The eyes, in addition to the function of the visual analyzer, are involved in the expression of the face and carry an important communicative load, as they certainly and primarily evaluated at the time of communication with another person. An open view radiates an attractive aura of health, cheerfulness and youth. On the contrary, when the eyes lose shine behind hanging heavy centuries with many wrinkles and folds, a person is perceived by tired, sick and aged. Fortunately, modern plastic surgery allows you to level many age changes, as well as adjust the constitutional-conditioned (hereditary) features that give the effect of "tired" view, with the help of blepharoplasty.
Every year, more and more women and men come to us to get rid of wrinkles and folds in the field of eyelids, bags under the eyes. Properly performed blepharoplasty gives an excellent result. At the same time, there is a huge potential for negative manifestations, when the operation method is defined incorrectly or implemented with technical errors. Blefaroplasty is not such a simple operation, as it seems to many: both patients and novice surgeons. The eyelids are difficult and are an actively functioning "body". In pursuit of beauty, it is important not to disturb the main purpose of the eyelid - eye protection. The principal position of modern blepharoplasty is an individual approach that takes into account the features of anatomy and aesthetic preferences of each patient. In order to implement this principle in practice, there is a whole set of methods and techniques for the correction of the eyelids and adjacent periorubital field.
Vladimir Karpyuk
The upper blepharoplasty is done to eliminate the hanging of the flabby skin, remove the weighting eyelids of the protrusion-hernia of intraorbital fatty fiber, recreate the natural fold of the upper eyelid. When planning this operation, it is important to understand the causes of the occasion of the eyelids. It can be both true excess of flabby skin, the so-called blefarochaalysis and the omission of eyebrows due to the relaxation of the skin of the forehead. In the latter case, another operation is a frontal-temporal lifting.
The goal of the lower blepharoplasty is to remove the bags under the eyes, eliminate the skin's flabbiness and reduce the wrinkles of the lower eyelids, return the tone of the circular muscle, restore the "young" relief of the bottom half-corrosion, save or recreate the almondless eye cut. The first stage is the removal of fat hernia through the incision of the conjunctiva from the inside of the century. Then the excess skin of the lower eyelid is excreted by the fierce access. Such an approach allows you to leave the eyes uncured circular muscle and avoid severe complications.
If the patient is concerned only the bags under the eyes, and the skin of the eyelids without significant excess, retains the turgor and elasticity, can be performed transconductivative blepharoplasty. In this method, the fat hernias of the lower eyelids are removed through the incision from the inside of the century. Naturally, no visible scars remains. Transconjunctive blepharoplasty is often combined with a laser grinding age. Treatment of the eyelid laser gives the effect of suspenders and serves as an alternative to resection methods.
Old rapid aggressive excision of the skin and other tissues of the eyelids should be rejected instead of a weighted modification of tissues to save and improve not only appearance, but also a function. Therefore, we all often do not remove the fat hernias of the eyelids, but send them to keep the support with the eyeball and not get the effect of the "impossible" eyes. Or redistribute fat hernias along the lower edge of the orbit, to make a less deeply porgious tear furrow and thereby smooth the transition between the lower eyelids and the cheek.
In some cases, work in the lower eyelids is complemented by the correction of the middle third of the face, which gives the comprehensive transformation of appearance.
In order to compensate for the involutive changes in the soft tissues of the eyelids and the periorubital region, the contour and volumetric plastic is actively used, the so-called lipophiling (it is also lipotransfer, lipographing), as well as regenerative therapy with stem and stromal cells.
In some cases, work in the lower centuries is complemented by the correction of the middle third of the face, which gives a comprehensive transformation of appearance
Photo: pexels.com.
Modern blepharoplasty is a safe surgical intervention, which can be performed in most cases under local anesthesia with preliminary introduction per hour before the operation of tranquilizers and analgesics. There is an operation from half an hour to 2 hours - depending on the volume of intervention. In the clinic, the patient remains under the supervision of 1.5 - 2 hours. In the house, the patient for a week applies over the eyelids to the eyelids for disinfection of the seams line and decrease the swelling. Postoperative scars can remain pink for several weeks. After 2 weeks, they can be camouflage with cosmetics. The edema of the eyelids also runs about these deadlines - 2-3 weeks. It is recommended to avoid staying in the sun for 6 months, using high-quality moisturizing hypoallergenic creams.
Many years of experience of plastic surgery makes it possible to minimize the likelihood of complications, nevertheless the patient should be aware of the possible negative consequences of blepharoplasty. In the twists of the century (ecredopion) is possible with inadequate excision of excess skin, denervation of circular muscle with a detachment of the skin-muscular flap. "Round Eye" - when the edge of the lower eyelid saves the edge of the lower eyelid and the white strip of the sclera is exposed, has the same reasons that turnu. It can also be temporary due to pulling up the edge of the century during the healing period. The effect of the shoulder eye may occur as a result of excessive removal of fat hernia. Bleeding from small vessels of the eyelids in the course of the operation is easily eliminated. In hypertensive in the early postoperative period, an increase in blood pressure is possible, leading to bleeding. To prevent this, it is necessary to observe the clinic in the early postoperative period, the control of blood pressure at the discharge and home. Scars after blepharoplasty very rarely worried patients. Problems are possible with complicated healing. Inflammation of the operated century is possible, especially if you do not comply with the recommendations for the care and processing of the line of the seams. Quickly fits upon timely appeal to the doctor and starting treatment. The asymmetric appearance of the eyelids may well be observed within a few weeks after surgery due to uneven swelling, different speeds of adaptation of tumaled tissues. The operation can provoke an exacerbation of the "dry eye syndrome", so it is important to undergo a thorough examination at the oculist before the operation and fulfill its recommendations.