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

Eyelid surgery (blepharoplasty) implies a wide range of surgical techniques through which it will be possible to achieve the effect of rejuvenating the area around the eyes, eliminating pronounced defects of the upper or lower eyelid. Today in aesthetic surgery, to improve the appearance of this area, operations such as:

• canthoplasty,
• canthopexy,
• checklifting,
• circular blepharoplasty,
• Asian century correction,
• transconjunctival blepharoplasty.

Blepharoplasty is considered the safest and most effective operation, which lasts about 1-2 hours under general, local or intravenous anesthesia. On average, the recovery period requires about 2-6 weeks.

What are the indications for blepharoplasty?

Eyelid surgery allows you to visually rejuvenate the area around the eyes, make your eyes more open and almost literally see the world from the other side. Patients who have undergone surgery note that after eyelid surgery their lives have really changed for the better.

Main indications for the operation:

• drooping of the outer corners of the eyes , which makes the look seem sad;
• bags under the eyes (excessive amount of skin in the lower eyelid area);
• folds in the area around the eyes;
• “fatty hernias” in the area around the eyes;
• excess skin in the upper eyelid area;
• wrinkles in the area around the eyes.

Canthoplasty

To change the shape of the eyes or correct the outer corners, plastic surgeons use the canthoplasty technique. This operation is performed through access to the tendon and makes it possible to rejuvenate the look by lifting the outer corners, which usually droop under the influence of natural age-related skin ptosis. After canthoplasty, patients often say that they look several years younger. Another advantage of the method is the ability to slightly increase the size of the eyes. This makes it possible to get a natural result. In canthoplasty, a small incision is made in the natural folds of the upper eyelids and the canthal tendon is tightened.

Canthopexy

If severe tissue ptosis is observed in the lower eyelid area, a canthopexy method is required, through which the outer corners of the eyes are tightened and the effect of sagging tissue is eliminated. Statistics show that canthopexy in most cases is performed when the patient needs to correct the result of an unsuccessful eyelid surgery performed by an illiterate surgeon.

Checklifting

Patients who cannot eliminate bags under the eyes with traditional cosmetic and folk remedies should think about the checklifting technique. During the operation, the surgeon eliminates sagging soft tissues of the midface by changing their position. For this purpose, innovative biodegradable threads are usually used.

Circular blepharoplasty

When pronounced wrinkles and excess fatty tissue appear in the area around the eyes, as well as with severe ptosis of the outer corners of the eyelids, the circular blepharoplasty technique is used. An incision is made in the natural folds of the upper eyelids, after which excess tissue is excised and the subcutaneous fat is redistributed.

Blepharoplasty

Blepharoplasty is the most frequently performed operation in aesthetic surgery in general and on the face in particular. The popularity of this operation is due to many factors. The main thing is that this is not such a decisive step as, for example, a circular facelift. The relative simplicity of surgery, short recovery period, minimal risk of possible complications and, finally, the price/quality ratio make blepharoplasty so popular. An important point is rapid social adaptation. After the operation, you will remain recognizable and, most likely (this happens in the vast majority of cases), your work colleagues will not notice anything, they will only note your refreshed appearance.

Age-related changes in the upper face include:

1. drooping eyebrow;
2. facial wrinkles on the forehead, glabella and periorbital area;
3. sagging of the lateral edge, blepharochalasis and pseudohernia of the medial tissue of the upper eyelid.
4. with deformation of the lower eyelid, the formation of a tear trough, pseudohernia of all three cellular spaces, as well as wrinkles is possible.

Blepharoplasty: what is it?

Eyelid surgery (blepharoplasty) allows you to remove excess skin, fatty tissue from the eyelids and bags under the eyes. Plastic surgery of both the upper and lower eyelids is possible. Blepharoplasty gives a pronounced cosmetic effect, because... The eyes are the most visible part of the face. The operation allows you to eliminate sagging skin and protruding subcutaneous fat, which give the face a tired, haggard appearance (this is especially true for lower eyelid surgery). Also, by removing excess skin folds of the upper eyelid, the field of vision can be expanded.

What should you expect from eyelid surgery?

Age-related changes in the skin of the face lead to sagging of the skin of the upper eyelids and a gradual limitation of the fields of vision above and on the lateral side. Hernias of fatty tissue are a common cause of bulging areas of the eyelids, creating the impression of swelling and bags above and below the eyes. Eyelid surgery removes excess tissue and skin. Also, with the help of blepharoplasty, you can eliminate folds of skin under the lower eyelids, but eliminating wrinkles in the temporal corner of the eye (“crow’s feet”) is not always possible.

