How to care for eyelids after blepharoplasty: highlights

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Age-related changes on a woman’s face are not difficult to miss, especially in the eye area. The famous crow's feet, bags under the lower eyelids, drooping corners of the eyes, loss of radiant gaze. How to hide the negative consequences of life experiences from others? Circular blepharoplasty helps restore expressiveness and youth to a dull look.

What is blepharoplasty of the lower and upper eyelids, the essence of the technique

The skin around the eyes is thin and sensitive. This contributes to the early appearance of expression lines and deep wrinkles. Blepharoplasty helps hide age and make your eyes appear more open. During the procedure, the surgeon excises the accumulated layer of fat and loose skin.

Blepharoplasty can help change the shape of the eyes, remove wen from under the skin, and eliminate bags or bruises under the eyes. The essence of the operation is a slight tightening of the facial skin by adjusting the eyelids. This method does not apply to complex plastic surgeries, but requires highly qualified surgeons.

With a responsible approach to choosing a clinic and a doctor, you can eliminate discomfort during and after surgery, and get only positive results.

Blepharoplasty is a minor surgical procedure. This means that it has both indications for its implementation and contraindications, which will serve as a doctor’s refusal to provide the service. It is worth noting that blepharoplasty is performed both in the direction of an ophthalmologist and at the person’s own request.

Indications for the operation are:

DeformationProblems associated with deformation
Drooping lower or upper eyelids
  • Deterioration of vision;
  • eye infection.
Wrinkles
  • Appearance of irritation;
  • increasing the depth of wrinkles;
  • deterioration in appearance.
Drooping corners of the eyes
  • Change in eye shape;
  • drooping eyelids, appearance of skin defects;
  • formation of deep wrinkles.
Folds on the skin of the eyelids
  • Eye infection;
  • the appearance of irritation;
  • deterioration of general appearance;
  • deformation of the skin of the upper eyelid.
Congenital pathologies or mutations
  • Poor vision or its complete absence;
  • deterioration in appearance.


Upper eyelid blepharoplasty.
Reviews show that it is safe and practical. Contraindications for blepharoplasty:

ContraindicationConsequences of the operation
Diabetes
  • Deterioration of the patient's general condition;
  • bleeding;
  • suppuration of sutures;
  • poor tissue regeneration and scar formation.
Low blood clotting
  • Poor scarring;
  • purulent inflammation;
  • bleeding.
High ocular and cranial pressure
  • Capillary rupture;
  • loss of vision;
  • bruising;
  • the occurrence of blood clots.
Malignant formations
  • The formation of new tumors may be provoked;
  • blurred vision;
  • bleeding.
Vascular diseases
  • The occurrence of arrhythmia, tachycardia;
  • bleeding;
  • blurred vision;
  • injuries to feeding vessels;
  • heart failure.
Hormonal imbalances
  • Cyst formation;
  • malfunction of the thyroid gland;
  • weak immunity;
  • tissue scarring.
Infectious diseases
  • Deterioration of the patient's condition;
  • the occurrence of anemia;
  • blurred vision;
  • weak immune defense;
  • re-infection.

The surgeon sets the date for the operation only after a detailed study of the person’s health condition.

First consultation for blepharoplasty

During your appointment, the plastic surgeon at our clinic will advise you in detail about the surgical technique, anesthesia and the recovery period after surgery.

Despite the increased interest, each type of plastic surgery has its own indications and contraindications. Thus, before going to the initial consultation, the patient is recommended to check himself for the following diseases:

  • high blood pressure,
  • tendency to form keloid scars,
  • pregnancy,
  • diabetes,
  • oncological diseases,
  • eye diseases,
  • not be allergic to medications.

Pros of the operation

Blepharoplasty, reviews of which are most often left by women who have undergone surgery, is also popular among the male part of the population. People decide to undergo this procedure after a thorough analysis of the positive and negative aspects.

The advantages of blepharoplasty are:

  • no bags under the eyes;

  • the use of anesthesia, which relieves the patient of pain;
  • facial rejuvenation effect;
  • open look;
  • improved vision if blepharoplasty was performed to restore it;
  • absence of scars and invisible scars;
  • removal of interfering wen.

Cons of plastic surgery:

  • lack of any result for some physiological reasons;
  • dissatisfaction with the new appearance;
  • long wait for results;
  • long rehabilitation;
  • expensive medications for caring for operated areas;
  • prolonged feeling of discomfort;
  • the appearance of deep wrinkles in the forehead, which will require correction;
  • the appearance of the effect of sunken eyes in the first months after complete recovery.

