Age-related changes in the eyelids can only be corrected by blepharoplasty - surgery for tightening the skin of the upper and lower eyelids. It is carried out solely for aesthetic purposes, but women are ready to endure pain and inconvenience postoperative recovery for radical rejuvenation.
After forty to fifty years, the only one real way get rid of problems age-related aging eye area, including lower eyelid hernias, severe wrinkles, sagging skin, is to undergo blepharoplasty. But in some cases it is possible to make a correction in a more early age. The operation is one of the most popular, because you can visually look ten to fifteen years younger.
Indications for correction
Why is eyelid surgery needed? The essence of the operation is the excision of excess skin and accumulations of fat. They are the ones who make your face look old and tired. Indications for a radical facelift are as follows:
- sagging skin upper eyelid on the area of upper eyelash growth;
- lack of a fold in the upper eyelid as a result of severe overhanging skin;
- formation of deep wrinkles in the lower eyelids;
- the formation of numerous wrinkles under the lower eyelids (“corrugated paper effect”);
- deterioration of vision as a result of severe sagging of the upper eyelid;
- permanent fat bags under the lower eyelids;
- a special structure of the upper eyelid that does not allow the use of cosmetics (natural overhang).
Before plastic surgery, you should check your health, as there are contraindications: bleeding disorders, oncology, skin diseases, diabetes, hyperthyroidism.
If there are no contraindications, the plastic surgeon will determine the condition of the skin, outline a plan for eyelid correction, conduct a consultation and schedule a day for surgery.
Types of blepharoplasty
What type of lift the surgeon decides to use depends on the specific problem. There are the following types of blepharoplasty:
- correction of the upper eyelid;
- changing the incision and shape of the eyes (canthoplasty, canthopexy);
- correction of the lower eyelid with simultaneous removal of fat accumulations in the intraorbital area:
- correction of the lower eyelid without removing fat depots (fat is redistributed over the eyelid area);
- simultaneous eyelid correction (circular blepharoplasty).
The surgical intervention is performed either under general medical anesthesia or under local, lighter anesthesia. Both options will not cause trouble, because in both cases there will be no pain.
Features of different types of correction
Upper blepharoplasty
The upper incision is made along the natural crease of the eyelid. The operation allows you to get rid of sagging skin, change the shape of the eyes, for example, carry out correction using the “Cleopatra look” technique. After healing, the seams are almost invisible and can be easily cosmetically disguised.
Lower eyelid blepharoplasty
In the lower eyelid, it is possible to either cut the skin along the eyelash line or penetrate (puncture) through the mucous membrane. In the latter case, we are talking about the transconjunctival method, which only allows the removal of fat bags, and therefore cannot be used in the presence of excess skin and deep wrinkles.
Circular blepharoplasty
Circular blepharoplasty makes it possible to solve several problems at once:
- correct drooping upper eyelids and drooping corners of the eyes;
- remove fat bags in the paraorbital area;
- get rid of wrinkles;
- correct the asymmetrical shape of the eyes.
This type of correction is most preferable for comprehensive relief from signs of aging. In combination with other methods of hardware correction (Fraxel, laser resurfacing, etc.) an amazing effect will be achieved that will last up to ten years. The seams are completely invisible.
Preparing for surgery
Eyelid lift surgery takes different time. This depends on whether the surgeon will work only on the upper eyelids, only on the lower eyelids, or on both eyelids at once. In addition, it also matters whether the excision is performed under local anesthesia or under general anesthesia. The decision is made before the procedure based on an initial examination of the skin structure, facial condition muscle corset, the structure of the skull bones, the presence of asymmetry, etc. You need to understand how much skin and fatty tissue will have to get rid of.
When deciding on anesthesia, it is important to inform your doctor about the facts of an allergic reaction, especially to medications and painkillers. Together with the client, the specialist will decide how the plastic surgery will be performed: under general anesthesia or local anesthesia.
Important: before surgical intervention no salon cosmetic procedures unacceptable.
The doctor must find out how much tear fluid is produced, for which he will conduct a special examination before the operation. It is necessary to promptly report existing eye diseases, for example, glaucoma or dry eyes. It is important to talk about the presence of chronic diseases (diabetes, dysfunction of the thyroid gland, hematopoietic organs, etc.) - all of these are contraindications for eyelid surgery. If the client is taking any medications and herbal remedies, he should tell the doctor about it. All this will help prevent dangerous bleeding during surgery.
After the examination, the surgeon must talk about possible consequences surgical intervention, since there are cases of atypical skin reactions both to anesthesia and to the effect itself. At the same time, he will explain what results should be expected after the stitches heal and prescribe tests.
Preparation period
Before the operation, the client must go through a certain preparatory period:
- drink a lot of water to ensure quick successful rehabilitation (you will have to drink water even after the operation is completed);
- completely give up nicotine, otherwise tissue regeneration will be very low and rehabilitation will be delayed;
- Avoid taking aspirin, anti-inflammatory drugs, homeopathic medicines, vitamin complexes not only on the day of the operation, but also three to four days before (they provoke bleeding, why risk it).
Local anesthesia or general anesthesia
If the operation is performed under local anesthesia, you will need the following: general tests, such as blood biochemistry, tests for blood clotting (coagulogram) and the presence of infections. You can get advice from a therapist and a specialist if you have a chronic illness.