Is blepharoplasty performed only on older people?

Eyelid surgery is possible both at the age of 30 and 80 years. The aging process and attitude towards one's appearance are individual. During the consultation, the doctor will help you determine the feasibility of the operation and make the right choice regarding its technique.

Is it possible to perform the surgery on an outpatient basis or is hospitalization necessary?

The procedure is carried out on an outpatient basis, because it does not require anesthesia, which can disrupt the patient’s respiratory activity. For blepharoplasty, a combination of local anesthesia with sedatives and painkillers is sufficient, if necessary. Only the procedure for administering local anesthetics causes discomfort.

How does the operation proceed?

The duration of the operation is 1.5-3 hours. Directly in the operating room, marks are applied to the skin of the eyelid with a special marker. After the operation, you will be able to go home. It is necessary to agree with someone who can accompany you, because... The medications you will be given during surgery may cause dizziness. Physical overexertion increases bleeding and bruising and should be avoided.

The duration of the operation is from 1 to 3 hours.

Will there be pain after the operation?

As a rule, there is no pain after surgery. It is recommended to rest more and move less in the first 48-72 hours after surgery. This reduces discomfort and bruising. There may be increased sensitivity of the skin in the corners of the eyes in the first days after surgery. In such a situation, paracetamol helps. Elevating the head while sleeping in the first days after surgery reduces swelling.

How is healing going?

The stitches are removed on the 5th day. The bruises will go away in two weeks. After two months, the fine lines of the stitches will turn white. Decorative cosmetics can be used a week after surgery. Even if the operation did not affect the lower eyelids, there will be slight bruising under the eyes after the operation. Slight tissue swelling is also characteristic. After surgery, a temporary weakening of the tone of the eye muscles often occurs; the eyes may remain slightly open during sleep. To prevent the cornea from drying out, apply a moisturizing eye gel before bed. A few weeks after surgery, the eyes sometimes feel dry. This is due to the fact that after removing excess skin, the eyes are more exposed to dust. Gradually you adapt to this, but to speed up the process you should blink more often.

How soon can I return to work and exercise?

As a rule, you can hide traces of surgery (bruises, scars) with hypoallergenic cosmetics 10 days after surgery; most patients return to work by this time. Moderate physical activity is allowed from the 7th day of surgery. You can return to long-term regular exercise, such as running, after 14 days if the postoperative period is calm.

How long will it take to see the results of the operation?

The result is noticeable immediately after the operation, but the final effect will appear after a few months.

Will the eyes look natural?

The purpose of eyelid surgery is to improve appearance. After surgery, patients look rested, more active and youthful for their age. Therefore, the overall appearance will be completely natural. Friends and acquaintances will certainly notice changes in your appearance, but most likely they will decide that the reason for your rejuvenation is the result of, for example, a good rest or a change in hairstyle.

What are the complications?

Such general surgical complications as suppuration, bleeding and the formation of a rough scar are possible here only hypothetically. Wounds after blepharoplasty heal quickly and on days 4-6 we remove the stitches; over the next 2 weeks you need to take care of the operated eyelids. Possible slight irregularities along the scar are associated with persistent local edema or differences in thickness, which are comparable after excision of excess skin and tissue and do not require additional correction. As the scar matures and the swelling of the eyelid skin decreases, the suture line will gradually smooth out.

How long does the effect of the operation last and will a repeat operation be necessary in the future?

The anti-aging effect of blepharoplasty lasts for decades, but do not forget that surgery cannot prevent natural aging.

What tests need to be done before surgery?

To perform the operation, after preliminary consultation, the following tests are required:

• blood for general analysis (expiration date 10 days)
• blood sugar test (expiration date 10 days)
• urine for general analysis (expiration date 10 days)
• Wasserman reaction (RW) (shelf life 10 days.)
• blood for antibodies to HIV, HBs antigen, hepatitis C (expiration date 1 month)
• blood for clotting according to Sukharev (shelf life 10 days)

Conclusions about the absence of contraindications to surgery:

• Endocrinologist (if you have diabetes).

Complete: fluorographic examination (expiration date 1 year), ECG (expiration date 1 month)

After receiving the results of all studies, undergo examination by a therapist

and obtain his conclusion about the absence of contraindications to the operation.

