Glassy look after blepharoplasty. Rehabilitation after blepharoplasty of the upper and lower eyelids by day

Many patients are in a hurry to evaluate the changes in their appearance almost immediately after the plastic surgery, without taking into account the rate of resorption of edema, hematomas, and the individual characteristics of the healing of injured tissues. Meanwhile, such intermediate results can cause serious stress for an impressionable person.

Eyes of different sizes after blepharoplasty are a common cause for concern during the rehabilitation period. Typically, this condition is due to changes in the shape or position of the eyelids, and this can be both an absolute norm and a complication. Is it worth it to sound the alarm at the sight of any irregularities and prepare for a second operation? We read the material on the site and act as necessary:

Reasons for the development of eyelid asymmetry

The situation when during the first weeks and even months after blepharoplasty one eye is wider and the other narrower is quite common. Behind the external manifestation of the problem there may be a number of reversible and irreversible changes in the tissues:

The main and most common cause of the difference in the size and / or shape of the palpebral fissures is postoperative edema. In the case of eyelid surgery, they are quite persistent and can resolve up to six months, and sometimes even longer. An uneven accumulation of fluid in the region of the right and left eye almost always leads to the fact that either the eyelids are at different heights, or their shape is deformed, or the incision on one side becomes narrower than on the other. But as the puffiness subsides, the eyes will also return to normal and the problem will be solved by itself.

More serious factors that may require additional corrective procedures and sometimes a second operation:

The appearance of persistent Due to severe edema, to one degree or another, it is almost always present in the first months of rehabilitation, but normally it should gradually go away. Unfortunately, sometimes this does not happen in full, and if ptosis is still preserved within ~6 after the operation, it will not go away on its own.
Uneven facial expressions, when the muscles on one side are more developed than on the other - this feature could have been present for a long time and become more noticeable after the operation or develop already in the recovery period (for example, as a result of the ptosis described above).
The uneven structure of the facial part of the skull, and this applies to both soft tissues and bone structures. In this case, a slight difference in the size or shape of the eyes was likely to have been noticeable before the operation, but became much more evident after.
The formation of rough scars, which unnecessarily strongly tighten the tissues of the eyelids or change the shape of the palpebral fissure. A curious fact: a slight, barely noticeable difference between the height of the folds of the upper eyelid can be associated with which hand the surgeon has leading. Right-handed people make a slightly less accurate cut on the left side, and vice versa - but if the scarring goes without complications, everything will look perfectly even from the side.
Surgeon's mistakes during the preparation and conduct of the operation: excision of an excessively large or insufficient amount of skin, trauma to muscle fibers or tendons, careless suturing, etc.

Complication or not? How long does it take for the eyes to return to normal?

The rate at which tissue repair occurs after injury varies from person to person. Nevertheless, there is a general rehabilitation scheme that has been proven by practice, which you can focus on and, in case of a clear deviation from it, consult your plastic surgeon:

First 10-14 days after surgery

During this period, it is better not to look at yourself in the mirror at all. Swelling of tissues descends slowly and unevenly. Hematomas are in full bloom. The seams on the eyelids can be located at different levels, once again emphasizing the differences in the size of the eyes. However, all these troubles are not considered a deviation from the physiological norm. There are no reasons for frustration and tears: most likely the reason is asymmetrical swelling. Factors contributing to its appearance:

sleep lying on your side, or on your back, when your head is turned to one side;
anatomical features of the location of the veins and lymphatic vessels, which causes a different rate of outflow of excess fluid from the tissues;
uneven tissue damage, resulting in swelling on one side will be more voluminous;
work in an incline, weight lifting;
non-compliance with the recommendations of the doctor regarding the drinking regimen.

Period from 2 weeks to 2 months after eyelid surgery

In the second or third week, the swelling begins to actively resolve. This does not mean that the palpebral fissures will immediately acquire perfect symmetry. But normally, the eyelids should gradually align. If the right eye becomes more and more like the left, the excess fluid leaves, and there are no large folds and folds on the skin around, then everything is fine, you just need to be patient and allow the tissues to fully recover.

By the end of the second month, it becomes completely clear whether the asymmetry was caused by edema or other causes that can lead to the formation of a permanent defect. If the result at this stage of the rehabilitation period is not satisfactory, you should contact your plastic surgeon to:

Get screened for more serious complications ( signs of ptosis, problems with facial muscles, etc.);
If everything turns out to be in order, get recommendations regarding the care of the eyelids.

Usually, manual and physiotherapy procedures are prescribed to speed up the healing process. But it’s not worth starting to massage your eyelids on your own or signing up for hardware cosmetology in a salon. Such self-activity can, at best, not give a result, and at worst, even harm. It is desirable that the beautician work in close cooperation with your plastic surgeon, then the result will be more predictable.

The period from 2 to 6 months after plastic surgery

It is at this time that it becomes completely clear - either the operation was successful, or the eyes will remain different: one is wider, the other is narrower. The following conditions are considered problematic:

unequal incision of the eyes: for example, one is almond-shaped, and the second is round, or one slit is significantly narrower than the other;
the upper or lower eyelids are located at different levels, or on one side they do not fit snugly against the eyeball, do not open or close completely;
the fold above the ciliary margin of the upper eyelid is deeper or located clearly higher than on the other side;
the eyes on one side look more swollen than on the other, around there are skin deformities that are not on the eyelids on the opposite side;
in the operated area there are visible or palpable seals;
at rest, the eyelids are the same, and when smiling, a clear asymmetry is visible: on one side, the size or shape of the eye changes, skin folds appear.

At the same time, any conclusions should be made no earlier than after 4-6 months. In order to assess the real significance of the defect, it is necessary to take a series of photographs in different lighting conditions and from different angles, experiment with decorative cosmetics and ask questions to loved ones, in whose objectivity there is no doubt.

Methods for correcting eyelid asymmetry after blepharoplasty

With any problems and questions regarding the results of the operation, it is necessary to contact your plastic surgeon, receive recommendations from him and strictly follow them. If there are reasonable doubts about the qualifications of the operating doctor, you can turn to another, more authoritative specialist.

Depending on what causes the defect and how severe it is, the appropriate method of correction is selected - from decorative cosmetics to a second operation. The most effective are:

Massage. Manual or hardware study of the face and eyelids allows you to restore muscle tone, accelerate the outflow of venous blood and lymph. This contributes to the elimination of edema, the removal of toxic decay products from the body, which are formed in excess in injured tissues, provides an influx of oxygen and nutrients, which accelerates healing. It is only important not to prescribe such procedures on your own, but to coordinate their type and frequency with the surgeon: a lot depends on the individual characteristics of the body and how rehabilitation proceeds.
. This physiotherapy is most often used when it is necessary to tone the muscles and restore their activity. In the case of blepharoplasty, it will help if the difference in the size or width of the eyes is due to uneven facial expressions or unsuccessful scarring, since the currents contribute to the resorption of fibrous tissue.
. Botulinum toxin injections allow you to even out the tone of the facial muscles that move the eyelids of the right and left eyes. This is a good alternative to surgical correction in the event that the asymmetry is not very pronounced and is due precisely to different muscle activity on different sides of the face.
. Unfortunately, this is not such a rare thing among those who once decided on blepharoplasty. Almost always allows you to solve problems caused by rough scarring and restore the symmetrical shape of the palpebral fissures. It is much more difficult to correct defects associated with the removal of excess skin. Only experienced doctors can be trusted to perform such an operation, since the likelihood of developing new complications (non-closure or, scars, etc.) increases. And the re-intervention itself is technically always much more difficult than the first one.

However, before thinking about correction and, moreover, going under a scalpel, you need to determine for yourself whether the eye is really “some kind of different” and the asymmetry is really noticeable to others, or whether the problem is more psychological, associated with high expectations and overly emotional assessment of the result.

Expert opinions:

In my practice, after the rehabilitation period, this situation did not arise, but immediately after the operation, it can develop due to varying degrees of edema. In order to get rid of this condition as soon as possible, there is a set of measures that can effectively resolve the issue, including physiotherapy. True, it must be borne in mind that there is a congenital asymmetry, which is really noticeable, but in some cases it can also be corrected.

During the first month after surgery, the difference in eye size can be considered a normal variant. For everything to go well, you must strictly follow all the recommendations, do not skip secondary examinations, because. the surgeon to keep the rehabilitation process under control. If at the end of the recovery period there is no positive dynamics, then this is a complication. The first thing the patient should do in this case is to contact their doctor to determine the causes and find a solution. It can be different: repeated blepharoplasty, canthoplasty or other types of surgical intervention.

Plastic surgeon, candidate of medical sciences

Eyes of different sizes occur with inadequate surgical intervention or with very asymmetrical facial variants. I believe that, first of all, it is necessary to choose the right surgeon who has been performing these operations for many years and knows how to do it in order to avoid such a result. Otherwise, the intervention will have to be repeated, which greatly complicates the correction of the consequences.

Plastic surgeon, MD

Usually, in any person, the eyeball is more recessed on one side, and on the other, it protrudes more and visually seems larger - this is the norm. After plastic surgery of the upper eyelids, the difference sometimes becomes even more noticeable. Another significant factor is that after the operation, the patient examines herself in front of the mirror longer and more closely and finds that asymmetry that she did not notice before. A less pleasant option is if too much skin around the eyes is removed, then the difference in the depth of their fit can be exacerbated. And this, unfortunately, is already incorrigible.

Leading plastic surgeon Frau Klinik

Initially, our skull as a whole, and the eyes in particular, are asymmetrical. However, almost no patient notices this. After the operation, the difference may appear due to the closer attention to this area, as well as due to the inevitable swelling. In general, the rehabilitation period takes about 6 months, during this time there may be various claims to the area of the operation that do not require additional intervention. Different eyes are considered a complication if the asymmetry is obtained due to incorrectly performed blepharoplasty. In some cases, a correction is possible, but it will be possible to determine its expediency only individually, at an in-person appointment.

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Many patients, seeking help from a plastic surgeon, expect miracles. But modern methods of plastic surgery have their limitations. For example, blepharoplasty is not able to eliminate absolutely all age-related changes. This must be taken into account so as not to be disappointed in the result. If the patient expects that after blepharoplasty the wrinkles in the eye area will disappear or the eyebrow line will rise, he will be disappointed. Blepharoplasty has a slightly different task. But if you use additional anti-aging procedures in parallel, the effect will be higher.

The main task of blepharoplasty is the removal of excess skin and fatty tissue from the eyelid area. This allows you to remove bags under the eyes, make the look more open.

What is not included in the tasks of blepharoplasty, what should not be expected from this operation?

It is best to ask the plastic surgeon to explain in detail what changes will be made before deciding on the operation. The surgeon will explain what changes blepharoplasty can make in your case (this depends on both age and individual skin characteristics). You will clearly imagine the outcome of the operation and not dream of the impossible.

