Wrinkles, overhanging eyelids, “heavy look” - all this is the result of age-related skin changes. The field of plastic surgery, which is designed to eliminate such defects, is called blepharoplasty. This procedure returns the eyes of beauty and youth.
Definition
Plastic surgery of the upper and lower eyelids is an operation to tighten the skin, correct the shape and remove bags under the eyes. It was created to achieve an aesthetic effect with minimal trauma to the surface at the time of the procedure. The essence of the operation is the excision of the skin of the eyelids, as well as the removal of excess body fat. Today, using blepharoplasty, you can not only restore youth, but also change the incision and shape of the eyes.
A similar procedure can solve a lot of aesthetic problems. Perhaps that is why it is so popular and popular among people over 26 years old. Plastic surgery of the upper and lower eyelids is considered a fairly simple procedure, which is successfully used by physicians from different countries. Due to the fact that there is low invasiveness, it has minimal risks. According to studies, complications occur only in 3% of cases.
Indications
Most often, such a procedure is prescribed to persons who:
- decreased muscle tone;
- hernia is present;
- excess adipose tissue;
- ptosis of the century;
- sagging skin and wrinkles;
- Asian section;
- lowered corners of the eyes.
The essence of the procedure is the surgical removal of fat, excess skin and hernias. The operation is performed with tissue excision with a laser or a scalpel. The duration of such a correction is from 40 minutes to 1.5 hours, depending on the neglect of the situation. After such an intervention, you will need to follow certain rules for eye care so that negative consequences do not go.
Contraindications
Customer reviews of upper eyelid plasty suggest that blepharoplasty has significant limitations. The doctor will not perform the operation if the patient has the following health deviations:
- bleeding disorders;
- diabetes;
- oncology;
- AIDS;
- infectious diseases;
- hepatitis;
- chronic diseases at the time of exacerbation;
- eye diseases (dry eye syndrome, conjunctivitis).
As well as a significant contraindication is pregnancy, lactation and menstruation.
Kinds

- Traditional or percutaneous is a popular operation in which the excess part of the epidermis is removed. If necessary, the surgeon can remove a strip of circular muscle, open the orbital septum and remove internal fat.
- Transconjunctival is the newest type of aesthetic plastic of the upper eyelids. It has a significant number of advantages, but still has contraindications. Allows to remove bags under the eyes and hernia without forming external cuts. Due to the inability to remove sluggish skin, this procedure is indicated only to young people.
- Circular is a method in which the upper and lower correction are combined.
- Upper eyelid repair is a process in which an incision is made in a natural fold, after the lapse of time, the sutures dissolve, the swelling subsides and the scar becomes invisible to others.
- Plastic surgery of the lower eyelids is an operation in which an incision is made only along the line of the eyelashes.
- Oriental - plasticity of Asian eyes.
- Laser - is a non-surgical procedure that allows you to remove unwanted skin around the eyes without surgical intervention, remove fatty hernias, improve the condition of wrinkles and age-related defect of the "hollow" of the eyes.
Preparation for surgery
Upper eyelid plastic surgery, the photo of which is presented below, is performed only after a thorough consultation with the surgeon. During the reception, intervention zones are indicated, and a preoperative examination is also prescribed. It includes laboratory tests and the obligatory consultation of an ophthalmologist if the surgeon does not possess this qualification.
A week before the procedure, the patient needs to stop using anti-inflammatory, non-steroidal, anticoagulant and hormonal drugs. Three days before the appointed date, alcohol is required to be removed from the diet.
Upper eyelid surgery is performed on an empty stomach, so it is forbidden to drink liquid or food on the day of surgery. And also, before the procedure itself, it is required to remove all body jewelry and not to use cosmetics and a variety of creams. What you need to have with you in the clinic, the doctor will tell you directly. Most often, this set includes the presence of documents (test results, passport), personal hygiene products and comfortable, replaceable clothing.
Analyzes
Examination before the operation includes the following activities:
- Blood test - it helps to know the presence or absence of inflammatory foci in the body and how well oxygen is delivered to internal organs, as well as to determine the degree of resistance of the body to a variety of infections and to learn about the possibility of blood coagulation.
- Urinalysis - it helps to find out the presence of infectious diseases of the bladder and kidneys, as well as the inflammatory processes of these organs.
- Biochemical blood test - for the study you will need 5 ml of blood taken from a vein to diagnose possible diseases that make performing plastics impossible.
- A blood test for HIV infection, syphilis and hepatitis. It is carried out only to exclude such ailments.
- Additionally, before the procedure itself, the patient undergoes mandatory fluorography to assess the condition of the lungs, mammary glands, and to rule out tuberculosis and other rather serious diseases.
- It is also necessary to examine the cardiovascular system by ECG.
Operation progress
Each clinic performs plastic surgery of the upper eyelids in its own way, but there is a basic algorithm that everyone uses.
- The patient is laid on his back, and the surgeon uses a marker to draw a marking line. Then the skin of the neck and face is carefully processed using a special solution. After that, the face is covered with antiseptic sheets, and only the eye area is left open.
- At the next stage, anesthesia is used, for which the latest tools are used, they do not cause discomfort at all. Then the doctor will certainly check the sensitivity of the integument and will deal with the removal of eye defects. At the same time, his main task will be to ensure that all his actions are symmetrical, since his work will be difficult to fix.
- At the end, stitches are applied using new materials and using a special method, after complete healing, the scar remains almost invisible.
At the time of the operation, the surgeon’s assistant carefully monitors that the patient does not bleed.
Rehabilitation
Plastic surgery of the upper eyelids is an operation, so after it a recovery period is indicated. The first days after blepharoplasty, bruises and swelling intensify. In order for the seams to heal much faster, they need to be glued with a special patch. During this period, it is considered normal if the patient experiences slight pain, heaviness of the eyelids and dry eyes.
In order for everything to go as quickly as possible, you must adhere to certain recommendations that will contribute to improving the condition.
So, you need:
- sleep exclusively on the back with a slightly raised head;
- give up strong physical exertion;
- do not use makeup;
- avoid tilting the head down;
- do not wear contact lenses;
- Do not sit in front of a computer for a long time;
- do not smoke or drink alcohol;
- try not to watch TV;
- Do not take a hot shower or bath.
If you do not adhere to such recommendations, then serious complications can begin.
Eye care
In order for the postoperative period to go well, it is necessary to clearly comply with all the requirements of the doctor. In the first days after the procedure is not allowed to take independent attempts to care for the eyelids. This should only be provided to experienced personnel. If the patient requires participation in the treatment of eyelids, then you need to very well disinfect your hands, as well as the means by which care will be carried out. This is done in order to avoid infection of a fresh wound.
According to patients' reviews about the plastic surgery of the upper eyelids, edema will pass faster if cold compresses are applied in the following days. Pain relievers are suitable for relieving pain.
After the seams are removed, the operating area should be regularly lubricated with special creams. When eye drops are prescribed, they are used only according to the instructions of the attending physician.
It is forbidden to expose the eyes to sunlight. Therefore, in the first month it is strongly recommended to wear sunglasses. In addition, the use of such protection will hide damaged eyelids from prying eyes, since wounds will heal only a few months after the procedure.
Such simple recommendations will help to recover much faster and protect against the appearance of negative complications, which will have to be corrected by another surgical intervention.
Possible complications
It is very important to study the reviews of the plastic surgeon, the plastic of the upper eyelids of the practitioner, because if the doctor is not qualified and experienced, then big problems can arise.
1. Early - immediately after surgery are possible:
- edema;
- bleeding
- infection
- headache;
- eyes will not close completely.
2. Late:
- tearing;
- seam divergence;
- asymmetry;
- effect of "hot eyes";
- the appearance of a cyst on the suture line;
- dry eyes;
- prolapse of the upper eyelid.
Such complications are not so common, and with repeated surgery with the help of a practicing surgeon, they can be eliminated.
