e1lpebras inferiores ap\u00f3s a t\u00e9cnica de Hamra: melhor preenchimento da borda da \u00f3rbita ocular, resultando em menos bolsas sob os olhos (reproduzido com a permiss\u00e3o do paciente)<\/em><\/p>\n

Incha\u00e7o sob os olhos: complica\u00e7\u00f5es e como preveni-las?<\/strong>
\nAs complica\u00e7\u00f5es s\u00e3o raras se o cirurgi\u00e3o tiver forma\u00e7\u00e3o nesta t\u00e9cnica e se o doente for saud\u00e1vel e tiver um estilo de vida saud\u00e1vel. As complica\u00e7\u00f5es consistem na rutura do fio, hemorragia e infe\u00e7\u00e3o. Para evitar estas complica\u00e7\u00f5es, fornecemos instru\u00e7\u00f5es para os cuidados posteriores: ter cuidado ao dobrar-se, levantar e pressionar durante duas semanas, e n\u00e3o fazer exerc\u00edcio durante este per\u00edodo - embora caminhar e andar de bicicleta suavemente seja bom. O arrefecimento (15 minutos por cada hora) das p\u00e1lpebras com sacos especiais - ou mesmo sacos de ervilhas congeladas - durante dois dias pode ajudar a evitar o incha\u00e7o. Se forem utilizados anticoagulantes, poder\u00e1 ser aconselhada a interrup\u00e7\u00e3o tempor\u00e1ria, dependendo das circunst\u00e2ncias, uma vez que existe um risco acrescido de n\u00f3doas negras se os doentes tiverem tens\u00e3o arterial elevada ou se tomarem medicamentos para diluir o sangue.<\/p>\n

\"ELZA<\/a><\/p>\n

O Dr. Dr. Paridaens \u00e9 cirurgi\u00e3o orbital consultor no Instituto ELZA em Dietikon, Zurique, e tem 25 anos de experi\u00eancia em cirurgia est\u00e9tica das p\u00e1lpebras, tendo desenvolvido e publicado v\u00e1rias t\u00e9cnicas de cirurgia das p\u00e1lpebras. Exerce a sua atividade no pa\u00eds e no estrangeiro. Dada a sua experi\u00eancia, muitos clientes que, infelizmente, n\u00e3o est\u00e3o satisfeitos com a sua cirurgia das p\u00e1lpebras efectuada noutro local, pedem-lhe conselhos, perguntando-lhe frequentemente se \"pode fazer alguma coisa\". Tamb\u00e9m \u00e9 especialista nestas reopera\u00e7\u00f5es, embora nunca opere um paciente se achar que n\u00e3o h\u00e1 nada que possa fazer para melhorar a sua situa\u00e7\u00e3o.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

As bolsas - ou papos - debaixo dos olhos d\u00e3o muitas vezes a impress\u00e3o de cansa\u00e7o. Pode n\u00e3o parecer bem ao espelho, mas sem d\u00favida que ouvir\u00e1 coment\u00e1rios de amigos e familiares como \"dormiste mal?\" ou \"porque \u00e9 que pareces t\u00e3o cansado?\" Se n\u00e3o gosta do que v\u00ea ao espelho, o que \u00e9 que pode fazer?<\/p>","protected":false},"author":7,"featured_media":31963,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"gallery","meta":{"_acf_changed":false,"footnotes":""},"categories":[244,97,96],"tags":[398,399,400,401,402,403,404,405,406],"class_list":["post-30979","post","type-post","status-publish","format-gallery","has-post-thumbnail","hentry","category-dion-paridaens","category-podium-power","category-popular-press","tag-bags","tag-bags-under-eyes","tag-black-eyes","tag-eyebags","tag-lateral-canthopexy","tag-puffiness","tag-puffy","tag-tired-eyes","tag-tired-looking-eyes","post_format-post-format-gallery"],"acf":[],"yoast_head":"\nPuffiness under the eyes - and the risks of surgery<\/title>\n<meta name=\"description\" content=\"Dion Paridaens MD, PhD explains what's involved when he performs surgery to correct puffiness under the eyes - 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