Gentle methods of blepharoplasty: laser resurfacing, cold plasma, pinch

Possible complications after blepharoplasty

Your doctor will tell you how soon you can return to your normal lifestyle or work.
They will also provide detailed instructions about post-operative care, including information about: • normal symptoms you may experience after the procedure; • signs of potential complications. To make the recovery period as simple and convenient as possible at home, you will need: • ice cubes, bags of ice or frozen foods (for example, corn or peas), the surgeon will tell you which one to choose based on the characteristics of your eyelids; • small gauze pads;

• eye drops or artificial tears (check with your doctor which ones are right for you); • clean terry napkins and towels; • over-the-counter pain medications, but beware of medications that may cause bleeding; • try to limit stress as much as possible and allocate as much time as possible for the recovery and healing of the eyelids.

• Immediately after surgery, you may experience watery eyes, sensitivity to light, or double vision. • During the first few days, the incisions will be red and visible, the eyelids will be swollen, and you may feel numb. • Swelling and bruising will last a week or more. • Your surgeon will tell you to apply a cold compress or ice pack to your eyes to reduce swelling.

• As a rule, there is practically no pain after blepharoplasty. But sometimes patients feel discomfort and may be advised to take a pain reliever, such as acetaminophen, to relieve it. However, remember not to take aspirin, ibuprofen, naproxen, or other medications or herbal supplements that increase bleeding.

It is extremely important to follow all your doctor's instructions regarding post-operative care. They include recommendations about dressings, drainage, and taking antibiotics if it is safe for your health. In addition, the surgeon will provide full information about the normal symptoms you will experience after blepharoplasty, as well as the signs of any possible complications.

The duration of the recovery period depends on the individual characteristics of the patient.

Recovery within the first two weeks

While you don't have to stay in the hospital after eyelid surgery, you should ensure that you receive maximum care and complete peace of mind at home. Cold compresses should be applied to the eyes after the procedure and the next day. The amount of time required for recovery depends on the individual patient.

You can speed up the rehabilitation period by using the following tips: • Strictly follow all the doctor’s recommendations: during the first days, be sure to lubricate the stitches with a special ointment and apply cold compresses to the eyes to relieve swelling. In addition, you may be prescribed eye drops to prevent the feeling of dryness; if it does not go away within 2 weeks, you should immediately consult a doctor.

• Sleep in a position where your head is higher than your chest. To do this, you can use either a regular or a special orthopedic pillow or sleep on a chair. This position while sleeping will reduce bruising and swelling. • After upper and lower blepharoplasty, eyelid tension may be felt.

You can relieve pain and discomfort with acetaminophen. Bruises often go away quickly, but some may remain for up to 2 weeks. • Try to avoid heavy exercise, such as weightlifting, swimming, aerobics, jogging for 10-14 days. Do not make sudden movements of your head, do not bend over or lift heavy objects, so as not to increase the pressure.

This restriction applies for 3-4 weeks. • You may notice that your eyes may become tired quickly over the course of a few weeks. Therefore, let them rest as often as possible. Try to reduce reading, watching TV, working on a computer, or wearing contact lenses. Because of this, the eyes not only get tired quickly, but also dry out.

• During the first 2 weeks after the procedure, wear dark glasses to protect your eyes from irritation caused by the sun and wind. • The plastic surgeon will remove the sutures 2 to 7 days after the eyelid surgery. • Already on the 10th day you will feel so good that you can return to your normal lifestyle.

- Negative reaction to anesthesia - Hematoma or seroma (a buildup of blood or fluid under the skin that may require removal) - Infection and bleeding - Changes in sensation - Scarring - Allergic reactions - Damage to internal tissue - Unsatisfactory results that may require additional procedures.

You can help minimize certain risks by following your plastic surgeon's instructions and advice.

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Description of the procedure

The performance of such manipulations is related to the equipment used.
The surgical or transconjunctival type of blepharoplasty is performed under local anesthesia and can affect one or both eyelids, as well as the skin around the eyes.

After such a procedure, a period of rehabilitation is required, during which many effects are contraindicated.

Hardware and laser correction act much more gently, stimulating the elastic fibers of the skin and forcing them to function. The effect of such methods is comparable to surgical lifting, but for the best result you may need a course of several procedures.

