How I did blepharoplasty - personal experience. Contraindications for blepharoplasty: internal and external factors Is it possible to do blepharoplasty in the summer

Blepharoplasty is a cosmetic surgery aimed at removing bags under the eyes and rejuvenating the eyelid area. In order to answer the question of how many times blepharoplasty can be done, you need to know about the features of different types of surgery.

Speaking from a strictly medical point of view, this cosmetic surgery has no age restrictions. The technology of its implementation allows you to do without the formation of scars, that is, postoperative traces will not be visible.

For example, blepharoplasty of the lower eyelids in certain cases can be performed on the inside. That is, the incision is made on the inside of the eyelid. Thus, the postoperative scar will not be visible in principle.

Blepharoplasty is performed in several ways:

1. Bags under the eyes are removed using punctures. The result of this operation is the correct shape of the eyelids, and a general anti-aging effect is achieved.
2. Removal of excess, stretched skin.
3. Combined method. It includes the use of the first and second techniques. Thus, it is possible to achieve the greatest effect.

Important

However, the operation has no age-related restrictions. As a rule, in the absence of additional indications, blepharoplasty is performed after reaching 40 years of age, which is associated with age-related changes in the eyelid area.

However, if there are indications such as drooping eyelids or fat bags formed at an early age, surgery can be performed at 30 years of age, or even earlier.

How many times can lower eyelid blepharoplasty be done?

The suture on the lower eyelid is located at the edge of the eyelashes; postoperative sutures are removed after a few days. After the same time, the swelling disappears and the bruises disappear.

The operation itself is performed under local anesthesia. Thanks to the technology used, it is safe and has an extremely low risk of complications.

After the operation, some restrictions must be observed:

• Your eyes will need rest, so you need to give up TV, computer, and reading for a few days.
• If you use contact lenses, you will have to give them up for a while and generally take extreme care in caring for your eyes.
• Make-up and bright sunlight should be avoided. Wearing dark glasses for one to two weeks is recommended.
• Avoiding drinking alcohol and quitting smoking, which in itself is good.

So how many times can you do lower eyelid blepharoplasty? The resulting effect typically lasts for 7 years or longer. In principle, repeat surgery may not be necessary at all.

However, if after seven or more years, a repeat operation is still required, then there is no reason not to do it. Thus, blepharoplasty can be performed regularly.

Is it possible to make a correction after eye blepharoplasty?

If the desired result is not obtained, correction will be required after blepharoplasty.

When answering the question whether correction can be done after eye blepharoplasty, you should understand that each person’s body reacts to the intervention differently. Some people, for example, often have stretch marks around their eyes.

The lack of the desired effect is not necessarily due to the doctor’s mistakes; it is often impossible to achieve the desired result in one go.

Correction can be done several months after the first operation. As a rule, it should take about six months.

In this case, the determination of the need for correction is made by a doctor, since only a professional can determine when it can be carried out and whether it is needed at all.

Repeated blepharoplasty is done in cases where the effect of the first operation is reduced. Bags under the eyes reappear, and the achieved contour of the eyelids changes.

Repeated surgery can be done when the effect begins to decline. This can happen after 7 or more years.

However, any surgical intervention results in the formation of scars. This effect on the skin cannot be done too often, so much depends on the condition of the skin and its ability to recover.

The better and more successful the initial operation, the longer it will be before the need for repeat blepharoplasty arises. Perhaps such a need will not arise at all.

As a rule, blepharoplasty is done in combination with other cosmetic measures. This is the approach recommended by cosmetologists.

Important

In this case, it is possible to achieve the maximum effect, and recovery after surgery will take the same time, which will allow the patient to correct age-related and other defects in one go.

It is necessary to note the safety of the operation and the absence of serious contraindications. The main thing is to choose a professional clinic, which will serve as an additional guarantee of the quality of the operation and the long-term preservation of the achieved effect.

It must be remembered that cosmetic operations, including blepharoplasty, are carried out only on the basis of a license to carry out this particular type of activity.