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Is it true that after surgery the eyelids look lifeless and the lower eyelid may sag?

It all depends on the skill and experience of the surgeon. Qualified specialists who have performed many operations recently and experience are the ideal guarantee that blepharoplasty will be done with complete preservation of the normal condition of the eyelids. Only excess skin is removed. The doctor won’t cut off too much skin; you shouldn’t be afraid of that.

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Immediately after the operation, your appearance may be a little scary - as bruising and swelling will appear on your face. Because of them, at first it will seem that the eyelid is tightened and in an unnatural position. But these sensations quickly pass as soon as the rehabilitation period is completed and the swelling goes away.

Types of blepharoplasty and differences between methods

This procedure in plastic surgery is divided into several types:

  • surgery on the upper eyelid : tightens overhanging skin, smoothes wrinkles and increases a person’s visibility;
  • lower eyelid correction: eliminates puffiness under the eyes, noticeable wrinkles and opens the eyes;

  • Circular blepharoplasty : tightens both eyelids at the same time, correcting all facial skin imperfections.

All methods differ not only in their indications, but also in:

  • type of anesthesia;
  • time of the procedure;
  • the need to remove some tissue.

How is the operation performed?

The surgical time is 1-3 hours, depending on the complexity of the measures performed. The surgeon takes into account the degree of age-related changes, the level of ptosis, and the general condition of the patient. And only after analyzing the entire picture of changes, he draws up an operation plan. For comfort and accuracy of making the necessary incisions, the surgeon makes marks on the patient’s face in advance.

At the first stage, the skin is treated with disinfected agents to prevent infection of the wounds and to ensure the normal course of the recovery period. During lower eyelid surgery, a classic incision is made along its line. All procedures for circumferential blepharoplasty are performed under local anesthesia.

At the time of surgery, after circumferential blepharoplasty, fat deposits can be excised if the patient has them. Then plastic surgery of the upper eyelid is done. Incisions are made using a scalpel or laser. The latter option involves more beautiful, even and delicate cuts. They tighten faster and cause less damage to the tissue.

Upper blepharoplasty

An upper eyelid lift occurs under local anesthesia, which reduces sensitivity in the areas undergoing surgical manipulation. Upper blepharoplasty is used to eliminate wrinkles and folds, as the skin becomes inelastic with age due to the destruction of collagen fibers.

Blepharoplasty, reviews of which are mostly positive from those who have undergone surgery, is used on the upper eyelids:

  • for hernias or lumps that form after severe swelling;
  • with skin hanging over the eyes, which not only makes a person’s look heavy and tired, but also interferes with normal visual perception;
  • if problems arise with makeup: cosmetics roll off, leak and smudge.

Lower eyelid blepharoplasty

The lower eyelids are more sensitive, their skin is thinner than that of the upper eyelids, and the muscle fibers are located just under the skin. The muscles are separated by a membrane from the fat layer, which makes lower blepharoplasty a more complex surgical procedure.

Muscle fibers may lose their elasticity, tone, and support ability. Because of this, they begin to stretch and sag. The fat layer begins to accumulate on these tissues, and swelling and bags under the eyes form.

They are removed in several ways:

  • External technique: the surface of the eyelid is cut and loose skin, excess fat or part of the muscle tissue is removed.

It is applicable for sagging skin of the lower eyelid:

  • Deep technique: a small incision is made on the membrane of the eyelid, excess fatty tissue is removed. The method is also called plucking, since after cutting the skin tissue, it is pinched with surgical instruments.

This technique is used when there are abundant accumulations of fat and the absence of stretched skin.

Circular blepharoplasty

This type of surgery tightens both eyelids. It is performed under general anesthesia during medicated sleep. Circular blepharoplasty is the longest and lasts several hours. It also has the longest and most difficult rehabilitation period, which is constantly monitored by a surgeon and an ophthalmologist.

A circular operation is performed when:

  • sagging skin on both eyelids at once, which greatly impairs vision and quality of life;
  • multiple fatty deposits around the eyes;
  • severe swelling of the eyes and bruising;
  • congenital eye pathologies;
  • past diseases that have changed the shape of the eyes.

