Blepharoplasty - what is it, how it goes, before and after photos

Eyelid blepharoplasty is an aesthetic plastic surgery operation, as a result of which you can change the shape of the eyes, the shape of the eyelid, and tighten the skin around the eyes.

What is blepharoplasty, how is it

Correction of the eyelids in this way can be done at any age. Young women reshape their eyes or remove drooping eyelids, while older women improve their appearance with a lift.

Due to the great danger of operating near the organs of vision, the operation is complex and requires careful preparation.

First, the patient needs to make sure that there are no contraindications... A special group of patients includes people with congenital pathologies and those who have suffered serious facial injuries.

Before the operating procedure, the patient must pass the following tests:

• general analysis of blood, urine;
• blood test for hepatitis, HIV, syphilis;
• biochemistry blood test;
• fluorography;
• an electrocardiogram of the heart;
• coagulogram.

After passing tests, passing examinations, a preparatory period begins, which has the following prohibitions:

• it is forbidden to eat and drink 8 hours before the operation;
• it is forbidden to smoke and take medications that affect the patient's blood clotting 2 days before the operation;
• the operation is not performed during a woman's critical days.

Operation cost

The cost of eyelid blepharoplasty directly depends on the qualifications of the surgeon, clinic, methods that will be used during the operation.

Also, the price is significantly influenced by the quantity and quality of anesthesia., the number of days that will need to be spent in the hospital's inpatient conditions.

Average cost of eyelid blepharoplasty:

• upper eyelid surgery from 45,000 rubles;
• on the lower eyelids from 55,000 rubles;
• laser surgery from 62,000 rubles;
• circular operation from 85,000 rubles;
• eastern eyelids from 65,000 rubles.

Reviews of women who underwent the procedure are mostly positive. All patients are satisfied with their appearance, the shape of the eyes after a period of rehabilitation. They look rejuvenated, fresh and with beautiful eyes.

Upper eyelid blepharoplasty

The operation is carried out mainly under local anesthesia, along with this no pain or discomfort is felt. If the amount of work is large (correction of a movable and fixed eyelid, eyebrow lift), then general anesthesia is used. The patient is in a reclining position.

During the procedure, you can change the aesthetic appearance of the eyes, remove congenital defects, tighten the skin and muscles.

Indications for the operation:

• decreased tone of the upper eyelids;
• hernia;
• excess fatty tissue under the skin of the eyelids;
• wrinkles;
• loose skin;
• heavily lowered corners of the eyes;
• ptosis of the eyelids.

The procedure lasts from 40 minutes to 2 hours, depending on the complexity and the number of defects that need to be removed.

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After the operation, someone close to the patient must be present to help, accompany, and purchase the necessary medicines.

Lower eyelid blepharoplasty

Such the operation removes bags under the eyes, copes with age-related changes, individual characteristics of genetic defects.

After blepharoplasty of the lower eyelids, the patient looks younger, the face becomes more attractive. In many cases, reoperation may be required only after 5-7 years.

Indications for surgery on the lower eyelids:

• the presence of bags, dark circles under the eyes;
• severe swelling of the lower eyelids;
• congenital or acquired asymmetry of the eyelids;
• lowered corners of the eyes;
• large deposits of subcutaneous fat, the presence of fatty hernias;
• deep wrinkles, folds;
• sagging lower eyelid.

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Plastic of Asian eyelids

This type of plastic surgery is aimed at changing the Asian shape of the eyelids to the shape inherent in a European person.

Basic principles that are characteristic of Asian eyes:

• weak or complete absence of double folds in the upper eyelid;
• pronounced fat fold on the eyelids;
• the presence of epicanthus - a fold that is located in the inner corner of the eye and continues the upper eyelid. It closes the tear duct.

The specialist is faced with the task of forming a double fold, removing the epicanthus and, if necessary, removing the orbicular muscle. Having done all these points, it will be possible to achieve a Caucasian eye shape.

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Seamless, no incision blepharoplasty of the eyelids

In some cases, surgery may not always be needed to reshape the eyes. Sometimes the best solution is non-surgical blepharoplasty. The following types are referred to non-surgical methods of eyelid plastic surgery.

