Lower eyelid blepharoplasty

It is on the eyes we focus our gaze when communicating with a person, so any age-related changes in the skin and surrounding tissues are immediately visible, they spoil the appearance, giving a tired look and giving away age. To eliminate the problems that arise in the lower eyelid - circles under the eyes, wrinkles, wrinkles, modern plastic surgery offers an effective solution - blepharoplasty lower eyelids. By tightening the tissues, defects are removed, the skin is smoothed, and the visible signs of age-related changes are reduced, which improves the appearance, eliminates age-related changes, makes the look radiant and youthful.

Lower eye blepharoplasty is a surgical intervention, a plastic surgery with incisions, tissue tightening and subsequent suturing, which is aimed at eliminating age-related or other defects in the skin of the lower eyelid. It is performed using traditional scalpels or laser equipment. Such intervention has a pronounced external effect, but requires skill from the surgeon, and then - a certain amount of time for rehabilitation (tissue healing). However, the result is worth it!

DESCRIPTION

There are a number of indications for a transconjunctival or traditional lower eyelid plasty. These include the following situations:

• pronounced fat hernias in the area of the lower eyelid;
• sagging of the skin of the lower eyelids (when pronounced sweet spots form);
• formation of wrinkles in the corners of the eyes on the lower eyelid;
• ptosis (drooping) of the eyelids;
• Various deformities of the lower eyelid area caused by trauma or previous surgery;
• Asymmetry in eye shape or size that is visible to the naked eye;
• pronounced skin laxity;
• sunken eyes, circles under the eyes.

The main task of the surgeon when performing surgery is to eliminate age-related changes and meet the patient's needs for correction of appearance.

CONTRAINDICATIONS

Before scheduling the surgery the plastic surgeon consults with the patient and finds out if there are any contraindications for the eyelid surgery. Plastic surgery in the lower eyelid area is prohibited if the following problems are identified:

• any type of diabetes mellitus;
• infectious and inflammatory pathologies;
• blood clotting disorders and serious hematopoiesis problems;
• any oncological pathologies;
• Increased thyroid function;
• increase in blood pressure;
• congenital and acquired immunodeficiencies;
• severe heart and vascular abnormalities,
• skin abnormalities (rashes, pustules, ulcers) in the face area;
• serious eye pathologies;
• menstruation.

After consultation and examination, the plastic surgeon can additionally determine temporary and permanent contraindications, in which surgery cannot be performed.

PREPARATION

The total cost of lower blepharoplasty depends largely on the amount of preparation and type of surgery. Additional consultations of specialists (therapist, cardiologist, anesthesiologist, etc.) and necessary tests before blepharoplasty of the lower eyelids in the clinic are not included in the price of the surgery itself. But they are necessary to avoid problems during and after the intervention. Before the plastic surgery is carried out consultations with a therapist, plastic surgeon, ophthalmologist (not for all interventions) and anesthesiologist. In addition, you must pass tests and undergo certain tests to objectively assess the state of health and exclude contraindications to anesthesia and the surgery itself.

A fluorography is performed (valid for one year), an ECG is taken, the results of which will be up-to-date for one month. The list of tests includes blood tests (general, biochemistry, coagulogram) and urine tests, blood tests for HIV, hepatitis, syphilis, determination of blood group and Rh factor. The final decision is made after all the results have been studied.

Before the surgery, the doctor gives recommendations on preparation. Approximately 1-2 weeks before surgery you should:

• eliminate stressful situations and physical overload;
• Stop medications that can affect blood clotting;
• Do not use decorative cosmetics (on the day of the intervention);
• Reduce sweets, citrus fruits, exclude alcohol;
• Do not go to the beach or the tanning salon;
• quit smoking.

On the day of surgery you should exclude food and liquids (if the surgery is performed under general anesthesia).

OPERATION TECHNIQUE

The doctor can choose different blepharoplasty techniques - lower open or transconjunctival. The surgeon preliminarily marks the incision sites and does so in a sitting position, so that the facial features are not distorted. The operation itself is done in stages. The skin on the eyelids is treated with antiseptics, and the eyeballs are covered with protective lenses. General anesthesia or local anesthesia is applied, the eyelid is fixed with a special clip, and incisions are made on the inside or outside of the eye.

Depending on the goals of the surgery, the plastic surgeon removes lumps of fat, excises excess tissue, tightens tissues, and sews up the wounds. As the last step, a cold compress is applied, and the wounds are covered with bandages.

The surgery lasts about 60-90 minutes, then the patient is monitored for several hours as he or she recovers from anesthesia and can go home.

REABILITATION

The rehabilitation period for blepharoplasty in the lower eyelids takes up to three weeks. If you follow all the doctor's recommendations, the tissues will recover quickly and painlessly. During the first week, you don't need to touch the stitches. You may only touch your eyes with clean hands, carefully treated with antiseptics. Cool compresses are necessary until the swelling goes down. Until the stitches are completely healed, you need to give up eye make-up and wear sunglasses. Visiting tanning salons, going to the sauna and the gym is prohibited for two months, you should refuse to lift weights.