Indications and contraindications

The use of lower eyelid blepharoplasty is justified in cases of sagging skin under the eyes, dark circles and puffiness.

Such conditions are not always caused by lifestyle or age. The phenomenon also occurs in fairly young patients, as well as with hereditary factors.

There are also plenty of contraindications for blepharoplasty:

Pregnancy and lactation.
Heart diseases.
Hypertension and vascular problems.
Blood clotting disorder.
Oncological diseases.
Inflammatory processes during exacerbation.
Vision problems and eye diseases.

Possible complications include swelling and facial disproportion.

On the first day after surgery, swelling and cyanosis may appear under the eyes, as well as inflammation at the site of the sutures. Hospitalization after blepharoplasty is not necessary, but it is necessary to visit a plastic surgeon at least three times to exclude possible complications. He should also explain post-procedure actions and further skin care.

Rehabilitation

Surgical intervention can quite significantly disrupt the usual way of life, so it is better to plan a vacation for this time in advance.

Typically, the rehabilitation period is a month, during which temperature exposure, sunbathing and the use of decorative cosmetics should be avoided.

As the stitches heal, you may need to use medications that resolve scars and increase skin elasticity. Do not overuse cosmetics or expose the operated area to mechanical stress.

Video about the lower eyelid blepharoplasty procedure and results

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Why does drooping of the upper eyelid appear?

The most important enemy of youth and beauty, as well as the cause of ptosis (drooping) of the upper eyelid, is age.

Over time, collagen fibers are destroyed, and skin tone noticeably decreases, which negatively affects the condition of the skin. It is the thinnest and most delicate in the eye area, so it ages earlier than other areas on the face.

These cosmetic defects contribute to the fact that the depth of the gaze is lost, and the person’s face has a tired and unattractive appearance. In addition, this visually adds several years to the patient.

This is a fairly common phenomenon that can appear in the following cases:

as a result of natural age-related changes in the human body;
have an innate character;
appear as a result of a genetic predisposition to this type of ptosis;
develop as a consequence of injury or disease.

Blepharoplasty becomes especially relevant once the patient reaches the threshold of adulthood (after 35-40 years). The main task of upper eyelid lifting is to restore the previous shape of the eyes, visually increase their size and give them a beautiful shape.

After the lift, the angle of vision expands, patients stop reflexively raising their eyebrows, which improves not only the quality of vision, but also the overall facial expressions.

For older or very thin patients with this blepharoplasty, lipofilling of the upper eyelid is performed, that is, in addition to correcting sagging skin, the sunken eye is corrected.

How long will the effect of blepharoplasty last?

As a rule, the results of eyelid surgery last for a long time. Often, excess skin from the eyelids is removed only once. As we age, the forehead can sag, causing the sagging fold of skin to reappear on the upper eyelid. But in this case, a brow lift is more appropriate, but re-plasty of the upper eyelids comes in second place. Lower blepharoplasty is most often used to correct bags and fatty hernias under the eyes, so its results are also visible almost immediately.

Keep in touch with your plastic surgeon Keep regular check-ups with your doctor, and seek help if you notice changes in the areas where you had blepharoplasty. Don't be afraid to consult your doctor if you have any questions or concerns.

What is blepharoplasty

This method of eyelid correction is considered one of the most popular in plastic surgery. With the help of upper blepharoplasty, it becomes possible to get rid of many congenital and acquired defects in the periorbital area, including age-related changes that cannot be corrected by cosmetic procedures.

Blepharoplasty methods are constantly being improved. Along with surgical manipulations with a scalpel, new laser technologies or more gentle methods of correction are used for minor age-related changes. The operation is performed under anesthesia, general or local.

How long blepharoplasty of the upper eyelids will last depends on the age of the patient, the condition of the skin, and the quality of the operation performed. The average duration of preservation of the result is 8-10 years.

The operation is possible from the age of 18 (for serious indications - and earlier). In order to rejuvenate the upper eyelid area, blepharoplasty is recommended after 45 years. Until this age, it is preferable to use non-surgical correction.

Indications for blepharoplasty

Upper eyelid blepharoplasty is performed if there are the following indications for it:

congenital and acquired defects (fatty hernias, epicanthus, pathological stretching of the dermis);
drooping eyelid skin, excess fatty tissue;
decreased muscle tone, flabbiness;
to increase the size of the eyes, change their shape;
age-related changes (deep wrinkles, crow's feet);
drooping of the outer corners of the eyes;
to eliminate ptosis of the upper eyelid in adults and children;
to change the cut and shape of Asian eyes.

