Transconjunctival blepharoplasty is a method of seamless surgical intervention in which access to the underlying skin structures is through the conjunctiva, without trauma to the skin of the eyelid. This method is considered one of the most gentle and effective. Patients experience virtually no pain, and the rehabilitation period is only 7-10 days.
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Despite the fact that all manipulations are performed in close proximity to the eye, they do not affect visual acuity in any way. But it should be remembered that if you have farsightedness, myopia and other ophthalmological diseases, you should definitely tell your doctor about it.
What is transconjunctival blepharoplasty
Plastic surgery restores youth to the face and makes the eyes open and clear. And to eliminate hanging folds and pronounced age wrinkles, classical surgery becomes the only option that will provide the expected result.
Transconjunctival blepharoplasty of the lower and upper eyelids takes place with minimal incisions and punctures on the inside - the conjunctiva - and does not involve excision of the skin.
But in this way, the surgeon completely eliminates the hernia under the eyes, minor age-related changes with minimal discomfort for the patient.
Advantages and disadvantages
However, despite the fact that conjunctival blepharoplasty is safer, in some aspects it is still inferior to traditional surgery. In particular, if the skin of the eyelids is too severely constricted, this operation turns out to be useless, but traditional surgery can easily cope with this task, but for young people it is still preferable to choose transconjunctival blepharoplasty - their eyelid skin is quite elastic.
The advantages of transconjunctival blepharoplasty are::
- low morbidity;
- there are no stitches at the surgical site;
- short rehabilitation period;
- almost zero risk of complications;
- natural appearance.
Advantages and disadvantages of the technique
The undoubted advantages of the operation are:
- No need for general anesthesia. The patient feels quite comfortable with local anesthesia.
- Minor infestation. The surgeon makes punctures or micro-incisions along the line of the conjunctiva, uses self-absorbing suture material, or leaves the injured area to heal itself.
- Complete rehabilitation after surgery occurs within 10 days. The patient can return to normal activities on the 8th day, in rare cases - on the 11th.
- Long lasting effect. The result lasts from 6 to 12 years. The period depends on the patient’s age, skin elasticity, and lifestyle.
- Minimal risk of complications.
- No scars.
But blepharoplasty, like transconjunctival eyelid surgery, has a significant drawback - the inability to eliminate severely stretched skin. To solve the problem it is necessary to excision it. Getting rid of dark circles under the eyes is also not always possible.
Transconjunctival blepharoplasty of the eyelids - reviews a year after the procedure
Lesya
My doctor told me that such an operation would be quite enough. I was mainly concerned about the blueness and slight swelling. A few months after the operation, the bags returned. In 2020, I started looking like a sleepy monster again.
I went to the doctor for a second consultation. I was pleasantly surprised that he did not manipulate me and force me to go under the knife again, saying that he did not guarantee a good result. Wonderful person! He referred me for treatment to a sleep correction clinic and recommended checking my kidneys and stomach. I didn’t agree for a long time, but every month my condition got worse and worse.
I underwent a full body examination. And what do you think? The diet is incorrect, the kidneys are acting up, salts are retained. I received a list of medications and a diet, and finally forced myself to take care of my health. A year later, I had repeat transconjunctival blepharoplasty of the eyelids. Look at my before and after photos, it's just a gorgeous result.
Semyon Borisovich
As a man, it was very difficult for me to undergo the procedure, especially since I can’t stand the sight of blood. I had blepharoplasty done in a private center in Moscow, at my own request, and stayed in the clinic for 2 weeks. I think my latest photos speak for themselves. After 30, the procedure is usually useless, but I had it done at 34, and no complaints. My problems were hereditary, no health problems, so the procedure met all my expectations.
Kate
Is it possible to do this type of surgery on the upper eyelids? What is grinding? Is it dangerous?
Indications for surgery
Despite the low trauma, during blepharoplasty the surgeon is able to solve many cosmetic problems. Patients are mainly referred for surgery for the following indications:
- lower eyelid hernia;
- ptosis;
- stretching of the skin in the corners of the eyes;
- bags on the lower eyelid not associated with strong stretching of the skin;
- pronounced nasolacrimal cavity.