“They've smeared again! I'm tired of it! - at the age of 27, I stopped drawing arrows on my eyes, because they lived there for about two minutes, no more. Something bad happened to my upper eyelids. At some point, there was too much skin on each eyelid, and it gathered into an additional fold, which, firstly, hung unsightly over the eye, adding age to me; and secondly, it instantly turned even the most persistent shadows, pencil, liquid eyeliner - whatever. Both of these circumstances irritated me beyond belief, but what made me even more angry was the realization that nothing could be done about it. Apart from plastic surgery, of course. At that time I was not ready for blepharoplasty for many reasons. For example, it seemed to me that this was a method of desperation, which was resorted to exclusively by women aged 50+. But I’m still wow! Plus I was scared. I'm scared as hell of injections, drills, and even drawing blood from my finger - but I'm generally silent about the surgical scalpel. So for several years I watched in horror in the mirror as my eyelid drooped more and more, I was upset, but... I did nothing.

Everything changed last summer. I needed a photo to apply for a visa. I quickly went to a photo studio, took a photo and asked them to send it to me by email. I opened the file and was horrified. A sad, tired woman was looking at me from the photograph. And most importantly, this woman was old. Mommies, is it me, or what? In my “good thirties” I should look much better. I smiled ingratiatingly at the reflection in the mirror - it didn’t help, the picture was the same. Then I realized that it was time to act. The fear of looking terrible overpowered the fear of the scalpel.

My extra fold of skin on the upper eyelid is due to genetics. The eyelids of my mother and grandmother look exactly the same. The second thing that I was unlucky to inherit from them was dark circles and hollows under the eyes, a real panda-look. No “anti-circle” creams work, I’ve tested it on myself many times. It is also impossible to cover it up with concealer: after half an hour there is no trace left of it.

In general, I gave up and went to my “on duty” clinic “Beauty Time”. It was there that several years ago they proved to me in word and deed that Botox injections are not a horror-horror, the pain is minimal, and the hated wrinkles have no chance. By the way, I can’t stand pompous phrases like “my wrinkles are a chronicle of my wonderful life.” Personally, I don’t need any wrinkles, and in general I think it’s stupid to put up with imperfections that I don’t like. In short, we need to cut!

Exactly a week passed between the day of the fateful decision and the day of the operation. On Thursday I consulted with a surgeon - I was lucky; the head physician of the clinic, Otari Gogiberidze, undertook the operation. He also advised me to do lipofilling of the lower eyelids along with blepharoplasty of the upper eyelids - that is, to fill the hollows under the eyes with my own fat cells, as a result of which the hollows will decrease and the dark circles will lighten. Looking ahead: this manipulation really solved both problems perfectly; I now use concealer only in case of severe lack of sleep.

On the same day (remember, it was Thursday) I consulted with an anesthesiologist and chose local anesthesia. On Friday I did an ECG, passed a general urine test and blood tests: for blood type and Rh factor, for HIV, hepatitis B and C, syphilis, for blood clotting, as well as a clinical analysis. On Monday I sent the results to the clinic by email, the doctors liked everything, and on Thursday at 10.00 I arrived for the operation. First, I filled out a stack of papers: personal data, information about past illnesses, consent to manipulation, to anesthesia, etc. Then I was invited into the ward, where I changed into disposable underwear and a gown, had an express consultation with a surgeon, and at the same time received a sedative injection. Markings were applied to the eyelid area with a marker. Then events developed rapidly: an operating table, treatment and disinfection, rubber pads under the skin in those places where it comes into contact with the table (the operation is not carried out with an ordinary scalpel, but one powered by electricity), anesthesia. According to allergy tests, I have a risk of an allergic reaction to lidocaine, so they individually selected another drug for me, and an anesthesiologist was on duty in the operating room just in case.

Either thanks to the relaxation injection, or a positive attitude, I wasn’t the least bit afraid, but my arms and legs were shaking involuntarily - this is what the autonomic nervous system is doing, the surgeon explained. However, the trembling soon passed. During the operation, I was fully conscious, although in a slight fog, I heard everything and even managed to carry on a conversation. Blepharoplasty works like this: with a scalpel, the surgeon makes a longitudinal incision in the center of the upper eyelid, excises excess pieces of skin and then stitches. In this case, the threads used are not self-absorbing, but regular ones, so that no scars are guaranteed.