When studying the patient's medical history before undergoing blepharoplasty, the doctor must exclude the presence of possible contraindications to the operation. These include:

increased intraocular pressure;
diabetes;
myopathy;
rehabilitation period after surgical manipulations on the eyes;
violation of blood clotting processes;
oncological formations;
AIDS;
hepatitis;
arterial hypertension and other heart and vascular diseases;
infectious diseases;
eye pathologies: conjunctivitis, dry eye syndrome, keratitis and others;
period of exacerbation of chronic diseases;
period of pregnancy, lactation;
It is not recommended to perform surgery during menstruation.

Blepharoplasty is often recommended as a surgery to correct the first signs of aging in the facial area.

INDICATIONS

sagging of the skin over the eyes without accompanying sagging of the eyebrows;
the presence of wrinkles on the eyelids;
drooping upper eyelid or lacrimal gland;
excess fat deposits (so-called “fat hernias”);
skeletonization of the upper eyelid area;
deep nasolacrimal groove;
flabbiness of facial muscles;
hypertrophy of the circular muscles in the eye area.

Blepharoplasty is considered a safe and non-traumatic plastic surgery. However, this rejuvenation method also has a number of contraindications.

CONTRAINDICATIONS

if a person suffers from chronic and acute diseases of the eyelids, dry eye syndrome;
with various types of conjunctivitis;
if there is a history of diseases of the organs of vision;
if the patient suffers from blepharospasms and increased lacrimation;
with increased intraocular pressure in the patient;
if malignant neoplasms were previously discovered in the eye area;
patients suffering from diabetes;
in case of an infectious disease of an acute or chronic nature;
for diseases of the cardiovascular system;
if the patient is diagnosed with any blood clotting disorders, mental disorders;
if the patient is a pregnant woman or nursing mother.

Before blepharoplasty, the surgeon will provide you with detailed instructions and answer all questions. In addition, he will study your medical history and conduct a physical examination, which will allow the doctor to determine how ready you are for surgery.

• First of all, the doctor will ask you about possible eye problems and diseases, such as dry eyes or glaucoma. You should definitely tell your doctor if you have circulatory problems, thyroid problems, diabetes, or other serious illnesses, as well as any medications, medications, or even herbal supplements you take, to avoid the risk of sudden bleeding.

PINCH EFFECT

PINCH EFFECT (from the English pinch - compression, narrowing), compression of a plasma cord carrying electricity. current, under the influence of the magnetic field created by this current. P.-e. first described in 1934 by Amer. physicist W. Bennett in connection with the problem of self-focusing of a bunch of fast electrons ejected during a solar flare into rarefied interplanetary plasma. The term "P.-e." introduced in 1937 by the US. physicist L. Tonks to describe the processes occurring in an arc discharge.

P.-e. occurs when the magnetic pressure of the plasma exceeds the kinetic pressure; In this case, two modes are possible depending on the relative. the value of electrical conductivity of the plasma, which determines the time of penetration of the field into the plasma. In the first mode, the magnetic field does not penetrate the highly conductive plasma; this is a classic P.-e. In the second mode, with short field penetration times compared to the discharge time, the magnetic field has time to diffuse into the plasma; at the same time electric the field is uniform inside the plasma. This mode is called unskinned pinch.

A cylindrically symmetrical plasma filament, unlimited along the $z$ axis, is an equilibrium $Z$-pinch when the electric the current flows along the $z$ axis, and the magnetic field has only an azimuthal component, or an equilibrium $θ$-pinch, in which the magnetic field is directed along the $z$ axis, and the electric. the current has only an azimuthal component. In addition to these pinch configurations, there are capillary pinches, plasma focus, thin exploding wires, etc.

The problem of an equilibrium $Z$-pinch was first considered by W. Bennett, who, from the mechanical condition. equilibrium (equality of the plasma pressure gradient to the Ampere force) received the so-called. Bennett condition: $2c^2(T_i+yT_e)N=I^2$ (equilibrium pinch condition). Here $N$ is the number of ions, $T_i, T_e$ are the temperatures of ions and electrons, $I$ is the total current flowing through the pinch, $c$ is the speed of light; plasma is an ideal gas in which, due to quasineutrality, $n_e=yn_i$ ($n_e, n_i$ are the concentrations of plasma electrons and ions).