If the operation is complex and takes place under general anesthesia, then you will need to not only take tests, but also undergo ECG procedure, take a fluorography or take an x-ray of the sternum, visit an anesthesiologist for consultation.
The choice between local anesthesia and general anesthesia is simple. If we are talking about circular plastic surgery, anesthesia is needed, because the time of exposure to tissue and mucous membranes increases. In addition, it is not painful at all, whereas under local anesthesia there may well be unpleasant sensations. If the surgeon is only working on the bottom or top of the eyes, local anesthesia can be used.
The operation is performed on an outpatient basis. After plastic surgery, the client must go home, but a loved one must be with him for the first 24 hours.
How is the operation performed?
Before the operation, the surgeon uses a special marker to mark the area to be treated, then injects an anesthetic (this may be painful). If the operation is performed traditionally surgical method, then a thin incision is made with a scalpel in the skin or in the mucous membrane of the lower eyelid (for transconjunctival plastic surgery).
Unnecessary tissue and fat bags are excised through incisions. The surgeon can simultaneously tighten the muscles and strengthen them. Sometimes the fat is not removed, but is redistributed under the lower eyelid.
The seams are sewn together with special threads, which, when absorbed, do not leave scars: the seams will be invisible. In some cases, the surgeon will also use a laser (which is not painful at all) to improve the condition of the skin. After restoration, grinding can be done.
Rehabilitation period
After the operation, it will take time to return to normal life and enjoy the effect that eye blepharoplasty gives. In advance, before going to the clinic, you need to prepare the following items:
- ice cubes;
- gauze napkins;
- pharmaceutical preparations for the eyes (the surgeon will prescribe them on the eve of the operation);
- painkillers or injections (some can cause bleeding, so it’s best to ask your doctor for a list of acceptable medications):
- the surgeon will tell you in detail how to do drainage and dressing (if necessary), which antibiotic to take.
The first time after surgery will be difficult for the eyes: they will begin to react more strongly to light, profuse lacrimation will appear, and double vision may occur. For the first two to three days, the stitches will stand out, swelling will appear, and numbness may persist - the consequences of local anesthesia or anesthesia. This is a normal reaction.
How long the swelling and hematomas last depends on the sensitivity of the skin. On average, recovery occurs on the seventh to tenth day. It shouldn't hurt, but there may be discomfort. You can apply ice compresses and take painkillers.
Under no circumstances should you take aspirin or naproxen. Taking ibuprofen and herbal supplements is prohibited.
Usually on the third or fourth day, pain relief is no longer necessary.
Removing stitches
On what day are stitches removed? The doctor will schedule the first consultation on the third postoperative day. If all is well, the stitches are removed. It doesn't hurt at all. If something alerts the doctor, he will advise you to wait a little longer, in which case the stitches are removed on the fourth day.
If your eyelids are very painful, there is swelling, redness, or the sutures are inflamed, you need immediate consultation with a surgeon.
Is blepharoplasty necessary?
I mean possible complications both during the operation and after, the question arises: is correction really necessary? If blepharoplasty is contemplated, only the patient himself can analyze the pros and cons in order to make the right decision.
Pros of the operation
- bags under the eyes will completely disappear;
- it won't hurt;
- the look will become younger and open due to the correction of the upper eyelid;
- in some cases, vision will improve (there are medical indications);
- the seams are invisible.
Cons of exposure
- results may not be seen immediately (at least on the thirtieth day, or even after one and a half to two months);
- long recovery period accompanied by discomfort;
- in some cases, a second operation will be required if there are deep wrinkles on the forehead;
- plastic surgery may not be successful, there will be no result.
Complications
You should not discount the complications that such a surgical procedure can cause:
- allergy to an anesthetic drug;
- hematoma formation;
- inflammation as a result of infection;
- scarring of tissue;
- formation of an inverted lower eyelid.
There are no medical indications for blepharoplasty, so you can make decisions on your own. What it will become depends only on the woman’s desire to become younger, more beautiful, remove bags and wrinkles, and look ten years younger.
Blepharoplasty is a plastic surgery that allows you to correct the shape of the eyes, remove drooping eyelids and bags under the eyes. Many women resort to such surgical intervention; the procedure is quite simple, easily tolerated, but requires effective pain relief.
Anesthesia for blepharoplasty can be general or local; what type of anesthesia will be used depends not only on the patient’s personal preferences, but also on the volume of the operation, associated disorders, tolerance of painkillers and a number of other conditions.
Types of anesthesia used for blepharoplasty
Blepharoplasty involves removing fat deposits and tightening muscles through incisions in the skin. Naturally, such manipulation is accompanied by severe pain, so it is impossible without high-quality pain relief.
Blepharoplasty can be performed under local or general anesthesia:
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- Local anesthesia- local anesthesia of the skin and subcutaneous fat in the affected area. That is, the introduction of a local anesthetic temporarily disables pain receptors specifically in the eye area, and allows operations to be performed without general anesthesia;
- General anesthesia. This term refers to intravenous or inhalation administration anesthetics, leading to inhibition of the central nervous system nervous system, as a result of which pain sensitivity disappears, muscles relax, reflex reactions are suppressed and consciousness turns off. Usage modern drugs allows you to select a dose that has minimal effect negative impact on the body and its effect lasts exactly as long as necessary for the operation.