Problems are not dangerous to health, but they can depress a person morally, reduce self-esteem, and make him withdrawn. In one session lasting less than an hour, the doctor is able to correct them. Lower eyelid plastic surgery with transconjunctival hernia removal is especially effective. The doctor can remove fat cells through several punctures.
Lower eyelid correction
The transconjunctival method of performing the operation is good because there are no incisions on the surface of the skin, that is, in any case, nothing will be noticeable.
Effects of the procedure
- Elimination of fatty hernias,
- Strengthening the internal tissues of the lower eyelids,
- Leveling the surface of the skin.
A small incision is made on the inside of the eyelid. Excess fat is released through it. Removal of all excess is done in such a way that the external relief is even. In most cases, transconjunctival blepharoplasty on the lower eyelids is seamless, since the edges of the mucosal incision collapse without tension.
No traces after surgery!
The fusion of the mucous membrane occurs very quickly. The operation can be performed under general or local anesthesia and lasts about 40 minutes.
The features of the lower eyelid allow the use of laser technologies when performing transconjunctival blepharoplasty. The laser version of this operation is the safest . When exposed to a laser, in addition to the cosmetic effect, they also have an antiseptic effect; a small burn of tissue stimulates them to more active healing processes, so the rehabilitation period after such an operation is shorter.
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Indications
- Unaesthetic appearance of the lower eyelids due to the peculiarities of the anatomical structure in young people,
- "Bags" under the eyes,
- Hernias in the lower eyelid area.
However, not in any case these problems can be solved with transconjunctival surgery. This intervention allows you to remove excess fat and other tissues that disturb the surface topography. It is impossible to remove excess skin in this way.
Therefore, transconjunctival blepharoplasty of the lower eyelids with a laser or using tissue excision is suitable only in cases where the issue can be resolved without removing skin fragments. This type of surgery is only suitable for those who do not have excess skin; this type of blepharoplasty is mainly performed on younger patients.
Benefits of transconjunctival blepharoplasty:
- Low trauma during blepharoplasty;
- No sutures at the surgical access site;
- A very short rehabilitation period, which is only one to one and a half weeks, after which the swelling of the eyelids almost completely subsides;
- Low risk of complications. The risk of ectropion (turning of the lower eyelid) is practically zero, and the seamless method ensures the absence of scarring in the future;
- The result of the operation is natural and not noticeable.
Necessary tests and contraindications
Surgery that corrects the area around the eyes cannot be performed by everyone. After the initial consultation and examination, the doctor prescribes a preliminary examination for the patient to exclude contraindications:
- pregnancy;
- chronic pathology in the acute stage;
- infection;
- immunodeficiency;
- dry eye syndrome;
- glaucoma;
- tumors in any part of the body;
- problems with the endocrine system;
- poor blood clotting.
The examination includes:
- general and biochemical blood test;
- General urine test.
If, based on the results of laboratory tests, the doctor is not sure that there are no contraindications, an additional instrumental examination may be prescribed.
Contraindications
Safe aesthetic surgery cannot always be performed. Like any other procedure, it has a whole list of conditions and diseases for which the surgeon cannot perform cosmetic correction.
Contraindications:
- infectious, chronic diseases during exacerbation;
- pregnancy, lactation;
- blood clotting disorder;
- increased arterial and intraocular pressure;
- menstruation;
- pathologies of the thyroid gland;
- oncology;
- HIV AIDS;
- diabetes;
- dry eyes.
How is the operation performed?
The date of blepharoplasty is chosen jointly by the doctor and the patient. In addition, you need to leave yourself two weeks for simple preparation for the operation and a week for recovery.
10-14 days before plastic surgery, you should give up alcohol, drugs that affect blood clotting, and protect your face from sunlight. It is better not to use cosmetics before surgery.
Lower transconjunctival blepharoplasty, like upper, lasts approximately one and a half hours. To feel comfortable, you should empty your bladder and bowels in advance; with the consent of your doctor, you can take a mild sedative.
Access Techniques
There are two methods of performing blepharoplasty:
- classical;
- laser.
First, the doctor makes markings, then injects an anesthetic and accesses the internal tissues.