Photos before and after blepharoplasty. Plastic surgeon Maxim Osin

Interestingly, misconceptions about blepharoplasty sometimes work in the opposite direction: potential patients think that the operation will not help them. A common stereotype is to consider blepharoplasty as an age-related operation. In fact, this operation is also indicated for young patients who have excess skin or fat deposits in the eyelid area, read more here. Blepharoplasty, in particular, allows you to eliminate bags under the eyes, and this problem is observed even in people of a fairly young age.

Blepharoplasty, with a thoughtful choice of clinic, specialists and proper care, gives truly wonderful results: it will get rid of overhanging eyelids, eliminate bags under the eyes, remove asymmetry and congenital skin defects, and help bring the appearance to perfection. It is enough to follow simple rules and a healthy lifestyle.

How long does the rehabilitation after blepharoplasty of the upper and lower eyelids take?

Rehabilitation after plastic surgery of the upper and lower eyelids occupies a special place and completely depends on the patient himself.

Eyelid correction is one of the operations that is characterized by low risk., where complications are not provided and they are very rare. However, in any case, this is an operation that has its own rehabilitation period, and it lasts up to 2 weeks.

Rehabilitation after blepharoplasty of the upper and lower eyelids can take a long time, to reduce this period, you must follow certain rules

You can reduce the rehabilitation period by following all the instructions of the surgeon, up to 10 days. There are circumstances that exacerbate the situation.

Factors that can increase the recovery period include:

the age of patients is above 45 years;
passion for smoking, alcohol;
genetic features of the structure of the skin (for example, thick skin);
predisposition to edema;
personal characteristics due to the individual structure of the skin around the eyes (for example, closely spaced thin blood vessels).

All this should be discussed with the attending physician before the operation.

In general, rehabilitation after blepharoplasty of the upper and lower eyelids can last about a month.

Rehabilitation after blepharoplasty by day

The healing process can be represented in the form of a table:

Time after plastic surgery, in days	Patient's condition	Permitted Actions	Recommended Treatments
1	There may be swelling around the eyes. Feeling sore.	A trip home accompanied by a relative.	Taking painkillers. Applying cold.
2-3	Possible diplopia (double vision).	Shower, washing your hair (only gently, without getting water and detergents in your eyes).	Antiseptic drops. Eye charger.
3-5	Reduced puffiness and diplopia.	You can read (preferably books for a short time).	Removal of sutures in the clinic (with the exception of self-absorbable sutures).
5-6	Traces of hematoma (hemorrhage) and edema in rare cases.	Clinic visit.	Plasters (antiseptic stickers) are removed.
7	Bruising and swelling are almost invisible.	Return to normal life. You can go to work permanently.	-
7-10	Postoperative conditions after edema.	Makeup is allowed.	-
10-14	Visually good.	You can use lenses. Gradual physical training is acceptable.	-
40-60	The scars after the operation are invisible.	Rehabilitation after blepharoplasty of the upper and lower eyelids is over. The effect is obvious.	-

Note: the table operates with average statistical indicators, and they may vary depending on individual characteristics and external conditions.

Features of the first days of recovery after blepharoplasty

Eyelid surgery is a non-traumatic type of surgery, therefore, there is no need to stay in the hospital and constantly monitor the doctor. After applying a special medical antiseptic patch, you can immediately return home.

Preferably with a family member or friend. Since the eyelids are not fully open after the operation, the look is blurry, cloudy, and walking on your own will not be very convenient. The accompanying person will help you get home in the first hours (or prudently call a taxi).

The pain of the procedure is small. But if it is present, taking a mild pain reliever will help relieve pain discomfort. Applying cold will relieve swelling.

Some actions can negatively affect further recovery, worsen the result of the correction, therefore, in the early days for a better recovery, it is recommended to follow the rules:

in no case do not touch with your hands, rub the seams;
do not strain your eyes reading, give up PC, TV;
don't wear lenses;
track for the hygiene of the eye area;
dream on a sufficiently high pillow without tilting the head;
allowed wash your hair and body hygiene (shower) from the 2nd day after the operation, excluding the ingress of water on the eyelid area;
observe water-salt balance - the body needs a moderate amount of salt and water;
the next day do special exercises prescribed by a doctor.

After removing the sutures and the patch, the doctor prescribes an antiseptic ointment that accelerates the healing.

Features of subsequent rehabilitation after blepharoplasty

In the early postoperative period (and this is the first 2 weeks), the swelling gradually subsides, the skin condition returns to normal.

During this period, attention should be paid to care not only for the eyelid area, but also for the eyes:

necessarily keep doing eye exercises;
drip antiseptic drops (to avoid dryness);
protect eyes from bright light with tinted glasses;
abstain from physical exertion (to prevent an increase in intraocular pressure).

Apply antiseptic ointment until the wounds and punctures are completely healed.

Be careful: visiting a bath, sauna, swimming pool during the rehabilitation period after the correction of the upper and lower eyelids is strictly prohibited.

Natural consequences of upper and lower eyelid blepharoplasty

Since plastic is an operation that takes place under local anesthesia, the following conditions may be observed:

swelling of a moderate nature;
increased skin sensitivity;
small bruises under the lower eyelids;
feeling of heaviness of the eyelids;
increased lacrimation;
or vice versa dry eyes;
photophobia;
diplopia (double vision);
blurred vision.

Do not panic: these effects are natural and disappear in 2 weeks. Manifestations of all symptoms at once are observed very rarely. Most often, one or two symptoms from the above list are detected. Basically, these are diplopia and edema, which can remain for a long time. However, with the right approach and skin care, recovery time can be reduced.

How to Reduce Puffiness After Blepharoplasty

Puffiness (namely, the accumulation of excess fluid) delivers not only cosmetic discomfort, but also turns out to be a medical problem. The procedures offered in beauty salons will help to significantly reduce local edema: microcurrent, lymphatic drainage massage.

Under the influence of impulse current (microcurrent), nerve fibers are restored and the promotion of blood and lymph improves, the complexion evens out.

Lymphatic drainage massage helps to eliminate toxins and metabolites by improving the functioning of the lymphatic system (a lifting effect is obtained). Such procedures shorten the rehabilitation period.

cold herbal compresses with chamomile decoction;
maintaining heads during sleep in a slightly elevated position during the entire rehabilitation after plastic surgery of the upper and lower eyelids;
refusal from smoking, alcohol;
mixing to a minimum of physical, emotional stress.

People prone to puffiness (with kidney failure, diabetes mellitus, vasculitis) should stop taking salty, smoked, spicy foods and strictly follow the advice of a nutritionist, include vegetables and fruits in the diet.

How to speed up the healing of scars and bruises during the rehabilitation period after blepharoplasty

After blepharoplasty, bruising is common due to circulatory disorders of the smallest capillaries and the accumulation of the corresponding fluid (blood, plasma). This is a natural microphysiological reaction of the body during injury.

However, a prolonged state of swelling complicates blood circulation due to the pressure exerted on the walls of microvessels, preventing the rapid healing of sutures and wounds. You can reduce hematomas with the help of drugs, cosmetic and folk remedies.

Scars heal on their own and do not require special intervention. In a month they will turn into an almost imperceptible, light thin strip. Mesotherapy, which is performed at will after plastic surgery, will make the scars completely invisible.

Medications: Lokoid, Lyoton - the most prescribed decongestants. The principle of their action is based on the restoration of skin receptors, a decrease in permeability and an increase in vascular resistance. They prevent the formation of blood clots and eliminate inflammation. Lioton-gel also has an analgesic effect. Effective even with blepharoplasty of the upper eyelids.

Cosmetic preparations: (gel with retinol, gel with caffeine, cream with Chinese mushroom extract) - like all dietary supplements, they are not medicines. They improve the general condition of the skin and metabolic processes in the area of application.

Folk remedies: a decoction of sage, chamomile, linden, parsley leaf juice - used in the form of compresses and improve the condition due to a slight anti-inflammatory and antiseptic effect.

It's important to know: the use and application of any means is possible only after prior consultation and discussion with the doctor!

Exercises and massage for the eyelids after blepharoplasty

During the entire rehabilitation period, attention should be paid to special exercises. They are aimed at restoring the functionality of the eyelids and further enhance the blood supply to the skin, return the lost tone to the muscles of the eyes. All techniques are very simple and do not require special training.

Perform gymnastics for the eyes in the morning and evening:

move your gaze up, down, left, right, repeat 5-7 times;
blink for half a minute, lifting your face up;
close the eyelids, open wide, looking into the distance, repeat 5-7 times;
close the eyelids, use the index fingers to pull the skin from the temple to the sides, do 5-7 times;
with index fingers, fixing the edges of the eyelids from below, lift the eyelids up, simultaneously rolling the pupils, 5-7 times.

Acupressure lymphatic drainage massage of the eyelids can be performed by lubricating the fingers with cream.

Key Points:

in the temple area;
along the edge of the lower eyelid to the inside;
in the region of the inner corner of the eye;
along the edge of the upper eyelid in the direction from the inside to the temple.

All movements are performed with light pressure clockwise 10 times.

What not to do during the rehabilitation period after blepharoplasty

If you follow the advice of specialists and the above recommendations, rehabilitation after blepharoplasty of the upper and lower eyelids goes smoothly, without complications.

It is worth focusing only on not subjecting the operated area to mechanical stress and not breaking the suture line, preventing the risk of infection, not removing bandages on your own and not using untested skin care products.

Use of decorative cosmetics in the first 2 weeks is contraindicated in order to avoid the manifestation of allergies and irritation. It is strictly forbidden to expose the face to strong thermal and solar (solarium) procedures, wind, frost.

Increasingly, women use modern methods of rejuvenation, among which plastic correction plays an important role. The effect of blepharoplasty lasts for 10 years, and this is a unique chance to prolong youth and beauty.

About blepharoplasty of the upper and lower eyelids, before and after, see this video.

In 2014, I gave birth to a daughter, and two years later I did not recognize myself in the mirror. All this time I had a tough regimen: during the day I looked after the baby, at night I wrote and edited articles. And I don’t know what played a fatal role - eternal lack of sleep, fatigue, stress or hormone surges (I suspect that all at once), but one day my appearance terrified me.

Due to the long sitting in front of the computer in the “straighten your back and remove your hand from your face” position, the oval of this very face sagged on both sides of the chin. Dark circles and dips appeared under the eyes, not a single concealer hid them. On the upper eyelids - overhanging folds, which gave the face a tired expression and prevented make-up: eyeliner and shadows were instantly smeared. Moreover, nasolabial folds-creases were found.

I don’t want to look older than my 36 years, I don’t consider plastic surgery to be evil and I can’t stand reasoning in the spirit of “my wrinkles are my wealth.” Thank you, keep the wrinkles to yourself. And I go to the Beauty Time clinic for a consultation with a beautician.

It turns out that the overhang of the eyelids cannot be removed either with Botox or with sculptural massage - only blepharoplasty. Dips under the eyes are successfully corrected by lipofilling. Self-massage and hardware lifting will help to tighten the skin of the lower part of the face, and fillers with hyaluronic acid will smooth out the nasolabial folds. All these procedures stretched out for me for almost six months, but the time was not wasted.

July. Blepharoplasty against overhanging folds on the eyelids

Everything happened quickly. On Monday, I talked with a plastic surgeon - the chief physician of the clinic, Otari Gogiberidze. On Tuesday, I passed tests for local anesthesia: a general blood and urine test, a blood test for HIV, hepatitis and syphilis (if I had chosen general anesthesia, the list would have been longer, including ECG and fluorography). She went in for surgery on Thursday.

I signed a bunch of documents, the anesthesiologist chose a drug for local anesthesia (I am allergic to lidocaine), the surgeon marked the incision lines on the upper eyelids with a marker, contours for lipofilling on the lower ones, and explained how the operation would go. He also said that the overhanging eyelid is a genetic feature. And then it started - and ... ended very quickly. On the upper eyelids, excess skin was excised, after which sutures were placed, invisible in the natural crease of the eyelid.

According to my feelings, blepharoplasty lasted no more than half an hour (actually not). What happened on the operating table can be seen in the photo. I still can’t understand how our photographer Nastya managed to remain cool at the sight of such manipulations - I myself was ready to faint while choosing frames for publication from this photo shoot.

Lipofilling against dips under the eyes

The lipofilling procedure was performed immediately after blepharoplasty. From the inner surface of my thighs, using a blunt cannula, adipose tissue was taken, processed, and then injected into the area under the eyes. After finishing, strips were glued to the skin of the eyelids - thin sterile waterproof patches that fix the seams. When the effect of anesthesia ended, surprisingly, I didn’t feel any pain at all, I didn’t even take painkillers. And already 4 after the operation, I was riding the subway home in dark glasses.

The next day, the temperature rose slightly to 37.2 degrees, the eyelids were very swollen, so that only slits remained from the eyes. On the second day after the operation, the sutures were removed, the swelling decreased, but persisted for about a week. And for about a month, pretty little “pads” flaunted under the eyes, like those of Asian girls. I really liked them.

Eyelid skin before blepharoplasty (top) and five months after (bottom).

I wore strips for nine days, and went to work in this form - the people around me seemed not to notice anything, in any case, they reacted normally. I did not use cosmetics, instead of washing the skin of the upper part of the face I wiped it with chlorhexidine. I am extremely pleased with the result: the upper eyelids are smooth and even, the skin around the eyes is light, dense, wrinkles have decreased. And eyeliner and shadows are kept from morning to evening. The scars on the crease of the eyelid still remain, but now, five months after the operation, they look twice as pale and thinner.

August. Thermolifting against sagging skin

Approximately two weeks after blepharoplasty, I came to the cosmetologist Tatyana Al Sabunchi - to tidy up the sagging skin in the lower jaw area using infrared thermal lifting on the Joule Sciton device with the Skin Tyte ll nozzle. Here everything turned out to be simple: the eyes were protected with dark glasses, a gel conductor was applied to the skin of the lower part of the face, and a nozzle was driven on top that shone like a Jedi sword. The whole process took about 20 minutes. During this time, infrared radiation warmed up the skin so that the synthesis of collagen fibers was activated in the dermis.

During the procedure, quite intense heat was felt, although the skin did not burn. Immediately after the session, the face slightly reddened, but after about an hour it returned to normal. I saw the lifting effect after about a month and a half: the skin was not much, but noticeably tightened and no longer hung like “bulldog cheeks”. The oval of the face became softer, the outlines of the chin became smoother.

December. Plasma injections for the correction of nasolabial folds

All autumn I was attacked by seasonal dermatitis, and this condition is one of the contraindications for injections, so I had to wait with the correction of nasolabial folds. The second contraindication was... the fillers themselves. At first, Tatyana Al Sabunchi planned to inject a drug based on hyaluronic acid, but it contains lidocaine, so she decided not to risk it and suggested autologous cellular rejuvenation using the Swiss Regen Lab technology. OK. And what is it?

The nurse draws blood from my vein. A test tube with blood is placed in a centrifuge, where plasma is separated under the influence of centrifugal force. On its basis, an autogel is made, which Tatyana injects into my nasolabial folds and small wrinkles just below the corners of my mouth. The filling of wrinkles is noticeable immediately after the injection of the drug (this can be seen in the photo) and a couple of days after. Then the volume decreases, but in the cells of the skin, work on restoration and rejuvenation begins to boil. It will last about a year: fibrous tissue will form in the wrinkle area, and gradually the wrinkle will become less noticeable.

First wrinkles may appear very early, first - on the forehead or in the corners of the eyes. This is not yet withering of the skin, but simply a consequence of the activity of facial muscles - the habit of wrinkling the forehead or squinting the eyes. With age, the soft tissues of the face, due to various reasons, including the effect of gravity (from Latin gravitas, heaviness), descend, sag, and the subcutaneous fat is redistributed. In this case, the contour of the face and neck is disturbed, eyebrows and eyelids begin to hang, the corners of the mouth drop and folds form. It is these complex changes that are an indication for contacting cosmetic surgeons. Cosmetic surgery today offers many ways anti-wrinkle Let's get acquainted with some of them.