In high-temperature plasmas, energy losses due to radiation can play an important role. Studying the equilibrium of the plasma taking into account these losses, R. Pease (USA) and S.I. Braginsky (USSR) discovered in the end. 1950s phenomenon of radiation collapse. Its essence is as follows. If the plasma parameters are such that the main. energy losses due to radiation are bremsstrahlung, then the plasma temperature does not increase with increasing density and the gas pressure cannot balance the magnetic pressure. There is a non-stop compression of the pinch. However, as the density increases, the plasma becomes opaque to radiation and the pinch stabilizes at a certain radius. Critical the current at which ohmic heating is equal to energy loss due to radiation is called the Pease–Braginsky current.

The $Z$-pinch is a powerful source of neutrons, hard and soft X-rays, fast ions and relativistic electrons. Since the generation of radiation and fast particles involves the development of nonequilibrium processes, a solution to the nonlinear magnetohydrodynamic (MHD) problem of compression of the plasma column is required. This problem was solved by V.F. Dyachenko and V.S. Imshennik, who were physicists. The picture of processes in a dynamic $Z$-pinch was described as follows. After switching on the pulsed current, a thin current shell is first formed between the cathode and anode. In plasma focus and linear $Z$-pinch installations for a gaseous medium, it is formed along the insulator, in the case of exploding wires or dielectrics. threads - on the surface of a wire or thread. Then the development of an axially symmetric mode occurs, which leads to a decrease in the waist radius and the cumulation of energy in it. Compression is accompanied by the formation of a shock wave converging towards the axis. The time of this compression (pinching) of the plasma is equal to $t_c=v_A/R$, where $v_A$ is the Alfven velocity, $R$ is the pinch radius. As a result of the convergence of the shock wave, a region of hot dense plasma is formed near the pinch axis. At a certain radius, the waist stabilizes and does not disappear for several tens of characteristic MHD times $∼t_c$. It is at this stage of $Z$-pinch development that neutrons and X-rays are generated. Further, due to high pressure, the pinch begins to expand. At $t\gt t_c$, MHD instabilities destroy the homogeneity of the pinch, lead to turbulent mixing, an increase in electronic thermal conductivity and electrical conductivity. plasma resistance. The waist loses its stability and falls apart, which is accompanied by the formation of short-lived sources of X-ray radiation (hot spots).

Capillary pinches differ from classical $Z$-pinches by the presence of walls, i.e. in them the discharge (the so-called capillary discharge) occurs inside a thin channel. To create a capillary discharge, a pulsed voltage is applied to the ends of a gas-filled or empty capillary, exciting the electric current. current, the interaction of which with the gas and with the walls of the capillary creates a dense hot plasma with controlled parameters.

Research into capillary discharges has led to the creation of compact X-ray lasers in the field of hard UV radiation and soft X-ray radiation, the operation of which is based on the formation of a dense emitting plasma fiber by a converging shock wave in the paraxial region. Such X-ray lasers are used in atomic and molecular spectroscopy, biophysics, medicine, lithography, materials science and dense plasma diagnostics.

Dr. The use of capillary discharges is due to the fact that as a result of the development of the discharge at the quasi-equilibrium stage, a radial plasma density profile is formed inside the channel, which is optimal for channeling ultrashort high-power laser pulses. Therefore, capillary waveguides are widely used in laser accelerators of ultrarelativistic electrons. For example, in the Berkeley National laboratory (USA) beams of accelerated electrons with an energy of St. 1 GeV when channeling a femtosecond laser pulse with a power of 40 TW inside a capillary several meters long. centimeters.

Stages of age-related changes (in the periorbital zone)

As you can see, there are many options for blepharoplasty. The type, technique of the operation and the number of sessions (in the case of a non-surgical method) directly depend on the stage of age-related changes.

At the first symptoms of aging and drooping of the eyelid, it is enough to simply eliminate excess fat in the periocular area.

With age-related changes in the second and third stages, for a comprehensive and lasting effect, it will be necessary to additionally carry out an eyebrow lift, canthoplasty - changing the shape of the eyes, liposuction, and in some cases, surgically tightening the muscle tissue on the face.