Local anesthesia is often combined with sedation - administration sedatives. Their use slows down the functioning of the central nervous system, but at the same time the person being operated on is conscious.
What to choose - general or local anesthesia
What anesthesia is required for blepharoplasty? It is better to choose the type of anesthesia together with your doctor. Most patients prefer local anesthesia, but you need to know that such anesthesia is only possible if the correction concerns only the lower or upper eyelid. With such an intervention, the volume of the operation is insignificant and not particularly complex in terms of technique, so local anesthesia will allow the plastic surgery to be carried out efficiently.
Most doctors even prefer to combine local anesthesia with sedation, since this puts the patient into a shallow sleep, therefore relaxes and does not interfere with the doctor’s eyelid surgery.
General anesthesia is definitely used if circular blepharoplasty is necessary - simultaneous correction of the lower and upper eyelids, changing the shape of the eyes. Such an intervention requires more time and full concentration of the surgeon, and the effect of local anesthesia to comply with these conditions is insufficient.
When choosing an anesthesia option for blepharoplasty, not only the type of correction is taken into account, but also a number of other conditions:
- Patient's age;
- Psycho-emotional status. People with increased level anxiety, neuroses, suspiciousness and doubts, general anesthesia is recommended, since with local anesthesia there is a high probability that they will constantly distract the surgeon, which will not have the best effect on the quality of blepharoplasty;
- Tolerance of local anesthetics. A number of patients are allergic to medicines from this group, therefore they are indicated for general anesthesia;
- Diagnostic data. Before blepharoplasty, an extensive examination is required; it is also necessary to identify indications and contraindications for anesthesia.
Any anesthesia requires preparation of the patient, so the type of anesthesia is selected in advance.
Preparatory stage
Preparing a patient for blepharoplasty involves conducting a number of examinations, these are:
- Blood test, including blood clotting, sugar, infections;
- Fluorography;
- ECG - electrocardiogram of the heart.
Consultation with an ophthalmologist and anesthesiologist is required. If general anesthesia is necessary, permission from a physician or cardiologist will be required.
So that the operation itself is successful, and negative consequences did not occur, required:
- At least 3 weeks before surgery, stop smoking, drinking alcohol and using blood thinners;
- Compliance with diet therapy on the eve of blepharoplasty. The day before surgery, preference should be given to easily digestible foods; in the morning before surgery, you should not eat or drink.
The patient should be warned in advance about the type of anesthesia chosen, the characteristics of its effect on the body and the condition after the operation.
Features of local anesthesia for blepharoplasty
Pain sensitivity during local anesthesia is turned off in two ways:
- Application- apply cream or spray gel with anesthetics to the desired area of the body;
- Injectable- the anesthetic is injected under the skin using a syringe with a needle.
Blepharoplasty under local anesthesia carried out after injection of drugs. Application method for this type plastic surgery is not used, since external agents do not penetrate deeply and therefore do not affect the subcutaneous fat.
In most cases, injection anesthesia is performed with drugs containing ultracaine, lidocaine, and buvicaine.
Advantages and disadvantages
Blepharoplasty under local anesthesia is preferable to general anesthesia. The main advantages of such pain relief are:
- Insignificant risk of developing systemic severe complications possible due to the toxic effects of drugs used during general anesthesia;
- Ability to follow physician orders. During the operation, the surgeon may ask the patient to periodically close and open his eyes, which has a positive effect on the results of the correction;
- Short rehabilitation period after anesthesia. The patient can be under the supervision of clinic staff for only 2-3 hours, and then he is sent home.
Despite the obvious advantages of local anesthesia for blepharoplasty, this type of anesthesia is not always used. Its disadvantages are:
- Possible promotion blood pressure. During plastic surgery on the eyes, most patients are nervous, which often leads to increased blood pressure. This condition does not threaten health, but increases the risk of bleeding, which complicates the surgeon’s work;
- Risk of allergic reactions to the anesthetic used;
- Inability to use local anesthesia for extensive surgery. Most often, local anesthesia is prescribed for upper eyelid blepharoplasty. When correcting a defect by lower incision is carried out from the inside and this is not always possible if the operated person is conscious.
Stages of surgery under local anesthesia
Blepharoplasty under local anesthesia is carried out in several stages:
- The doctor uses a special marker in the area of intervention to mark areas that need correction;
- The skin is treated with an antiseptic;
- Local anesthesia is performed;
- After turning off pain sensitivity, the surgeon proceeds directly to blepharoplasty.
The duration of the procedure is about 40 minutes, sometimes a little more or less. During this time, the anesthesia will remain in effect. But if pain occurs, you must immediately inform your doctor about it - additional administration of the medicine again blocks pain receptors.
Feelings during blepharoplasty under local anesthesia
There is no pain during eye and eyelid correction under local anesthesia. However, the person being operated on is conscious and may experience some discomfort:
- When the injection is administered, it feels quite strong pain, but it lasts literally seconds and you need to endure this time;
- Pressure on eyelids from using instruments. At this time, complete calm is required from the patient, since both the quality of blepharoplasty and the absence of complications after the operation depend not least on this;
- Stinging in the eyes from bright surgical lights. During upper eyelid surgery, the eyes are closed, but sometimes the surgeon may ask them to open, and temporary blindness may occur when looking at a bright light source located opposite;
- Nervous tension, which can cause tachycardia, excessive sweating, weakness, and fainting. If the patient is predisposed to such mental changes, then it is better to use local anesthesia together with sedation.