Lifting

Word " lifting" comes from English to lift - to lift or pull up. That is lifting, this is the same skin tightening that you can read about in advertising or hear from friends. Lifting- this is wrinkle removal and folds as a result of skin tension and removal of its excess. There are various options liftings. Their choice depends on the changes that the patient has, her requirements and expectations, the opinion of the surgeon. When performing these operations, the surgeon makes skin incisions - in the scalp, in the natural folds of the skin, in front of and behind the auricle, that is, where they will be least noticeable. facelift may be full and limited. With complete elimination wrinkles and folds of the buccal, temporal regions and neck. With a limited lift, "excess" skin is removed from the temporal or buccal regions. It is also possible to perform a tightening of deeper tissues - the superficial musculoaponeurotic system of the face (or abbreviated as SMAS, in English it sounds like superficial mascula aponeurotic sustem), which can significantly improve the contour of the face. A facelift can be accompanied by a correction of the subcutaneous fat: liposuction, that is, the removal of fat, more often in the chin area, and, conversely, lipofilling - the introduction of fat grafts into the area where it is lacking. In recent years, endoscopic methods have become increasingly popular. liftings in which the operation is performed through small incisions in the skin using special fiber optics. Optical magnification allows you to see the area in which the operation is performed in more detail and provides precise dissection of the muscles to eliminate forehead wrinkles and raise the eyebrows. Endoscopic surgery is less traumatic and, consequently, a shorter recovery period. This type of surgery is especially indicated for women with thin, sparse hair, which will not be able to hide even a small, but still a scar. Liftings often performed under general anesthesia. Any aesthetic operation is accompanied by a postoperative period and requires a certain amount of patience from the patient. The severity of edema and bruising depends on the individual characteristics and the complexity of the operation. Carrying out physiotherapeutic procedures, massage and drug treatment can reduce this period. Lifting not only eliminates the signs of aging, but also prevents their occurrence. The result obtained lasts for 7-10 years, and sometimes longer. Carrying out supporting procedures at cosmetologists-dermatologists and good cosmetic care, of course, prolong the result. Liftings more often performed in women after 40-50 years, sometimes earlier, with high demands of patients to their appearance.

Blepharoplasty

The most vulnerable part of the face is the eyelids, and it is the problems associated with this area that first lead women to cosmetic surgeons. Surgical methods for the correction of wrinkles in the eyelid area include blepharoplasty(from blepharon - eyelid) or aesthetic eyelid surgery. This method helps to eliminate excess overhanging of the skin of the eyelids - "bags" and age-related wrinkles under the eyes. The presence of mimic wrinkles in the area of the corners of the eyes ("crow's feet") is not an indication for this operation. There are practically no age restrictions for blepharoplasty. The most common candidates for surgery are women aged 35-60 years. If "heavy eyelids" is a trait that is inherited, surgery is acceptable even at an earlier age. The operation consists in excision of the so-called hernias - excess skin and fiber and is performed under local anesthesia. During the operation, it is possible to correct the corners of the eyes and eyebrows - to raise them, as well as to reduce the depth of wrinkles in the outer corners of the eyes with the help of myotomy - dissection of the muscles in order to weaken them and, consequently, straighten the skin located above the muscles. In upper eyelid surgery, the incision is made along the natural fold of the skin; in lower eyelid surgery, the incision is made along the ciliary edge of the eyelid. Subsequently, after 1 - 2 months, the postoperative scar becomes invisible. Through the same incision, it is possible to lift the tissues of the zygomatic and infraorbital regions of the face and increase their volume at the request of the client. Operations on the upper eyelids can be done any number of times. Reoperations on the lower eyelids are performed strictly for medical reasons. Blepharoplasty is a less voluminous operation than lifting, so most of the edema disappears in 4-5 days. preliminary result blepharoplasty can be assessed as early as 1-2 weeks after the operation, the final one - after a few months, when complete healing and recovery occurs. Blepharoplasty can be supplemented with Botox procedures that eliminate fine wrinkles around the eyes or correction with a biopolymer gel. After the operation, side effects may occur: redness of the eyes, sometimes dryness or excessive tearing, feeling of a foreign body, burning, itching, increased sensitivity to light. The appointment of eye drops with anti-inflammatory drugs leads to the rapid elimination of these manifestations. In addition, there may be an allergic reaction to the anesthetic, a slight asymmetry in the scars, bruises, temporary difficulty in closing the eyes, double vision, pulling down the lower eyelids, which will require additional intervention. Contraindications to surgical intervention are chronic diseases of the eyelids and conjunctiva - the mucous membrane covering the inner surface of the eyelids and part of the eyeball.

"Golden Threads"

About ten years ago in Russia, in order to correct wrinkles and other age-related skin changes, the so-called "golden threads" began to be used. The result of this operation, which is called reinforcement, is a rejuvenating effect. It is expressed in an increase in the elasticity and firmness of the skin, and, consequently, in a decrease in the depth or elimination of wrinkles. Using a special needle, the doctor inserts a thin gold thread with a diameter of 0.1 mm under the skin of the face and neck, which is "accompanied" by a polyglycol thread. This absorbable polymer base is necessary in order to correctly position the gold thread. The body reacts to the introduction of the thread by forming new rows of collagen fibers around it, creating a "framework" that supports the muscles for many years. The use of gold is dictated by the fact that it does not cause allergies, does not oxidize, and there is no rejection reaction in the body. With the maximum effect, this manipulation lasts up to 40 years. However, the best age for her is 30-38 years old, when the first signs of aging appear, but the reserve capabilities of the skin are still great, and therefore the synthesis of collagen and elastin occurs at a fairly high level. Insertion Procedure golden threads lasts about 30-40 minutes under local or general anesthesia. After the introduction of the threads, the puncture site is fixed with a plaster for about a day. After the operation, the patient can go home the same day. During the recovery period, as well as after any surgical intervention, soft tissue edema develops and hemorrhages appear, which disappear after 7-10 days. There are usually no other side effects. The first results are visible not earlier than 1.5-2 months: the complexion improves, wrinkles begin to smooth out, the skin becomes more elastic. After 6 months, you can evaluate the clear results of rejuvenation. It should be noted that the effect of rejuvenation increases within 2 years and can last 8-12 years, depending on the characteristics of the body, age, and the initial state of the skin. For some, the cosmetic effect of the operation is very pronounced and lasts a long time. Others need to combine reinforcement with other types of plastic surgery, gel applications, braces, etc.

Lipofilling

The method of surgical correction of cosmetic defects with the help of the patient's fat cells is called lipofilling. It allows you to shape the contour of the face, fill in the folds in the area of the bridge of the nose, corners of the mouth and under the eyes, smooth out wrinkles between the eyebrows, and correct retracted scars. In addition, it is one of the most optimal methods for correcting post-traumatic skin defects. First, in the area of excess fat, more often on the hips, a skin puncture is made and the fatty substrate is sucked off with a thin tube connected to a syringe. Then it is injected into the area to be corrected. The procedure is carried out under local anesthesia. It should be borne in mind that after 6 months the volume of adipose tissue will partially decrease, therefore, if necessary, it is possible to repeat the procedure. After the procedure, edema may be observed, the peak of which occurs on the second or third day. By the sixth or eighth day, the edema completely disappears. Bruises, as a rule, do not happen. The result obtained is saved forever. Lipofilling contraindicated in those who suffer from diabetes mellitus, diseases associated with impaired blood supply. With such diseases, the transferred fat cells often die. Therefore, the desired result will not be. The patient can go home after the operation on the same day, although her social activity may be limited, since the postoperative period is usually accompanied by edema and hemorrhages.

Gel injections

Another method of treating wrinkles is the introduction of various materials in the form of a gel under the skin by injection. All drugs used for these purposes can be divided into two large groups: long-acting - more than two years, and short-acting - up to two years. Long acting drugs are called biogels", implying their bioinertness (the property of a substance not to interact with body tissues). They do not undergo resorption-bioresorption and retain their volume for a long time. Biogels are used to correct only deep wrinkles and folds in the nose bridge, corners of the mouth, nasolabial folds. Most short-acting materials are derivatives of hyaluronic acid. They replenish the missing volume in the wrinkle area and stimulate the formation of collagen, eliminating one of the causes of wrinkles. In addition, preparations with hyaluronic acid are used to correct the shape and volume of the lips, nose, and scars. The preparations are available with different degrees of viscosity, which allows the treatment of both fine wrinkles and folds. Repeated injections are repeated as needed after 6-12 months. The possibility of a single administration of a non-absorbable substance is very attractive to patients. However, one must take into account the fact that the face is not a frozen system, and after some time, under the action of muscle contractions, the biogel may end up in another place. In addition, some types of gel contribute to the formation of granulomas - seals. Today aesthetic surgery has a large arsenal of methods and capabilities, the use of which allows to achieve significant results. Age-related changes in appearance, being a complex process, require an integrated approach in solving rejuvenation problems, in cooperation with specialists from different fields: plastic surgeons, dermatologists, endocrinologists, gynecologists. This is the key to successfully achieving the desired result.

Age-related changes in appearance are an inevitable reality for every person. The eyes are no exception and undergo strong metamorphoses over the years. The once attractive, youthful and open look ceases to be as attractive and expressive as in youth. The eyelids tend to become heavier and droop, bags and dark circles appear in the area under the eyes, and a network of mimic wrinkles permeates the skin around the eyes. There are other situations when a person wants to change, for example, the shape of the eyes or their shape, remove the crease on the upper eyelid, which is inherent in the Asian type of appearance, or simply change their appearance in order to achieve the ideal of beauty.

In addition, in some cases, it is required to get rid of the consequences of injuries and accidents and regain their 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 surgery that removes sagging skin on the eyelids and distributes fatty tissue evenly over both eyelids in order to give them a new shape, rejuvenate the look or change the shape of the eyes.

Doctor must prescribe

It must be remembered that blepharoplasty of the eyes is prescribed only by a 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 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. A consultation with a plastic surgeon will help determine the ultimate goal pursued by the patient, as well as the method of performing blepharoplasty of the eyes.

Indications for surgery

Plastic surgery on the eyelids is a surgical intervention, 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:

Xanthelasma. Benign neoplasm in the eyelid area. The most common localization is the inner corners of the eye on the upper eyelid. Xanthelasma are yellowish, round plaques and often form in diabetics or in patients with elevated blood cholesterol levels. Eyes after blepharoplasty look different.
Wen or lipomas. Formed where there is a deficiency of adipose tissue. This is a benign formation in the form of a small lump of fat that increases over time.
papillomas. Tumors of a benign nature in the form of long, hanging moles.
Halazion. This is a cyst on the eyelid, safe with a small size of up to 5 mm, its further increase poses a risk of malignancy. Therefore, it is recommended to remove it to avoid infection in the future.

Types of eye blepharoplasty

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

Blepharoplasty on the upper eyelid. Removes excess tissue and fatty hernia from the upper eyelids, which allows you to lift and lighten the look. This is the most common type of eyelid surgery today.
Blepharoplasty on the lower eyelid. This type of operation helps to remove flabbiness, bags under the eyes and sagging skin. It also eliminates excessively noticeable. This type of operation is prescribed for patients who want to relieve swelling under the eyes in the morning or if the transition between the lower eyelid and the cheek is too noticeable.
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 look.
Cantoblepharoplasty. Designed to change the shape of the eyes. The operation is performed in patients who want to give the appearance of a European type. Beautiful round eye blepharoplasty allows you to get.
Canthopexy. It is aimed at tightening the outer corners of the eyes and fixing them in the position required by the patient.