So, the stitches are applied, and lipofilling of the lower eyelids is next. Fat cells are collected from the inner thighs with a blunt cannula, then they are processed and cleaned, and then injected into the lower eyelid area. Honestly, when later in the photo I saw the size and thickness of the cannula that was used to inject fat cells under the skin around the eyes, I felt uneasy. Although in reality there were no sensations, much less unpleasant ones. By the way, lipofilling is also good because it is absolutely safe for allergy sufferers like me: the adipose tissue is its own, native, and does not cause a negative reaction from the body or rejection. After the lipofilling procedure was completed, strips were applied around my eyes - very thin sterile patches that are not afraid of water or touch and support the skin so that the puncture sites and sutures do not come apart even by a hundredth of a millimeter. Thick pads made from bandages were applied to the puncture sites on the thighs.

Immediately after the operation, I walked to the room with my own feet and went to bed. An hour and a half later I woke up wildly hungry, the nurse brought me an afternoon snack (tea with lemon, still water, yogurt, cookies and something else tasty). I lay down for a couple more hours, after which I received a discharge and instructions from Otari Gogiberidze: treat the upper part of my face with chlorhexidine, sleep on my back, and come back every other day to remove the stitches. Then I got into the car and calmly drove home. What is most surprising is that neither that day nor the following days I experienced any pain at all, and even after the anesthesia wore off, I did not take a single painkiller tablet. After the experience, the eyes, of course, looked like slits, but they opened and closed cheerfully - without the slightest effort or pain. Hematomas were also present, but I didn’t see them because of the patches.

The next morning, my temperature rose slightly to 37.2 degrees, the swelling intensified, and it was difficult to open my eyes. The puncture sites on my thighs bled for exactly 24 hours, so I didn’t remove the bandage pads. The sensations in the muscles of the legs were like after a long and furious workout - and so on for a couple of days. On the second day after the operation, when I went to the clinic to remove the stitches (they left the strip patches), I felt normal, the swelling of the eyelids noticeably decreased.

I wore strips for a total of 9 days. For walks and shopping - wear sunglasses, for work - without. For a moment, our office has 26 floors and about 2000 employees. So, not one of them asked why I was covered with bandages. I can’t understand, either they really didn’t notice, or they showed tact. I wasn’t embarrassed at all by my, to put it mildly, strange appearance. And when the patches were removed from the eyelids, dream skin was revealed underneath. For the first time in my life, I had no dark circles, and the skin under my eyes became childishly tender and swollen. Korean fashionistas would be jealous: they paint the trendy “pads” under the eyes with shadows, but I don’t need to paint anything - everything is natural.

A few weeks after the operation, the fat cells pumped under the skin of the lower eyelids were finally distributed and took their rightful places. The seams have become even more invisible (now they are almost impossible to see). And I confidently do my makeup, knowing that the arrows will not turn into dirty wavy lines, and the mascara will not be imprinted on the upper eyelid. Needless to say, I don’t regret what I did; moreover, I think: “Why didn’t I decide to have the operation earlier?”

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Blepharoplasty is one of the most popular surgeries today! When and in what cases should it be done? We asked Sergei Aleksandrovich Kolesnikov, plastic surgeon, candidate of medical sciences, to answer these and other questions.

Hello! I have one eyelid drooping more than the other and this has been happening since birth... can this be fixed? how much is it? What consequences? How quickly can this be fixed?

Apparently, you have congenital ptosis of one eyelid (sagging). Surgical correction can be performed. The operation is performed under local anesthesia or sedation. The operation involves wearing a bandage on the operated eyelid for 6-7 days. The sutures are removed on the 7th day. The operation costs 40,000 rubles. We can talk about the consequences only after examination and assessment of the degree of ptosis.

I wanted to tighten (raise) my eyelids. How effective is this procedure in clinics? How long does the operation and postoperative period last? What is the complexity of the operation (risk), the cost of the operation in Russia?

The effectiveness of an eyelid lift is determined by the degree of age-related changes. The more pronounced they are, the more noticeable the result of the operation will be. The operation lasts: upper eyelids (both eyes) – 40 minutes, lower eyelids – depending on the method of operation, from 60 to 80 minutes. The operation is classified as simple, if there are no pronounced age-related changes. Risks are also determined by the degree of age-related changes. The sutures are removed after the eyelid lift on the 4th day, the swelling goes away after 5-9 days, although the latter is quite individual.

