Eye blepharoplasty: pros and cons

Age-related changes in appearance are an inevitable reality for every person. Eyes are no exception and are subject to strong metamorphoses over the years. Once an attractive, young and open look ceases to be as attractive and expressive as in youth. Eyelids tend to grow heavier and overhang, bags and dark circles appear in the area under the eyes, and a network of facial wrinkles penetrates the skin around the eyes. There are other situations when a person wants to change, for example, the section of the eyes or their shape, remove the crease on the upper eyelid inherent in the Asian type of appearance, or simply change his appearance in order to achieve the ideal of beauty.

In addition, in some cases, it is necessary to get rid of the consequences of injuries and accidents and regain its former appearance. Also, some diseases, such as entropion, require the help of a plastic surgeon. In any of these situations, sooner or later a person decides to resort to blepharoplasty of the eyes. This is a plastic operation, with the help of which it is possible to remove sagging skin on the eyelids and distribute fatty tissue evenly over both eyelids in order to give them a new shape, rejuvenate the eye or change the section of the eyes.

Doctor must appoint

It must be remembered that blepharoplasty of the eyes is prescribed only by the surgeon. Age-related changes in appearance are not considered the main indication for this operation. Sometimes, young people may also need this surgical procedure, for example, in the case of a hereditary predisposition to the formation of bags under the eyes and overhanging the 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. Consultation with a plastic surgeon will help determine the ultimate goal pursued by the patient, as well as the method for conducting blepharoplasty of the eyes.

Indications for surgery

Plastic surgery on the eyelids is the intervention of a surgical plan, 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:

1. Xanthelasma Benign neoplasm in the eyelids. The most common localization is the inner corners of the eye on the upper eyelid. Xanthelasms are yellowish, rounded plaques and are often formed in diabetics or in patients with high cholesterol. Eyes after blepharoplasty look different.
2. Fatty or lipoma. Formed where there is a deficiency of adipose tissue. This is a benign mass in the form of a small, lumpy fat lump that increases over time.
3. Papillomas. Tumors of a benign nature in the form of long, hanging moles.
4. Halazion. This is a cyst on the eyelid, safe with a small size of up to 5 mm, its further increase represents a risk of malignancy. Therefore, it is recommended to remove it in order to avoid infection in the future.

Types of blepharoplasty of the eyes

Plastic surgery on the eyelids are divided into the following types:

1. Blepharoplasty on the upper eyelid. Excessive tissue and fatty hernias are removed from the upper eyelids, which allows to raise and lighten the look. This is the most common type of surgery for centuries.
2. Blepharoplasty on the lower eyelid. This type of operation helps to remove sagging, bags under the eyes and sagging skin. Also eliminates overly noticeable lacrimal grooves. This type of operation is prescribed to patients who want to remove swelling under the eyes in the morning or if the transition between the lower eyelid and cheek is too noticeable.
3. Circular. It implies surgical manipulations simultaneously with the upper and lower eyelids. Surgeons often recommend this procedure, as the result of the operation is a complete aesthetic rejuvenation of the eye.
4. Cantoblepharoplasty. Aimed at changing the cut of the eyes. The operation is performed on patients who want to give the appearance of a European character. A beautiful round eye blepharoplasty allows you to get.
5. Cantopexy. It is aimed at pulling the outer corners of the eyes and fixing them in the position necessary for the patient.

Main methods

For all of the above species, there are three main methods for conducting blepharoplasty surgery for the eyes:

1. Classical. An incision is made on the patient's eyelid, with which the operation is performed.
2. Transconjunctival. An incision is made on the mucous membrane of the eyelid from the inside. This method avoids postoperative sutures.
3. Combined. At the initial stage, the classical method is applied and an incision is made, then laser resurfacing of the ocular skin occurs. This laser treatment eliminates bumps, small scars, smoothes small wrinkles, which makes the skin around the eyes more fresh, toned and even.

For surgery, 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 eye blepharoplasty (photo is presented in the article) and the method of its implementation. The individual health characteristics of the patient and the degree of invasion are also taken into account when calculating the time of surgery.

Specialist selection

Plastic surgery on the eyelids belongs to the category of complex surgical procedures, as it involves the high-precision work of the surgeon performing 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, it is worth considering not only positive reviews about the work of a specialist, but also his high qualifications and extensive experience.

Very often, blepharoplasty of Asian eyes has been performed 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, the method of carrying out and additional services.

Eye microsurgery and blepharoplasty are often performed together.

Description of eyelid repair methods

Below we will consider in more detail the various types and methods of the operation.