Prognosis and possible complications

If the operation is performed professionally and the patient follows all recommendations during the recovery period, the prognosis is positive. Rarely there are complications such as:

  • increased tearfulness;
  • discomfort when closing the eyelids;
  • hematomas on the eyeballs;
  • severe pain.

Patients who were negligent in choosing a surgeon and clinic, or who believed false advertising, may experience more serious consequences:

  • constant dryness of the eyeballs;
  • seam divergence;
  • scar formation;
  • infection and prolonged bleeding of incisions;
  • inversion of the lower eyelids.

Modern plastic surgery capabilities make it possible to perform the most complex operations. Circular blepharoplasty is a well-established method for correcting external changes in the eye area. If you find that bags, hernias and drooping eyelids are causing you severe discomfort, do not be afraid to resort to this type of eyelid lift. It is important to thoroughly study the issue and prepare well for surgery.

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Blepharoplasty techniques

Blepharoplasty is performed using various techniques.

Among them the most popular are:

  • operational execution techniques;

  • hardware methods;
  • injection procedures.

Each type has its own characteristics and is used only after consultation with specialists.

Injection blepharoplasty

Blepharoplasty, reviews of which are negative from those who have undergone surgery, can be performed without surgery.

By introducing various substances into the subcutaneous space:

  • botulinum toxin;
  • Botox;
  • collagen;
  • lipolytics;
  • hyaluronic acid;

Remove wrinkles, cyanosis and swelling, tighten eyelids and skin. Also, cosmetology products can nourish and moisturize tissues, as well as stimulate the production of necessary collagen fibers. Injections of lipolytic substances, among which lecithin is especially popular, tend to break down the membranes of fat cells and remove them in dissolved form.

This helps eliminate hernias and swelling.

Injection blepharoplasty allows you to correct minor problems around the eyes. Its advantage is that there is no need to frequently visit a beauty salon, since the result becomes visible after 3 procedures, and the rejuvenation effect lasts up to 10 months, after which the course of injections can be repeated.

Hardware blepharoplasty

This type of eyelid correction also belongs to the non-surgical type.

Among the hardware methods there are:

Method nameThe essence of the method
ThermageThe skin around the eyes is exposed to radio waves, which stimulate the production of its own collagen.
Smas-lifting with ultrasonic wavesWith the help of ultrasound, existing collagen fibers are strengthened and do not undergo rapid disintegration.
ThermoliftingThe heat emitted by the device tightens the skin by removing excess water under the eyes, and also accelerates the breakdown of fatty tissue.
Plasma blepharoplastyLow temperature electrical plasma particles act on skin cells, tightening it, stimulating collagen production and smoothing wrinkles.
Laser methodThe erbium laser polishes the skin, eliminating swelling, wrinkles, scars and fat.
Carbon dioxide laser, due to gas exchange in skin cells, enhances their nutrition and oxygen saturation. The synthesis of elastin and collagen is stimulated.

Hardware blepharoplasty can cope with age-related skin changes:

  • small wrinkles;
  • slightly loose skin;
  • slight swelling of the eyelids.

This type of blepharoplasty cannot cope with more serious problems: hernias, bags and deep wrinkles require more radical measures. The course of procedures consists of 10 sessions, and it must be repeated once every six months.

Removing Consequences

In many situations, post-operative scars are successfully eliminated by 10-12 weeks after an eyelid lift. Sometimes, due to the hereditary predisposition of the patient’s body, a medical error or a violation of the rehabilitation period, a procedure for grinding the sutures may be required.

The procedure is carried out using erbium lasers. To completely remove scars, you need to perform 5-7 procedures. The cost of grinding sutures after circular blepharoplasty varies from 37 to 55 thousand rubles per procedure.

Under the influence of the laser, the deep layers of the skin are accelerated. The formation of collagen and elastin is enhanced, deformed tissues are pushed out, smoothed out and replaced with new ones.

Mesotherapy is aimed at overall rejuvenation of skin cells. The procedure involves injections of multivitamins, amino acids, hyaluronic acid, and homeopathic compounds that promote cell renewal.

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Fractional thermolysis or photothermolysis helps eliminate seams. When it is performed, the laser beam is broken into many small beams, which cover a large area and work precisely on each affected area.

Mesotherapy

Surgical methods of blepharoplasty

Blepharoplasty, reviews of which can be found in large numbers from those who have undergone surgery, remains the most effective method of rejuvenation during surgery. Surgical blepharoplasty, depending on the type, takes a sufficient amount of time. Correction of the upper and lower eyelids separately takes about an hour, and the circular operation lasts approximately 2 hours.