Laser method

In the process of the laser method for correcting the shape of the eyelids, the laser acts on the skin using heat. The laser beam penetrates the skin to different depths, changing it as needed.

There are 2 methods of laser blepharoplasty of the eyelids, which differ in the type of radiation and the depth of penetration (carbon dioxide laser and erbium).

Injection procedure

These are the so-called "pricks of youth". The specialist performs injections around the eyes, which contain vitamins, hyaluronic acid, amino acids, phytoestrogens and other components.

They cease to be produced in the required quantity with age. With their help, you can smooth out wrinkles, improve the outline of the eyelids, eliminate puffiness and excessive volume of the eyelids.

Blepharoplasty with cantopexy

Eyelid blepharoplasty surgery with canthopexy is to raise the outer corners of the eyes. Muscles, tendons, which weaken in the process of aging, arbitrarily miss the edges of the eye, unable to hold them well and reliably.

During such an operation, the surgeon removes some part of the canthus, which is overstretched.

The ideal eye shape is considered to be almond-shaped. This is when its inner edge is below the level of the outer edge. This is the main task of cantopexy.

Indications for cantopexy:

• the outer corners are significantly lower than the inner corners, due to injury, age, or other reason;
• in this way, fat bags under the patient's eyes can be removed;
• correction of the shape of the eye due to aesthetic reasons;
• skin condition after burns or other injuries;
• poorly performed plastic surgery in the past;
• this way you can significantly raise the lower eyelid, which is very sagging;
• weakening of canthus after an injury;
• with bulging eyes, if a person suffers from myopia;
• in order to correct the asymmetry of the face;
• eversion of the mucous membrane of the eye outward.It is possible to restore the normal appearance of the face and remove the weakened muscles that have lost their functionality.

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Transconjunctival blepharoplasty - complications and consequences

The operation to change the shape of the eyes may not be entirely successful.

The main features are:

• the patient's face has changed almost beyond recognition;
• the cut and shape of the eyes almost completely change;
• the look is given a sad look.

These signs are very difficult to change, and sometimes even impossible.

Signs that the patient feels after an unsuccessful operation:

• short upper eyelids, because of this it is impossible to completely close the eyes;
• scars appear that are located high on the upper, and low on the lower eyelid;
• too dry or wet eye, constant tearing;
• short lower eyelid;
• scars on the inner corner of the upper row;
• the eye becomes too round;
• hernias appear on both eyelids;
• eversion of the century appears.

Errors arise due to the inexperience of the surgeon, his poor qualifications. After the operation, a long period of rehabilitation is required. And if mistakes were made during the operation, or the patient did not adhere to the recommendations of the rehabilitation period, complications and negative effects are possible.

Seals

These formations are dense to the touch. They pass if you undergo a course of physiotherapy on time. It is important that the seals do not have time to harden.

Ectropion of the century

This is a kind of retraction of the lower eyelid, due to which the mucous membrane is noticeable. It is treated with a second operation.

Edema

This is normal after blepharoplasty. Over time, they pass by themselves.

Scarring

With the correct operation, this side effect should not appear.

Numbness of the eyelids

The sensitivity of the eyelid is impaired, the nerve endings are damaged. This may go away on its own after some time, or additional treatment may be needed.

Eversion of the century

Incorrect, too large or wide incisions during the operation lead to this consequence.

Sagging eyelid or blepharotoptosis

Most often occurs in older patients, sometimes the situation can be corrected with massage. In some cases, another intervention by the surgeon is necessary.

Different eyelids

Asymmetry. Incorrectly applied sutures, the formation of keloid scars lead to a different shape of the eyelids.

Scars

Inexperience of the surgeon, poor suture threads can leave scars.

The rehabilitation period. How long does it take for the eyelids to heal

A patient who underwent surgery must be kept in the hospital for several days. The doctor needs to monitor his condition. Since only the upper skin is cut, no special rehabilitation measures are taken. But, nevertheless, some rules must be followed.

In the first 2-3 days, according to the advice and recommendations of the doctor, the patient should apply cold to his eyes.

This way you can remove bruises much faster and get rid of swelling.

Recommendations during the rehabilitation period:

• the patient should sleep on a high pillow, reclining;
• do not tilt your head down;
• do not wear lenses for 14 days;
• you can wash your hair after 2-3 days after the operation, while the seams should be protected from water as much as possible;
• you can not take a bath;
• you cannot read, work at a computer, you need to refuse to watch TV;
• observe the principles of proper nutrition, exclude salty foods;
• already on the second day, special exercises should be done, which the surgeon will advise.

Rehabilitation is a difficult period of skin restoration in the delicate area of ​​the eyes. In the first 2-3 days after surgery, you should not remove the patch, which prevents infection from entering the wound, it also promotes wound healing. This sterile patch is required to disinfect wounds.

During this period, the stitches heal, swelling and bruises are removed. The patient should give up smoking, alcohol intake in any dose.

Make-up is strictly prohibited.

Bruises disappear within 7-10 days, the entire rehabilitation period, on average, is 30-40 days.

Rehabilitation and recovery occurs differently for each patient.

This is due to the following factors:

• the patient's skin type;
• skin condition during the operation;
• age;
• physiological features of the structure of tissues around the eye.

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Eyelid resurfacing

The skin around the eyes is very thin, much thinner than on all other parts of the human body. Eyelid resurfacing is done with a laser. The skin is exposed to a light beam.

The effect on the skin is divided into two types, and it depends on which laser was used:

• ablative - a rather tough method of resurfacing the eyelids. Specialists apply it on dense skin, its rays penetrate deeply, have a quick and effective effect;
• non ablative... This is a gentle method of resurfacing the eyelids. It is used on thin and dry skin, which is characterized by increased sensitivity.

The laser, which penetrates deep into the skin, gives some stimulation to the dead skin tissues, and they begin to recover, produce collagen and other elements necessary to restore elasticity, color, youthfulness of the skin.

The procedure requires careful preparation, collection of tests and examination of the patient.

Eyelid resurfacing is performed on an outpatient basis and the patient goes home in a few hours. Of course, local anesthesia is used, in order to relieve pain.

The big plus of the procedure is that the skin is not cut, it is kept intact. The downside is that not in all cases laser resurfacing helps.

Eyelid massage

Lymphatic drainage massage is one of the best ways to get rid of hematomas, bruises, edema after such a procedure. Massage improves blood circulation by damaged tissues, which activates cell regeneration and speeds up the healing process.

If the operation was successful and the patient feels normal, then the massage course is prescribed on the second day. Usually such services are provided by the clinic where the plastic surgery was performed.

There are also individual masseurs who do such a massage, but here you need to very carefully choose a specialist.

Massages are also shown for those who have a drooping eyelid after blepharoplasty.

Lymphatic drainage massage is effective and widely used during the recovery period after blepharoplasty, but it is necessary not to be mistaken with the choice of a specialist.

How to smear eyelids

After blepharoplasty, eyelid skin and suture care is required. In the first days of the rehabilitation period, this should be done by medical workers, and in the future, the patient needs to cope with it on his own.

After removing the bandage, the incisions should be smeared with medicated antibiotic ointment... It will help relieve pain, accelerate healing. The most popular and effective drugs are Levomekol and Erythromycin. Most often, experts recommend them.

For the quickest disposal of hematomas, you can use the "Bruise-OFF" ointment.

In the case of severe pain, according to individual indications, the doctor may additionally prescribe analgesics.

The end result will be noticeable in a few weeks, when the swelling subsides and the recovery period ends.

Eyelid blepharoplasty allows you to change the shape of the eyes, remove sagging eyelids and raise the corners, get rid of bags, excessive swelling, solve the problem of asymmetry and birth defects.

The operation solves aesthetic and pathological problems... However, much depends on the qualifications and experience of a specialist, therefore, when deciding on an operation, you must carefully choose a doctor and clinic in order to protect yourself from possible negative consequences.

After a successful procedure, the skin will become elastic and look younger, the face will become attractive.

Useful videos on the topic:

How is eyelid blepharoplasty performed? Watch in the video clip:

Results of eyelid surgery: before and after photos, see the video: