Against the backdrop of the accelerating expansion of the aesthetic medicine market, where consumer preferences are steadily shifting toward minimally invasive interventions, classical approaches to periocular correction — surgical blepharoplasty and traditional blepharopigmentation — exhibit pronounced limitations and are associated with notable risks. The aim is the scientific substantiation and systematization of the author’s technology of atraumatic blepharopigmentation, built on the principle of layered shadow shading, as a safe and effective alternative for the aesthetic correction of age-related (dermatochalasis) and postinflammatory (cicatricial changes) transformations of the eyelids. The study rests on a hybrid design that combines a systematic analysis of peer-reviewed sources in dermatology, plastic surgery, and micropigmentation with conceptual elaboration and synthesis of the technical principles of the proposed method. In conclusion, it is indicated that the leading complications of traditional blepharopigmentation (pigment migration, necrotic changes, scarring) are a direct consequence of a methodological error — excessively deep and traumatic pigment deposition. In contrast, the proposed technique provides for controlled superficial introduction of the colorant within the papillary dermis with multistage, layered placement, which substantially reduces tissue trauma and prevents the development of complications. This approach makes it possible to form a natural three-dimensional shadow effect, visually reduce upper eyelid hooding, and mask defects that are unattainable by surgical methods alone. The author’s concept of atraumatic blepharopigmentation constitutes a scientifically verified approach that fills the therapeutic gap between invasive interventions and insufficiently effective noninvasive options. Implementation of this method in clinical practice through interdisciplinary collaboration with dermatologists and plastic surgeons can significantly improve patients’ quality of life and psychological well-being by achieving predictable, natural, and safe aesthetic outcomes. The presented provisions are addressed to practicing specialists in aesthetic medicine and permanent makeup, as well as dermatologists and plastic surgeons.

blepharopigmentation, permanent makeup, dermatochalasis, hooded eyelid, atraumatic technique

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