Good afternoon I am 26 years old, and I have had bags under my eyes almost since childhood... I always have them, regardless of whether I got enough sleep or not, drank water at night, etc. In addition, deep wrinkles have formed on the bags (2 under each every century). What can be done? Thanks in advance for your answer.

Without seeing you it is difficult to answer this question correctly. It may be possible to perform transconjunctival blepharoplasty - when hernial formations are removed through a puncture of the conjunctiva of the lower eyelid or the hernial formations are moved in such a way as to reduce the severity of the nasolacrimal groove.

I am 38 years old. I had plastic surgery 2 years ago. My upper eyelids are already starting to droop slightly again. How many times can you have plastic surgery on your eyes?

As a rule, when repeating upper eyelid blepharoplasty, it makes sense to simultaneously perform an endoscopic brow or forehead lift. This will correct sagging upper eyelid skin, as excessive removal of upper eyelid skin can lead to undesirable aesthetic and functional results.

At what age is it better to have blepharoplasty? Are there any restrictions or recommendations regarding this?

Indications for blepharoplasty are determined by the condition of the skin and fatty formations under the skin of the upper and lower eyelids. There are several types of blepharoplasty, which differ in the degree of aggressiveness. Depending on the degree of age-related changes, one or another operation is performed. Usually people resort to blepharoplasty starting at the age of 22-23.

Our expert - plastic surgeon Dmitry Skvortsov.

Eyelid surgery is a simple operation, however, like any other, it requires a serious approach. The correction method is selected by the surgeon individually and only after the patient has passed all the necessary examinations.

From below, from above or in a circle?

There are different types of eyelid surgery. There are blepharoplasty:

• Lower eyelids. It is most popular among middle-aged women. Indicated for excess fat deposits in the depression of the lower eyelid and the presence of fatty hernias (that is, those same hated bags under the eyes). With age, the muscles weaken and the lower eyelid droops, which contributes to the accumulation of excess tissue. During the operation, the surgeon makes an incision along the edge of the lower eyelid, which subsequently makes the suture invisible.
• Upper eyelids. It is performed for drooping of the upper eyelid (blepharochalasis). This defect can occur over the years, but it also occurs in young people. It is believed that blepharochalasis may be associated with endocrine and vascular disorders, neurotrophic disorders, genetic predisposition, inflammatory diseases of the eyelids, and others. If the overhang is small, it’s not a problem, it can be regarded as an individual feature (after all, drooping eyelids didn’t stop Claudia Schiffer and Brigitte Bardot from becoming stars!). But if you wish, you can resort to upper eyelid surgery. The incision is made in the area of ​​the natural fold of the upper eyelid, which makes it subsequently invisible. Along with the excision of excess skin, fat accumulations on the upper eyelid are also eliminated.
• Circular. This is a comprehensive correction of the lower and upper eyelids. Allows you to solve several problems at once, such as sagging upper eyelids, fatty hernias, bags. Postoperative stitches are also invisible, since the incisions are made under the lower eyelash line and in the natural crease of the upper eyelid. Often this operation is combined with laser resurfacing, which gives a more impressive effect.
• Transconjunctival. This is a modern and gentle technique for eliminating lower eyelid hernias, in which the incision passes directly through the conjunctiva, through which excess periorbital fatty tissue is removed. The operation takes place under local anesthesia and leaves no scars. With laser transconjunctival blepharoplasty, the rehabilitation period is shorter and the risk of complications is minimal.
• Ethnic. Plastic surgery of Asian eyelids is a jewelry work that requires impeccable knowledge and skills from the doctor. Changing the shape and shape of the eyes is achieved by forming a fold in the upper eyelid.

Complete speculation

Myth No. 1. Blepharoplasty is a simple operation with no contraindications.

Like any other operation, eyelid surgery has a number of contraindications: for example, general surgical (blood diseases, diabetes mellitus, cardiovascular, infectious and other diseases), as well as increased intraocular pressure, infectious lesions of the cornea, high myopia, recent operations on eyes.

Myth No. 2. Eyelid correction can only be done under general anesthesia.

In most cases, local infiltration anesthesia is used in combination with intravenous sedation. General anesthesia - according to individual indications. The choice of pain relief is up to the anesthesiologist.