In 3 weeks Before surgery, stop taking aspirin and its derivatives 1 week. – eliminate alcohol, stop or reduce smoking as much as possible within a few days. Smoking reduces blood flow and thereby slows down wound healing. It is advisable to start taking vasoconstrictors two weeks in advance to reduce swelling in the postoperative period (ascorutin.) Before the operation, you should get a good night's sleep and rest - this will help avoid unnecessary nervous tension. On the day of surgery, have a light breakfast.

Reminder after blepharochalasis surgery

1. Use painkillers and other medications only on the recommendation of a doctor;
2. Sleep on a raised pillow;
3. Avoid drinking alcohol for a week;
4. Cold on the eyelids every hour for 10 minutes on the first day after surgery;
5. Remove the patches after a week.

Prices

Make an appointment

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The application form is located on the left of each page of the site.

Appointment by phone, 202-20-28; +7 986-720-17-17.

With the simultaneous appearance of a depression in the zygomatic region, the so-called double bubble effect develops.

Most patients requiring blepharoplasty complain of a tired, haggard appearance, despite feeling well. Some complain of a subjective decrease in eye size. Women are often dissatisfied with the small width of the upper eyelid, which makes applying makeup impossible. With pronounced drooping of the upper eyelid, the field of vision on the temporal sides is limited. Bags under the eyes give the appearance of fatigue and are often combined with dark circles.

Blepharoplasty patients are mainly women aged 35 to 55 years. At a younger age, it is most often necessary to perform transconjunctival (through the inner surface of the lower eyelid) removal of hernial protrusions under the eyes. Older ladies more often require correction of sagging skin of the upper eyelid, both in combination with plastic surgery of the lower eyelid, and without it. But men also turn to us, mainly after 45 years - people with good looks, whose healthy and well-groomed appearance is the key to prosperity and well-being. I would like to emphasize that the requirements for eyelid surgery in men differ from those in women.

Patients should be examined before surgery. During the initial conversation with the surgeon, it is necessary to inform about all existing and past diseases, cases of drug intolerance, and allergic reactions. Particular attention is paid to the condition of the eyes.

Asian century correction

Recently, an operation has been very popular, with the help of which the Asian type of eyelids is transformed into a typical European one. This technique is relevant only for aesthetic indications. The operation involves excision of excess skin of the upper eyelid and removal of fatty hernias. If necessary, correction of the lower eyelids is also performed.

Transconjunctival blepharoplasty

The innovative method of transconjunctival eyelid surgery has become so popular due to the absence of incisions. Access is through the conjunctiva. This method is one of the safest and least traumatic, despite the fact that it completely copes with removing a hernia of the lower eyelid and eliminating the effect of sagging skin.

Upper, lower and circular eyelid lift: price difference

There are different types of correction of the area around the eyes. At the request of the patient, the doctor can change the shape of only the upper or only the lower eyelids, and in some cases, both. The last type of surgery is called circumferential blepharoplasty. It is considered the most preferable because it has a complex effect. With the help of a circular eyelid lift you can get rid of:

• asymmetry;
• uneven corners of the eyes;
• wrinkles;
• ptosis;
• fat bags.

Circumferential blepharoplasty is performed only under general anesthesia. If you follow all the rules of rehabilitation, the effect after it lasts for 8–10 years. The price of a circular eyelid lift is higher than other types of plastic surgery for this area, however, the changes after it are more radical.

Blepharoplasty: reviews and essence of surgery

In the modern world, blepharoplasty is gaining quite a lot of popularity, reviews of which vary.
This is the name for eyelid correction surgery, but it is in this area of ​​the face that signs of aging are clearly visible. When communicating, people make eye contact first. Therefore, many women develop complexes when wrinkles appear in this area, bags, and the upper eyelid droops.

As a result, the fair sex fills the home shelves with various creams, masks, and visits expensive beauty salons, but they do not bring the desired result.

In this case, experts advise paying attention to blepharoplasty. But what is the risk of facing a failed operation? What can you learn from reviews? What complications can there be?

Reviews (positive)

VALENTINA, 42 YEARS OLD:

“All women are probably afraid of age-related changes. But where can you get away from them, especially at my age? The face became dull, and the whole point is that the corners of the eyes sagged, the upper eyelid began to droop, and bags appeared under the eyes.

How you want to always look young. I was advised to think about blepharoplasty. After reading a little information, studying the best surgeons in St. Petersburg, reviews of those who had undergone surgery, I began to look for a specialist in Khabarovsk. The operation was successful, there were no unpleasant consequences.

In the modern world, when many methods of rejuvenation have been invented, it would be foolish not to take advantage of the progress. Therefore, I advise all women to spare no expense and try blepharoplasty and feel young again.”