Before the operation, the anesthesiologist and surgeon select the type of anesthesia based on:

  • patient's age;
  • scope of work:
  • condition of the muscles around the eyes;
  • skin characteristics;
  • structure of the skull bones;
  • patient health;
  • presence of allergies to certain substances.

It is also necessary to notify the surgeon about past or existing eye diseases, as well as about taking medications. The surgeon, together with the ophthalmologist, will prescribe the necessary tests and conduct an examination of the lacrimal canal.

Before undergoing blepharoplasty, it is necessary to properly prepare for the operation:

  • increase water consumption;
  • stop smoking and drinking alcohol;
  • 3 days before blepharoplasty, stop taking any medications, nutritional supplements and vitamin complexes.

Compliance with these rules will help to avoid increased recovery time and bleeding. The correct choice of anesthesia is also of great importance. To do this, specialists will conduct blood tests: coagulation, general and biochemical. It is also necessary to undergo examination to identify various infections.

If you have previously suffered serious illnesses or if you have a chronic form of one of them, a consultation with a therapist is required.

When prescribing general anesthesia to a patient, the anesthesiologist must provide the results of an ECG and fluorography. This responsible approach to the choice of anesthesia is determined not only by the type of operation: circular or unidirectional. Both the person’s condition and his age play a big role. Blepharoplasty is performed in a surgical room under sterile conditions.

Its implementation depends on the type of problem:

  • Weakness of muscle fibers, sagging skin, drooping eyelids, small fatty hernias.
  • Type 1 deformities include changes in the skin near the eyeball itself, which affects the temporal areas and skin of the cheeks.
  • Too much overhang of the skin, formation of wrinkles in the cheeks, eyelids and nasolabial triangle.
  • Too much fatty tissue and stretched skin, strong bags under the eyes, loose skin under the eyes.

If a person has type 1 deformities, then blepharoplasty is performed transconjunctivally, that is, an incision is made along the mucous membrane of the eyelid. If there are more complex problems of type 2-4, classical methods of surgery are used: through a thin incision in the skin of the eyelids.

When a patient presents with type 4 changes, the surgeon often combines eyelid plastic surgery with a facelift, which provides a more pronounced result. Before making a surgical incision, the doctor marks the area of ​​skin. Then he makes the necessary incision and removes excess tissue.

There are techniques in which part of the fat is not removed, but is distributed more evenly under the skin . Also, if necessary, the surgeon tightens muscle tissue. After all the manipulations, self-absorbing sutures are placed on the incisions, which do not leave any traces.

After the rehabilitation period, it is possible to carry out a skin resurfacing procedure. Blepharoplasty is performed in several ways: incisions are made with a scalpel or laser.

The differences between a laser beam and a surgical instrument are quite significant:

  • high cost of operations;
  • cuts are controlled down to the millimeter and practically do not damage adjacent tissues;
  • less swelling and bruising after blepharoplasty;
  • rapid tissue restoration;
  • lower risk of infection.

It is worth noting that the appearance and structure of the skin after surgery are the same regardless of the choice of instruments.

Preparation stage

Before surgery, you must undergo a complete examination by an ophthalmologist. The specialist will examine the eyes, identify possible risk factors and write a referral for blepharoplasty or circular lift. A couple of days before surgery, you need to do a list of clinical studies:

  • blood chemistry;
  • Analysis of urine;
  • analysis of blood electrolytes;
  • analysis for the detection of AIDS, syphilis, hepatitis, HIV;
  • ECG;
  • fluorography.

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How long does it take and how is rehabilitation after different types of plastic surgery?

Blepharoplasty, reviews of those operated on which also contain information about rehabilitation, has general recommendations for the recovery period. It occurs immediately after the end of surgery. The duration of the rehabilitation period depends on the care of the skin and stitches, as well as on the age and health of the person.

On average, the minimum time for tissue restoration is 2 weeks. Full recovery occurs approximately 2 months after surgery.

