Blepharoplasty. Reviews of the operated. Pros and cons of plastic surgery, complications, rehabilitation. Laser, transconjunctival, circular, injection

With age, the eyes acquire a tired look, they are surrounded by many wrinkles. The only way to rejuvenate the face and correct the look is blepharoplasty. Like any procedure, this technique has positive and negative sides, as evidenced by numerous reviews of people who have gone through the operation.

What is blepharoplasty of the lower and upper eyelids, the essence of the technique

The skin around the eyes is thin and sensitive. This contributes to the early appearance of expression and deep wrinkles. Blepharoplasty helps to hide age and open up the look. During the procedure, the surgeon cuts off the accumulated layer of fat and loose skin.

Blepharoplasty can help change the shape of the eyes, remove fat from under the skin, and eliminate bags or bruises under the eyes. The essence of the operation is to slightly lift the skin of the face by adjusting the eyelids. This method does not apply to complex plastic surgeries, but requires a highly qualified surgeon.

With a responsible approach to choosing a clinic and a doctor, you can eliminate discomfort during and after the operation, and also get only positive results.

Blepharoplasty is a minor surgery. This means that it has both indications for its implementation and contraindications, which will serve as a refusal of the doctor to provide the service. It should be noted that blepharoplasty is performed both in the direction of the ophthalmologist and at the person's own request.

The indications for the operation are:

Contraindications for blepharoplasty:

The surgeon fixes the date of the operation only after a detailed study of the state of human health.

Pros of the operation

Blepharoplasty, which is most often reviewed by operated women, is popular among the male population. People decide on this procedure after a careful analysis of the positive and negative aspects.

The advantages of blepharoplasty are:

• lack of bags under the eyes;
  
• the use of anesthesia, which relieves the patient of pain;
• face rejuvenation effect;
• open look;
• improvement of vision, if blepharoplasty was performed to restore it;
• lack of scars and invisible scars;
• removal of interfering wen.

Cons of plastics:

• lack of any result for some physiological reasons;
• dissatisfaction with the new appearance;
• long wait for the result;
• long rehabilitation;
• expensive preparations for the care of the operated areas;
• long-term discomfort;
• the appearance of deep wrinkles in the forehead, which will require correction;
• the appearance of the effect of sunken eyes in the first months after full recovery.

Types of blepharoplasty and differences in methods

This procedure in plastic surgery is divided into several types:

• upper eyelid surgery: tightens overhanging skin, smoothes wrinkles and increases visibility for a person;
• lower eyelid correction: removes puffiness under the eyes, visible wrinkles and opens the eyes;
  
• circular blepharoplasty: lifts both eyelids at the same time, correcting all facial skin imperfections.

All methods differ not only in the indications for their implementation, but also:

• type of anesthesia;
• time of the procedure;
• the need to remove some tissue.

Upper blepharoplasty

The upper eyelid lift is performed under local anesthesia, which desensitizes the areas undergoing surgery. Upper blepharoplasty is used to correct wrinkles and folds, as the skin becomes inelastic with age due to the destruction of collagen fibers.

Blepharoplasty, reviews of the operated about which are mostly only positive, is used on the upper eyelids:

• with hernias or wen formed after severe edema;
• with skin hanging over the eyes, which not only makes a person's gaze heavy and tired, but also interferes with normal visual perception;
• in case of problems with makeup: cosmetic products roll, leak and smear.

Lower eyelid blepharoplasty

The lower eyelids are more sensitive, their skin is thinner than on the upper eyelids, and the muscle fibers are located just under the skin. The muscles are separated from the fatty layer by a membrane, which makes the lower blepharoplasty a more difficult surgical intervention.

Muscle fibers can lose their elasticity, tone and support. Because of this, they begin to stretch and sag. The fatty layer begins to accumulate on these tissues, and puffiness and bags under the eyes form.

They are removed in several ways:

• Outdoor technique: the surface of the eyelid is cut and loose skin, excess fat, or some muscle tissue is removed.

It is applicable for sagging skin of the lower eyelid:

• Deep technique: make a small incision on the lining of the eyelid, remove excess adipose tissue.The method is also called pinched, since after dissection of the skin tissue, it is pinched with surgical instruments.