LYUDMILA, 38 YEARS OLD:

“I had blepharoplasty of the upper eyelids back in 2020. I took the choice of a surgeon very seriously, I read reviews about specialists in Kazan. Having decided, I went to the clinic.

First I went through various studies, then I prepared for surgery. The doctor was attentive, explained everything in detail, and calmed me down. I was given general anesthesia. This is better, because I was very worried.

Everything went well, but the third day turned out to be the most painful. Swelling appeared from the first day, but then everything started to itch. I endured everything, and after a while my condition improved.

I understood that after any surgical intervention there may be discomfort. Much time has already passed, the unpleasant sensations are forgotten, and I am ten years younger.

The seams are not visible, as they are cleverly hidden on the bend of the eyelid. I haven’t encountered any complications, I calmly close my eyes, nothing bothers me.”

JULIA, 32 YEARS OLD:

“We have a hereditary problem in our family – drooping eyelids. This small flaw steals youth, since even in my 20s I looked much older. And I decided to correct the situation.

I tried a lot of lifting creams, did special exercises, but all my efforts were in vain. I decided to lean towards plastic surgery. I live in Ufa, there are many clinics here, I started reading reviews.

I stopped at the Yuhelp medical facility. The operation lasted about 1.5 hours. After it there were unpleasant sensations. They were polite to me and carefully monitored my condition.

I liked the staff. She went outside wearing glasses, thus hiding swelling and bruises. At age 5, my stitches were removed. This is a magical procedure, now everyone compliments me, I’m happy.”

Details

Blephoroplasty is performed using traditional surgical and laser methods; the choice in favor of one of them is made by the surgeon after analyzing the problem, the amount of work to be done, the general condition of the patient, etc.
The time of the operation depends on these same factors - it can take from half an hour to an hour and a half, and is performed using local or intravenous anesthesia. Upper eyelid blepharoplasty

The incision is located along the crease of the upper eyelid. The surgeon removes excess fat, tightens the skin and, if necessary, the orbicularis oculi muscle. After the work is completed, a cosmetic intradermal suture is applied, which, after healing, turns into a thin light strip, invisible under the crease of the eyelid.

Blepharoplasty of the lower eyelids

The incision is made along the line of the lower eyelashes, which - after the stitch has healed - makes it invisible. During the operation, the surgeon removes excess fat and skin tissue.

Transconjunctival blepharoplasty

An incision (or even small punctures) is made from the inside of the eyelid, along the conjunctiva of the eye. This allows for a short operation time and no stitches, since the mucous membrane of the eye regenerates very quickly. Using this method, minor cosmetic defects are corrected and hernias on the lower eyelids are removed.

Eye shape correction

It is performed through incisions on the upper and lower eyelids, changing the shape of the corners of the eyes and removing excess fatty tissue. An operation to change the shape and shape of the eyes may include the procedure of cantholexia - tightening the muscle and correcting the shape of the drooping outer corner of the eye.

Upper blepharoplasty

An upper eyelid lift occurs under local anesthesia, which reduces sensitivity in the areas undergoing surgical manipulation. Upper blepharoplasty is used to eliminate wrinkles and folds, as the skin becomes inelastic with age due to the destruction of collagen fibers.

Blepharoplasty, reviews of which are mostly positive from those who have undergone surgery, is used on the upper eyelids:

• for hernias or lumps that form after severe swelling;
• with skin hanging over the eyes, which not only makes a person’s look heavy and tired, but also interferes with normal visual perception;
• if problems arise with makeup: cosmetics roll off, leak and smudge.

Consultation on blepharoplasty

Can I undergo blepharoplasty?

Blepharoplasty is usually performed on candidates over 35 years of age. You must be in good general physical and mental health to have surgery and ideally be a non-smoker or able to quit smoking before surgery.

Who is a good candidate for blepharoplasty?

The ideal candidate is someone who has realistic expectations of what surgery can achieve and goes into surgery for themselves and not for anyone else (eg pressure from partners or family.

It is important to understand that cosmetic surgery performed by a doctor is performed with grace, with the goal of creating a subtle yet noticeable natural and elegant appearance. Good cosmetic surgery whispers, not shouts!

What to expect during your consultation?

No two faces are alike. After taking your general medical history, your doctor will carefully analyze your eyelids and discuss your concerns with you. He will then suggest a procedure or procedures specifically designed to address these issues and give you a balanced and rejuvenated appearance. For an accurate analysis of your face and eyelids, please avoid makeup or sunscreen during your consultation. It is also recommended that, where possible, you bring clear photographs of your younger self to your appointment. These images help the doctor understand the youthful contours of your face and eyes, as well as the results you want to achieve, so he can adjust your surgery accordingly.