Amount of daysRecovery process
1The patient experiences eye pain and the eyelids become very swollen. It is possible to take painkillers and apply compresses. Bed rest is strictly observed.
2You are allowed to take a shower once, avoiding getting water on the operated areas. The surgeon prescribes eye drops.
3-6Removing stitches.
7-8The use of sterile dressings is completely stopped. Bruises under the eyes and swelling of the eyelids disappear.
10Postoperative skin deformations completely disappear.
14The eye areas look younger, and seams practically disappear.
55Complete recovery of the patient, after which he can return to his previous lifestyle.

During the first 14 days it is not allowed:

  • touch the eye area;
  • strain your eyes by reading books or watching TV;
  • use of contact lenses or cosmetics;
  • sleep on your side or stomach: to reduce swelling, you need to sleep only on your back, with your head raised;
  • move actively;
  • lean forward;
  • to take a bath;
  • drink alcohol;
  • go outside without sunglasses.

2 weeks after blepharoplasty, the surgeon will prescribe recommendations to speed up the regeneration process.

It could be:

  • carrying out physical procedures;
  • skin polishing;
  • massage;
  • drug injections;
  • use of ointments and creams for healing.

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Blepharoplasty: indications and contraindications

Although every woman wants to look attractive, not every woman needs blepharoplasty to achieve her goal. The list of indications for this procedure is quite exhaustive: obvious bags under the eyes, the appearance of excess skin in the eyelid area. Directly on the lower eyelid you can find a layer of fat, which over time begins to clearly bulge - this is another nuisance that can be eliminated through surgery. The appearance of wrinkles on the face is an inevitable process, the result of cell aging. And if small wrinkles sometimes give a woman a certain playfulness, then deep wrinkles on the lower or upper eyelid are their complete opposite. If you are embarrassed by deep wrinkles, if they prevent you from feeling attractive, you can also consider blepharoplasty as a solution to this problem. In addition to the above, indications for eyelid lift surgery are: drooping of the lower corner of the eye, sagging skin and even a tired look.

Of course, we should not forget that any surgical intervention is a huge stress for the human body, as a result of which a number of contraindications for the blepharoplasty procedure have been established: chronic diseases of the liver, cardiovascular system; oncological diseases; diabetes mellitus, as well as problems with the thyroid gland, blood pressure and intraocular pressure. It should be remembered that the postoperative period after surgery can be unpredictable, especially for people whose body is weakened for one reason or another. In this regard, the operation is completely excluded for people who have recently had a heart attack, as well as for patients suffering from diseases such as AIDS or hepatitis. In addition, blepharoplasty is contraindicated for people under 18 years of age, women during pregnancy, during breastfeeding, and also during menstruation.

Infectious or acute respiratory diseases can cause complications both during the surgical and postoperative periods, for this reason they must be completely cured before the scheduled procedure. If a person has chronic diseases, it is necessary to consult not only with the specialist responsible for the operation, but also permission to perform it from the specialist doctor under whose supervision you are required.

Rehabilitation period after blepharoplasty

Immediately after the operation, the area that was manipulated is extremely weakened, which indicates its sensitivity to the environment. For several days, the maximum risk of various microbes entering wounds that have not yet completely healed remains. Doctors recommend avoiding cosmetic procedures and even washing your face in order to prevent infection and also eliminate the possibility of increased swelling. If no complications have arisen after 72 hours, washing can be returned to the list of daily procedures, but it is necessary to avoid getting water directly into the eyes.

Each operation inevitably implies a certain period of recovery of the body; in the case of blepharoplasty, its duration is about 14 days. You can speed up this process yourself - to do this you need to strictly follow your doctor’s recommendations:

  • say no to bad habits. Not ready to make radical changes and eliminate smoking and alcoholic beverages from your daily life? Give them up at least for the duration of rehabilitation.
  • peace - emotional and, of course, physical; refusal of exhausting loads and sports, and during the first and second days - complete bed rest. Even rapid head movements are contraindicated; Downward bends can easily cause an increase in eye pressure, which has detrimental consequences after blepharoplasty. A universal solution is to ask family or friends to help with household chores. All kinds of stress and psychological tension become enemy number one. Books are temporarily sent back to the shelf, and are replaced by listening to audiobooks or music.
  • To protect your eyes from infection, you will have to forget your favorite water procedures for a while - hot baths and trips to the sauna. Only a short warm shower will be appropriate.
  • since we are talking about eye surgery, they become extremely vulnerable and susceptible; glasses with protection from ultraviolet radiation will be indispensable in this situation (just refrain from the desire to buy cheap glasses from unknown manufacturers, no matter how attractive they are - they can easily cause a severe burn to the retina!), and giving up TV and computer will give your eyes a much-needed two-week break. You should not use lenses for two weeks.

