Transconjunctival blepharoplasty of the lower and upper eyelids: indications, progress, complications, rehabilitation

Transconjunctival blepharoplasty can correct hereditary signs and age-related changes around the eyes . It differs from traditional surgery in its low morbidity and quick recovery. But with this method it is impossible to correct all flaws, so in some cases it is not used or is supplemented with the classic method, injections, or polishing.

What is transconjunctival blepharoplasty

Plastic surgery restores youth to the face and makes the eyes open and clear. And to eliminate hanging folds and pronounced age wrinkles, classical surgery becomes the only option that will provide the expected result.

Transconjunctival blepharoplasty of the lower and upper eyelids takes place with minimal incisions and punctures on the inside - the conjunctiva - and does not involve excision of the skin.
But in this way, the surgeon completely eliminates the hernia under the eyes, minor age-related changes with minimal discomfort for the patient.

Possible complications

However, despite the safety of the technique, transconjunctival blepharoplasty is a surgical intervention. And after it exacerbations are possible:

an infection that has entered the tissue is a path to suppuration in the periocular area;
in the form of increased pigmentation, which is typical for some categories of women.

You can avoid infections by contacting an experienced and trusted plastic surgeon - a competent cosmetologist does not allow this to happen in his work. The appearance of dark spots on the facial epidermis is also a consequence of poor quality of the procedure. If trouble occurs, following rehabilitation recommendations will help.

Advantages and disadvantages of the technique

The undoubted advantages of the operation are:

No need for general anesthesia. The patient feels quite comfortable with local anesthesia.
Minor infestation. The surgeon makes punctures or micro-incisions along the line of the conjunctiva, uses self-absorbing suture material, or leaves the injured area to heal itself.
Complete rehabilitation after surgery occurs within 10 days. The patient can return to normal activities on the 8th day, in rare cases - on the 11th.
Long lasting effect. The result lasts from 6 to 12 years. The period depends on the patient’s age, skin elasticity, and lifestyle.
Minimal risk of complications.
No scars.

But blepharoplasty, like transconjunctival eyelid surgery, has a significant drawback - the inability to eliminate severely stretched skin. To solve the problem it is necessary to excision it. Getting rid of dark circles under the eyes is also not always possible.

Advantages

Transconjunctival blepharoplasty has a number of advantages compared to other surgical interventions. The advantages of the procedure are related to the fact that:

the method of performing the operation minimizes the risks of complications;
the rehabilitation period does not last long;
surgical intervention takes place without excessive blood loss;
the result can be assessed in a week.

Traditional surgery can lead to a common complication: eyelid ectropion. In the case of a sutureless operation, such a complication occurs extremely rarely. In addition, blepharoplasty occurs without tissue scarring. That is, no traces remain on the patient’s face.

When carrying out this type of intervention, natural facial expressions are preserved. The look becomes fresher and younger. At the same time, everything looks quite natural. Guess that a person has undergone eyelid surgery. difficult even for a professional.

Correction of the lower eyelid can be combined with the upper one, but it is worth remembering that seamless blepharoplasty is not suitable for people who have very pronounced wrinkles and other age-related changes. Their skin has lost its elasticity, and the procedure will not have a significant effect.

The operation can be performed using a scalpel or a laser beam. This depends on the specialist’s recommendations and the patient’s preferences.

Indications for surgery

Despite the low trauma, during blepharoplasty the surgeon is able to solve many cosmetic problems. Patients are mainly referred for surgery for the following indications:

lower eyelid hernia;
ptosis;
stretching of the skin in the corners of the eyes;
bags on the lower eyelid not associated with strong stretching of the skin;
pronounced nasolacrimal cavity.

Problems are not dangerous to health, but they can depress a person morally, reduce self-esteem, and make him withdrawn. In one session lasting less than an hour, the doctor is able to correct them. Lower eyelid plastic surgery with transconjunctival hernia removal is especially effective. The doctor can remove fat cells through several punctures.

Rehabilitation period

Proper care will ensure rapid recovery and preservation of the achieved effect for years. After blepharoplasty, swelling of the eyelids is observed, which increases during the first 3 days; hematomas and redness may appear. After 4 days, the stitches are removed and a special patch is applied for another 2 days. After 10 days you can use cosmetics and go to work; the scars become invisible after 2 months.

To prevent the formation of rough scars, it is necessary to avoid overexertion, lifting weights, exposure to the sun without sunglasses, do not rub or stretch the eyelids, and should not visit the bathhouse or sauna.

How to care after conjunctival plastic surgery:

After the correction, a bandage is applied to the eyelids. It will be removed in a few days. To avoid infection, the seams are treated with antiseptic solutions. Creams and ointments are also used to speed up healing. After the stitches are removed, absorbable gels are applied to relieve swelling and redness.
In the first 3 days, a special patch is attached to the skin of the eyelids. Cold compresses are also used to relieve post-operative swelling. To speed up skin restoration, the doctor prescribes hypoallergenic ointments.
To prevent dry eyes and relieve inflammation, special drops should be used. Also, for 14 days you need to forget about lenses, which create additional stress.
In case of persistent swelling, you can perform acupressure massage of the eyelids; your doctor will help you choose the technique.

Expert recommendations:

when correcting lower eyelids, you need to stay in bed for 3 days, apply a cold compress to your eyelids, and use Lyoton gel for 7 days;
during surgery on the upper eyelids, you must wear an aseptic bandage for the first 2 days, the sutures are removed on the 4th day, and the scars are treated with Levomekol;
even after complete healing, doctors advise adhering to the rules of a healthy lifestyle, eliminating alcohol and smoking;
it is important to minimize eye strain;
use sunglasses in sunny weather;
Avoid exercises that cause swelling - push-ups, pull-ups, intense sports training.

Necessary tests and contraindications

Surgery that corrects the area around the eyes cannot be performed by everyone. After the initial consultation and examination, the doctor prescribes a preliminary examination for the patient to exclude contraindications:

pregnancy;
chronic pathology in the acute stage;
infection;
immunodeficiency;
dry eye syndrome;
glaucoma;
tumors in any part of the body;
problems with the endocrine system;
poor blood clotting.

The examination includes:

general and biochemical blood test;
General urine test.

If, based on the results of laboratory tests, the doctor is not sure that there are no contraindications, an additional instrumental examination may be prescribed.

Contraindications

It should be understood that despite the fact that conjunctival blepharoplasty is a relatively safe operation, it is still a surgical intervention, and there are contraindications for its implementation:

infectious inflammatory processes in the eye area;
acute diseases of any organs and systems;
more significant age-related changes - the operation will be useless;
problems in the functionality of the cardiovascular system;
oncology;
disruptions in blood circulation;
symptomatic hypertension;
poor hydration of the ocular surface;
disorders in the endocrine system;
autoimmune thyroid diseases;
immunological deficiency;
increased eye pressure;
poor blood clotting;
pregnancy;
glaucoma;
diabetes.

How is the operation performed?

The date of blepharoplasty is chosen jointly by the doctor and the patient. In addition, you need to leave yourself two weeks for simple preparation for the operation and a week for recovery.

10-14 days before plastic surgery, you should give up alcohol, drugs that affect blood clotting, and protect your face from sunlight. It is better not to use cosmetics before surgery.

Lower transconjunctival blepharoplasty, like upper, lasts approximately one and a half hours. To feel comfortable, you should empty your bladder and bowels in advance; with the consent of your doctor, you can take a mild sedative.

Access Techniques

There are two methods of performing blepharoplasty:

classical;
laser.

First, the doctor makes markings, then injects an anesthetic and accesses the internal tissues.

Transconjunctival blepharoplasty of the lower eyelids

With the classical technique, the surgeon makes an incision along the lower conjunctiva, removes excess fat, and, if necessary, tightens the skin. Sometimes it is enough to redistribute the cells without removing them. Then the doctor applies sutures made of self-absorbing material.

During laser transconjunctival blepharoplasty of the lower eyelids, the doctor adjusts the required temperature of the beam and directs it to the problem area to destroy lipid cells. Then it removes the split fat through punctures.

After the manipulation, an antibacterial bandage is applied to the damaged area and the patient is left in the hospital for 7 hours.

Transconjunctival blepharoplasty of the upper eyelids

The surgeon pulls back the eyelid and makes access from the inside. Using an endoscope, he tightens the skin and models the eyebrow line. In case of significant ptosis, implants are inserted to prolong the result of the operation.

After applying an antibacterial dressing, the patient is transferred to the ward and released home after 7 hours. Both laser transconjunctival blepharoplasty and seamless classical surgery do not leave scars.

What it is?

Transconjunctival blepharoplasty is a sutureless surgical procedure during which access to the eyelids is carried out without trauma to the skin - through the conjunctiva.
This method is considered the most gentle and effective in the fight against age-related changes. Previously, in order to reduce the size of the bags of the lower eyelids, surgeons simply removed subcutaneous fat. But this often led to a number of complications, and practically did not solve the problem. Now, thanks to new techniques, doctors can quickly and painlessly relieve women and men of a tired expression and bags under the eyes.

It must be said that bags under the eyes are not always the lot of old people; even young people experience them. The fact is that in this area there is fatty tissue in which excess fluid collects, which leads to the appearance of unwanted bags under the eyes. Transconjunctival blepharoplasty eliminates watery and fatty deposits by cutting the conjunctiva (according to the US National Library of Medicine National Institutes of Health).

The patient's vision is not affected at all.

There are some features in the plastic surgery of the upper and lower eyelids:

In the first case, an incision is made on the inside of the eyelid, after which the surgeon inserts an endoscope, which is used to lift the eyebrows. As a result, overhanging folds over the eyes are removed, and manual modeling of the eyebrow shape is also possible. If the patient wishes to prolong the effectiveness of the procedure, implants are inserted under the skin.
As for lower eyelid surgery, in this case the incision is made behind the ciliary line. There are no scars left after the operation. There is an operation using a laser; during this intervention, excess fat and skin deposits can be removed in a bloodless way. Separately in this article we talked about laser blepharoplasty.

Important! Repeated transconjunctival blepharoplasty of the upper and lower eyelids can be performed after a certain period of time, which is determined by a specialist individually.

Recovery period

At the end of the procedure, a vision problem may occur, which will go away within 3-4 hours. After discharge, swelling persists for the first week, and the bruises gradually disappear. During this time, you must stay at home and fulfill a number of conditions:

refuse physical activity;
do not watch TV, do not work on the computer;
do not read;
do not drink alcohol;
do not use cosmetics.

After a week and a half, the swelling and redness finally disappear, so you can go to work and return to normal activities with minor adjustments. For a month you should not wear contact lenses, sunbathe, take a hot shower, or go to the sauna. Wear dark glasses to protect your eyes and surrounding skin.

Rehabilitation after blepharoplasty

A very important point is proper rehabilitation after transconjunctival blepharoplasty. Recovery begins immediately after the procedure is completed. As already mentioned, it is necessary to apply a pressure bandage to the eyes for 5-6 hours.

In the first hours after surgery, you may be bothered by a burning sensation, tingling, slight pain in the area of intervention, and when sutures are applied, the sensation of a foreign object in the eye.

Swelling, bruising, and bruising are also present. When compared with classic percutaneous eyelid surgery, these pathological changes are minimal.

The entire rehabilitation period takes no more than 2 weeks. Stitches are removed, if they were applied, on day 2-3. Most modern clinics use suture material that dissolves, and there is no need to remove the stitches at all.

Bruises and swelling gradually disappear and, as a rule, by the 10th day there is no trace of them. During this period, it is important to follow all recommendations for caring for the postoperative wound given by the surgeon (antibacterial, wound-healing ointments and drops, etc.).

Basic prohibitions:

limiting physical activity during the recovery period;
do not use decorative cosmetics for 10 days;
you cannot sunbathe or visit the solarium for 1 week; when going outside in sunny weather, use sunscreen and glasses;
Do not wear contact lenses during the rehabilitation period.

If you follow all the doctor’s recommendations after the operation, the recovery period will pass unnoticed and without consequences, and after two weeks you will be able to look at the world with new and young eyes.

Possible complications after transconjunctival blepharoplasty

In the vast majority of cases, the operation does not cause unpleasant consequences. In rare cases, complications are possible:

suppuration in the operated area;
hematomas;
pigmentation disorder;
eversion or drooping of the eyelid;
bruising on the whites of the eyes;
infection;
hollows under the eyes after manipulation of the lower eyelids.

Consequences can be caused by unskilled work of the surgeon and non-compliance by the patient with the rules of the recovery period. But final conclusions about the result of the procedure can be made only after two months.

Recovery period

The minimally invasive nature of this type of blepharoplasty results in a short rehabilitation period; usually the patient returns to his usual lifestyle within a week to ten days, during which some discomfort from the stitches on the wound, if they were applied, and the development of slight swelling are possible.

The stitches are removed after 2-6 days, and after another two days you can work. In the first week after surgery, physical activity, reading, watching TV, and cleaning are limited. After a week to ten days, you can start using hypoallergenic cosmetics.

Visits to the solarium and beaches are excluded for two weeks after the operation; contact lenses cannot be worn for up to three weeks. For a month after the operation, do not visit swimming pools, saunas and steam baths; it is recommended to avoid very hot showers

You will need to wear sunglasses for three months after surgery and beyond.

Healing can be accelerated by adding drops of antibacterial and restorative solutions to the eyes.

The choice of a plastic surgeon and a clinic where to perform transconjunctival blepharoplasty should be based on recommendations, the doctor’s work experience, and the reputation of the clinic.

The result of transconjunctival blepharoplasty lasts for 5-10 years, which depends on the surgical technique, the patient’s age, care for the eyelid area and lifestyle.

Upper eyelid surgery

Transconjunctival blepharoplasty of the upper eyelids is performed much less frequently than the lower eyelids. Problems of the upper eyelids are most often associated with excess skin that needs to be removed, and this type of surgery does not involve removing the skin.

This type of blepharoplasty on the upper eyelids is done for a very narrow range of indications, which include swelling of the upper eyelid and some anatomical features of its structure in specific patients.

Useful information about how much a breast lift costs and how the operation is performed in the best clinics in the world.
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Comparison with other procedures

Other cosmetic methods of eyelid correction are effective for unexpressed changes; in these cases, surgical intervention is not advisable. Only a doctor can judge the need for a particular procedure after a face-to-face consultation. There are many ways to improve the condition of your eyelid skin.

Alternative methods of transconjunctival plastic surgery:

The use of professional cosmetics helps stimulate the synthesis of collagen and elastin at the cellular level. The lifting effect is pronounced, it is possible to cope with the network of wrinkles. The course of use lasts up to a year, but even after that it is necessary to maintain the result.
Laser resurfacing involves creating microdamages with a laser, which results in the production of collagen and elastin. At least 5 procedures will be required at intervals of a month, the result lasts up to 2 years.
Botulinum therapy includes injections of botulinum toxin type A. It is possible to relax the muscle fibers of the eye area, due to which wrinkles are smoothed out. To obtain the desired result, 1 procedure is enough; additional correction may be required after 2 weeks; the effect lasts for six months.
Mesolifting is a type of mesotherapy that contains hyaluronic acid, minerals, vitamins, and antioxidants. Thanks to injections, lymphatic drainage improves, swelling goes away, and skin condition improves. The course consists of 3–6 sessions, the effect lasts from 6 to 8 months.
Fillers are injected directly into problem areas; preparations with a low density of hyaluronic acid molecules are used for the eyelids. The disadvantage is the appearance of edema, which persists for a month, but the effect of the procedure lasts up to six months.
Microcurrent therapy is used for minor problems in the eyelid area as a preventative method. Using electric current, it is possible to improve blood circulation and stimulate the synthesis of collagen and elastin. It will take from 10 to 15 sessions, the result will please you for up to 4 months.
Photorejuvenation uses high-intensity light to rejuvenate and lift the eyelid area. Regeneration processes are launched, elasticity and skin turgor increase. For a visible effect, you need to undergo 3-4 sessions, the result lasts up to 2 years.

Preparing for surgery

For more than a century, specialists have been practicing eyelid surgery. During this time, vast experience in carrying out such an operation has been accumulated.

Following simple recommendations during the preparatory and recovery periods allows you to minimize the risk of possible complications.

The patient’s own decision to undergo transconjunctival blephaplasty is not enough. The final conclusion is made by a specialist after conducting a detailed initial examination and assessing the general state of health and the severity of the defects. For a more accurate assessment, the surgeon will need the decision of an ophthalmologist.

The preparatory period includes a number of significant points:

clinical and biochemical blood tests, laboratory urine tests;
within 20 days before surgery, it is prohibited to take acetylsalicylic acid and several other medications for medicinal purposes, which the specialist will tell you about;
It is not recommended to visit solariums and sunbathe during active sun hours;
7 days before transconjunctival blepharoplasty, stop drinking alcohol and smoking.

In addition, you need to take care of the recovery period in advance and take sick leave or leave at your own expense for rehabilitation at home.

Prices for surgery

The cost of the intervention is determined by many nuances: the volume of work, the characteristics of the patient’s body, the level of the clinic and specialists, and the choice of anesthesia. If you correct both eyelids at once, the price will be from 70,000 rubles. Lower transconjunctival blepharoplasty will cost less – from 55,000 rubles.

Despite the fact that the operation is easier to tolerate than traditional intervention, you still need to prepare for it. It is better to give up alcohol and tobacco in a few weeks, and consult a surgeon about the effect of medications taken regularly. The choice of a doctor is no less important, since performing an operation through the conjunctiva is only possible for a high-class professional.

Transconjunctival blepharoplasty of the lower eyelids

Hello everybody!

I recently turned 28 years old, and I gave myself a long-awaited gift - blepharoplasty. Because almost from birth I had bags and bruises under my eyes (((And I started wearing glasses from about 20 years old, because behind them this “charm” is not visible at all))

Now I will show you terrible BEFORE photos (don’t be scared))): Without makeup

But even with makeup everything was very sad:

With makeup And this is how I hid behind glasses:

If I needed to take a photo, it took me a long time to find the right lighting so as not to photograph my bags...Actually, I don’t have many photos - because everyone almost immediately went into the trash, because... I couldn’t see the tired, middle-aged face...

A little background. For those who are not interested, go straight to the “About the Main Thing” section.

I remember that already in the 3rd grade my class teacher said that I had eyes like the Virgin Mary (it didn’t seem offensive, but I didn’t understand much of anything at that time). I just remember this fact very much.

And at the age of 12, I was already trying with all my might to cover up the bruises and bags under my eyes while in a children's sanatorium. At home my mother persecuted me for these manipulations)

The years passed, and at the age of 16, I thought I looked 30 years old)

At the age of 18, I underwent a complete examination, everything was fine, and one doctor asked if maybe it was hereditary. To which I shook my head negatively, remembering the faces of my mother and grandmother. And then I remembered that all my relatives, friends, acquaintances and acquaintances of relatives said to me: “Daddy’s daughter, she looks sooooo similar! “And then I took a closer look at dad. Well, here's the answer! This is genes! I would have guessed about heredity earlier, but dad hasn’t lived with us for a long time, and we’ve seen each other very rarely before.

But at the age of 18, I had no idea that there were operations to eliminate my main problem - bags under the eyes. And until I was 24 years old, I struggled with them and bruises with the help of ointments, gels, patches, creams, with and without a lifting effect; oh how much money I spent because I didn’t regret it at all. Well, as if it were evil, I came across advertising reviews with left-handed photos in which people wrote about miracle remedies, and I bought more and more... Until I accidentally came across a forum about plastic surgery. That's how I learned about blepharoplasty.

But I decided only at 27. When I no longer found the strength to look at myself in the mirror. In the reflection I saw only a flaw that spoiled my young face ((It seemed to me that I was not 27, but 50, and that I was an alcoholic (((

I was just finishing breastfeeding and mentally preparing for the operation. I studied Moscow surgeons for a long time. But because I had already moved from Moscow, I thought that everything would be problematic for me. This is both time and money... When I told my husband about my intention, he did not understand me. My mother, grandmother and girlfriends also tried to dissuade me, calling me an indecent “e” word. All of them were afraid of death from anesthesia, in every possible way they slipped me newspapers, magazines, and programs on the box about the mistakes of plastic surgeons. And this was at that moment when I was getting ready and trying not to be afraid, because I was very scared myself!!!! It was very difficult for me...I was not understood...

And then I took the first step - I called the clinic. The pleasant assistant surgeon told me everything. It turns out that nonresidents are given the opportunity to sign up for a consultation and set a day for surgery, i.e. book, and just a couple of days after the consultation! I was happy - I won’t have to fly to Moscow twice, I’ll get everything done in a week!

I started getting tested. By the way, it is possible to rent out everything in your own city - which is also convenient and not expensive. Next it was necessary to do an ECG. And then an unpleasant thing happened - the doctor, based on the results, said that I could forget about the operation forever ((So I was upset! I called my husband in Moscow so that he could give me the phone number of the family cardiologist, whom his whole family trusts. The doctor reassured me and said that This operation is possible and no treatment is required.

I decided to drink Magnesium B6 (solution) and an evening sedative myself, and limited my coffee consumption. I re-registered at the clinic a month later.

But this time I had no one to leave my daughter with. A month later, I signed up for the third time and bought a ticket right away. The ECG showed a normal result. I was very happy! As I expected, my parents tried to stop me from flying again, but I still flew away.

Now about the main thing.

The consultation lasted about 10 minutes. But the surgeon explained everything in detail about how and what they would do to me. Initially, I planned circular blepharoplasty, because... there are problems with the upper eyelids. But upon examination, it was decided to do transconjunctival blepharoplasty on the lower eyelids. This is an operation without incisions - therefore, without stitches. It is considered a gentle method. I don’t need to do blepharo on my upper eyelids - that’s what the doctor said. Eh, I don’t even know what to do now... After all, my upper eyelids also give me discomfort. Or rather, only one thing...

Read also: Vascular surgeon Kazan

Transconjunctival blepharoplasty is indicated for patients with fatty hernias that appear as pronounced bulges in the lower eyelids. This defect is caused by the accumulation of fatty tissue packets in the paraorbital region. Seamless plastic surgery makes sense if the hernia is not accompanied by stretched “bags” under the eyes - during transconjunctival surgery, excess skin is not removed. This technique is used mainly in young people. Older patients who have retained sufficiently elastic skin around the eyes can also count on minimally invasive intervention. In any case, the method of plastic surgery (classical or seamless) is determined by the surgeon after assessing the scale of the problem. If the situation allows, preference is given to the transconjunctival approach. If the skin condition is poor (pronounced wrinkles, folds, sagging), this technology is practically useless, and it is worth thinking about more radical methods.

Benefits of transconjunctival blepharoplasty

Compared to percutaneous blepharoplasty, the transconjunctival approach has a number of advantages: The incision is made on the mucous membrane of the eyelid, so no traces of the intervention remain on the outside, and the result is as natural as possible. The gentle correction technology, which does not involve tissue excision, relieves the patient of the risks inherent in classical blepharoplasty, such as eyelid inversion (ectropion), eye deformation during scarring, facial expression disturbances, and others. The postoperative period passes quickly and relatively easily - swelling, hematomas, pain are absent or mild, so a stay in the clinic, forced “stay-at-home” and the use of analgesics is not required. The procedure is performed under local anesthesia, which eliminates the negative effects of anesthesia on the body.

I was afraid to have surgery under local anesthesia, but the doctor reassured me and suggested general anesthesia. “Sleep for 20 minutes and that’s it.”

A month before surgery, you must give up alcohol and cigarettes, and you should not use aspirin or blood thinners.

A week before surgery, you should not eat fatty, salty, spicy foods; you must maintain a water-salt balance.

The day before the operation, the last meal should be no later than 19.00 (I was scheduled for surgery at 9.30), you can drink until 12.