Myth No. 3. The effect of blepharoplasty is entirely up to the surgeon.

Blepharoplasty is a low-traumatic and effective method, but only if the patient and the doctor act together. The first week after surgery is the hardest. The patient should be prepared for swelling of the eyelids, decreased skin sensitivity, hemorrhages and pain. Using cold compresses and pressure bandages will help prevent the formation of hematomas and reduce recovery time. Complications in most cases are associated with the fact that the patient does not follow the doctor’s recommendations.

Myth No. 4. The aesthetic result is visible within a week.

The result can only be assessed when the tissue is restored, and this can take six to seven weeks. Any surgical operation causes lymphatic drainage and disruption of microcirculation, so swelling and bruising cannot be avoided. However, if you follow all the doctor’s recommendations, rehabilitation can be reduced to two weeks. Lymphatic drainage massage, microcurrent therapy, non-injection mesotherapy, and a course of physiotherapy can speed up the recovery period. Physical activity is excluded at this time, as is alcohol and even the use of cosmetics.

Myth No. 5. Blepharoplasty eliminates eyelid hernias once and for all.

This is a misconception, since during the operation excess paraorbital tissue is removed, but the zone itself remains unchanged. However, re-removal of hernias is rarely attempted, since the effect of blepharoplasty can last 7-10 years, sometimes more.

Myth No. 6. After eyelid surgery, vision may deteriorate.

The intervention occurs on the appendage apparatus of the eye, while the eyeball itself is not affected. After blepharoplasty, vision, on the contrary, may improve if there was severe sagging of the upper eyelid before the operation. In addition, after eyelid surgery, you can safely continue to use lenses, with the exception of the first week after surgery.

Myth No. 7. Blepharoplasty is performed 3 times in a lifetime.

If there are indications, then it can be performed three or five times. The duration of the effect depends on the patient’s lifestyle, hygienic eyelid skin care, and age-related changes. On average, the result lasts up to 7 years.

Singer Gabriella

I have a good attitude towards any plastic surgery. If for some reason I need such an operation, I will definitely do it. I have already had more than one plastic surgery and I know what it is. You feel renewed and confident, which is very important for a woman at any age.

Eyelid surgery or blepharoplasty is a plastic surgery that allows you to strengthen the muscle tone of the upper or lower eyelid and get rid of excess skin and fatty tissue.

Blepheroplasty helps get rid of fine wrinkles, swelling and bags under the eyes, and can eliminate ptosis (drooping of the upper eyelids). With this procedure, you can eliminate asymmetry, excess skin on the upper and lower eyelids, and tighten the corners of the eyes.

Most often, the need for blepharoplasty of the upper or lower eyelids occurs by the age of 35–40, but it can also appear at an earlier age. Recently, a special type of procedure has become popular - “Asian eye blepharoplasty”. This operation allows you to correct the shape of the eyes and the appearance of the eyelid.

Blepheroplasty of the lower and upper eyelids

Most often, the operation is performed under local anesthesia; at the patient’s request, additional sedatives or general anesthesia are used.

Upper eyelid blepharoplasty is the most common surgery. The essence of its implementation is a surgical incision of the palpebral fold with subsequent removal of adipose tissue and excess skin.

Blepharoplasty of the lower eyelids is a more complex and delicate procedure, which, when performed correctly, has impressive results. During this procedure, an incision is made under the eyelash line.

The operation time does not exceed 1.5–2 hours. After the surgeon’s work is completed, sutures are applied and covered with bandages. After the procedure, the patient, accompanied, can immediately go home.

Transconjunctival blepharoplasty

Transconjunctival blepharoplasty specializes in correcting lower eyelid defects. In this type of procedure, the incision is made not under the eyelash line, but on the inside of the eyelid. When performing transconjunctival blepharoplasty, excess skin is not removed, but the procedure has a number of advantages.

• Eliminates swelling under the eyes for a long time;
• the procedure is safe and more gentle;
• the risk of noticeable scarring is very low;
• the recovery period is shorter compared to surgical intervention through the skin of the eyelids;
• the likelihood of complications is much lower;
• the shape and shape of the eyes does not change;
• facial expressions are not disturbed;

Due to the fact that with transconjunctival blepharoplasty access to fatty tissues is somewhat easier, eliminating its excess has significant results.