This technique is used when there is abundant accumulation of fat and the absence of stretched skin.

Circular blepharoplasty

This type of surgery tightens both eyelids. It is performed under general anesthesia during drug-induced sleep. Circular blepharoplasty is the longest and takes several hours. She also has the longest and most difficult rehabilitation period, which is constantly monitored by a surgeon and an ophthalmologist.

A circular operation is performed with:

• sagging skin on both eyelids at once, which greatly impairs vision and quality of life;
• multiple fatty deposits around the eyes;
• severe eye puffiness and bruising;
• congenital eye pathologies;
• transferred diseases that changed the shape of the eyes.

Blepharoplasty techniques

Blepharoplasty is performed using various techniques.

Among them, the most popular are:

• operating techniques of execution;
  
• hardware methods;
• injection procedures.

Each type has its own characteristics and is used only after consultation with specialists.

Injection blepharoplasty

Blepharoplasty, reviews of the operated about which are negative, can be performed without surgery.

By introducing various substances into the subcutaneous space:

• botulinum toxin;
• botox;
• collagen;
• lipolytics;
• hyaluronic acid;

They remove wrinkles, cyanosis and swelling, tighten the eyelids and skin. Cosmetology products are also able to nourish and moisturize tissues, as well as stimulate the production of necessary collagen fibers. Injections of lipolytic substances, among which lecithin is especially popular, tend to break down the membranes of fat cells and remove them in dissolved form.

This helps to eliminate hernias and edema.

Injection blepharoplasty can correct minor problems around the eyes. Its advantage is the absence of the need for frequent visits to the beauty parlor, since the result becomes visible after 3 procedures, and the rejuvenation effect lasts up to 10 months, after which the course of injections can be repeated.

Hardware blepharoplasty

This type of eyelid correction also belongs to the non-surgical type.

Hardware methods include:

Hardware blepharoplasty is able to cope with age-related skin changes:

• small wrinkles;
• slightly loose skin;
• slight swelling of the eyelids.

This type of blepharoplasty cannot cope with more serious problems: hernias, bags and deep wrinkles require more radical measures. The course of procedures consists of 10 sessions, and it must be repeated once every six months.

Surgical methods of blepharoplasty

Blepharoplasty, reviews of the operated about which can be found in large numbers, during surgery remains the most effective method of rejuvenation.Surgical blepharoplasty, depending on the type, takes a sufficient amount of time. Correction of the upper and lower eyelids separately takes about an hour, and the circular surgery takes about 2 hours.

Before the operation, the anesthesiologist and surgeon select the type of anesthesia based on:

• the age of the patient;
• scope of work:
• the condition of the muscles around the eyes;
• features of the skin;
• the structure of the bones of the skull;
• patient health;
• the presence of allergies to certain substances.

It is also necessary to notify the surgeon about past or existing eye diseases, as well as taking medications. The surgeon, together with the ophthalmologist, will prescribe the necessary tests and conduct an examination of the lacrimal canal.

Before performing blepharoplasty, you must properly prepare for the operation:

• increase your water intake;
• quit smoking and drinking alcohol;
• 3 days before blepharoplasty, stop taking any medicines, food supplements and vitamin complexes.

Compliance with these rules will avoid an increase in the recovery time and the occurrence of bleeding. The correct choice of anesthesia is also important. For this, specialists will conduct blood tests: for coagulability, general and biochemical. You also need to be screened to identify various infections.

In case of previous severe illnesses or in the presence of a chronic form of one of them, a therapist's consultation is required.

When prescribing general anesthesia to a patient, the anesthesiologist must provide the results of the ECG and fluorography. Such a responsible approach to the choice of anesthesia is due not only to the type of operation: circular or unidirectional. The state of the person and his age play an important role. Blepharoplasty is performed in a surgical room under sterile conditions.

Its implementation depends on the type of problem:

• Weakness of muscle fibers, sagging skin, drooping eyelids, small fat hernias.
• To deformities of the 1st type is added a change in the skin near the eyeball itself, which affects the temporal regions and the skin of the cheeks.
• Too much overhanging of the skin, the formation of wrinkles in the cheeks, eyelids and nasolabial triangle.
• Too much adipose tissue and stretched skin, strong bags under the eyes, loose skin under the eyes.