Approximately 1-2 hours after blepharoplasty pain no, but then pain may appear. If their intensity is high, you can take a painkiller recommended by your doctor.
Possible complications of local anesthesia
The most dangerous thing that can happen is local anesthesia, - allergic reaction, which in severe cases can lead to anaphylaxis and angioedema. Fortunately, such complications occur extremely rarely.
The development of Quincke's edema and anaphylaxis requires immediate attention. medication assistance. Therefore, blepharoplasty should be done only in those clinics whose offices have a first aid kit for providing emergency care, and in the institution itself there is an intensive care unit.
Other complications of local anesthesia include:
- Impaired spontaneous breathing. This complication occurs in people with severe pathologies of the respiratory system, but usually any local anesthetics are contraindicated for them, so the diagnosis must be carefully carried out;
- Hematoma formation due to puncture of the vessel at the time of injection. The complication is not dangerous, the bruising goes away within a few days;
- Infection. The ingress of pathogenic microorganisms at the time of injection is possible if the rules of asepsis and antisepsis are not followed.
Blepharoplasty under local anesthesia does not lead to unwanted complications, if all indications and contraindications are fully established before the procedure, and the surgeon strictly follows the technique of administering the injection and performing plastic surgery.
Blepharoplasty under general anesthesia
General anesthesia can be intravenous or inhalational. When performing blepharoplasty, preference is increasingly given to TIVA anesthesia - modern way blackouts.
The abbreviation TIVA stands for total intravenous anesthesia, which uses only a mixture of drugs injected into a vein. Inhalation medications Anesthesia is not used to inhibit central nervous system in this type of anesthesia.
The main advantages of TIVA anesthesia:
- There is a slight likelihood of nausea and vomiting after anesthesia;
- Hemodynamic stability of the patient;
- Lowest risk of toxicity for the patient;
- Reduced pressure inside blood vessels;
- Fast recovery period after surgery.
TIVA anesthesia provides automatic administration of a pre-calculated dose of anesthetics and continuous monitoring of the patient's condition. Total intravenous anesthesia can also be used if the patient has permanent form arterial hypertension.
General anesthesia, unlike local anesthesia, ensures complete relaxation of the muscles and switches off the patient’s consciousness, which allows the doctor not to be distracted during blepharoplasty by factors unrelated to the course of the intervention.
After general anesthesia, the likelihood of systemic adverse reactions high. But their development depends mainly on how correctly the dose of the drug is selected. When calculating it, the patient’s weight, age, and presence of concomitant diseases. Therefore, only a qualified anesthesiologist can give high-quality anesthesia.
The time has come when cosmetical tools They no longer allow you to look 10 years younger - droopy eyelids show your age, no matter how hard you try or cover it up. They say different things about blepharoplasty: the operation is easy, like going to the dentist, the rehabilitation period is from two to three weeks, the next correction will be required no earlier than in 7 years.
I have no time to think - it’s already 50 years. I went to the clinic after reading reviews. It’s surprising that the doctor I chose based on reviews practices practically next to my house. I counted it happy sign. I didn’t even have time to comprehend everything that happened then - I called the clinic to find out about a consultation, they said, come over now. I drove up, talked with the doctor for five minutes, and immediately made an appointment for tests and surgery. Less than a week later, I got new eyes.
So, we were shown into the room and given disposable underwear. The surgeon came and took photographs. The anesthesiologist took me to the operating room. There I was chained to the table with a belt, on my fingers. right hand They put clothespins on, determined the oxygen level, put a cuff on the left forearm - the pressure was monitored throughout the operation. They covered her with a sheet up to her eyes and injected a sedative into her vein.
The doctor came, drew future incisions on the eyelids, and warned that he would carefully place injections. Indeed, very carefully, with a thin needle, I numbed the eyelids first, then with a thick needle I injected the required amount of painkiller.
To the right and left, two shadowless lamps shone - a little bright, uncomfortable. The operation lasted about an hour and a half, the doctor and I talked constantly. There were almost no unpleasant sensations, only at the end, when we worked on the lower eyelids, it became a bit painful. The doctor sewed the stitches, adding anesthesia.
After the operation, I got up myself and went into the room. There was no dizziness, double vision, watery eyes, and there was no pain either. They put an ice compress on my eyelids and I lay there for about an hour. then they sent me home. An hour later I was already driving my car without feeling any discomfort.
The first day was strange - it’s not very comfortable to be indoors wearing glasses. There was no pain. The most difficult thing was sleeping on my back, half-sitting. The first few days I didn’t watch TV, I listened to audiobooks all day long. You shouldn't strain your eyes.
Today is day five and I feel much better. The most hard days the second and third - the swelling is severe, there is still blood on the napkins. Now nothing bothers me except the itching from the stitches. By the way, the stitches were not removed; they will be removed on the eighth day.