1. Fat-preserving blepharoplasty. It is considered to be the most advanced method of correction of age-related changes for centuries. This method consists in the uniform distribution of the pads of fat that surround the human eyeball. In this case, the hernia is not excised, unlike the classical method. The fat-preserving method prevents skeletonization of the eyelid, that is, skin tightening of the eye bones. The surgeon evenly distributes the patient's adipose tissue over the peri-ocular space, avoiding dropping the eye into the orbit in this way, and also correcting the lacrimal groove, which significantly rejuvenates the gaze. After fat-preserving blepharoplasty, excess skin is removed. This method has a consistent result. Warranty at least 6 years.
2. Transconjunctival blepharoplasty. This is the most gentle plastic surgery in the eyelid region. The essence of the method is to get rid of excess fatty tissue. In this type of surgical intervention, a seamless plastic 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 excises the hernia. Using this method, eyelid shape adjustments can also be made. The advantages of transconjunctival blepharoplasty are the absence of internal and external sutures and scars, a relatively short rehabilitation period (all postoperative traces pass after a maximum of two weeks), minimal risk of complications and a significant aesthetic result.
3. Contour plastic eyelids. It is an alternative to surgical intervention. This is a special injection procedure that eliminates age-related changes in the eyelids and removes deep wrinkles of facial expression. Anesthesia is not required in this case; gels and creams are used for pain relief. Such procedures involve the injection of hyaluronic acid-based preparations directly under the wrinkles on the skin. The method involves the restoration of subcutaneous volume lost with age. Preparations stimulate the body to produce collagen, which is able to strengthen ocular tissues. Hyaluronic acid helps smooth small and deep folds, which refreshes and rejuvenates the face as a whole. The advantages of this type of plastic are the immediate effect of lifting, the recovery period after the procedure is minimal, the method is painless and does not leave scars and scars. A short effect is considered a drawback of contouring, so the procedure has to be repeated about once a year. Blepharoplasty removes bags under the eyes forever.
   
4. Circular eyelid lift . Refers to radical methods of rejuvenating the look. During the operation, plastic of the lower and upper eyelids is performed. Experts believe this method is the most effective, since there is a multilateral aesthetic improvement. The look becomes more open, wrinkles are smoothed out, bags and sagging are removed. Incisions during surgery are made in the natural folds and along the lower limb eyelid line. The surgeon removes hernias, redistributes adipose tissue and, if necessary, fixes muscles in the eyelids and removes excess skin. Due to the fact that the incisions are located in areas of natural skin folds, postoperative scars cease to be noticeable over time.
5. Eyelid resection. This is the excision of a certain part of the eyelid and the connection in the future of the remaining parts. To achieve maximum aesthetic effect, the operation, as in the case of a circular lift, is performed in natural skin folds. However, even if such minimal intervention is not possible, you should not worry, since the skin of the eyelids tends to regenerate quickly. If all the conditions of postoperative rehabilitation are observed, then recovery will occur very quickly.
6. Minimally 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 wound infection. What is the name of blepharoplasty of the Asian eyes?
7. Oriental. With this method, a European type is attached to the eye section. 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 representatives of the Asian race. Epicanthus happens 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 for adolescents up to 16 years, since during this period the formation of the incision and the size of the eyes ends. Also, the doctor must 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 further possible complications during and after the operation.

The operation as a whole takes 1-3 hours, depending on the volume of the operated area. If blepharoplasty of the eyes is performed immediately on four eyelids and combined with additional anti-aging procedures, then it can last longer than 3 hours.

Important! A day before the operation, you must make an unloading day. Immediately on the day of surgery, you can not drink and eat. The choice of method of anesthesia rests with the doctor.

A photo of blepharoplasty of the Asian eyes - before and after - is presented below.

The risks

As with any other surgical intervention, blepharoplasty has certain risks. Potential complications of any operation are:

1. Body immunity to anesthesia.
2. The accumulation of fluid under the skin in the form of gray and hematomas.
3. Blood loss and risk of infection.
4. Scars and scars.
5. Allergy to drugs, anesthetics, or metals.
6. Change in skin sensitivity.

Complications

Surgery of the eyelids involves the following possible complications:

1. The inability to completely close the eye, which leads to damage to the cornea.
2. Ectropion, or inversion of the lower eyelids.
3. Asymmetric look. Different eyes after blepharoplasty are not uncommon.
4. Vision problems.
5. Dry eye syndrome or tearing.
6. Inability to wear lenses.
7. Rarely - blindness.

Therapy of the above complications may require additional surgery or prolonged conservative treatment.

What can anesthesia turn into?

Local anesthesia for blepharoplasty under the eyes, even the most modern, is also associated with certain risks, these include:

1. Perforation of the eye.
2. Loss of vision as a result of damage to the nerve ending.
3. Retinal detachment.
4. Hanging upper eyelid.

General anesthesia, in turn, can cause disturbances 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 compared to other types of intervention.

Eye blepharoplasty: reviews

Most patients are satisfied with the results achieved using blepharoplasty of the eyelids. But reviews confirm that the effect of the operation is not eternal, it has its own term, 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 lie down under the scalpel of a surgeon, you should weigh all the possible risks and evaluate whether the problem with the eyelids is so great that you resort to such a cardinal solution. It is equally important to entrust your face to the hands of a reputable plastic surgeon with a good reputation.