Those who have already been affected by the fourth phase of age-related changes will need to undergo not only blepharoplasty, but also a midface lift, as well as a forehead lift.

Below are the features of the stages of the problem.

Ptosis stage	Manifestation
First	The first changes in the appearance of the upper and lower eyelids begin. Mild atrophy of muscle tissue and epidermis is observed. Small fatty deposits may appear in the eyelid area (hernial protrusions).
Second	The above symptoms intensify, while the amount of excess epidermis in the eye area rapidly increases. Ptosis begins in the cheek area.
Third	A symptom of drooping of the eyebrow line, as well as the lower angle of the orbit, appears. The furrow near the cheeks and eyelids becomes deeper and more noticeable. The nasolabial fold begins to stand out clearly against the background of the face.
Fourth	Age-related skin changes become very noticeable. Excess subcutaneous fat reaches its highest manifestation. Dark circles and “bags” appear under the eyes, and the shape of the eyes becomes round.

It is directly influenced by the prestige of the clinic and the doctor. To choose a good specialist, you should study the best surgeons in St. Petersburg, Moscow or another city.

Technique of operation

How blepharoplasty of the upper eyelids is done can be learned by studying the stages of its implementation.

The operation and its scope are prescribed after a preliminary consultation with a doctor, who assesses the patient’s health status, determines the necessary manipulations and possible contraindications. Next, a standard preoperative examination is carried out by a therapist, ophthalmologist, anesthesiologist (conversation), blood and urine tests are taken. After agreeing with the doctor on the specifics of blepharoplasty, the day of the operation is scheduled.
In the operating room, the surgeon determines the extent of the intervention by drawing the lines of the proposed incisions on the skin of the eyelid with a felt-tip pen. The marking is presented in the form of a section of the eye (ellipse), the widest part of which falls in the middle of the eyelid. If a change in shape is required, the drawing is applied taking into account the adjustments.
Next, the anesthesiologist gives anesthesia, local or general, based on the scope of the manipulations performed and the patient’s wishes.
After this, the surgeon proceeds directly to the operation. They make thin incisions according to the markings made, eliminating excess tissue and hernia. When sunken areas form, the doctor redistributes the fat to the right places. The operation requires precision and accuracy. If the hernia is partially removed, it will grow again after some time. In case of excessive removal of adipose tissue, the eyes will appear sunken.
The doctor then reaches under the dermis to remove part of the orbicularis muscle. This is justified by the need to create a distinct fold in order to hide the postoperative suture, which makes the result of plastic surgery natural.
Next, the surgeon acts on the fatty tissue, paying attention to the center and inner corner of the eye. Protruding tissue in this area is removed because with age it will fall down and stretch, creating a “heavy” brow feel.
To enhance the lifting effect in case of weakened muscle tone, it is necessary to make an additional incision in the scalp and perform a lift.
With simultaneous correction of the upper and lower eyelids, circular blepharoplasty is performed.
The wound is properly sutured with strict alignment of the edges to avoid complications (asymmetry, distortion). A cooling bandage is then applied to the eye area.

The duration of upper blepharoplasty takes from half an hour to one and a half hours.

Features of upper eyelid blepharoplasty

The procedure does not take much time; on average, 30 minutes are enough.

The operation itself consists of several interconnected stages:

1. At the first stage, the surgeon identifies all imperfections, evaluates excess skin and determines the place where the suture will be located. Next, using a felt-tip pen, lines are drawn on the eyelids along which the skin will be cut.

2. In the operating room - after the onset of anesthesia - the surgeon makes thin incisions on the eyelids and removes all excess skin folds. To ensure that there are no scars left after surgery, the doctor removes a piece of the circular muscle. Thus, the upper eyelids acquire a beautiful, taut shape and a natural appearance.

3. The next stage involves working with fatty tissue, which is located under the membrane. Over the years, it tends to stretch and fall down a little. As a result, the eyebrow loses its former shape and hangs over the upper eyelids, which creates the effect of “tired eyes.”

4. Particular attention is paid to the area of the corners of the eyes. Excess fiber in these places is also removed. After this, the surgeon matches the edges of the incisions (this must be done carefully, slowly, to avoid additional complications) and stitches the wound.