The face, of course, is very scary in the first days, the bruises are a frightening color. But gradually they become yellow. You cannot smoke or drink alcohol two weeks before the operation and two weeks after; you need to limit yourself as much as possible in salt. Now I apply Traumeel C and Venalife to my bruises, and apply cabbage leaf compresses twice a day. Rehabilitation is still in full swing. It’s as if my eyes are not mine, but I already like me.
What I can confirm or deny: the operation is really painless, no worse than going to the dentist. Rehabilitation period Personally, mine turned out to be longer than even when they cut out the cyst from my gums. But dental intervention at that time postoperative period was more painful, more painful. Rehabilitation after blepharo does not fit into 2-3 weeks, I can already feel it. As for everything else, we'll see.
Added.
Today is day 9. The stitches were removed yesterday. Bruises remain, but without swelling and are easily masked with concealers. There is practically no swelling, the right one remains slightly swollen in the morning upper eyelid. The scabs from the seams have almost come off; when the seams are completely clean, you can take off the glasses.
I would like to give recommendations for quick rehabilitation. In addition to sleeping on my back on high pillows until the stitches were removed, I took Hypotazid 25 mg once a day, half a tablet, for swelling. To strengthen blood vessels and prevent the formation age spots(it’s still summer) Ascorutin 3 times a day. I lubricate the seams only with Chlorhexidine, moistening it cotton buds. Twice a day I apply Venolife ointment and Traumelgel C gel to the bruises in turn. Several times a day I apply very thin plastic sheets of raw potatoes, almost transparent, to the hematomas. Before going to bed, I also apply cabbage leaves, first cutting them crosswise. Thanks to these procedures, within a week the terrible hematomas turned into small bruises.
Today I warmed the blackness of the bruise with dry heat, using boiled potatoes in their jackets. The ink color turned to red. It is very effective, but you can start warming up the hematoma only when the swelling has completely disappeared.
Added.
3 months have passed since the operation. The seam on the left upper eyelid is absolutely invisible, on the right it is bright pink, if you do not cover it with shadows, it is visible. I’m used to the face, but if you don’t look at the photos, it seems like it was like that.
I thought that after three months the operation would be nothing but memories, but this is not the case - rehabilitation continues. Only now the numbness of the upper eyelids has gone away, although closer to the inner corner it still persists. Interesting sensations during the transition from the cheeks to the lower eyelids - itching-not-itching, difficult to explain. Those who have undergone surgery say that it is the nerves that are sprouting))) Maybe so. More pleasant than not.
It still hurts to put pressure on the suture of the upper eyelid - the suture from appendicitis has not hurt for so long. I really want to rub my eyes very hard, I start to rub, and I am afraid that the stitches will come apart. In general, I’m already tired of everything, I want to forget. Now I doubt that the seam on the right eyelid will ever lighten.
I’ll wait, maybe in six months after the operation everything will finally go away.
Added.
1.5 years have passed since the operation. The white seams with stitches on the eyelids are still visible. The left eye is in a natural fold, almost invisible, but right eyelid It even shows very easily where the operation took place. If I didn’t use decorative cosmetics every day, I’m sure some attentive friends would ask questions.
The pain has gone away, but numbness in the upper eyelid closer to the inner corner remains.
The lower eyelids have not acquired folds, but they no longer have tone; you cannot hide your age.
And the main conclusion: everything is correct - it was necessary to have an operation. Despite the fact that “wow didn’t happen,” the gaze remains open, the shape of the eyes is not Buryat, like all my elderly relatives. If I changed something, it would probably be the doctor. But how can you guess? The reviews were the best.
Good day to you!
Based on recent memories, I would like to tell you about my blepharoplasty. I myself searched as much as possible detailed review, so I’ll try to explain everything down to the smallest detail.
I dreamed of surgery for a long time, because I got my dad’s eyes with a drooping upper eyelid, and I constantly heard: “Why are you so sad? Did something happen?” If you are reading, then most likely you are familiar with this. I am 27 years old. The age is no longer young, but it’s not fading either, so when else, if not now, should you start becoming a beauty?)
Photo "BEFORE" general plan just like that. You can see that the skin lies on the eyelashes.
By the will of fate, I ended up in the city of Noyabrsk and found out that “Doctor - Golden Hands” operates with them. And that’s it, I decided - here and as soon as possible.
So:
Place of operation - Central City Hospital of Noyabrsk
Name plastic surgeon, unfortunately, the site rules prohibit disclosure.
The cost of the operation is 13,705 rubles.
The cost of the ward is 5781 rubles/day
The cost of tests is 3824 rubles.
The cost of medicines is 2500 rubles.
Plastic surgeon.
Of course, I reviewed all his available works, a couple of broadcasts from operations on Instagram, found out that he is constantly improving his skills, first went for Botox, for a consultation, and was confirmed in my decision. During the operation, I trusted Georgy Yuryevich more than myself.
Consultation.
At the consultation, the doctor looked at me, told me about the operation, set a date (in 6 days, luck was favorable to me, since the appointment was half a year in advance), and gave directions for tests. He told me to take gel glasses and sunglasses with me. You will also need a robe and personal hygiene products if you stay in the hospital overnight.
By the way, the operation was scheduled 5 days before menstruation. It is not recommended to be so close to it, but I had no choice.
The next day at 8 a.m. I arrived at the hospital with directions, paid at the cashier and got in line.