Any self-medication during the recovery period is completely excluded. Accurate adherence to your doctor's instructions is your duty and responsibility. Even the use of medicinal ointment or cream (which is allowed already on the first day) requires prior approval by a doctor.

The last, but no less important recommendation is extremely simple - introducing a healthy lifestyle. Everyone has heard of it, but they are not yet fully aware of what this phrase actually means. The rehabilitation period after blepharoplasty creates excellent preconditions for joining the cult of health:

  • A healthy lifestyle cannot be imagined without sound, healthy sleep, and during the recovery period, the use of high pillows is encouraged, which helps relieve swelling. And, of course, proper nutrition, which eliminates the possibility of disruption of the full functioning of the gastrointestinal tract.
  • Among the unpleasant consequences of surgical intervention is swelling of the eyes, which is provoked by a water-salt imbalance. To avoid this problem, it is enough to avoid eating too salty, spicy or fatty foods during the recovery period. Along with avoiding certain foods, you should also exclude coffee from your daily diet. It is also worth switching your diet to consuming broths prepared with lean meats (for example, veal). Such food helps maintain strength and is also easily absorbed by the human body.
  • For a speedy recovery, it is more important than ever to adhere to a daily routine and an established sleep schedule - its duration should be the classic eight hours, and it is better to go to bed before midnight.

It takes a little more than a week for the sutures to be removed (with a successful healing process), and even less time is required if the operation was performed on the upper eyelids. As for the complete elimination of swelling, as well as redness of the eyes, this will take from one to one and a half months, and in individual cases - even more time. And after this period, it will be possible to truly evaluate the visible changes.

When starting further preventive measures, we must not forget that:

  • After about 7 days, it is permissible to start using face masks, while excluding their application to the area of ​​​​sutures and eyes. At the same time, it is reasonable to include a “massage” item in the skin restoration plan, but entrust it to specialists in this field.
  • decorative cosmetics often provoke irritation of the eyelids, so applying makeup is canceled for at least two weeks; you will have to forget about scrubs and cleansing lotions (no matter how natural the composition) for at least a month (or even longer) - the return to their use is directly dependent on the speed of healing.
  • complex cosmetic procedures (lifting, dysport, etc.), due to their aggressive effects, should not be undertaken before at least two months have passed since blepharoplasty

Features of care after blepharoplasty

The speed of recovery after surgery directly depends on the quality and regularity of care for the area that has undergone plastic surgery.
This is also a complex of versatile measures affecting the skin (including postoperative sutures) and eyes. Let's look at this in more detail: 1) Seams.

  • During the first few days, it is mandatory to wear a sterile bandage that will protect the stitches from infection.
  • The attending physician prescribes the use of antiseptics, as well as creams and ointments, the use of which helps to quickly tighten the sutures. The widely used ointment Levomekol successfully helps protect against suppuration, and Lyoton is recommended to be applied to the lower eyelids for one week.
  • redness on the skin that remains after the doctor removes the stitches completely disappears thanks to the use of absorbable gel

2) Eyes.

  • in the first time after the operation, they are in an inflamed state, swelling appears - this is why wearing lenses that create additional irritation and pressure is excluded
  • To get rid of inflammation and dryness, the attending physician should prescribe special drops.

3) Lower and upper eyelids.

Eyelid skin care provides three important functions:

  • protection against germs (using a special patch during the first 72 hours)
  • Relieving swelling (cold compresses are indispensable for quickly relieving swelling)
  • stimulation of the healing process (attending doctors often recommend using a cream based on Chinese mushroom extract; it needs to be applied 2 times a day, and the course of treatment is two weeks. At the same time, it should be borne in mind that it is unacceptable to prescribe this remedy yourself!)

A useful addition to the medical prescriptions of the attending physician (mainly in the case of severe swelling of the eyelids) will be the inclusion of a set of therapeutic exercises in the postoperative care measures: they stabilize blood circulation in the area that has undergone surgery, help eliminate inflammation, and get rid of swelling.

A good method is the acupressure technique. It is quite simple: you need to start with gentle circular movements in the eyelid area, which are made with the index and middle fingers of the hand (clockwise). Descending to the lower eyelid, we apply gentle and gentle point pressure on its edge, then slowly move further to the inner corner of the eye. Having applied the same delicate pressure at this point, we move to the center of the eyelids, and then repeat circular movements with our fingers under the eyebrow and along the edge of the eyelid.

