Blepharoplasty of the eyelids: types of operations and methods of their implementation



A person's appearance throughout life is changeable, inconstant, and the eyes - the mirror of our soul - with age, alas, also undergo significant changes. The once open, attractive, youthful sparkling look over time becomes not as expressive as before. The eyelids become more heavy, hanging, dark circles and sagging bags appear under the eyes, wrinkles and so-called “crow's feet” dot the delicate skin. There are also quite different situations. For example, a person dreams to change the shape or shape of the eyes, to get rid of the Asian fold in the upper eyelid, or in some other way to bring his appearance closer to his own imagined aesthetic ideal.

And sometimes the patient needs plastic correction to restore his former appearance after all sorts of injuries, accidents and accidents. Either surgery is necessary in the case of complex treatment of certain diseases, such as entropion (a disease in which the edges of one or both eyelids are rolled inward towards the eyeball.

At the same time, the eyelashes on them, producing continuous friction on the mucous membrane of the eye, cause non-passing irritation, tearing, and in especially advanced cases can lead to inflammation, erosion foci and blood vessels of the eye overflow; exophthalmos ) and others.

Be that as it may, but one day a person decides that he cannot live with it any longer, and then blepharoplasty becomes the only right decision for him.

Blepharoplasty of the eyelids is called plastic surgery, the purpose of which is to remove excess skin areas and redistribute the orbital fatty tissue in the area of ​​both the upper and lower eyelids to change their shape, cut the eyes, and also to rejuvenate the perioplastic region.

It is important to bear in mind that blepharoplasty of the eyelids can only be performed according to the testimony of your surgeon, since age and the appearance changes associated with it are not at all the main criterion for the appointment of a correction. Indeed, in some cases, even very young patients may have problems, for example, associated with genetics - a predisposition to the formation of bags under the eyes or heavy, hanging eyelids.

In addition, any surgical intervention leaves behind all sorts of scars and scars, both internal and external. And it is the surgeon who must determine whether the patient's skin is ready for the upcoming procedure, especially if the blepharoplasty of the eyelids is repeated.

It is after the examination and the conversation with the doctor, where the patient should tell as much as possible about what exactly he wants to see in the mirror after the operation, the doctor decides which method should be used blepharoplasty eyelids.

Eyelid surgery at the moment includes the following types of surgery:



• Plastic upper eyelid . It implies the excision of excess tissues of the upper eyelid and the removal of fatty hernias, leading to weight gain and lowering of the eyelid. At the moment, this type of blepharoplasty eyelids occupies a leading position among all its other types.
• Plastics of the lower eyelid . This procedure allows you to eliminate unnecessarily noticeable tear grooves, get rid of flabbiness, sagging and bags under the eyes. It is also shown in cases where the patient wants to get rid of the morning edema under the eyes, or if he has an overly visible transition between the cheek and the lower eyelid.
• Circular blepharoplasty century . Includes both of the above surgical interventions. The most commonly recommended method by the physicians is the plasticity of the eyelids due to the fact that conducting this complex procedure in most cases leads to a more complete, aesthetically complete result.
• Cantoplasty - surgery to change the cut of the eyes. Conducted for cosmetic purposes to give the patient a European, or, conversely, Asian eye shape.
• Cantopexy , or tightening to the desired position and fixing in it the outer corners of the patient's eyes.

• Europeanization
• Without operation
• Laser
• Laser polishing
• Injection
• Lower eyelids
• Upper eyelids
• Hanging eyelid
• Upper
• Bottom
• Laser

In all these cases the blepharoplasty of the eyelids can be performed in only three main ways:

• The classical method in which an incision is made on the skin of the eyelids of the patient, through which the surgeon performs all the necessary manipulations.
• Transconjunctival blepharoplasty - the method of operation in this case is different in that the incision is made on the inner mucosa of the eyelid. Thus, there are no visible stitches after surgery on the patient’s face.
• The combined blepharoplasty of the eyelids includes the classical method of surgical intervention with a scalpel and the subsequent laser resurfacing of the skin around the eyes. Grinding the skin with an erbium or carbon dioxide laser helps to eliminate small scars, irregularities, smooth out small wrinkles, so that the skin of the eyelids looks smoother, fresher and toned.

The eyelid surgery may be performed under general anesthesia as well as using local anesthesia. Surgeons often recommend the first option. By the time the whole operation takes from one to two and a half hours. The fact is that various types of surgery have their own timeframes for the execution of work. Also, the time spent is influenced by the degree of complexity of the task and the individual characteristics of the patient's state of health.

Blepharoplasty of the eyelids is considered a rather complicated operation, because it involves the subtle, almost jewelry work of a plastic surgeon. And since you will wear the result of his skills on your face, you should carefully approach the choice of the attending physician, relying not only on commendable reviews about him and his skill, but also firmly convinced of his high professionalism.

It is also not advisable to recklessly trust unknown plastic surgery clinics that attract potential patients at suspiciously low rates and numerous “just for you” discounts. It is better to choose a clinic with a decent reputation, based on the recommendations of its former patients.

Blepharoplasty eyelid prices have a fairly wide variation. The cost of the operation is calculated depending on the location of the clinic, its status, the skill of the doctors and attendants working there, as well as on the availability of additional services provided to patients.

The average price of a circular blepharoplasty century in various cities of Russia:

• Moscow - 70,000 rubles.
• Saratov - 53,000 rubles.
• Yekaterinburg - 41,000 rubles.
• Magnitogorsk - 40,000 rubles.
• Tula - 48,000 rubles.
• Rostov-on-Don - 44,000 rubles.
• Stavropol - 58,000 rubles.
• Ufa - 37 000 rubles.
• Irkutsk - 39,000 rubles.

Fat-preserving blepharoplasty - the essence of the method

Perhaps the most advanced method in the plastic of age correction of the eyelids today is fat-preserving blepharoplasty. The method is based on a uniform redistribution of fat pads surrounding the eyeball of a person from all sides.

In contrast to the classical method of blepharoplasty, in this case, all kinds of fatty hernias are not excised. Thus, a sufficient amount of tissue is preserved between the eyelid and the eyeball, which prevents the so-called skeletization of the eyelid, which is a tight fit for the skin of the eye socket.

Evenly distributing the patient's own fat when filling the eye-orbital area, the surgeon thus prevents the eye from dropping, becoming more “recessed” in the eye socket, and considerably aligns the nasolacrimal sulcus, which significantly rejuvenates the appearance of the client.

In case of fat-preserving blepharoplasty, after redistributing intraorbital fat, excess skin is removed on the eyelids.

The effect after surgery is very resistant. The first signs of age-related changes will not be felt for at least six to seven years.

Transconjunctival blepharoplasty - an excellent result in the absence of seams!

Transconjunctival blepharoplasty is among the most benign methods of plastic surgery in the eyelids. The essence of this operation is to eliminate excess fatty tissue.

This surgical intervention compares favorably with similar ones in that it uses the method of the so-called seamless plastic surgery, in which access to the underlying skin structures occurs through the conjunctiva, without trauma of the eyelid skin. The surgeon, making an incision on the conjunctiva, completely or partially excludes fatty hernia. He can also, by changing the position of the fat pouches, adjust the shape of the eyelid.

Transconjunctival blepharoplasty has the following advantages:

• Lack of seams, both external, and internal.
• The incision passes along the conjunctiva, therefore, there will not be a single scar on the skin surface.
• Significantly shorter recovery period compared to other types of plastics. After one, maximum two weeks, the swelling of the eyelids and minor bruises, which, by the way, practically do not form with this technique, completely disappear.
• Low risk of complications .
• Excellent aesthetic, the most natural look.

Eyelid contour correction - youth restoration without a scalpel

Eyelid contouring is a non-surgical injection procedure alternative to surgical intervention aimed at eliminating deep facial and age-related changes in the eyelid skin.

It is carried out with the full consciousness of the patient, and various anesthetic creams and gels are used for anesthesia.

During contouring of the eyelids, the doctor, using a syringe directly under the wrinkles, injects special preparations into the skin, created primarily on the basis of hyaluronic acid. Injection linear technique of filling the skin allows you to create a new three-dimensional frame in the skin instead of lost with age.

Introduced fillers provoke active production of collagen by the body, which leads to a guaranteed strengthening of the tissues around the eyes. Under the influence of hyaluronic acid, both fine wrinkles and more significant wrinkles are smoothed, the face looks younger and more fresh.

The main advantages of eyelid contour correction are:

• Her instant lifting effect.
• Minimum rehabilitation period .
• Lack of scars and scars .
• Painlessness
• It is quite acceptable pricing.

The only drawback of the contour of the eyelid can be considered to be its fragility, because after a year, the fillers, which are driven under the patient's skin, dissolve and the procedure has to be repeated again.

Cosmetic surgery on the eyelids in all its diversity

Cosmetic surgery on the eyelids is a surgical operation that aims to remove excess skin, fat or skin fat, as well as other structures on the eyelids.