You only need to donate blood from a vein (several tubes):
Day of surgery 06/19/2017
At 8 am I came to the hospital to register. The procedure, as it turned out, was long: get a referral from the head nurse, fill out a medical history, pay, go to the ward. By the way, I ate and drank last time the night before (I don’t know which is correct).
The nurse said she would give the history to the doctor, and he would accept it as time permits. That is, I sat and waited. I took a photo of the peephole BEFORE:
And then they came for me)
First they gave me an intravenous antibiotic. Then in the ward they had to undress completely, including underwear and all jewelry, put on a robe and go to the operating room.
Somehow everything happened so quickly that fear didn’t have time to come to me)
Operation.
In the room in front of the operating room, I again took off everything and wrapped myself in a sheet, they put rag shoe covers on my feet, and a cap on my head. And let's go...
The operating room looks creepy, large, bright, tiled (maybe it’s just for me). I lay down on the table. The nurses were preparing instruments. I still haven't seen my doctor. A quiet panic began. And then I hear him: “Hello.” I don’t remember the last time I was so happy)))
The doctor took a photo and marked my eyes. I lay down again, they covered me with something heavy, wrapped my head, wiped my face....
The doctor said the operation will last 45 minutes.
It was approximately 12.30.
I had local anesthesia .
First, an anesthetic injection with adrenaline in the eyelid, as it seemed to me, at several points - it hurts a little, but you can endure it for a few seconds.
Then I felt a strong hand press on my forehead (I didn’t immediately realize that they were cutting me at that time). Absolutely no pain. Only very bright light when the skin was cut.
And stitching - you only feel the tension of the skin.
The second eye is naturally all the same.
Experiences and struggle with them.
I’ll say right away - everything that concerns surgical procedures, even on the screen, makes me tremble and feel weak all over my body. And yes, now I feel like a heroine)
What do I need helped me control myself :
1. Complete trust in the surgeon.
2. No pain.
3. Beautiful eyes in the near future.
4. Music in the background)
5. Pride in your resilience.
6. Almost sleepless night (due to anxiety I hardly slept and sometimes dozed off during the operation).
After operation.
While they were taking me to the ward, twice I crawled from couch to couch, then to the bed.
The doctor said to lie with your head elevated for 3-4 hours, apply cold for 20 minutes every hour. They immediately put ice on me while my glasses were freezing.
At 2 p.m., lunch was brought, and soon the doctor arrived. I sat up and opened my eyes for the first time. I could only look down) The doctor said everything was fine and allowed me to eat.
At about 4 p.m., I felt a sharp rush of blood to my eyelids, and they began to swell. The seam in the corner of the nose began to bleed. My eyes were watering. As it turns out, this is the norm.
At 19:00 I was allowed to go home, where I immediately went to bed.
Day one 06/20/2017
It was not possible to get a good night's sleep, half sitting and controlling myself so as not to roll over on my side. I put an orthopedic pillow on a regular pillow and fixed my head as best I could.
I was prepared for the fact that I wouldn’t be able to open my eyes at all, because the swelling grew for 2-3 days, but it wasn’t that bad. I went to the dressing room, where everything was washed and a new bandage was applied. It was already possible to go about your business. Only I could see very poorly through the slits, and only if I lifted my chin.
Day two 06/21/2017
The swelling began to subside... fall down along with the hematomas. It's a little easier on the eyes. But there was another problem - a bruise on the white of his right eye. It doesn't interfere, but it looks scary. WITH sunglasses I don’t leave at all, even when visiting (my relatives know and understand, but it’s still a spectacle).
Connected care:
Lyoton - 3 times a day on the lower eyelid for bruises.
Aloe Gel - on halves of a cotton pad and as patches under the eyes. I read that aloe resolves bruises and also moisturizes.
Lymphatic drainage massage - lightly pressing your fingers, without stretching anything, along the orbital bone.
Day three 06/22/2017
Bandaging again. Emoxipin (3 times a day) and Tabrodex (6 times a day) were prescribed to be dropped into the eyes.
You can even look almost up. Feels like the patch is rubbing. The seams don't itch.
And again oh-oh-oh! The right eye does not close completely. I really hope this is due to swelling.
Day four 06/23/2017
It’s noticeable how my eyes bloom and the swelling goes away))
What problems does blepharoplasty solve?
Eyelid surgery in most cases is the correction of various age-related changes: hernias of the lower eyelids (in common people they are called bags under the eyes), sagging skin, wrinkles. Depending on the indications, plastic surgery of the lower, upper or both eyelids is performed. In more rare cases, blepharoplasty is used to correct birth defects and change the shape and size of the eyes.
Where do bags under the eyes come from?
As some people age soft fabrics(skin, orbicularis oculi muscles) lose their elasticity. Subcutaneous fat accumulates, resulting in the formation of hernias or so-called bags under the eyes. The formation of hernias is influenced genetic predisposition and lifestyle - poor nutrition, lack of sleep, overload, stress, alcoholism. Some women face this problem after giving birth. Sometimes, due to anatomical and genetic predisposition, hernias occur in adolescence at 15-16 years old and then they can be corrected.
What types of eyelid surgery are there?