Basic Methods

For all of the above types, there are three main methods for performing eye blepharoplasty surgery:

Classical. An incision is made on the patient's eyelid, with the help of which the operation is performed.
Transconjunctival. An incision is made on the mucous membrane of the eyelid from the inside. This method avoids postoperative sutures.
Combined. At the initial stage, the classical method is applied and an incision is made, then laser resurfacing of the skin around the eyes takes place. Such laser treatment eliminates unevenness, small scars, smoothes small wrinkles, which makes the skin around the eyes fresher, toned and even.

For the operation, 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 blepharoplasty of the eyes (the photo is presented in the article) and the method of its implementation. Individual characteristics of the patient's health and the degree of invasion are also taken into account when calculating the time of the operation.

The choice of a specialist

Plastic surgery on the eyelids belongs to the category of complex surgical procedures, as it involves the high-precision work of the surgeon who performs 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 work experience.

Blepharoplasty of Asian eyes is very often 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, method of implementation and additional services.

Eye microsurgery and blepharoplasty are often performed together.

Description of eyelid surgery methods

Below we will take a closer look at the various types and methods of the operation.

Fat-preserving blepharoplasty. It is rightfully considered the most advanced method of correcting age-related changes on the eyelids. This method consists in the uniform distribution of fat pads that surround the human eyeball. In this case, hernias are not excised, in contrast to the classical method. The fat-preserving method prevents the skeletonization of the eyelid, that is, skin-fitting of the eye bones. The surgeon evenly distributes the patient's adipose tissue around the eye area, thus avoiding the eye falling into the orbit, and also correcting the lacrimal trough, which significantly rejuvenates the look. After fat-saving blepharoplasty, excess skin is removed. This method has a stable result. Warranty minimum 6 years.
Transconjunctival blepharoplasty. This is the most sparing plastic surgery in the eyelid area. The essence of the method is to get rid of excess fatty tissue. In this type of surgery, a sutureless plasty 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 excised the hernia. With this method, the shape of the eyelids can also be corrected. The advantages of transconjunctival blepharoplasty are the absence of internal and external sutures and scars, a relatively short rehabilitation period (all postoperative traces disappear in a maximum of two weeks), minimal risk of complications and a significant aesthetic result.
Contour Represents an alternative to surgical intervention method. This is a procedure for introducing special injections that eliminate age-related changes in the eyelids and remove deep wrinkles of mimic origin. Anesthesia in this case is not required, gels and creams are used for pain relief. Such procedures involve injecting preparations based on hyaluronic acid directly under the wrinkles on the skin. The method involves the restoration of subcutaneous volume lost with age. The drugs stimulate the body to produce collagen, which is able to strengthen the tissues around the eyes. Hyaluronic acid helps to smooth small and deep wrinkles, which refreshes and rejuvenates the face as a whole. The advantages of this type of plasty are the immediate effect of a lift, the recovery period after the procedure is minimal, the method is painless and does not leave scars. The disadvantage of contouring is considered to be a short-term effect, so the procedure has to be repeated about once a year. Blepharoplasty removes bags under the eyes forever.
century. Refers to radical methods of rejuvenation of the look. During the operation, plastic surgery of the lower and upper eyelids is performed. Experts consider this method the most effective, as there is a multilateral aesthetic improvement. The look becomes more open, wrinkles are smoothed out, bags and flabbiness are removed. Incisions during the operation are made in natural folds and along the under-ciliary line on the lower eyelid. The surgeon removes the hernia, redistributes the adipose tissue and, if necessary, fixes the muscles in the eyelid area and removes excess skin. Due to the fact that the incision sites are located in areas of natural skin folds, postoperative scars cease to be noticeable over time.
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 the maximum aesthetic effect, the operation, as in the case of a circular lift, is performed in natural skin folds. However, even if such a minimal intervention is impossible, you should not worry, since the skin of the eyelids tends to regenerate quickly. If you follow all the conditions of postoperative rehabilitation, then recovery will occur very quickly.
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 infection of the wound. What is Asian eye blepharoplasty called?
Oriental. With this method, the shape of the eyes is given a European type. 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 the representatives of the Asian race. Epicanthus occurs 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 to adolescents under 16 years of age, since during this period the formation of the incision and the size of the eyes ends. Also, the doctor must necessarily 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 possible complications during and after the operation in the future.

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

Important! The day before the operation, it is necessary to make a fasting day. Do not eat or drink on the day of the operation. The choice of the method of anesthesia rests with the doctor.

Photos of blepharoplasty of Asian eyes - before and after - are presented below.

Risks

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

Immunity of the body to anesthesia.
Accumulation of fluid under the skin in the form of gray and hematomas.
Blood loss and risk of infection.
Scars and scars.
Allergy to drugs, anesthetics or metals.
Change in skin sensitivity.

Complications

Eyelid surgery involves the following possible complications:

Inability to completely close the eye, resulting in damage to the cornea.
Ectropion, or eversion of the lower eyelids.
Asymmetrical look. Different eyes after blepharoplasty are not uncommon.
Vision problems.
Dry eye syndrome or tearing.
Inability to wear lenses.
Rarely - blindness.

Therapy of the above complications may require additional surgery or long-term conservative treatment.

What can anesthesia do?

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

Eye perforation.
Loss of vision as a result of damage to the nerve ending.
Retinal detachment.
Overhang of the upper eyelid.

In turn, it can cause disorders 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 in comparison with other types of intervention.

Eye blepharoplasty: reviews

Most patients are satisfied with the results achieved with blepharoplasty. But reviews confirm that the effect of the operation is not eternal, it has its own time, 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 go under, you should weigh all the possible risks and assess whether the problem with the eyelids is so big to resort to such a drastic solution. It is equally important to entrust your face to the hands of an established plastic surgeon with a good reputation.