Blepharoplasty. Photos before and after the operation of the lower, upper eyelids, laser, circular, injection plastic surgery of the eyelids. How is the operation, rehabilitation, reviews and prices

According to documentary evidence of the 10th century A.D. Healer Avicenna is considered the progenitor of a technique similar to modern blepharoplasty. It was he who concluded that by removing excess skin of the upper eyelids, it is possible to improve the visibility of the human organs.

Since then, this method has been enriched with various possibilities, both the return of freshness to the “mirror of the soul” - the eyes, and the rejuvenation of the entire human face. This is eloquently evidenced by patient reviews, photos before and after such an operation.

What is blepharoplasty

The essence of the method lies in the redistribution / removal of excess internal fat in the area around the eye orbits, tightening the circular muscles surrounding them. This helps to improve the appearance of the eyelids by eliminating "bags" (hernias), deep wrinkles, and correcting the shape of the eyes. It also solves the problem of tightening the skin in the adjacent areas of the cheekbones of the face, eyebrows.

Along with the achievement of a visual cosmetic effect, which can be assessed by the photo before and after the operation, blepharoplasty characterized as a minimally traumatic procedure.

Contrary to the opinion that such plastic is relevant for eliminating age-related changes, practice shows its relevance for young people.

So, for example, if in Europe women, men after 45 years resort to this operation to transform the appearance, restore the functions of vision, in Asia, in order to change the shape of the eyes, representatives of both sexes apply from the age of 18.

Indications for surgery

An indication for blepharoplasty can be:

• decreased skin elasticity in the eye area;
• deformation of the upper eyelids (sagging / drooping of the skin / corners of the eyes / lacrimal glands, fatty hernia, etc.);
• excess of sagging skin of the lower eyelids, laxity of their muscles, which appear in the form of wrinkles, puffiness, "bags" under the eyes;
• the presence of deep nasolacrimal grooves;
• prolapse (ptosis) of the dermis of the face (middle zone);
• asymmetry of the location of the eyes;
• exophthalmos (bulging of the eyeball);
• volvulus of the eyelids (entropion);
• defects in the eyelid area (congenital, post-traumatic).

The presence of these symptoms is accompanied by the appearance of a tired face, the creation of an impression of hollow eyes with a consistently sleepy expression, and vision problems. To understand the real possibilities of the operation to correct existing defects, along with the study of the available photos before and after it, preliminary consultation of specialists in the field of blepharoplasty is required.

Types of eyelid plastic surgery

For cosmetic rejuvenation of the skin and preventing the appearance of problems in the eyelid area, such methods of blepharoplasty are used as:

• injection procedures that are carried out under local anesthesia for 2 hours;
• hardware plastic surgery of the eyelid skin with the impact on collagen of skin fibers of various means: heat (thermolifting), radio waves (thermage), ultrasound (smas-lifting).

Over time, for various reasons (age, lifestyle, genetic predisposition, etc.), the periorbital zone of the eyes, the middle area of ​​the face, undergoes significant changes.

These are the following changes:

1. Initial muscle / cutaneous weakness, slight protrusion of the hernia.
2. Supplementing the initial changes with excess skin in the lower and upper eyelids with a transition to both cheeks.
3. The development of changes with drooping of the eyebrows, "skeletonization" of the bottom of the eye orbits, the formation of a furrow in the eyelids and cheeks. There is a dynamic deepening of the nasolabial folds with a more intense severity of excess skin.
4. Aggravation of visual changes that provoke the appearance of significant fat deposits, a change in the shape of the eyes due to a rapid decrease in eyelid tone.

For these cases, surgical blepharoplasty is more effective. Photos before and after the operation clearly demonstrate that, depending on the stage (type) of changes, it is possible to choose one or another of its types.

Upper eyelid blepharoplasty

Upper eyelid correction surgery is one of the least difficult for experienced professionals. This procedure is performed on an outpatient basis and usually under local anesthesia. In the absence of contraindications, general anesthesia can be used if the patient wishes.

The technique of such blephaneoplasty consists in making an incision in the natural folds of the skin to remove excess dermis and adipose tissue. In this case, the desired shape of the upper eyelid can be formed. At the end of all manipulations, a suture (microsurgical) is applied to the incision site, which can be removed after 4-5 days.

It is important to remember about the possible temporary appearance after this hematoma, edema, increased lacrimation. They can last for several days or about 20 days, and the positive result of the operation will be noticeable in 1.5-2 months.

Lower eyelid surgery

This more complex type of blepharoplasty is used when it is necessary to eliminate pronounced circles, bruises, puffiness ("bags") under the eyes. This operation with an incision directly under the lash line is also performed under local or general anesthesia and lasts about 1 hour.

There are 2 types of lower eyelid correction:

1. Classic, with the removal of excess fatty tissue and skin through an incision in the tissue.
2. Fat-saving, where with the help of an incision, the circular eye muscle is opened, the fibers of which are diluted with a special tool on both sides. After that, the fatty hernia moves into the nasolacrimal grooves with the imposition of absorbable sutures.

If blepharoplasty was performed correctly and correctly, photos before and after the operation allow you to see noticeable positive results in a couple of months.

However, if the skin is removed excessively during this procedure, a complication may arise in the form of an eversion of the lower eyelid (ectropion), increased dryness in the eyes and incomplete closure. These consequences will require treatment with special exercises, professional massage.

Circular plastic

Such an operation is performed when it is necessary to simultaneously correct the upper and lower eyelids. It can only be trusted by highly qualified surgeons with solid experience in complying with the requirements for these types of blepharoplasty.

It should be remembered that any physical activity is prohibited within 3 days after circular plasty. The use of decorative cosmetics (up to 14 days) is unacceptable.Strict implementation of the doctor's recommendations allows you to avoid complications requiring repeated surgical intervention.

The positive results of a competently performed complex procedure and compliance with the rules of rehabilitation will become noticeable in 1.5-2 months. The effect can last for more than 10 years after surgery.

Transconjunctival blepharoplasty

This method is effective in the formation of asymmetry in the eyes due to the lost elasticity of the skin. The indications for its use also include an enlarged eyelid, the presence of puffiness, wrinkles, and hernia under the eyes.

This least traumatic correction is carried out to remove excess fat in the absence of excess skin (but not fine wrinkles, "crow's feet"!). This is done with the help of small punctures inside the eyelid (in the conjunctiva) without any incisions, and in the future, there is no need to heal scars and scars.

After the operation, the patient can go home, and after 5-6 days - return to normal work. In the presence of postoperative edema, bruises, the period of complete rehabilitation is up to 14 days. Already after 30 days, positive results become visible, which last up to 10 years.

Laser blepharoplasty

The indications for laser blephaloplasty are:

• excess skin;
• the presence of fatty hernias;
• noticeable deformation of the eyelids, eye shape and asymmetry of facial features;
• age-related changes in the skin of the eyelids or its excess at a young age;
• rejuvenation of the skin around the eyes.

This outpatient safe operation is performed without incisions or punctures of the skin, but with the help of a dosed effect of a light beam (CO2) on biological tissues.

Penetrating into the inner layers of the skin and cutting them, this "warrior of light" is able to "seal" the lumens in the vessels, which reduces the risk of lymph and bleeding, tissue infection, does not leave any painful sensations, burns on delicate skin. In this case, hematomas, edema are not formed on it, and a faster recovery is provided.

The positive effect of a high-quality laser procedure lasts a long time (5-10 years).

Laser blepharoplasty can be used to correct the upper / lower eyelids, cut the eyes, express them by restoring the ligamentous apparatus (canthopexy). From the photo before and after the operation, you can see noticeable positive changes after the operation.

Asian blepharoplasty (singapuri)

This type of surgical operation is focused on increasing the incision of the Eastern type eyes.

We are talking about the elimination of overhanging tissue in the inner corner of the eye (epicanthus) and the creation of a “European” double upper eyelid without swelling during the formation of a supraorbital skin fold on it. This transformation allows you to enlarge (round) the eyes, to give the gaze more openness.

Singapuri operation is performed both with and without an incision inside the eyelid, using a suture technique. The incisions are hidden in the existing folds of the upper eyelids for maximum visual impact. Therefore, this method is considered the "gold standard" of this blepharoplasty.