Lower blepharoplasty
It is not as popular as top plastic, but is also popular. Before the operation, the surgeon determines whether there is excess skin and evaluates the elasticity of the integument, and also checks the tone of the eyelid. If there is excess skin, then the traditional method is used. When using skin access, the incision is performed with an indent of 3-4 mm from the edge of the cilia. Fatty tissue is either redistributed or removed altogether. Only after this they begin to perform cutting of excess skin, and sometimes even sections of the circular muscle of the eye. A cosmetic suture is applied to the wound that has formed.
When there is no excess skin, transconjunctival blepharoplasty is performed . With this operation, a visible incision is not performed at all. It is performed only from the inside of the eyelid. There are no traces of such images after the operation. Such an intervention is effective if there is excess fat in the eyelids. The procedure partially removes or redistributes it.
Cost
The formation of the cost of plasticity of the upper eyelids is influenced by many factors. Most often they include:
- blepharoplasty method;
- degree of difficulty;
- concomitant procedures that are necessary during the operation;
- individual patient specifics.
The exact cost can only be indicated by a doctor who will do plastic surgery. Today, making a look more youthful is fairly straightforward. Experienced surgeons using modern eyelid correction techniques will help to achieve the desired results.
The following are the average prices for blepharoplasty:
- top - from 24 000 rubles .;
- lower - from 26 000 rubles .;
- fat-saving - from 35 000 rubles .;
- transconjunctival (traditional) - from 32,000 rubles;
- plastic surgery of the eastern eyelids - from 30,000 rubles;
- classical (upper + lower) - from 55 000 rubles .;
- transconjunctival (upper + lower) - from 62,000 rubles;
- removal of epicanthus (1 side) - from 7,000 rubles;
- correction of eyelid scars (1 side) - from 10,000 rubles .;
- cutting out excess skin - from 12,000 rubles.
Where to do
Upper eyelid plastic is quite popular today. It is only necessary to entrust its carrying out to the experienced ophthalmologist-surgeon, since it is this specialist who has all the required knowledge, practical skills and experience. Therefore, the plastic surgeon must have one more education, he must be an expert in the structure of the human eye. Only such a doctor will conduct a quality operation, the results of which will be satisfied with his clients.
Upper eyelid plastic surgery in Moscow has become incredibly popular. And in the city opened many centers that specialize in similar services. Their list is given below:
- “Best Clinics” is located on Spartakovsky Lane, bldg. 2, p. 11. This is a multifunctional diagnostic and treatment center that uses the latest achievements of modern medicine in its work.
- Medic City can be found at ul. Poltava, d. 2. It is a multifunctional center. The clinic has rooms for temporary stay of patients during a comprehensive examination and after surgery.
- "Sm-Clinic" is located on the street. Klara Zetkin, d. 33/28. The center's services include specialist consultations, surgical and conservative treatment on the basis of its own hospital, as well as rehabilitation therapy.
And you can also have plastic surgery of the upper eyelids in St. Petersburg, where many complexes operate and professional doctors work.
The Medall Center is located at 5. Sredny Prospect, 5. Experienced practicing surgeons operate in it, you can undergo a preoperative examination, which is very convenient. The doctor can provide a predicted result and stay in the ward under supervision.
Clinic "IntraMed" is located at: st. Savushkina, d. 143, building 1. The clinic has ultrasound and laboratory diagnostics. You can get a wide range of services for plastic upper eyelids.
The Admiralty Shipyards Center is open at ul. Sadovaya, 126. It is considered a multifunctional institution, where highly qualified specialists are receiving. It has all the latest equipment, as well as a laboratory in the territory. There are rooms for temporary stay of patients.
Reviews
Upper eyelid plastic surgery has become a very fashionable procedure, and you can hear a lot of good about the results after it. According to doctors, very rarely patients remain dissatisfied. Complain only of complications and a rather difficult recovery period.
According to plastic surgeons, blepharoplasty is the easiest operation in aesthetic medicine, so it is easily tolerated. After it, pain is not observed, only the appearance of discomfort in the eyes is possible. Bruises and swelling disappear quickly enough.
As patients say in reviews of plastic surgery of the upper eyelid, to see the final result, you need to wait about a month and a half. During this time, the seams begin to dissolve, the edema will completely come off. And in order for the sensitivity to return to the skin, it takes 4 months to wait.