Transconjunctival blepharoplasty of the lower eyelids
With the classical technique, the surgeon makes an incision along the lower conjunctiva, removes excess fat, and, if necessary, tightens the skin. Sometimes it is enough to redistribute the cells without removing them. Then the doctor applies sutures made of self-absorbing material.
During laser transconjunctival blepharoplasty of the lower eyelids, the doctor adjusts the required temperature of the beam and directs it to the problem area to destroy lipid cells. Then it removes the split fat through punctures.
After the manipulation, an antibacterial bandage is applied to the damaged area and the patient is left in the hospital for 7 hours.
Transconjunctival blepharoplasty of the upper eyelids
The surgeon pulls back the eyelid and makes access from the inside. Using an endoscope, he tightens the skin and models the eyebrow line. In case of significant ptosis, implants are inserted to prolong the result of the operation.
After applying an antibacterial dressing, the patient is transferred to the ward and released home after 7 hours. Both laser transconjunctival blepharoplasty and seamless classical surgery do not leave scars.
Advantages of the method
Unlike the traditional method of blepharoplasty, after transconjunctival surgery there are no scars or other signs of surgical intervention.
Taking into account that the specialist performs the operation under the eyelid, and not on top of it, the seams are invisible. The effect itself can be observed after 4 days.
During the procedure, the client does not experience pain, because the manipulations are carried out under local anesthesia. Thanks to this, the rehabilitation period is significantly reduced.
The advantages of this effect include an extremely low risk of making a medical error - the surgeon works exclusively with fatty tissues, without affecting the upper layer of the epithelium.
Despite the close location of the operated area to the eyes, blepharoplasty does not affect visual acuity, and the rehabilitation period is short.
To achieve a greater effect, a laser rejuvenation technique (fractional thermolysis) is used as a supplement in agreement with the client and on the recommendation of a doctor.
Recovery period
At the end of the procedure, a vision problem may occur, which will go away within 3-4 hours. After discharge, swelling persists for the first week, and the bruises gradually disappear. During this time, you must stay at home and fulfill a number of conditions:
- refuse physical activity;
- do not watch TV, do not work on the computer;
- do not read;
- do not drink alcohol;
- do not use cosmetics.
After a week and a half, the swelling and redness finally disappear, so you can go to work and return to normal activities with minor adjustments. For a month you should not wear contact lenses, sunbathe, take a hot shower, or go to the sauna. Wear dark glasses to protect your eyes and surrounding skin.
Rehabilitation
Despite the fact that transconjunctival blepharoplasty is simple and safe to perform, after the procedure you will need recovery for 2 weeks. Following certain rules will allow you to minimize unpleasant consequences.
Caution is especially necessary in the 1st week after surgery. Therefore, during this period, strenuous physical work, reading books and periodicals are prohibited. Film and television viewing is restricted.
From the 2nd week it is permissible to use cosmetics, but only high-quality and hypoallergenic. For 3 weeks, a taboo is placed on wearing contact lenses and visiting a solarium.
You can’t stay in the sun for a long time, and when going outside on a sunny day (and in winter too), you need to wear sunglasses.
The following procedures will help speed up rehabilitation time:
- lymphatic drainage facial massage;
- soft peelings;
- moisturizing the skin.
There is no need to be afraid of puffiness and blue discoloration under the eyes after surgery. This is a natural postoperative phenomenon; it disappears without a trace on the 7-10th day. And then, without fear, you can show up at work and return to your usual pace of life.
Possible complications after transconjunctival blepharoplasty
In the vast majority of cases, the operation does not cause unpleasant consequences. In rare cases, complications are possible:
- suppuration in the operated area;
- hematomas;
- pigmentation disorder;
- eversion or drooping of the eyelid;
- bruising on the whites of the eyes;
- infection;
- hollows under the eyes after manipulation of the lower eyelids.
Consequences can be caused by unskilled work of the surgeon and non-compliance by the patient with the rules of the recovery period. But final conclusions about the result of the procedure can be made only after two months.