Frequent complications of blepharoplasty, according to patient reviews

Patients often confuse the body's normal response to blepharoplasty with complications.

However the options are:

  • swelling and bags around the eyes;

  • bright bruises;
  • tearfulness;

They are considered normal after eyelid correction and go away quickly.

Among the most common complications, those undergoing surgery include:

ComplicationSymptomsTreatment
DacryocystitisConstant lacrimation.Probing of the lacrimal canals.
AllergyRedness or itching around the eyes.Antihistamines are prescribed.
Keloid scar
  • Proliferation of tissue at the seam and its compaction;
  • pain, itching or burning of the skin of the eyelids.
  • Prescribing special ointments and creams;
  • skin polishing;
  • cryotreatment of the seam with liquid nitrogen;
  • steroid and immunomodulatory injections.
Inflammation of the cornea of ​​the eyeFeeling of dry mucous membrane of the eyes.Instillation of special eye drops.

Any complications should be treated by the doctor who performed the blepharoplasty.

Rare consequences of surgery

Rare complications result from surgeon errors during blepharoplasty.

These include:

  • asymmetrical location of the eyes or their shape;

  • connective tissue separation;
  • formation of skin folds;
  • eye muscle damage;
  • hematomas of the posterior part of the eye;
  • loss of vision.

All complications are associated with:

  • improper suturing;
  • removing too much tissue;
  • failure to comply with the rules of the rehabilitation period.

Before undergoing blepharoplasty, you should carefully study the reviews of operated patients about clinics and surgeons. The course of the operation, the occurrence of complications and the result directly depend on the choice of the location of the operation and the qualifications of the plastic surgeon.

Author: Shalunova Anna

Article design: Anna Vinnitskaya

Features of performing the operation under local anesthesia

Regardless of the type of anesthesia chosen, the preparation stage will be approximately the same: the patient needs to undergo a standard set of tests, temporarily give up alcohol, smoking and a number of medications.

Moreover, the doctor necessarily studies his allergological and anesthesiological history: has there been any surgery in the past, what kind of anesthesia was used, did it lead to negative consequences, is there any personal intolerance to drugs - all this is necessary to exclude the possibility of anaphylactic shock and other serious complications .

Before the surgical intervention begins, the doctor makes marks on the skin with a special marker. Then the entire face is treated with an antiseptic, injections are given to block the pain syndrome, and when they take effect, the work begins.

During the injections themselves, you will have to be patient: they are uncomfortable, since the anesthetic drug is injected deep into the skin, into the very sensitive and delicate eye area.

Already during the operation there will be no pain, but patients can feel the pressure of surgical instruments and the movement of threads at the time of suturing - much the same as people feel the actions of a dentist inside the teeth and gums. Moreover, you will have to look at the blinding light of surgical lamps, and when using a laser scalpel, you can still smell the smell of burnt meat.

For many, such sensations cause nervous tension and other negative reactions, so local anesthesia is almost always supplemented with oral sciatic medications - they make the person calm and sleepy.

We recommend: What are the pros and cons of blepharoplasty?

For patients with a very low pain threshold or increased anxiety, intravenous sedation may be indicated instead of oral sedation, at which time consciousness is completely switched off. Subjectively, this option is almost no different from general anesthesia: the only difference is in the dosage of drugs and the possibility of spontaneous breathing.

The activity and duration of local anesthesia depends on the volume of the drug administered, its concentration, as well as the personal characteristics of the human body. It happens that right at the time of surgery, the effect of the anesthetic weakens and sensitivity returns. You need to tell the surgeon about this so that he can administer an additional drug.

Upon completion of the plastic surgery, the patient is taken to the ward to monitor his condition for 2-3 hours. If no problems appear at this stage, painkillers are prescribed in the form of tablets or intramuscular injections (analgin, paracetamol), after which you can go home.

But often blepharoplasty under local anesthesia is even necessary, since in case of asymmetry of skin folds, only by communicating with the patient and controlling how the line of the future scar fits into the natural fold of the skin and what distance remains from the eyebrows, you can get an even result.

Many women are interested in whether it is painful to have blepharoplasty under local anesthesia. This question will be answered by women who have already undergone surgery and all the difficulties of the rehabilitation period.

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