If a person has type 1 deformities, then blepharoplasty is performed transconjunctivally, that is, an incision is made along the mucous membrane of the eyelid. In the presence of more complex problems of types 2-4, the classical methods of performing the operation are used: through a thin incision in the skin of the eyelids.

When treating a patient with type 4 changes, the surgeon often combines plastic surgery on the eyelids with a facelift, which provides a more pronounced result. Before performing a surgical incision, the doctor will mark the skin area. Then he makes the necessary incision and removes excess tissue.

There are techniques in which some of the fat is not removed, but more evenly distributed under the skin... Also, if necessary, the surgeon tightens the muscle tissue. After carrying out all the manipulations, self-absorbable sutures are applied to the incisions, which do not leave any traces behind.

After a period of rehabilitation, a skin resurfacing procedure is possible. Blepharoplasty is performed in several ways: incisions are made with a scalpel or laser.

The differences between a laser beam and a surgical instrument are quite significant:

• high cost of operations;
• incisions are controlled down to the millimeter and practically do not damage adjacent tissues;
• less swelling and bruising after blepharoplasty;
• fast tissue recovery;
• less risk of infection.

It should be noted that the appearance and structure of the skin after surgery are the same regardless of the choice of instruments.

How long does it take and how is rehabilitation after different types of plastic surgery going?

Blepharoplasty, reviews of the operated on which also contain information about rehabilitation, has general recommendations for the recovery period. It occurs immediately after the end of the surgery. The length of the rehabilitation period depends on the care of the skin and stitches, as well as the age and health of the person.

On average, the minimum time for tissue repair is 2 weeks. Full recovery occurs approximately 2 months after surgery.

During the first 14 days it is not allowed:

• touch the eye area;
• strain your eyes by reading books or watching TV;
• using contact lenses or cosmetics;
• sleep on your side or stomach: to reduce swelling, you need to sleep only on your back, lifting your head;
• actively move;
• lean forward;
• to take a bath;
• take alcohol;
• go outside without sunglasses.
  

2 weeks after blepharoplasty, the surgeon will make recommendations to speed up the regeneration process.

This could be:

• carrying out physiotherapy;
• skin resurfacing;
• massage;
• drug injections;
• the use of ointments and creams for healing.

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.

What is the safest type of blepharoplasty?

The safest type of rejuvenation is considered to be non-surgical. With the help of special devices, various types of influences are exerted on tissues that do not affect our body. Also, with hardware adjustment of the eyelids, the risk of infection and the formation of scars on the skin is excluded.

It should be noted that the safest type of plastic surgery is not very effective and is used only for the initial manifestations of eye and skin deformities.

What is the most dangerous type of blepharoplasty?

The most unpredictable type of rejuvenation is surgical intervention, the result of which depends on the equipment of the clinic and the qualifications of the surgeon. If the basic rules of sterilization and the use of disposable syringes are not followed, there is a possibility of developing sepsis on the skin of the eyelids.

As with any operation, blepharoplasty has a number of possible complications, which the operating specialist notifies in advance.

Frequent complications of blepharoplasty, according to patient reviews

Patients often confuse the body's normal response to blepharoplasty with complications.

However the options are:

• swelling and bags around the eyes;
  
• bright bruises;
• tearing;

They are considered the norm after eyelid correction and pass quickly.

Among the most frequent complications, operated people distinguish:

Any complications should be treated by the doctor who performed the blepharoplasty.

Rare consequences of surgery

The surgeon's mistakes during blepharoplasty lead to rare complications.

These include:

• asymmetrical arrangement of the eyes or their shape;
  
• divergence of connective tissue;
• the formation of skin folds;
• damage to the muscles of the eye;
• hematomas of the posterior part of the eye;
• loss of vision.

All complications are associated with:

• improper suture;
• removing too much tissue;
• non-compliance with the rules of the rehabilitation period.

Before carrying out blepharoplasty, you should carefully study the reviews of the operated patients about clinics and surgeons. The course of the operation, the occurrence of complications and the result directly depends on the choice of the place of the operation and the qualifications of the plastic surgeon.

Author: Shalunova Anna

Article design: Anna Vinnitskaya

Video about eyelid blepharoplasty

Eyelid blepharoplasty, healing period, suture removal: