The eyelids are a unique facial feature that perform not only a whole range of practical functions, but also play a huge aesthetic role. Eyelid surgery, or blepharoplasty (from the ancient Greek βλέφαρον — lid), is an operation aimed at changing the shape of the eye and form of the lids whose main purpose is to achieve the desired aesthetic effect. During surgical intervention, the skin cover is excised and the excess fatty deposits are removed.Indications for surgery:
- sagging, weakened skin of the upper lid, distorting the contour of the eye;
- excess fatty deposits of the upper or lower lid, causing puffiness;
- “heavy” lids;
- drooping lower lids.
Blepharoplasty makes it possible to get rid of excess skin and fatty bulges, eliminate existing defects, reduce the visibility of age-related changes, and change the shape of the lids and eyesSurgical types and techniques
The scope and specifics of the procedures are determined by the specialist, based on the physiological particularities of the patient and in view of their individual wishes. A distinction is made between the following types of eyelid surgery:
- Circular blepharoplasty — encompasses the upper and lower lids.
- Upper blepharoplasty — operation on the upper lids; performed through an incision in the natural crease of the lid, it makes it possible to remove excess fatty deposits and skin, tighten the tissue and muscles of the lids.
- Lower blepharoplasty — performed on the lower lids; the excision and removal of adipose tissue is performed through an incision on the inside of the lid (transconjunctivial surgery) or on the outside, directly under the lash line.
- Asian eye-reshaping surgery with correction of the upper lid and smoothing of the epicanthus.
Moreover, blepharoplasty can be performed in combination with other types of surgery (endoscopy of the forehead, circular face-lift, etc.). The operation is performed under general or local anesthesia and lasts for 1.5-3 hours.
Rehabilitation period and recommendations
Initial post-op recovery takes one-two weeks. In the event the operation is performed under general anesthesia, the patient should be admitted to the clinic for 24 hours. For the first 3-4 days after eyelid correction, antiseptic eye-drops should be used. It’s at this point that the sutures are removed. Swelling and bruising subside in 1.5-2 weeks. The sutures dissolve over the course of 3-4 weeks. During this period of time, sun exposure should be limited, visiting the sauna and solarium is not recommended. Full recovery takes 1.5-2 months. You can also read the diary of one of our patients describing all of the nuances of blepharoplasty, and read the comments of the anesthesiologist and plastic surgeon who performed the operation.Contraindications
Contraindications for blepharoplasty include: pancreatic diabetes, worsening chronic illness, conjunctivitis, blepharospasm, blood diseases, blood-clotting problems, acute and chronic eye diseases, venereal disease.