The suture technique can only be performed if there is a small fold on the thin skin of the upper eyelids in young people. In this case, compared to an operation with an incision, it will take less time for rehabilitation.

After surgery, the patient's eyes are covered with a bandage and must be under medical supervision. At home, applying cold compresses to the eyelids and using antibacterial drops (3-4 days) is required. For the next 2 months, you must observe a gentle regimen without physical activity, sunbathing / solarium, baths / saunas, etc.

According to those who wish to "Europeanize" their eyelids, the ideal option is Singaporeuri - Asian blepharoplasty.

Photos before and after the operation allow you to see the filigree work of surgeons to correct some of the nuances while preserving the ethnic uniqueness and beauty of the eyes.

Reoperation

Reconstructive (repeated) blepharoplasty is performed in cases such as:

1. Medical indications - if necessary, correction of medical errors, costs during the rehabilitation period, the occurrence of complications, etc.
2. Planned (aesthetic) eyelid rejuvenation after weakening the effect of the primary operation. The need for re-plasty may arise in 6-10 years with a new appearance of wrinkles, folds, skin laxity. It is important to realize that blepharoplasty is not a panacea for age-related changes, but their effective delay for a long time. It is possible to extend it if you follow the recommendations of experts on maintaining a healthy lifestyle, performing cosmetic procedures to maintain tissue tone.

The technique of re-performing the operation is similar to its primary version, but it is characterized by greater complexity. The rehabilitation period in these cases lasts the same as after the initial plastic surgery, with the final result being obtained after 3 months.

Preparing for blepharoplasty

Preparation for the operation are:

• obligatory consultation with a surgeon, ophthalmologist with the designation of problem areas;
• examination with a laboratory examination with the delivery of tests as prescribed by a doctor to study the anamnesis, the condition of the ocular muscles and skin;
• stopping the intake of hormonal, anticoagulant, anti-inflammatory, aspirin-containing drugs and giving up bad habits (smoking, alcohol, etc.) - 7 days before the operation;
• 5-6 hours before the operation, it is recommended not to eat.

Do not use decorative cosmetics and even natural creams immediately before plastic surgery.

What operations are often combined with blepharoplasty?

Combined (simultaneous, complex, one-step) plastics to correct several defects is relevant for solving medical and aesthetic problems. This makes it possible to carry out several operations with a single anesthesia, which has a positive effect on the mental and emotional state of patients.

There are several options for combining eyelid surgery, namely:

• transconjunctival + laser eyelid rejuvenation;
• lower eyelids + facelift;
• circular + polishing of the paraorbital area (in the presence of hyperpigmentation);
• upper eyelids + rhinoplasty + lip augmentation (cheiloplasty).

Highly qualified specialists (surgeons, anesthesiologists, resuscitators) in well-equipped clinics can simultaneously perform blepharoplasty with liposuction, face lifting, botox, lifting of other parts of the body (thighs, buttocks), breast augmentation, etc.

However, simultaneous plastic surgery does not imply a combination of voluminous surgeries or those that exert great stress on the face. It should also be remembered that such an operation requires an expansion of the amount of preparatory work, the thoroughness of its implementation with a clear definition of the algorithm for all manipulations.

How is the procedure

The vast majority of operations are performed on an outpatient basis under local anesthesia in the following sequence:

• marking of the eyelids with the placement of a protective lens on the pupil of the eye;
• applying a special cream with an anesthetic to the operated area or injecting it with an anesthetic (lidocaine), to which adrenaline is added to spasm the vessels and reduce their bleeding;
• incision of tissues, correction of eyelids after exposure to anesthesia after 10-15 minutes on "numb" skin;
• completion of the operation by "stitching" the incisions with special (absorbable) threads, fastening with surgical tape, glue;
• applying a special agent to the operated area to reduce pain, protect against excessive swelling;
• removal of stitches 3-4 days after surgery.

Duration of surgery

The duration of the operation may vary depending on the type of operation. For laser surgery, the upper / lower eyelids will take about 40 minutes; with a circular procedure - up to 1.5 hours; transconjunctival, singapore - up to 2 hours. Conducting combined plastics takes more time based on the complexity and volume of the surgeon's work.

How long will you need to stay in the clinic

In general, blepharoplasty is an outpatient event and 40-50 minutes after a doctor's observation of the postoperative condition, patients can go home. The time spent in the clinic in each individual case is determined by the surgeon, depending on the response of the operated to the procedure.

If constant monitoring by the medical staff is necessary, this period can last up to 3 days.

Recovery period

The time and dynamics of recovery after surgery depend on factors such as:

• the patient's age;
• skin type and condition;
• the specificity of the structure of the eyelid tissues;
• the volume of blepharoplasty.

Full recovery after surgery occurs in the following sequence of changes:

• the first 3 days - an increase in puffiness with frequent formation of "bruises";
• 4th day - convergence of large hematomas and swelling of the eyelids;
• 5-7 days - the presence of residual phenomena in the form of edema on the dermis, which does not prevent the removal of sutures (small red scars remain in their place);
• 8-10th days - disappearance of pale blue spots and swelling of the eyelids;
• 11-14th days - temporary preservation of the asymmetry of the eyelids, which gradually disappears after 3 weeks.

The final formation of the scar, the disappearance of edema occurs after 2 months.

During this period, you should especially carefully look after the corrected area, which includes:

• applying cooling compresses;
• sleeping on a high pillow (on the back / side);
• exclusion or minimal use of decorative cosmetics;
• refusal to take medications containing aspirin;
• avoidance of thermal, solar procedures (bath, sauna, tanning in the sun and in a solarium);
• minimizing physical activity;
• wearing sunglasses in bright light;
• use of natural creams with a high level of protection against ultraviolet radiation.

How long will the result of the operation last

Following the doctor's advice on rehabilitation will help you get the desired result in a couple of months and extend it by 7-8 years. Much also depends on the subsequent skin care with the participation of a professional cosmetologist (peeling, mesotherapy, masks, etc.).

It is important to take into account that due to natural skin aging, the initial positive effect of blepharoplasty gradually disappears. In this case, you have to do a second operation. However, one must be prepared that the result here will not be so brilliant.

Abuse of this procedure more than 3 times is fraught with the transformation of the face into an inactive "mask" due to excessive skin tension.

Don't miss the most popular column article: Plasmolifting of the face - what it is, how it is performed, results, photos before and after the procedure.

Blepharoplasty cost

The cost of different types of blepharoplasty in clinics in Moscow ranges from 40,000 to 120,000 rubles. Correction of the upper eyelids will cost up to 40,000 rubles, the lower ones - from 30,000 rubles, circular - 50,000 rubles, transconjunctival - within 95,000 rubles. Pricing takes into account the method of surgery, its degree of complexity, accompanying procedures, individual characteristics of the patient's skin.

The cost of the operation also includes anesthesia and one day of stay under the supervision of specialists (depending on the comfort level of the ward - more than 3,000 rubles). Along with this, the calculation of costs also includes the initial consultation and reception of the surgeon, the necessary instrumental and laboratory examinations, analyzes.

Contraindications to blepharoplasty

A preliminary examination with the study of the test results is necessary in order to identify the existing restrictions for the operation.

These can be:

• cardiovascular diseases;
• increased intracranial / blood pressure, blood clotting, hypertension, anemia;
• acute, chronic ophthalmic diseases (inflammation of the cornea, cataract, glaucoma, etc.);
• oncological problems;
• endocrine system diseases (diabetes mellitus; thyroid gland, etc.);
• infectious diseases;
• severe form of somatic diseases;
• menstrual period.

Possible complications after surgery

With high blood pressure, the administration of adrenaline can aggravate the patient's condition and make it impossible to perform blepharoplasty. And increased bleeding before and during menstruation provokes difficulties with surgical intervention and subsequently - increased formation of hematomas.

Ignoring the test results can cause complications during or after surgery.

Complications of the postoperative period can be associated with a medical error during the operation. This can be expressed in eversion / asymmetry of the eyelids, unnatural tightness of the skin, deformation of the palpebral fissures of the previously operated eyelids, residual hernia, etc.

Choosing any of the types of blepharoplasty, it is worth weighing the pros and cons of its implementation... At the same time, it is important to trust an experienced plastic surgeon, whose portfolio with photographs of patients before and after the operation will help to get answers to many questions.

Blepharoplasty video

Blepharoplasty. Indications for surgery: