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“Blepharoplasty is one of the most-requested face operations and one of the easiest to do badly. Done well, the result is a face that other people read as rested. Done badly, the result is a face that other people read as operated. The difference is anatomical literacy applied conservatively, every time.”
— Dr. Nicolò Manuini, Aesthetic Surgeon

Dr.
Nicolò Manuini

Aesthetic surgeon and Palazzo Manzoni’s lead surgeon in Brescia for blepharoplasty: upper, lower and combined eyelid surgery, with adjunct canthopexy. Also practises aesthetic medicine. A narrow-scope practice chosen for the consistency the operation rewards.

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Areas of clinical practice

Background and Clinical Practice

Background
and clinical practice

Dr. Nicolò Manuini is an aesthetic surgeon at Istituto Chirurgico Palazzo Manzoni in Brescia, with a focused practice in blepharoplasty and in aesthetic medicine. Within the department’s procedure map, Dr. Manuini is one of the surgeons routinely assigned to upper, lower, and combined eyelid surgery cases, working alongside Dr. Motta, Dr. Di Nonno, and Dr. Salvagni for the same procedure. Further information about his work is available on Dr. Manuini’s personal website.

The narrow-scope structure of the practice is by design. Blepharoplasty performed in volume, by a surgeon whose clinical attention is concentrated on the anatomy of the periorbital region — orbital septum, fat compartments, levator complex, lateral canthal support — produces consistency that broader-scope surgery does not always achieve.

Density of experience in a single operation is your value as a patient. It is not a limitation: it is how a specialist builds clinical judgement.

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Training and Qualifications

Training
and qualifications

Aesthetic surgeon, with dedicated training in periorbital surgery and aesthetic medicine.

Qualification

Aesthetic surgeon

Periorbital and oculoplastic training

Master’s course and specialist training in periorbital/oculoplastic surgery

Aesthetic medicine training

Training in aesthetic medicine

A blepharoplasty consultation with Dr. Manuini follows the department’s long-form, planning-led structure. The visit distinguishes excess skin from herniated fat from true ptosis from descended brow tail from lateral canthal weakness — each of which calls for a different operation. It examines pre-operative ocular surface health (dry-eye history, contact-lens use, prior surgery) and orbital biomechanics, and produces a written plan that includes the operation’s specific scar position, the use of canthopexy where indicated, and an honest discussion of what the result will and will not address.

He emphasises:

Planning-led consultation

A long-form visit that produces a written plan, including the specific scar position and the use of canthopexy where indicated.

Anatomical diagnosis first

Excess skin, herniated fat, true ptosis, descended brow tail and lateral canthal weakness each call for a different operation — the diagnosis decides the procedure.

Conservative by default

Conservative excision and routine canthopexy are the principal defence against the rounded, retracted “scleral show” outcome of aggressive lower-lid surgery.

Ocular surface safety

Pre-operative assessment of dry-eye history, contact-lens use, prior surgery and orbital biomechanics, with an honest discussion of what the result will and will not address.

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Upper-lid blepharoplasty

Upper-lid eyelid surgery for established skin excess, addressing the periorbital region with conservative excision. Typical case: patients seeking a result that registers as “rested” rather than “different”.

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Lower-lid blepharoplasty

Lower-lid transcutaneous and transconjunctival blepharoplasty for orbital fat herniation, with adjunct canthopexy where lower-lid support requires it.

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Combined eyelid surgery

Combined upper and lower blepharoplasty, planned around the anatomy of the periorbital region — orbital septum, fat compartments, levator complex, and lateral canthal support.

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Aesthetic medicine

Non-surgical injectables (botulinum toxin, hyaluronic-acid filler) and biostimulators, particularly around the periorbital region. Often coordinates a longer aesthetic-medicine plan with Dr. Cortellessa and Dr. Tinti.

Dr. Manuini is one of six doctors at Palazzo Manzoni’s plastic surgery department. Each specialist has distinct clinical focus areas. Your initial consultation determines who is the right match for your case.