There are two main types: classical and transconjunctival. The classic version is performed on the lower and upper eyelids: the hernia and overhanging skin of the upper eyelid are removed. Transconjunctival blepharoplasty only relieves hernias. It is usually done at the age of 30-35, when there is no sagging skin yet. After such an operation there are no scars left, because the incision is made under the skin, on the mucous membrane of the lower eyelid. It is done with a scalpel or laser. Operations in both cases give the same results. The laser makes the operation less traumatic, as it immediately seals the vessels, the bleeding stops, and bruises do not form.
The type of blepharoplasty is chosen according to the indications: if you need to have plastic surgery of the upper and lower eyelids due to a hernia and excess skin, then it is recommended to do a classic operation. Yes, a century after classical operation white stripes-scars remain, but it is not possible to remove excess skin in any other way.
Is it possible to get rid of hernias without surgery? For example, adjust your diet and rest regime?
A hernia, if it has formed, will not go away on its own. If a person leads healthy image life, gets enough sleep and eats right, but he has bags under his eyes - this is an aesthetic problem that requires a surgical solution. But many live with bags under their eyes and are successful in all respects.
What still makes you go for plastic surgery?
Patients say that this cosmetic flaw really prevents them from feeling confident at work and at home. They are irritated by bags, drooping eyelids, and feel physically uncomfortable. Moreover, men undergo blepharoplasty not much less often than women. But the men hide the fact that they went through the operation. And women are increasingly no longer ashamed of aesthetic operations and openly talk about them.
Are there any contraindications?
Contraindications may be cardiovascular diseases in severe form, diabetes, blood diseases, progressive myopia, oncology and other diseases that pose an immediate threat to life.
Does blepharoplasty require special preparation?
They prepare for it in the same way as for any other operation. The preparatory complex depends on the method of anesthesia: local or general. Before surgery with local anesthesia, it is enough to undergo standard examinations: blood tests for biochemistry, general tests for infections and coagulogram (clotting). You may need to consult a therapist or specialist who is seeing the person for some reason. chronic disease. For example, see a cardiologist for heart problems. If the operation is planned under general anesthesia, an ECG, fluorography or x-ray will be needed chest and consultation with an anesthesiologist.
What determines the choice between general and local anesthesia?
How difficult is blepharoplasty?
It has been done for a long time and is well proven; it does not pose a danger to life and health. But any wound can fester, become inflamed, and the stitches can come apart. Most often we are talking about aesthetic complications. Jeweller's precision is needed, then scars will not be noticeable and the patient will be satisfied. But various asymmetries occur, including inversion of the lower eyelid. This occurs due to the cutting of an excessive amount of soft tissue of the skin, then the cartilage of the lower eyelid cannot stand it and pulls down. Ophthalmological complications are also possible. The mucous membrane is indirectly affected, sometimes conjunctivitis, keratitis, lacrimation, and dry eyes develop. But these are rather exceptions to the rule and are quite rare.
Is it possible to correct the consequences of an unsuccessful operation?
Any unsuccessful scar can be corrected, but only after six months. If postoperative suture It's broken, it needs to be stitched up right away. It will look unaesthetic, but you will have to be patient. After six months, you can make a correction.
How quickly does the patient leave the hospital and return to normal life?
If the operation was performed under anesthesia, the patient remains in the hospital overnight and goes home the next day. You can leave after surgery with local anesthesia within a few hours.
As a rule, sutures are removed on the 4-5th day. They usually return to work after two to three weeks, when the swelling goes away. Some go to work the day after surgery. It depends on whether the patient wants to hide the operation or not. After 2-3 months, no traces remain. All scars completely disappear.
Are there any peculiarities of recovery after eyelid surgery?
The skin of the eyelids is very delicate; after plastic surgery, bruising and swelling appear. On the 4-5th day the swelling goes away, but the bruise remains for 10-14 days. The average recovery time is 2-3 weeks. For some it heals faster, for others it heals more slowly. No special medications are prescribed after surgery. At the patient's request, physiotherapy is performed to speed up healing. Before the stitches are removed, you cannot wash your face because of the special bandages on your eyelids. For two weeks after surgery, you must remain calm and avoid lifting heavy objects. You can resume sports activities after a month.
Does eyelid surgery solve the problem for life or does it need to be repeated periodically?
It all depends on your lifestyle. As a rule, this operation is repeated after 10-15-20 years.
Choose!
Experts often have different opinions. Where one recommends blepharoplasty, another recommends a forehead lift and lipolifting, a third recommends thread lifting, a fourth recommends correction with endotins, and a fifth thinks that deep peeling will help you. At the same time, everyone will convincingly prove that they are right, citing many reasonable arguments. Whose recommendation to choose is up to you.
Personal experience
Tatyana, 49 years old, veterinarian
I had lower eyelid hernias. I felt uncomfortable because of this. At first I wanted to remove only the hernia of the lower eyelids, but then I decided to tighten the upper eyelid and completely put my eyes in order. I had surgery about 4 years ago.
The operation took place under local anesthesia. It is quite painful and generally an eerie feeling. The most difficult test is being injected with painkillers before surgery and pulling out hernias. Then the excess skin is cut off and stitched. The operation lasts 30-40 minutes. Then I lay with ice for about an hour or two. Anesthesia before the eyes and after the operation is felt quite strongly: the eyes see double or triple. I walked staggering, as if I was carrying a vessel of water and was afraid of spilling it. I went home the same day.