Please note that the doctor will take photographs of your face and eyelids. Photography is vital in cosmetic surgery and allows the doctor to document and share with you your results before and after surgery. Sometimes these photos will be uploaded to our website. Images are de-identified, removing birthmarks, tattoos and other identifying features. Images are not otherwise modified to show a true impression of likely results. Before-After images like these help other potential patients like you decide if this procedure is right for them.

Typically, the consultation is your opportunity to ask the doctor any questions or clarify any questions you may have about your blepharoplasty surgery.

What is the cost of blepharoplasty? What's included?

The cost of blepharoplasty surgery depends on the duration and complexity of the operation. After your consultation, once you decide that you are interested in blepharoplasty, you will receive a quote for the cost of the procedure. This price includes doctor's fees (surgeon fees) and the cost of follow-up visits up to 3 months after surgery. This does not include hospital and anesthesiologist costs, but an estimate of such costs can be provided upon request.

Blepharoplasty brief summary

What is Blepharoplasty : Blepharoplasty involves making small incisions through which excess skin and fatty tissue around the eyes are removed or repositioned to rejuvenate them.
Where it's done : Your facelift surgery will be performed at the brand new NT-Medicine clinic in Yaroslavl, a fully licensed and accredited day hospital that specializes in plastic surgery.

Duration of surgery : usually between 1-2 hours. It may be longer depending on which method is used (see below), the complexity of the surgery, or if the blepharoplasty will be combined with another type of surgery.

Type of anesthesia : local or general anesthesia.

Day surgery or hospital stay : usually 24 hours.

Estimated cost : varies depending on the type, complexity and duration of the procedure. After consultation with the doctor, you will receive a price quote indicating the cost of the procedure.

Question answer

If there are no complications and the operation was successful, then recovery will take about 14 days. To ensure everything goes smoothly, it is recommended to follow all the rules of the rehabilitation period.

You need to understand that raising the eyebrows can lead to a deterioration in appearance. Therefore, if the eyebrow is not lowered and is in the bone area, then you should abandon the second option and lean towards blepharoplasty.

Often the effect lasts for about 10-15 years. It is directly influenced by heredity, age-related changes, and gravity.

Blepharoplasty techniques

Blepharoplasty is performed using various techniques.

Among them the most popular are:

• operational execution techniques;

• hardware methods;
• injection procedures.

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

Recovery after blepharoplasty

Face and wound care

The NT-Medicine Clinic will provide you with detailed instructions on how to care for your stitches, wounds, etc. Any stitches will usually be removed within 7 days. Your scars may need to be taped to improve treatment and their appearance.

Downtime

Returning to work takes 10-14 days, depending on the type of work you do. More strenuous activities (eg, lifting, straining, exercise beyond a light walk) should be strictly avoided for 4-6 weeks.

When will you see results?

Results will be visible as your tissues heal and swelling and bruising begin to subside, which can take up to a month or more. Therefore, patience and optimism are the keys to recovery after blepharoplasty.

What will be your follow-up schedule?

The doctor will see you a week after surgery and then arrange follow-up care based on how you are recovering. All follow-up visits up to three months after surgery are included in the cost of the operation. Revision surgery for any complications is carried out at an additional cost.

As during your consultation visit (above), the doctor will take photographs of your face and eyelids to document healing during subsequent visits.

Eyelid correction price

To find out the exact cost of eyelid correction, you need to attend an in-person consultation, during which Igor Anatolyevich will conduct a full examination of your face, find out your wishes, and agree with you on a detailed operation plan, taking into account your physical condition and cosmetic goals. This stage is mandatory for everyone. Only after undergoing a consultation, examination and receiving the results of all the necessary tests, the doctor will be able to give the exact price for eyelid correction.

If you are interested in rejuvenating your face using eyelid surgery performed by Professor I. A. Bely, sign up for a consultation online or call +75. You can compare all the changes before and after by clicking on the link

Injection blepharoplasty

Blepharoplasty, reviews of which are negative from those who have undergone surgery, can be performed without surgery.

By introducing various substances into the subcutaneous space:

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

Remove wrinkles, cyanosis and swelling, tighten eyelids and skin. Also, cosmetology products can 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 eliminate hernias and swelling.

Injection blepharoplasty allows you to correct minor problems around the eyes. Its advantage is that there is no need to frequently visit a beauty salon, 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.