Indications for transconjunctival blepharoplasty

• moderate age-related changes in the middle third of the face and the skin of the lower eyelids;
• border between cheek and eyelid;
• tear troughs;
• "bags under the eyes"

However, transconjunctival blepharoplasty is not suitable for those who have deep wrinkles and excess skin of the lower eyelid. This procedure can be replaced by classic percutaneous blepharoplasty in combination with anti-aging procedures.

Laser blepharoplasty

Laser blepharoplasty is an excellent alternative to classical surgery using surgical instruments. Laser blepharoplasty of the lower and upper eyelids helps get rid of “bags” and hernias under the eyes, sagging skin, deep and fine wrinkles (“crow’s feet”).

There are two types of laser blepharoplasty - traditional and pseudo-blepharoplasty. In the traditional procedure, the operation is performed according to the same principle as classic blepharoplasty, with only one difference: surgical instruments are replaced with a laser. In the second case, the laser affects only the surface of the skin. Using laser pseudo-blepharoplasty, you can get rid of the early signs of aging.

The duration of blepharoplasty using a laser ranges from 30 to 90 minutes. The operation is performed mainly under local anesthesia. After the procedure, barely noticeable stitches remain. During surgery, no stitches are visible on the inside of the eyelid.

If local anesthesia was used during the operation, then after 2-3 hours the patient can be accompanied home. When using general anesthesia, you must remain under medical supervision for another 1–3 days.

Advantages of laser blepharoplasty over surgical:

1. Minor damage to the skin of the eyelid (minor punctures and cuts).
2. In combination with anti-aging procedures, for example, laser resurfacing, the effectiveness of the procedures increases significantly.
3. Fewer contraindications.
4. Shorter rehabilitation period.
5. Acceptable prices.

Rehabilitation after blepharoplasty

After traditional blepharoplasty with surgery, patients often experience swelling and discomfort in the operated tissues, bruising and dry eyes. Painful closing of the eyelids due to tension and swelling of the skin is considered normal. Only 1–2 months after the operation, the eyelids will take on their final appearance.

Recovery period by day

1–3 days. The manifestation of swelling, most often accompanied by bruises. After three days, swelling and bruising begin to decrease.

Day 4 The eyelid with stitches remains slightly swollen with small bruises.

5–6 days. Residual hematomas remain. The removal of stitches is prescribed, after which red scars remain.

7–10 days. Bruising and swelling almost completely disappear.

In the next two to three weeks after surgery, slight asymmetry of the operated eyelids is observed.

Possible complications after blepharoplasty

If blepharoplasty is unsuccessful, complications such as:

• Hematomas (accumulation of blood clots under the skin);
• Retraction of the lower eyelid does not allow the eyes to close completely;
• Heavy bleeding in the first few hours after surgery, less often after 3–5 days;
• Seams coming apart;
• Increased lacrimation.

How to reduce the risk of complications

The first and main criterion that will help you avoid complications after blepharoplasty is choosing a competent specialist. And to avoid problems in the postoperative period, you must follow all the doctor’s recommendations.

• After the operation, special sterile dressings are applied to the incision lines, secured with adhesive tape, and removed after 3 days. The sutures are treated with antiseptic ointment, which may cause temporary visual impairment.
• The occurrence of hematomas can be prevented by applying cold compresses during the day after the procedure.
• For pain relief, only medications prescribed by a doctor are taken.
• To avoid dry eyes, use eye drops for 2-3 days after surgery.
• After removing the stitches, it is not recommended to strain your eyes. Excessive tension can cause bleeding and bruising, as well as changes in the shape of the incisions.
• In the first two weeks you should stop using contact lenses.
• Avoid sudden turns and tilts of the head.
• Do not take a hot shower or bath.
• From the 15th day, perform special gymnastics that relieve discomfort and stimulate restoration of the tone of the circular muscles.
• It is better not to use cosmetics for 1–2 months to avoid allergic reactions.
• In the first 3-4 months, it is necessary to limit the consumption of water and salt.

After 1.5–2 months, a scar forms at the site of the incisions and swelling disappears. The result of the operation can be assessed after 2–10 months. If during the rehabilitation period (2–4 months after surgery) the patient follows all the doctor’s recommendations, the effect of the operation will last for 8–10 years.