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Blepharoplasty (eyelid plasty)

Skin in the eye area is the most delicate and sensitive to external influences. As a rule, with age it undergoes aging processes.

Quite often, swelling in the region of inferior and superior eyelids manifests itself at a young age, this is due to congenital weakness of a muscular fascial complex and manifests itself by contouring fatty “hernias” in the form of bags under eyes and heavy superior eyelids.

Eyelid plasty, or blepharoplasty, is a surgical procedure that can dramatically improve an eye area attraction, erase signs of aging and everyday stress on your face. Also, blepharoplasty is often performed as an addition to face-lifting.

Tightening eyelids will help you look and feel younger and more confident!

DURATION OF OPERATION:  30-60 min
PERIOD OF REHABILITATION AFTER BLEPHAROPLASTY:  10-14 days

INDICATIONS FOR BLEPHAROPLASTY

  • Baggy or sagging skin of a superior eyelid.
  • Excessive skin and weakness of muscles, which does not completely open eyes, worsens vision.
  • Excess fatty deposits (fatty hernias) that appear as swaddling.
  • Apparent wrinkles.
  • Congenital defects in eyes and eyelids shape.
  • Dissatisfaction with eyes shape, correction of an Asian eye slant.

TYPES OF BLEPHAROPLASTY

The operation in inferior and superior eyelids can be performed in combination (circular blepharoplasty, or quadrilateral blepharoplasty), and isolated (plasty of the superior eyelid, or superior blepharoplasty, inferior eyelid plasty, or inferior blepharoplasty).

Main age-related changes in superior eyelids are primarily associated with uplifting skin fold and “bags” at inner corners of an eye (internal fatty hernias). In connection with this, the operation is aimed at the excision of excess skin of upper eyelids with plasty of fatty hernias. A scar often looks very cosmetic.

Changes in inferior eyelid are manifested in the form of evident “bags” under the eyes (fatty hernias) and multiple skin folds and wrinkles. Lower blepharoplasty consists of the plasty of fatty hernias (internal, medial and external) and in the excision of excess of each, or of a skin muscle flap. If necessary, an external canthophesia (strengthening an outer edge of a lower eyelid) is performed. A scar, as a rule, is highly cosmetic and is located in a fold under the ciliate edge of an eyelid.

PRELIMINARY CONSULTING

At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

Examination before blepharoplasty begins with detection of the degree of age-related skin changes, and skin structure and color are estimated.

We will consider in detail all the problems that you are experiencing, which, you think, are undesirable and must be corrected.

After examining external characteristics of eyelids, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of upcoming eyelid plasty, its duration, rehabilitation period and possible complications.

PREPARATION FOR OPERATION

  • When preparing for eyelid plasty, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
  • 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
  • Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
  • 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
  • Do not eat or drink 8 hours before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
  • On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.

POST-OPERATIONAL PERIOD

  • After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
  • The first 2-3 days patients should sleep with a slightly raised head. Elevated head position minimizes postoperative edema and discomfort.
  • You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
  • It is desirable to restrict watching television shows and films and reading literature in the first week after the operation.
  • Stitches are removed within 14 days of surgical intervention.
  • Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
  • In the first 10-14 days, it is not recommended to paint eyelids and impose shadows on them, to mascara eyelashes is not advisable for the first 2-3 weeks.
  • During the first 3 weeks, excessive exposure to sunlight is not desirable; during this period, do not use contact lenses. Glasses can be used at any time.
  • Do not exercise for 3 weeks after the operation, which requires a lot of physical activity. In order to minimize the chance of the postoperative complication, avoid such actions as low slopes or lifting of weights, and also the position when the head is below the body level.
  • After blepharoplasty, it is not recommended to fly for 2 weeks on airplanes, and 4 weeks – to visit sauna or swimming pool.
  • Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and you have the temperature above 38 degrees Celsius.
  • During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.

RISKS AND POSSIBLE COMPLICATIONS AFTER BLEPHAROPLASTY

During the postoperative period, development of general surgical complications and corresponding complications of this operation is possible. The risk of the onset of the first (suppuration, bleeding, thrombophlebitis, thromboembolism) is reduced through an appropriate preoperative examination and, if necessary, through medicinal preparation.

  • Under skin, blood (hematoma) and tissue fluid (seroma) can be accumulated, and hardenings (scars) can also form in adipose tissue. They gradually dissolve within several weeks and even months.
  • In cases of severe skin nutrition disorders, its partial death (necrosis) is possible with subsequent scarring.
  • Сomplications characteristic of eyelids plasty include: eyelid ectropion, hemorrhages in sclera, inflammatory process of sclera or conjunctivas; temporary (rarely persistent) vision impairment; hematoma of retrobulbary space.
  • There is a possibility of injury to branches of a facial nerve, in connection with which there is a mimic violation on the side of the injury. Conducted treatment, as a rule, eliminates this complication.

All of the above-mentioned complications after blepharoplasty are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.

Reviews

(RU) Вероника (Блефаропластика)

(RU) 27.02.2015

Sorry, this entry is only available in Russian.

(RU) Игорь (Пластика век)

(RU) 25.07.2016

Sorry, this entry is only available in Russian.

(RU) Лилия (Пластика век)

(RU) 11.10.2018

Sorry, this entry is only available in Russian.

(RU) Люба (Подтяжка век)

(RU) 05.02.2016

Sorry, this entry is only available in Russian.

(RU) Ольга (Пластика век)

(RU) 10.12.2007 р.

Sorry, this entry is only available in Russian.

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