Dobreikin Evgeniy Alekseevich

What types of blepharoplasty do I perform?

Lower eyelid surgery

An operation to eliminate bags under the eyes and fatty hernias. The procedure is performed under local anesthesia. The operation can be performed both at a young and at a more mature age.

An incision is made a few millimeters from the eyelash edge. Excess fat tissue and skin are removed through it. Then stitches are applied.

Upper eyelid blepharoplasty

Plastic surgery to eliminate sagging folds on the upper eyelids. Not only excess skin is removed, but excess adipose tissue in deeper layers is removed. The procedure is performed both for older people and for younger people, under local anesthesia. The operation lasts 20-40 minutes.

The incision is made according to preliminary markings with excision of excess skin. Then the hernias of the upper eyelids are eliminated. After this, a new fold of the upper eyelid is formed and a neat suture is applied.

Circular blepharoplasty

Combines both upper and lower plastics.

Transconjunctival blepharoplasty

This is a less traumatic plastic surgery that allows you to remove bags under the eyes without cutting the skin. This operation is possible when there is no excess skin.

The essence of the technique is that a small incision is made on the inner surface of the lower eyelid, through which the hernia is removed, and then the conjunctiva is sutured with absorbable thread. In this case, the amount of skin remains the same. This type of blepharoplasty is effective at a relatively young age, when the skin still retains its elasticity and firmness. As a result, no scars are visible.

"Sangapuri" or Asian eyelid surgery

This plastic surgery is aimed at changing the Asian shape of the eyes and forming a Caucasian fold. The operation lasts 30-60 minutes, is performed at any age and is performed under local anesthesia.

The following stages of blepharoplasty of Asian eyelids are distinguished: 1. The boundaries of a new fold of the upper eyelid are formed. To do this, part of the adipose tissue is removed.

Next, the epicanthus is removed and a new fold of the upper eyelids is formed.

Canthoplasty

This procedure is used to change the shape of the eyes. There are two types of such operations:

When an incision is made on the inner corner of the eyes (most often, internal canthoplasty is necessary for people with the so-called “Mongolian” fold)

When the incision is made on the outer corner of the eyes (allows you to lengthen the shape of the eyes and make them more open)

Progress of the operation

Otoplasty on average lasts from 40 minutes to 2 hours and is performed in a hospital setting, so after just a few hours you can go home.
Pain Management
Most often I use local anesthesia.

Incision and access

A small incision is made behind the ear, through which all manipulations are carried out. After such a cut, the seams are almost invisible. Small scars behind the ear are even difficult to find, let alone see by chance.

Formation of the auricle

The auricle is formed through the incision. If it is necessary to reduce the size of the ears, then excision of the cartilage tissue is performed. In cases of reconstruction of a deformed ear, cartilage from another part of the body can be used.

Stitching

Thin cosmetic sutures are placed on the incision area. A turunda soaked in an antiseptic solution is sewn behind the ear.

Recovery and restrictions after surgery

This is an operation with a short recovery period. Immediately after the procedure, slight swelling and bruising may be observed.

First 3 days

Immediately after surgery, cold is applied to the eyelids, this helps reduce bruising and swelling. During this period, you should minimize any movements and try to rest as much as possible. I recommend doing cold tea lotions at home for 3 days. After 3 days, remove the stitches.

Subsequent period

Hematomas and swelling disappear within 7-10 days if all the surgeon’s instructions are followed and the regimen is followed. You can undergo physiotherapeutic procedures that will speed up the recovery process.

When can I return to work?

Returning to work is possible no earlier than 4-5 days later, unless the work involves intense physical exertion or prolonged exposure to a monitor.

Vakula Svetlana Alexandrovna

In my daily practice, I encounter many women who are dissatisfied with their breasts. Some people are not satisfied with the size of their breasts, others with the shape, and others with asymmetry. Breast augmentation surgery - augmentation mammoplasty with the use of implants - is one of the most popular plastic surgeries in the world. Women of different ages (in my practice from 17 to 63 years), social status and for various reasons resort to it. To perform this operation, the breasts must be formed, that is, the minimum age of the patient must be 17-18 years. The maximum age is not limited if there are no contraindications to operations in general and this operation in particular. Indications for augmentation mammoplasty (breast replacement) are:

• the patient’s desire to increase the size of her breasts;
• the need to replenish breast volume after breastfeeding or weight loss;
• asymmetry of the mammary glands;
• -breast reconstruction after mastectomy.