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Result

Upper blepharoplasty is characterized by pronounced and lasting results. The rejuvenating effect ensures the smoothing of fine and deep wrinkles, the appearance of the face is noticeably transformed due to the elimination of various types of defects, changes in the shape and shape of the eyes.

The operation is quite easy to tolerate, especially when using local anesthesia. In this case, the patient is allowed to go home 4 hours after completion of the surgical procedures. The rehabilitation period is usually easy; the visible consequences of the intervention (swelling, bruising) cause inconvenience. The full effect of plastic surgery is formed 2-3 months after tissue regeneration.

Repeated blepharoplasty upper eyelids may be required after 8-10 years, but in some cases earlier. Such situations include the occurrence of complications after surgery or early recurrence of signs of aging.

A repeat is usually required in case of unsuccessful blepharoplasty due to violation of the manipulation methods or inaccuracy of the calculations made. Performing this type of intervention requires high professionalism from the surgeon. Also, an unsatisfactory result may be a consequence of the patient’s failure to comply with the doctor’s recommendations and the rules of the rehabilitation period.

How is upper eyelid blepharoplasty performed (step by step)?

When visiting a plastic surgeon, each patient will be given a consultation about the upcoming surgery. The doctor will determine the stage of age-related changes and, based on this, select the type of operation.

Next, a special marking will be applied to the patient’s cleaned face with a felt-tip pen, which will help the surgeon accurately distribute the amount of skin to be excised.

During the operation, part of the excess epidermis, subcutaneous fat, and in some cases a layer of muscle will be removed along the crease line of the upper eyelid. After blepharoplasty, a small stitch will be placed on the eyelids. Sutures are usually removed 3–5 days after surgery.

Depending on the nature of age-related changes, the operation can last from half an hour to two hours.

This procedure is a simple plastic surgery, so after a short period of time the patient can freely go home.

If the client wishes (or if complications and risk factors arise), he will be asked to remain under inpatient observation for an additional 24–72 hours.

Types of lower eyelid blepharoplasty

Of course, there are many varieties of such procedures. To correct the lower eyelid, first of all, the main thing is to remove subcutaneous fat and tighten the skin.

Often these conditions are caused by herniation of fat cells, which can occur even in very young patients.

With age, the tendency to form subcutaneous hernias only increases, so such procedures are in great demand.

Laser

The use of laser equipment provides enormous opportunities for medicine and cosmetology.
By heating the deep layers of the dermis, fat cells are split and gradually thinned in the dermis. Using a laser is an excellent alternative to surgery, because the risk of side effects in this case is minimal.

The cost of such procedures will be approximately 50 thousand rubles, but this figure varies depending on the region and the reputation of the salon.

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Transconjunctival

This term was given to the operation of lifting the eyelid and skin around the eyes. A qualified plastic surgeon makes an incision in the desired location and removes excess skin, as well as any accumulation of fatty tissue underneath. Skin tightening will also provide the desired effect. Among the disadvantages of the method are long-term rehabilitation and a high risk of side effects. The cost of the procedure will be from 40 to 50 thousand rubles , depending on the complexity of the work and the qualifications of the salon.

Video review of transconjunctival blepharoplasty

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Injection methods

We are talking not only about so-called beauty injections, but also about the use of Botox and ready-made mixtures. Typically these are vitamins, amino acids and hyaluronic acid. The composition of the components is selected individually and depends on the problem being solved. The cost of one injection will be approximately 7–10 thousand rubles, but for maximum effect five procedures are required.

The disadvantage of this method is considered to be relatively weak effectiveness in case of severe sagging skin. Such injections do not have much effect on subcutaneous hernias, which require more serious intervention.

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Transcutaneous

The main difference from transconjunctival blepharoplasty is the location of the incision line . Unlike internal transconjunctival blepharoplasty, the method described above involves making an external incision.

The choice of the appropriate type is made by a specialist depending on the task at hand and the individual situation.

Photos of clients before and after

Canthoplasty

In this case, the result is aimed at changing the shape of the eyes . This is already a full-fledged plastic surgery, which is often practiced to give greater expressiveness and change the “Asian” cut.

Photos of clients before and after.

Pinch method

The second name is Pinch - method.

This is a special excision of the skin in which the subcutaneous fat becomes less noticeable.

The big advantage is relative safety and minimal impact. The cost of such a procedure ranges from 10 to 15 thousand rubles .