Among the most common formations on the eyelids that bring inconvenience to patients are the following:

• Xanthelasma is an anomalous, flat, benign education on the eyelids, more often located on the upper eyelids from the inner corners of the eye. They are flat, rounded, yellowish plaques. Often formed in people with diabetes and those with elevated levels of cholesterol in the blood.
• Lipoma or adipose tissue - most often found in places with insufficient adipose tissue. It is a benign neoplasm in the form of a small lump of fat, increasing with time.
• Papillomas are also benign tumors, but are hanging moles.
• Chalazion - is a cyst located on the eyelid. With a small size of up to five millimeters, it is safe, but with further increase it is recommended cosmetic surgery on the eyelids to remove it because of the risk of infection.

• Stitches
• Scarring
• Edema
• Complications
• Rehabilitation
• Physiotherapy
• Care

Separately, it is worth mentioning this type of cosmetic surgery on the eyelids as a tattoo - recently one of the most sought-after areas in permanent make-up. With it, you can visually simulate the shape of the eye, tattooing the arrows and even playing the effect of superimposed shadows. But, taking into account the fact that the tattoo will stay with you for the rest of your life, we recommend carefully choosing both the specialist you have chosen to trust and your future look.

Circular eyelid lift - the best way to return the face of youth

Beautiful eye contour is the dream of any woman, but over time, the upper eyelids begin to hang inexorably, and bags form under the eyes. The output can be a circular eyelid lift - the most radical way of rejuvenation.

The circular eyelid lift includes a one-time plastic surgery of both the upper and lower eyelids. This method of surgery is considered the most productive, as it leads to the best results. As a result, the patient acquires an open look without wrinkles, flabby eyelids and bags under the eyes.

In the process of working on a patient's new appearance, the surgeon makes a series of incisions in the natural folds of the eyelid and in the subresice region of the lower eyelid. Acting through these incisions, the doctor removes the hernias that have arisen, eliminates or redistributes the fat pads under the eyelids, if necessary, lifts and fixes the muscles under the eyelids, and also resets unnecessary skin flaps.

Since the incisions are in the natural folds of the skin, the small scars remaining after the circular lifting of the eyelids are almost imperceptible, and with time they completely dissolve and become invisible.

Eyelid resection for blepharoplasty

Resection is a surgical procedure in which any part of an organ or formation is removed. Thus, resection of the eyelids is an operation to excise any part of the eyelid with a further connection of its preserved parts.

The eyelids are resected mainly in the natural folds of the skin for a more favorable aesthetic effect after the operation. If this is not possible, for example, when removing a lipoma or any other defect, then you should not worry too much. Although the skin of the eyelids and thin, only one millimeter, it quickly regenerates. And with appropriate care after undergoing eyelid resection, which includes the use of currents, special creams and massage, the recovery will be even faster.

Minimally invasive blepharoplasty: the main types

Minimally invasive blepharoplasty is the most benign among its own kind. It aims to minimize intervention in the patient.

There are two main methods of minimally invasive blepharoplasty most commonly used in modern plastic surgery:

• Transconjunctival or, as it is also called, seamless blepharoplasty, produced on the inner conjunctiva of the eyelid, which leads to a decrease in postoperative sequelae and complications. About her, we wrote above.
• Laser blepharoplasty. It is attributed to minimally invasive blepharoplasty by the fact that when making a section of the eyelid tissue with a laser , the edges of the incision are immediately coagulated, sealed. This leads to the fact that virtually eliminated as blood loss, and the penetration of microorganisms into the wound.

Oriental Blepharoplasty

Surgical modeling of a Caucasoid incision of the eyes is called Oriental blepharoplasty.

In order for the natural fold in the upper eyelid of the patient to become more pronounced, the surgeon must remove the epicantus. The Epicanthus is the so-called “Mongol fold” located at the inner corner of the eyes of the representatives of the Mongoloid race.

Epicanthus can be either congenital or acquired, for example, due to some kind of injury.

When oriental blepharoplasty, the surgeon removes this fold, partially or completely covering the lacrimal tubercle and forms a double supraorbital fold.

Due to this, the upper eyelid becomes more mobile, open, the facial expression changes, it becomes more free and natural, the eye section also changes.

Result after blepharoplasty: forever or for a while?

Eyelid surgery is a fairly safe and effective and well-proven operation in comparison with other, often several times more surgical plastic surgeries.

The overwhelming number of patients are very pleased with the manipulations and results obtained with them. Particularly pleased with the result after blepharoplasty of those who closely communicated with their surgeon, discussing all his questions, and as a result acquired exactly the appearance he was counting on.

It is important to remember that the result after blepharoplasty is not eternal. Over time, time takes its toll, and the fabrics again lose their former elasticity.

In addition, each type of blepharoplasty has its own term. So the circular eyelid lift will delight its owner seven to nine years, but the result of the contour plastic of the eyelids will have to be renewed every year.