Blepharoplasty with and without a scalpel: indications, risks, myths…

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Both old and young

Blepharoplasty refers to those operations that are not even customary to hide (from a number of others). For example, many stars resorted to this procedure with a surgeon and do not hide it, moreover, on the contrary, they happily shared before and after photos with the audience. The latter include Lolita, Roza Syabitova, Aiza Anokhina, Bozena Rynska, Larisa Guzeeva.

In fact, everyone has different goals. Someone wants to get rid of age-related changes, someone from natural features. For example, recently this procedure is often done by girls under 30 years old who cannot get rid of constant swelling under the eyes – the love of salt and lack of sleep has nothing to do with it, we can talk about subcutaneous fatty hernias. During the operation, an incision is made through which excess skin or fatty tissue is removed. After that, intradermal sutures are applied.

“I did the upper eyelids, which began to hang and give extra age. And I’m only 32 years old! They didn’t even do general anesthesia, half an hour and I’m a beauty. After 10 days, I went to work, no one even understood what had changed, they only noted that I had a good rest on vacation! Now the seam is no longer visible, only a thin strip in the crease of the upper eyelid, which will go away with time, ”the user Anna speaks about the procedure.

Upper and lower blepharoplasty

For example, in youth, the overhanging eyelid looks like a feature, a highlight of the face – many makeup artists like to work with this. But on average, after 40 years, the overhanging eyelid becomes “heavy”. And due to the structure of the eye, hernias can form. According to the definition of experts, “this is a condition that is caused by the development of tissue ptosis in the upper and lower eyelids due to protrusion of intraorbital fat, failure of the circular muscle of the eye and its ligamentous apparatus. The skin of the eyelids weakens early and loses its tone, since the circular muscle of the eye and its ligamentous apparatus daily participate in such natural processes as blinking. Due to the failure of muscles and ligaments, the adipose tissue of the periorbital tissue begins to contour, microcirculation is disturbed, and lymphostasis additionally stretches the skin of the upper and lower eyelids.

Of course, many interested in eyelid correction would like to resort to laser blepharoplasty, which is performed under local or general anesthesia and takes literally an hour. Then the patient goes home. For a couple of days, swelling disappears, there are no scars for memory. But it all depends on the age, the request of the patient, the condition of the skin, the structure of the eyelid. The classic options are upper and lower blepharoplasty. These interventions allow you to remove excess overhanging skin and adipose tissue, the same hernias, wrinkled skin folds, and correct the shape of the eyes (the so-called fox look is now in trend).

Lower blepharoplasty allows you to remove excess intraorbital fat, muscle fibers and skin, as well as align the nasolacrimal groove.

Despite the popularity of the procedure and the well-trained hand of surgeons, one can often find unsuccessful examples when the eyes become frankly strained, and the eyelids do not seem to close completely. The latter indicates either that the skin flap was taken too large, or the elderly patient has already resorted to the procedure more than once.

Contraindications, how long the effect of the operation lasts

“Blepharoplasty is one of the most popular areas of modern plastic surgery in recent years. It helps to eliminate age-related changes or congenital features of the lower and upper eyelids.

Blepharoplasty is performed to eliminate sagging eyelids, under which excess fat and loose skin, as well as accumulated fatty hernias.

Recommendations for blepharoplasty:

• removal of deformed eyelid skin; • change in the shape and position of the eyelids in case of congenital, age-related or post-traumatic changes; • overhanging skin (the upper eyelid makes the look “heavy”, gloomy); • “bags” under the eyes, circles under the eyes, excess tissue; • unsuccessful shape of the cut of the eyes; • deep wrinkles; • omission of the corners of the eyes; • hernia of the eyelids; • aesthetic defects.

The effect of blepharoplasty lasts for 10 years. The operation can be carried out at any time of the year. There are contraindications, they include:

  • diabetes,

  • scleroderma,

  • inflammatory diseases (herpes, SARS) during the period of exacerbation and a tendency to form keloid scars. Also, blepharoplasty is not performed during pregnancy and lactation. The operation can be done at any age, but the need for it most often appears after 35 years.

Risks of surgery, can it affect vision

During blepharoplasty, there is a risk of damage to the eye muscles, which can lead to ptosis (drooping of the eyelid) or strabismus. However, these risks are leveled if the operation is performed by an ophthalmic surgeon. Unlike a plastic surgeon, ophthalmologists are well versed in the structure of the eye and its adnexa, which will help to avoid complications.

Another risk is associated with visible scarring, but this can also be avoided if the operation is performed using a microscope, radioknife and fine threads. We use an innovative method of radio wave surgery for blepharoplasty. It is less traumatic, which means it helps to minimize the period of rehabilitation.

You should also be prepared for the fact that after the operation, incomplete closure of the eyelids is possible, which may cause a feeling of dry eyes. If such a complication occurs, it disappears in the first few days.

A popular myth surrounding the procedure is that it can adversely affect vision. Blepharoplasty does not affect vision in any way, since it does not affect the eyeball. So this operation cannot improve or worsen vision.”


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