What it is
A surgical method for correcting the eyelid area, in which excisions are carried out internally. Gaining access to orbital fat allows it to be replaced or transferred, which preserves its natural appearance and prevents the formation of voids. It is performed on both the upper and lower eyelids to eliminate overgrown fatty tissue and fluid accumulating under the skin. This surgery is performed under local anesthesia.
Access to problem areas is through the outer shell of the eye - the conjunctiva, which covers the inner surface of the eyelids, forming the arches.
Important point! Cosmetic surgery does not affect vision and does not cause discomfort during the procedure.
Cost of blepharoplasty
If you decide to have blepharoplasty, choose a clinic with special care - read reviews on forums, ask your friends.
Despite the fact that the level of injury during surgery is relatively low, an inexperienced specialist can cause considerable damage to your health.
The final cost of the procedure varies depending on the complexity of the upcoming operation, the qualifications of the surgeon and a number of other factors.
Let's consider the pricing policy in different cities.
Moscow
The Klazko Aesthetic Medicine Clinic offers blepharoplasty services for the upper or lower eyelids for 70,000 rubles.
When performing a complex circular operation, a discount of RUB 20,000 is provided.
Addresses:
- St. Malaya Gruzinskaya, 20/13, building 1, tel. 8 (495) 369-61-77.
- Rublevo-Uspenskoe highway, 123B, tel..
A more affordable price at the Bios clinic, which has been specializing in aesthetic medicine since 1993 and ranks 1st in the ranking. Here you can transform yourself for an amount starting from 54,000 rubles.
It is located at the address: Ivankovskoe highway, no. 7, tel. 8 (495) 518-62-85.
Kazan
Kazan price tags are distinguished by lower indicators and begin to rise from 10,000 rubles.
Clinics and centers in Kazan:
- Clinic "Mart". Address: Yamasheva Ave., 54, tel. 8 (843) 295—55-66 (cost for the upper eyelid - from 10,000, for the lower - from 14,000).
- Primamed Clinic. Address: st. Kommunarov, 2, tel 8 (843) 518-14-84 (cost 18,000/23,000 rubles).
- Clinic "The Platinental". Address: st. Karla Marksa, no. 48, tel. 8 (843) 236-66-66 (cost 42,000/130,000 rubles).
Ekaterinburg
Prices for blepharoplasty in Yekaterinburg have also moved not far from Kazan. On average, a service for correcting the upper eyelid starts from 18,000 rubles, and the lower eyelid starts from 20,000 rubles.
Institutions providing aesthetic surgery services:
- MC "Doctor Plus". St. Kuibysheva, 10, tel. 8 (343) 212-06-06.
- Clinic "Estevita". St. Radishcheva, 33, tel. 8 (343) 287-44-33.
- Clinic "Estyline". St. Popova, 33A, tel. 8 (343) 359-40-42.
- MC "Harmony". St. Tveritina, 16, tel. 8 (343) 254-66-66.
Krasnodar
A higher price can be seen for blepharoplasty in Krasnodar. In this city, the minimum cost for transformation starts from 55,000 rubles.
List of clinics:
- "Chalet Santé" St. Red Partisans, no. 238. Phone number for inquiries: 8.
- MC "Esthetik Med" St. Oleg Koshevoy, 155. Phone for inquiries.
- Laser Medicine Center. St. Severnaya, no. 600/1. Phone for information.
Minsk
The pricing policy for blepharoplasty in Minsk is an order of magnitude lower than that presented in the Russian Federation, which is why many turn to clinics in Belarus - here eyelid correction will cost from 450 rubles.
Medical centers:
- MC "Kravira". St. Skripnikova, 11V.
- MC "Confidence". St. Pritytskogo, 39.
- MC "Edaran Medical". St. Lenina, 9.
Ryazan
The average price for correction of the periorbital zone in Ryazan is 25,000 rubles. The operation can be performed in the following clinics:
- MC "M-Clinic". St. Uritskogo, 45, lit. A1. Phone: 8 (953) 736-04-04.
- MMC "On Clinic". St. Kudryavtseva, 56. Phone: 8 (4912) 70-08-80.
- Clinic of actual cosmetology. St. Radishcheva, 11. Phone: 8 (4912) 95-28-28.
