Transconjunctival blepharoplasty

To eliminate age-related changes or congenital defects in the eyelid area, a plastic surgery can be performed. But to shorten the rehabilitation period, reduce the risk of complications and avoid visible scars, in many cases a doctor performs transconjunctival blepharoplasty. A key feature of the procedure is the absence of skin incisions during the operation. The plastic surgeon performs tissue tightening and redistribution of fat packs through a puncture in the conjunctiva area. Such an intervention is not always performed, it is recommended in the presence of early age changes or the appearance of bags under the eyes, relatively small fat hernias.

METHOD ADVANTAGES

Although the possibilities of transconjunctival eyelid plasty are limited, the procedure has a number of undeniable advantages and is popular among patients and surgeons. The procedure is painless, the amount of tissue trauma is minimal, the correction is practically bloodless, and postoperative hematomas are small. The intervention is done under local anesthesia for about 30 minutes, leaving no visible scars, rehabilitation period of about 2 weeks, with minimal risk of complications. The effect of the lift lasts up to 7-10 years. In addition, the price of the operation is quite affordable.

INDICATIONS FOR TRANSCONJUNCTIVAL BLEPHAROPLASTY

At our clinic in St. Petersburg we perform this option of eyelid plasty with certain indications at the age over 30-35, as age-related changes appear around the eyes, where the skin is thinnest and subject to change first. Key indications include:

• the appearance of crows feet and more pronounced wrinkles;
• swelling under the eyes, which is not associated with abnormalities of the kidneys, heart or other organs;
• The presence of dark circles under the eyes;
• creasing, overhanging in the area of the lower eyelids;
• formation of bags, hernias under the eyes associated with excess fatty tissue;
• congenital defects, acquired pathologies of the lower eyelid.

The doctor can determine additional indications during the consultation with the patient, assessing the condition of the tissues and the severity of changes.

CONTRAINDICATIONS

Transconjunctival plasty will be contraindicated in the presence of certain pathologies and conditions. These are:

• any kind of cancer pathologies;
• serious visual problems (glaucoma, cataracts, inflammatory processes of the eyelid, conjunctiva, sclera);
• endocrine system disorders;
• clotting and hematopoiesis disorders;
• heart and vascular pathologies, decompensation of internal organ diseases;
• diabetes mellitus at the decompensation stage;
• pregnancy and lactation;
• menstruation.

During the initial consultation and collection of medical history, the doctor may determine additional contraindications to the intervention.

SURGICAL PREPARATION

The appointment of the surgery is preceded by a consultation with a plastic surgeon. He clarifies all the features of the procedure, the consequences and the expected effects, the doctor examines the eyelids, assesses the condition of the tissues and the extent of intervention, prescribes specialist consultations (if necessary) and a number of tests, and assesses the cost of surgery.

1 to 2 weeks before the surgery, an ECG, fluorography, necessary blood and urine tests, consultation with an ophthalmologist (if there are problems with vision). 10 days before the intervention it is necessary to give up smoking and drinking alcohol, to cancel medications that affect blood clotting (hormones, anti-aggregants, NSAIDs, etc.). It is important not to visit a tanning salon or the beach a month before surgery.

HOW IT'S HOW IT'S HAPPENED

The operation is performed under local anesthesia, so there is no need to give up food and drink before surgery. The intervention itself is performed in stages. The doctor makes a mark, an anesthetic is injected, the operation area is treated with antiseptics, and protective plates are put on. The doctor makes a small incision in the conjunctiva just above the lash growth line, then he performs the necessary interventions - tightens the skin, removes or redistributes fat packets, removes skin folds, sutures, treats the intervention zone, covers the eye with a bandage.

The operation lasts no more than an hour, after the plastic surgeon evaluates the condition of the tissues, gives recommendations and lets the patient go home. A follow-up examination is required after 24 hours, and then on the 5th-7th day to assess the healing and condition of the wound.

RECOVERY PERIOD

After the intervention there may be swelling and redness, small bruises on the skin. These go away by about 6-10 days. To reduce discomfort and swelling, cool compresses in the first 2 days and taking special medications are useful. For the prevention of complications for two weeks you need to avoid sharp and prolonged bending forward and down head, do not do hard physical work and sports, refrain from bathing, sauna, sunbathing, walks in the open sun. Contact lenses should not be worn until healing is complete.