You cannot eat or drink anything on the day of surgery.

On day X, I was surprisingly calm. The operation took place 2 days after the consultation. I arrived at the clinic an hour later and was placed in a room with another girl. We managed to communicate with her a little and calm each other down. They injected me with a sedative, and half an hour later they took me to surgery. I was embarrassed by the fact that I was almost naked on the operating table - they gave me disposable panties)) Only under a sheet. Then the anesthesiologist injected anesthesia and I fell asleep. I woke up in my room with a cold on my neck. It turns out that they put a bandage with ice on my eyes, and in a dream I pulled it around my neck))) They offered me tea with cookies and waffles, I had a snack and went home. I went straight to bed, then woke up at 10 pm, ate and went back to sleep. The next day, swelling began under the eyes and bruises appeared. And within 4 days the appearance under the eyes became worse) But during the examination, the doctor said that everything was normal, this happens. After all, everyone heals differently.

I was prescribed drops and tablets for bruises and swelling. And also drops in the eyes with an antibiotic.

And now about rehabilitation.

Photo immediately after surgery:

2nd day after surgery:

By evening it looked like this:

5 day after surgery:

The bruises lasted a long time, almost a month, and gradually disappeared, but the one in the corner of the eye and under the eyes where the bags used to be were still there.

As of today, a month and a week have passed since the operation. I’ll tell you what I was not ready for after the operation.

There were a lot of surprises for me! According to reviews, and the doctor himself said that you can return to your normal life in 3-7 days. If there are bruises, just cover them up, that’s all. But! It's good that I'm on maternity leave. If I took a vacation from work, I personally would have to take a whole month! How do you know how much time you will need for rehabilitation? Easily! Think about how quickly your bruises go away. I have a very long time. And everything always takes a long time to heal. If you do too, then get ready for a long vacation.

After the operation, you should not engage in intimate activities, lift heavy objects, or bend over for two weeks. I don’t know what it’s like about two weeks, but I couldn’t look down for almost a month, at first it was painful, then there was just discomfort, as if something was pulling. I have a small child, so I had to quickly return to my previous lifestyle, fortunately my grandmother helped. But it’s already hard for her, so she couldn’t completely follow these recommendations. So it’s worth thinking about, if you have children, ask for help for exactly a month in advance. If I had known that it would be so difficult to live as usual, I would have waited another year with the operation so that my baby would be more independent.

If you work at a computer, I’ll also upset you. Your eyes get tired quickly, VERY FAST! After 5 days, I tried to sit at the laptop for a couple of hours - as a result, my eyes quickly got tired and began to water. And this went on for exactly a month! Those. I could only work a couple of hours a day. This is total time, with breaks.

And I can’t imagine how it was possible to cover up the bruises and go out in public - I was even afraid to touch my lower eyelids! The only thing is that from the 3rd day after the operation I began to apply a very good moisturizer.

By the way! There was no pain at all! Only when my eyes got tired, it was very painful, as if something was burning inside, and tears appeared.

I understand that everything is individual. But no one just talks or writes about it! And I just want to warn you.

This is what I look like now without makeup:

With makeup:

By the way, the problem with wrinkles that appeared after this gel smoothed out a little. (And this cream left wrinkles on my forehead after just 3 months of use!!!)

After all, the skin has tightened! But blepharoplasty is not able to fight bruises under the eyes ((I cover it with correctors, where can I go... But for my rejuvenated and rested eyes, I am ready to sing odes to this operation and to my surgeon!

PS I strive for perfection. Unfortunately, heredity gave me not only bags under my eyes... For those interested, here is a review about braces.

PPS Unfortunately, the result at the moment no longer suits me. More than a year has passed since the operation. Unnoticeably, faint bags under the eyes began to creep up again, the bruises were becoming more and more clearly visible (((For a very long time I refused to believe it, tried not to notice, thought that I was just screwing myself up... Moreover, my loved ones also told me that I was just screwing up And everyone has bruises......

In general, my look became tired again, and I put on glasses again to hide (((((((((

Unfortunately, that perfectionist still lives in me………

This is how my husband and children see me in the morning. Photos under different lighting.

