Age-related changes in appearance are an inevitable reality for every person. The eyes are no exception and undergo strong metamorphoses over the years. The once attractive, youthful and open look ceases to be as attractive and expressive as in youth. Eyelids tend to become heavier and droop, bags and dark circles appear in the area under the eyes, and a network of mimic wrinkles permeates the skin around the eyes. There are other situations when a person wants to change, for example, the shape of the eyes or their shape, remove the crease on the upper eyelid, which is inherent in the Asian type of appearance, or simply change their appearance in order to achieve the ideal of beauty.
In addition, in some cases it is required to get rid of the consequences of injuries and accidents and return to their former appearance. Also, some diseases, such as entropion, require the help of a plastic surgeon. In any ofIn these situations, sooner or later a person decides to resort to blepharoplasty of the eyes. This is a plastic surgery that removes sagging skin on the eyelids and distributes fatty tissue evenly over both eyelids to give them a new shape, rejuvenate the look or change the shape of the eyes.
The doctor must prescribe
It must be remembered that blepharoplasty of the eyes is prescribed only by a surgeon. Age-related changes in appearance are not considered the main indication for this operation. Sometimes even young people may need this surgical procedure, for example, in the case of a hereditary predisposition to the formation of bags under the eyes and overhanging eyelids. Among other things, each intervention of the surgeon does not pass without a trace, and after it there are internal and external scars and scars. Only a specialist can adequately assess the patient's readiness for surgery. This is especially true for re-intervention. A consultation with a plastic surgeon will help determine the ultimate goal pursued by the patient, as well as the method of carrying out blepharoplasty of the eyes.
Indications for surgery
Plastic surgery on the eyelids is a surgical intervention, the purpose of which is to get rid of excess fat or skin layer and other unnecessary formations.
The most common formations on the eyelids that require surgical intervention are:
- Xanthelasmas. Benign neoplasm in the eyelid area. The most common localization is the inner corners of the eye onupper eyelid. Xanthelasmas are yellowish, round plaques and often form in diabetics or in patients with elevated blood cholesterol levels. Eyes after blepharoplasty look different.
- Wen or lipomas. Formed where there is a deficiency of adipose tissue. This is a benign growth in the form of a small lump of fat that grows over time.
- Papilloma. Tumors of a benign nature in the form of long, hanging moles.
- Chalazion. This is a cyst on the eyelid, safe with a small size of up to 5 mm, its further increase poses a risk of malignancy. Therefore, it is recommended to remove it to avoid future infections.
Types of eye blepharoplasty
Plastic surgery on the eyelids is divided into the following types:
- Blepharoplasty on the upper eyelid. Removes excess tissue and fatty hernia from the upper eyelids, which allows you to lift and lighten the look. This is the most common type of eyelid surgery today.
- Blepharoplasty on the lower eyelid. This type of surgery helps to remove flabbiness, bags under the eyes and sagging skin. It also eliminates excessively visible tear troughs. This type of operation is prescribed for patients who want to relieve swelling under the eyes in the morning or if the transition between the lower eyelid and the cheek is too noticeable.
- Circular. It implies surgical manipulations simultaneously with the upper and lower eyelids. Surgeons often recommend this procedure because the result of the operationbecomes a complete aesthetic rejuvenation of the look.
- Cantoblepharoplasty. Designed to change the shape of the eyes. The operation is performed in patients who want to give the appearance of a European type. Beautiful round eye blepharoplasty allows you to get.
- Canthopexy. It is aimed at tightening the outer corners of the eyes and fixing them in the position required by the patient.
Main methods
For all of the above types, there are three main methods for performing eye blepharoplasty surgery:
- Classic. An incision is made on the patient's eyelid, with the help of which the operation is performed.
- Transconjunctival. An incision is made on the mucous membrane of the eyelid from the inside. This method avoids postoperative sutures.
- Combined. At the initial stage, the classical method is applied and an incision is made, then laser resurfacing of the skin around the eyes takes place. This laser treatment eliminates unevenness, small scars, smoothes small wrinkles, which makes the skin around the eyes more fresh, toned and even.
For the operation, the patient is given anesthesia, both general and local. Surgeons prefer general anesthesia. The duration of the operation is from one to three hours. It depends on the specific type of blepharoplasty of the eyes (the photo is presented in the article) and the method of its implementation. The individual characteristics of the patient's he alth and the degree of invasion are also taken into account when calculating the time of the operation.
Specialist choice
Plastic surgery on the eyelids belongs to the category of complex surgical manipulations, as it involves the high-precision work of the surgeon who performs it. For this reason, it makes sense to approach the choice of a plastic surgeon with all responsibility, since the result of his work will be on your face. When choosing, you should take into account not only positive feedback about the work of a specialist, but also his high qualifications and extensive work experience.
Blepharoplasty of Asian eyes has been performed very often recently.
When choosing a clinic, you should not focus on the low cost of operations, it is better to rely on the reputation and recommendations of those who used the services of this medical institution when choosing. The cost of the operation is calculated individually for each patient, taking into account individual characteristics, method of implementation and additional services.
Eye microsurgery and blepharoplasty are often done together.
Description of eyelid surgery methods
Below we will take a closer look at the various types and methods of the operation.
- Fat-preserving blepharoplasty. It is rightfully considered the most advanced method of correcting age-related changes on the eyelids. This method consists in the uniform distribution of fat pads that surround the human eyeball. In this case, hernias are not excised, in contrast to the classical method. The fat-preserving method prevents the skeletonization of the eyelid, that is, skin-fitting of the eye bones. Surgeon uniformlydistributes the patient's adipose tissue around the eye area, thus avoiding the eye falling into the orbit, and also corrects the tear trough, which significantly rejuvenates the look. After fat-saving blepharoplasty, excess skin is removed. This method has a stable result. Warranty minimum 6 years.
- Transconjunctival blepharoplasty. This is the most sparing plastic surgery in the eyelid area. The essence of the method is to get rid of excess fatty tissue. In this type of surgery, a sutureless plasty method is used, which significantly distinguishes it from similar operations. The skin of the eyelid is not injured, since access to the skin is obtained through the conjunctiva. Thus, the surgeon completely or partially excised the hernia. With this method, the shape of the eyelids can also be corrected. The advantages of transconjunctival blepharoplasty are the absence of internal and external sutures and scars, a relatively short rehabilitation period (all postoperative traces disappear in a maximum of two weeks), minimal risk of complications and a significant aesthetic result.
- Eyelid contouring. It is an alternative to surgical intervention. This is a procedure for introducing special injections that eliminate age-related changes in the eyelids and remove deep wrinkles of mimic origin. Anesthesia in this case is not required, gels and creams are used for pain relief. Such procedures involve the injection of drugs based on hyaluronic acid directly under the wrinkles.on the skin. The method involves the restoration of subcutaneous volume lost with age. The drugs stimulate the body to produce collagen, which is able to strengthen the tissues around the eyes. Hyaluronic acid helps to smooth small and deep wrinkles, which refreshes and rejuvenates the face as a whole. The advantages of this type of plasty are the immediate effect of a tightening, the recovery period after the procedure is minimal, the method is painless and does not leave scars. The disadvantage of contouring is considered to be a short-lived effect, so the procedure has to be repeated about once a year. Blepharoplasty removes bags under the eyes forever.
- Circular eyelid lift. Refers to radical methods of rejuvenation of the look. During the operation, plastic surgery of the lower and upper eyelids is performed. Experts consider this method the most effective, as there is a multilateral aesthetic improvement. The look becomes more open, wrinkles are smoothed out, bags and flabbiness are removed. Incisions during the operation are made in natural folds and along the under-ciliary line on the lower eyelid. The surgeon removes the hernia, redistributes the adipose tissue and, if necessary, fixes the muscles in the eyelid area and removes excess skin. Due to the fact that the incision sites are located in areas of natural skin folds, postoperative scars cease to be noticeable over time.
- Resection of the eyelids. This is the excision of a certain part of the eyelid and the connection in the future of the remaining parts. To reach the maximumaesthetic effect, the operation, as in the case of a circular lift, is performed in natural skin folds. However, even if such a minimal intervention is impossible, you should not worry, since the skin of the eyelids tends to regenerate quickly. If you follow all the conditions of postoperative rehabilitation, then recovery will happen very quickly.
- Minimal invasive blepharoplasty. Includes transconjunctival and laser plastic surgery described above. In the latter version, the incision is made with a special laser, which allows the edges to quickly coagulate. This almost completely eliminates blood loss and infection of the wound. What is Asian eye blepharoplasty called?
- Oriental. With this method, the eye section is given a European type. To make the patient's upper eyelid more expressive, the surgeon removes the epicanthus, or the so-called "Mongolian fold". It is located in the inner corner of the eyes of the representatives of the Asian race. Epicanthus occurs from birth or as a result of injury. Such an operation removes the "Mongolian fold", due to which the upper eyelid acquires mobility, facial expressions become more lively and natural.
It is not recommended to do blepharoplasty of the eyes to adolescents under 16 years old, since during this period the formation of the incision and the size of the eyes ends. Also, the doctor must necessarily examine the patient's eyes and eyelids, conduct a thorough ophthalmological examination to identify possible eye pathology. These measures are necessary in order to avoid possible complications in the future.time and after the operation.
The operation generally takes 1-3 hours depending on the volume of the operated area. If blepharoplasty of the eyes is performed on four eyelids at once and is combined with additional anti-aging procedures, then it can last longer than 3 hours.
Important! The day before the operation, it is necessary to make a fasting day. Do not eat or drink on the day of the operation. The choice of anesthesia method rests with the doctor.
Before and after photos of Asian eye blepharoplasty are shown below.
Risks
Like any other surgical intervention, blepharoplasty has certain risks. Potential complications of any surgery are:
- The body's resistance to anesthesia.
- Accumulation of fluid under the skin in the form of gray and hematomas.
- Blood loss and risk of infection.
- Scars and scars.
- Allergic to drugs, anesthetics or metals.
- Change in skin sensitivity.
Complications
Eyelid surgery has the following possible complications:
- Inability to fully close the eye, resulting in damage to the cornea.
- Ectropion, or eversion of the lower eyelids.
- Asymmetrical look. Different eyes after blepharoplasty are not uncommon.
- Vision problems.
- Dry eye syndrome or watery eyes.
- Unable to wear lenses.
- Rarely blindness.
Therapy of the above complicationsmay require additional surgery or long-term conservative treatment.
What can anesthesia do?
Local anesthesia for blepharoplasty under the eyes, even the most modern, also comes with certain risks, these include:
- Perforation of the eye.
- Loss of vision due to nerve damage.
- Retinal detachment.
- The overhang of the upper eyelid.
General anesthesia, in turn, can cause disorders in the respiratory and cardiovascular systems. Thus, blepharoplasty is by no means a harmless operation, although it has established itself as the most effective and not dangerous in comparison with other types of intervention.
Blepharoplasty of the eyes: reviews
Most patients are satisfied with the results achieved with blepharoplasty. But reviews confirm that the effect of the operation is not eternal, it has its own period, and over time, the skin will begin to lose elasticity again. However, for many women, this remains the only way to maintain youthfulness and freshness of the face. But still, before you go under the surgeon's scalpel, you should weigh all the possible risks and assess whether the problem with the eyelids is so big to resort to such a drastic solution. Equally important is putting your face in the hands of a reputable plastic surgeon.