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Rehabilitation

The recovery period after surgery takes 10 days. On the first day, there may be pain in the operated area, which can be relieved by taking painkillers. Swelling and hematomas are observed within a week. Bleeding from scars and tearing occur less frequently.

In order to care for the eyelids after blepharoplasty, it is recommended to apply cold lotions to the eyes during the first days. Their use reduces the visual manifestations of the consequences of the operation. As a result, hematomas and swelling disappear faster. The doctor prescribes eye drops that should be used for 3 days after surgery. It is recommended to carry out special gymnastics to restore the functioning of the upper eyelid area after blepharoplasty.

During the rehabilitation period you should:

Avoid straining and bending to avoid hemorrhages.
Sleep on your back with your head and shoulders elevated.
Avoid exposure of the eyes to ultraviolet rays, so wearing sunglasses is recommended during the first postoperative month.
Reduce eye strain as much as possible, do not watch TV for a long time or sit in front of a computer monitor.
Avoid visiting saunas, steam baths, solariums, swimming pools, as well as using decorative cosmetics.
For the first 2 months, adhere to a rational water-salt regime.
The use of medications and procedures on the eye area should be agreed with a doctor.

Removal of sutures after blepharoplasty upper eyelids is carried out a week after the operation. Means for their antiseptic treatment, if necessary, are prescribed by a doctor (these can be disinfectants or a simple chamomile decoction).

To resolve the issue of what to apply to scars after upper eyelid blepharoplasty, their condition and regeneration process are assessed. Normally they do not need any processing. Special products may be prescribed to soften scars and speed up their healing. The use of Contractubex gel is widespread. It is suitable for postoperative use, has no contraindications or side effects, except for individual intolerance.

Possible complications after blepharoplasty

Many people hesitate to undergo this operation because of anxiety and fear of complications. But if the plastic surgery was performed by a highly qualified specialist, a person should not worry, since only minor side effects await him. Moreover, they will pass after some time.

After blepharoplasty of the upper eyelids, as with other types of surgery (for example, circular blepharoplasty), the following side effects may appear:

after the operation, the patient will feel slight discomfort in the eye area;
possible appearance of hematomas and mild edema;
In some cases, increased sensitivity to light or increased tearing may occur.

The maximum period for restoration of appearance is no more than 14 days. The full rehabilitation period lasts approximately 1 month. But in some cases, complications after surgery can be more serious.

During blepharoplasty performed by an unscrupulous plastic surgeon, the following may appear:

infectious infection of the operated area;
bleeding in the upper eyelid area;
excessive dry eyes;
asymmetrical arrangement of eye sections;
inability to completely close the eyelids.

Therefore, it is strongly recommended to use the services of only a plastic clinic that has a good reputation. During a session with a surgeon, do not hesitate to ask him to check the certificates and diplomas that confirm his qualifications.

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Types of blepharoplasty

Let's look at what types of upper eyelid blepharoplasty exist, as well as their advantages and disadvantages.

1. Seamless operation. Used to eliminate minor imperfections. The operation is performed using a laser or scalpel and lasts at least an hour and a half. There is no long rehabilitation period, and the patient can leave the hospital seven hours after the procedure.

2. Laser blepharoplasty of the upper eyelids. The peculiarities of this method are that the skin incision is made using an erbium laser. It does not injure the skin too much, because it penetrates to a depth of no more than 1 mm. Next, the surgeon removes excess folds; a brow lift can also be performed at the same time, but this is at the request of the patient.

The laser procedure is performed on an outpatient basis and has many advantages:

- absence of scars and cicatrices; — rapid healing of wounds (the laser cut is not deep, so it heals faster); — no bleeding occurs during the operation, because the high temperature of the laser cauterizes the blood vessels; — laser radiation has an antiseptic effect, reducing the risk of infection; — the results of laser blepharoplasty last for 10 years.

3. Transconjunctival blepharoplasty. The peculiarity of this technique is that the incision is made from the inside of the eyelid, and not from the outside. Next, using an endoscope, all excess folds are detected and removed.

4. Pinch method, or pinch radio lifting. Provides treatment of the skin as a result of radio wave radiation. The essence of the method is simple: electrodes act on the skin, resulting in the production of collagen, which ensures skin tightening. The effect of the pinch method lasts for three to four years.