I offer my patients only proven methods of surgical breast correction and implants from the world's best manufacturers.

Currently, only gel-filled shell implants are used for breast augmentation. The shell of modern implants is made of silicone elastomer, which is inert in relation to the woman’s body. In addition, the special multi-layer design of the implant shell makes them durable and resistant to damage, but at the same time they have the softness inherent in natural mammary glands. The gel that fills the implant cavity has shape memory, i.e., even if the shell is damaged, it does not flow beyond its boundaries and does not have a harmful effect on the body.

There are several manufacturers of implants in the world, the products of some of them are sold in Russia. The patient can choose implants from any manufacturer at her discretion, or follow my recommendations. In any case, my patients can be sure that all the materials I use for breast augmentation surgery have been certified and are of a high degree of safety and quality. Implants do not require replacement, since all manufacturers provide them with a lifetime warranty.

Implants come in 2 shapes - round and anatomical, and different profiles - from low to ultra-high. They are installed through an incision under the breast, along the areola or in the armpit, into a pocket that can be formed behind the muscle, behind the fascia, or in two planes. The selection of implants, the choice of access (incision site) and pocket (a cavity formed in the tissues into which the implant will be installed) is carried out only during a face-to-face consultation and depends on the structural features of the chest, the width of the chest, the condition of the breast tissue and the wishes of the patient. The result of the operation largely depends on the correct choice of implant and implant pocket, so only the doctor who will perform the operation should select implants! Breast augmentation surgery is usually performed under general anesthesia and takes 30-50 minutes. Sometimes, at the request of the patient or due to her health condition and provided that the implants are installed in a subfascial pocket, the operation can be performed under local anesthesia.

In the postoperative period, it is necessary to wear a special compression bra for a month to provide rest for the breasts, and to comply with certain restrictions of the regime, which depend on several factors and are prescribed by me individually. After installation of implants for breast enlargement, women fully retain the ability to breastfeed, since the breast tissue is not damaged. In addition, since the implants do not in any way come into contact with the mammary glands, the patient can be confident that their presence cannot provoke the onset or progression of any disease of the mammary glands. Provided you follow all the recommendations, the postoperative period will pass as comfortably and quickly as possible, and you will only have to please yourself and your loved ones with new forms.

View photos of breast augmentation results

Postoperative period

Many women who are thinking about breast augmentation or lifting are wondering if there is life after this operation. Beauty, as we know, requires sacrifice and breast augmentation is no exception. There are a number of restrictions on the recovery period. Almost all of them are related to the need to keep the pectoral muscles at rest so that the implant can take root safely. This means that for the first 5-7 days you cannot raise your hands and wash in the shower, but you will have to wash your hair

ask for help. For a month you will have to sleep only on your back, and also refrain from driving a car, carrying heavy objects, playing sports and having sex. You should completely forget about visiting a bathhouse and sunbathing on the beach for the next six months - high temperatures and sunlight interfere with the healing of stitches.

In addition, for about two months you need to wear special compression garments that fix the implants and shape your beautiful breasts.

Contraindications

Contraindications for fat removal surgery:

• bleeding disorders;
• diabetes;
• endocrine obesity;
• severe dysfunction of the liver and kidneys;
• stomach ulcer;
• varicose veins in the area of ​​the proposed operation, thrombophlebitis;
• heart defects with atrial or ventricular septal defects;
• severe arterial hypertension;
• oncological diseases.

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Augmentation mammoplasty (breast augmentation) is one of the most popular cosmetic plastic surgeries. Many women around the world resort to it: some to correct congenital defects or the consequences of surgery, others to restore breasts to the aesthetic size and shape lost after childbirth or sudden weight loss. Finally, there are many who simply want to give their breasts a more “appetizing” shape.

The operation is performed by introducing a silicone implant of the required shape and volume. They have no expiration date and can last you a lifetime. The procedure itself, performed by a qualified plastic surgeon using high-quality material, is absolutely safe.