Before the stitches were removed, I slept for 3 days, half-sitting; sleeping as usual (especially on my side), bending over, making sudden movements, and lifting anything heavy during this period is prohibited. If blood rushes to the eyelids, a hematoma may form. After 3 days, the stitches were removed. I had no bruises or hematomas, only a slight yellowing, and, of course, fresh scars stood out under my eyelashes. After 2 weeks I went back to work. Almost nothing was noticeable. The only thing is that the shape of the eyes changed after the operation, became more rounded, and thin seams under the eyelashes still remain.
Maxim Osin:I recommend performing upper and lower eyelid surgery under general anesthesia. And local anesthesia is used when it comes to surgery of only one eyelid; when correcting both eyelids at once, surgery under local anesthesia is difficult to tolerate. White stripes-scars on the eyelids really remain forever.
Nina, 46 years old, manager
In the first days after the operation, I went on business, left the house, went to the car, it seemed to me that it was faulty. I leaned over to check if everything was okay. The blood rushed to the face and a hematoma formed on the eyelid. I had to cut it again and clean it out. This still left a stain. As a result, I had this operation again, but with a different doctor.
Maxim Osin: When bending over, a bruise sometimes forms, and the stitches may come apart. Therefore, it is recommended to avoid such situations: do not bend over too much so that the blood does not rush to your face, do not understand heavy weights, etc. But this is not a rule, but rather a matter of chance. For some this happens, others behave as usual after the operation and no problems arise. Of course, it's better not to take risks.
Anastasia, 38 years old, housewife
Six days ago I had blepharoplasty of the upper and lower eyelids (transconjunctival). I look at myself in the mirror and it seems that my eyes are completely different now. One eye looks more open than the other, and the stitching on it seems to be pulling. And it feels like the seam on one eye is lower than on the other. The operation was performed by a good surgeon, according to reviews from his patients. And I myself can’t believe that a surgeon could allow such a defect in his work. Relatives console me, they say that I am finding fault with myself, others cannot see my contrived shortcomings.
Maxim Osin:A week after the operation, it is impossible to assess the result. It will be visible only a month later. IN in this case the defect may be caused by swelling and will disappear over time.
Victoria, 42 years old, accountant
I had upper blepharoplasty 3 months ago. One eye was more open than the other, and there was excess skin hanging over one eye. It seemed to me that the doctor removed too little. I thought that I would have to operate on this eye again, but then gradually everything fell into place. Now everything is fine, although the stitches are at different levels. On one eye the seam is completely invisible, on the other - if you know about it. As I was told, the seams may be slightly asymmetrical, since the eyes and folds of the upper eyelid do not have symmetry.
Maxim Osin:Indeed, if there is asymmetry before surgery, it persists after it.
Alla, 45 years old, lawyer
I chose my surgeon quite carefully. The doctor needs to instill confidence. During the consultation, the doctor truthfully explained that he would not be able to perform transconjunctival blepharoplasty on me. I'm over 40, so I need to do classic blepharoplasty. It will leave behind excess skin, which you will have to deal with later. But he promised to remove the bags under my eyes and showed me how beautiful I would be after the operation. She was operated under general anesthesia. A week after the operation, the stitches on the upper eyelids were more noticeable than on the lower ones. One eye was watering, I couldn’t see well - there was a feeling foreign body, so I used special drops. A week later, there was almost no scar under this eye, under the other it was barely noticeable, but a bag remained, as if there was no operation. It resolved only after 5 months.
Maxim Osin:The patient's age is important. If a person is over 40 years old, there is drooping eyelids and wrinkles, then transblepharoplasty cannot solve all problems - you need to choose the classic option. The bags and swelling disappear completely after a month, but sometimes they can remain for a longer time. Everything here is very individual.
Anna, 42 years old, manager
Just a couple of months ago, I took bags under my eyes for granted. I went to a cosmetologist to get a Botox injection. The cosmetologist said that hernias under the eyes can be removed and advised a doctor. I read reviews on the Internet and came across the concept of “transconjunctival blepharoplasty”. I went for a consultation, where a surprise awaited me: it was too late for me to do this type of plastic surgery, only the classics. On the 3rd day after the operation, the swelling had almost subsided, leaving only yellow bruises under the eyes. Everything looked pretty decent, only there was a clear wrinkle under the right eye, but it was there before the operation.
Maxim Osin: Transconjunctival blepharoplasty can only get rid of hernias. It is done at the age of 30-35, when there is no such problem as sagging skin. Later, more radical solutions are needed, so classic blepharoplasty is done, it removes wrinkles.
Especially for men
Mikhail, 37 years old, manager
Two weeks ago I had lower eyelid surgery. There were no indications to operate on the upper . There are no longer any traces left, except for barely noticeable scars in the corners of the eyes. I think they will disappear in a couple of weeks. Everything took place under local anesthesia. Unpleasant feeling from the first injection, as in dental treatment, and then when the hernia is pulled out. I can't say it hurts, but rather unpleasant. In general, everything is painless: both the operation itself and after it there is no pain. I even regretted that I did not come in my own car.
Maxim Osin: Indeed, if the upper eyelid does not droop, then you can limit yourself to plastic surgery of the lower one. This operation is quite easy under local anesthesia.