Then I put myself in order, it seems like nothing)) And not everything is as bad as I thought)))

But dammit!!! I'm sad again!!(((((I now again hear the already forgotten questions “What’s wrong with you? Are you tired? Didn’t you get enough sleep? Did you cry??((((((((((((((

What is this? Relapse of bags? Unfortunately, I do not know. Having sent pictures to my surgeon, he calmed me down and advised me to rest more. And he said that a second operation was not required. Perhaps my photos were not entirely informative, and besides, an in-person consultation is necessary. But I am categorically not satisfied with my appearance. But going to Moscow for a consultation is not realistic for me now.

After reading the information, I realized that this often happens... Well... that you do it, and in a couple of years the bags will return again.

Here everyone chooses for themselves: to take risks or not.

I’ll say to myself: no, I don’t regret that I decided to have blepharo; for a year I enjoyed my reflection in the mirror. And even now it’s much better than it was. It’s just difficult now to live on, being disappointed(((Why me? Why did my eyes get into trouble again?((( Moreover, the money was not small for me...

I had never heard or read about relapses before.

I recently found information that you can correct the situation (bags, sunken eyes and bruises) using contour plastic surgery: namely, by injecting fillers under the eyes. This case is called “Correction of the nasolacrimal trough.” I’m so smart now)) If I had known earlier, perhaps I would have held off on opiates first and tried fillers.

But it’s difficult for me to find a good doctor, because... I live not in Moscow, but in the outback of Russia.

In any case, I will not leave this matter like this, I will look for my doctor. And I will find it. I hope that contour plastic surgery will help me.

And, dear girls, if suddenly you have experience with contour plastic surgery, please share the information (whether it’s worth doing or not) and your doctor’s contacts.

Thank you all for your attention!

Be beautiful!

Surgical intervention

The entire operation lasts no more than one hour; in difficult situations, the time for plastic surgery may increase.

Before starting the procedure, the surgeon makes markings using a special medical marker. Areas in the eye area are injected with anesthetic drugs and epinephrine (adrenaline). As a result, the desired area becomes numb, and the possibility of bleeding is eliminated.

Seamless plastic surgery of the lower skin folds of the eyes is divided into several stages:

Using a special instrument, the surgeon makes a miniature puncture behind the eyelash line. Additional external incisions are not used.
Through the resulting hole, the doctor removes the fat bags.
At the last stage, the surgeon tightens the puncture site with absorbable suture material, which disappears without a trace within a week.
In some cases, the specialist refuses to use surgical threads. Under such circumstances, the puncture heals on its own.
After surgery, ointment is applied to the eye to reduce dryness in the area.

The patient is under the supervision of specialists for 5 to 7 hours, after which he is sent home.

For several hours after sutureless plastic surgery, vision problems are noted, so the help of an accompanying person will be required.

In the video, see the principle of transconjunctival blepharoplasty of the lower eyelids.

Progress of the operation ↑

Before transconjunctival blephoroplasty, the patient undergoes preoperative preparation.

During this period you should:

carefully study reviews of other clients about the blade and reviews from the surgeon;
come for a consultation with an ophthalmologist and surgeon;
take blood tests;
undergo examinations (ECG, fluorography);
stop painkillers, anti-inflammatory drugs and anticoagulants, including aspirin;
go on vacation for about 2 weeks to fully recover after surgery;
limit the consumption of alcoholic beverages and junk food;
ask relatives or friends for support after the operation.

It is possible to use both general and local anesthesia, depending on the indications and sensitivity. Using a scalpel, the surgeon makes an incision along the inner surface of the lower eyelid through the conjunctiva and excess fatty tissue is excised. Sutures are placed on the wound of the conjunctival membrane. Then a compressive bandage is placed over the eyes and removed after a few hours.

The duration of the manipulation is 1.5 hours. Usually after 5 hours the patient is sent home.

Progress of the operation

A - dissection of the conjunctiva and mobilization of fatty hernias

B - excision of fatty hernias

B — transplatation of fatty hernias relative to the edge of the orbital bone