Abstract
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Aesthetic Blepharoplasty is one of the most frequent procedures. Despite of his simplicity., complications are very frequents also in the hands of very expertise plastic surgeons. The most frequent side effect of upper blepharoplasty is the descend of the eyebrow.,which give to the patient aspect of tireness, sadness and elderness Other side effect is the extensive scar. To avoid this kind of complictions since 1995 i began to develope a technique to remove the upper eyelids fat bags through a stab incisión and tightening the upper and lower eyelid skin with carbón dioxide laser. Since 2016 i began to tihgtening the skin with HIFU alone or assocciated wiht c02 laser.
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