Possible complications

If the operation is performed correctly and the rules of the postoperative period are followed, its consequences are minimal and temporary. However, the following complications may occur after upper eyelid blepharoplasty:

Eye infection. Occurs as a result of infection during surgery or rehabilitation. If you have symptoms of conjunctivitis, sharp pain in the operated area, or an increase in temperature, you should consult a doctor.
Scars. Such consequences can be avoided by performing laser surgery. Normally, scars after blepharoplasty upper eyelids soften and become invisible within 5 months after the intervention. If after a period of time the defects persist, you need to consult a doctor for correction.
The eyes don't close. This condition is considered normal in the first week after surgery. It is usually short-lived and goes away quickly. If the defect persists and tearing occurs, you should immediately consult a doctor.
Bruises. Hematomas are a natural reaction of the body to tissue trauma and usually disappear after 10 days. However, a complication such as bruises on the whites can persist for several weeks.
Hernias. This complication occurs as a result of an incorrectly performed operation. In this case, excess fat accumulates again. The defect becomes noticeable immediately after the intervention, which allows it to be eliminated immediately. Bilateral upper eyelid blepharoplasty helps get rid of the problem.
Asymmetry of the eyes, skewed eyelids. Occurs when the surgeon’s calculations are incorrect and requires repeated surgery.
Formation of cysts and scars on postoperative sutures.
Bleeding and hemorrhage. Often occurs when the rules of the postoperative period are not followed. The risk of bleeding increases with sudden bending, heavy lifting, and other intense activities.
Tearfulness, pain and stinging in the eyes in bright light. May be accompanied by headaches.
Seams coming apart. A reason to urgently consult a doctor. Re-suturing may be necessary.
Swelling persists for more than 2 weeks.
Dry eye syndrome.

If these conditions occur, you should consult a doctor for conservative or repeated surgical treatment.

Rehabilitation period

Before going to a plastic surgeon, you should definitely visit an ophthalmologist. He will help determine whether there are contraindications for the procedure and check the visual organs for the presence of diseases.

It is also recommended to undergo a medical examination of the body to find out its condition and identify possible risk factors.

Recommendations during the recovery period:

For the first 7–10 days, it is not recommended to strain your eyes too much. It is necessary to refrain from intensive reading of books and magazines, and spending long periods of time in front of the TV and computer.
During the first week, you should not overwork yourself or expose yourself to intense physical activity.
You need to carefully monitor the hygiene of the corrected eyelid area and follow all the doctor’s recommendations.

Alternative methods

It is recommended to resort to drastic surgical measures to get rid of defects in the eyelid area if there is no effect from alternative correction methods. These methods are considered more gentle, safe and less traumatic. However, they are effective in the absence of deep wrinkles and excessively overhanging skin tissue.

Alternative methods include:

Injection correction of the upper eyelid. In this case, the use of fillers with hyaluronic acid is common. Injections increase skin turgor, its elasticity, and smooth out shallow wrinkles. The lifting effect lasts from six months to a year. Expression wrinkles are successfully eliminated with injections of drugs containing botulinum toxin A.
Hardware correction. The skin is exposed to laser beams and radio waves. This non-surgical method stimulates the processes of regeneration and metabolism at the cellular level, increasing the synthesis of collagen and elastin. As a result, the skin in the upper eyelid area is smoothed, fine wrinkles and bags under the eyes are eliminated.
Brow lift is a surgical procedure suitable for young skin to get rid of overhanging folds of skin.

Non-surgical technique

Non-surgical upper eyelid blepharoplasty has many advantages:

- safety; — no complications; — lack of postoperative rehabilitation; — quick and effective elimination of deficiencies; - minimal risk of injury.

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The main methods of non-surgical plastic surgery include:

1. Injection lift. It involves the introduction under the skin of drugs that contain natural ingredients that have a rejuvenating effect.

2. Thermolifting (heat exposure). Accelerates the synthesis of substances that are responsible for the renewal of skin cells and allow you to get rid of facial wrinkles and swelling.

3. Thermage. Rejuvenation of the skin around the eyes occurs due to the influence of radio waves, which stimulate the coagulation of collagen fibers, which leads to the smoothing of fine wrinkles. The results of the procedure can last for five years.

4. Mesothreads. This method consists of introducing special threads that tighten sagging skin.