To the plastic correction of the eye, middle-aged people most often resort to improving the shape of the eyes and giving them a younger and more lively appearance. Rarely people turn to it till 30 years, at this age the skin looks still well enough.
- 1 What is the essence of the surgery for eyelid plastic surgery?
- 2 Indications for surgical treatment
- 3 Plastic surgery of the eyelids: contraindications
- 4 Preparation for operation
- 5 Carrying out the operation
- 6 Features of the postoperative period
- 7 Consequences of plastic surgery( possible complications and risks)
What is the essence of the surgery for eyelid surgery?
The result of the surgery is to remove excess skin in the upper and lower eyelid, remove the fat deposits under the eyes( pouches) and fatty hernia, which causes the overhanging of the upper eyelid .During the operation on blepharoplasty, almost inconspicuous incisions are made in the region of the upper eyelid and below, under the lash line. At the same time, these sections are located in natural folds of the skin, due to which, after a while, they become almost invisible. This surgical intervention is carried out either in isolation or in combination with lifting.
For local anesthesia, local anesthesia is used and, if necessary, sedative drugs are used. The seams are removed on the third and fourth days, the external effect from the operation is noticeable after two weeks, but to achieve and evaluate the full result it is necessary to wait two to three months.
Hospitalization for interventions is not necessary and depends on the location of the patient's home. The cost of plastic surgery is available for most middle-class people. Indications for surgical treatment of
Indications for blepharoplasty are: the presence of bruises and bags under the eyes( excess skin and fatty hernias in the lower eyelid);Excess skin in the forehead and upper eyelids, which results in their overhanging of the eyelid edge;progressively increasing sagging of the eyebrows;stretched and unsightly skin - all that gives the eye fatigue and external unattractiveness. Sometimes the eyelids can sag to such an extent that they obscure the field of vision and interfere with normal vision. And in the elderly, the elasticity of the skin is reduced so much that the lower eyelid lag behind the eyeball, resulting in chronic inflammation of the mucous membrane of the eye and lacrimation. Moreover, in the formation of this phenomenon, not only the features of age matter, but also the hereditary predisposition and race belonging matter.
How does this characteristic deformation of the eyelids occur? At the heart of the appearance of bags are fatty hernias, which are areas of adipose tissue that protrude through a membrane that lies between the eyelid and the periosteum( an orbital septum).And although with age, there is weakness and stretching of this membrane, this does not lead to forward fat. As well as not increased production of adipose tissue. The basis is the shift down the eyeball due to a slide below the ligament that supports it, which leads to a decrease in the distance between the eye and the bottom of the orbit. And as a result of this, the fat extends anteriorly, and the eyeball moves posteriorly.
Plastic surgery of eyelids : Contraindications
As with any surgery, this operation is contraindicated in some pathologies:
- The presence of severe form of internal diseases;
- Diabetes is available;
- Pathology in the blood coagulation system.
Preparing for operation
The patient needs to understand for himself before the treatment( in order to avoid disappointment) that surgeons are not magicians and sometimes nature can not be deceived by .Therefore, some defects can be corrected, something can not be corrected completely, but something that can not be changed at all. It will not be possible to completely remove the bags under the lower eyelids, which slip onto the cheeks. Also, the problem may be the presence of a bone under the eye, swelling under the bone, a tendency to develop edema. But significant success in correcting the appearance, however, can be achieved.
In order to prepare for the operation, it is necessary to exclude medicinal preparations within two weeks prior to it, which may increase bleeding( aspirin and its analogs).Do not recommend plastic surgery in the summer and on critical days, as there is a higher risk of complications. Also advise to refrain from alcohol and smoking. Surgery is performed exclusively on an empty stomach, you can not eat and drink for six hours before it. Naturally, the face should not have makeup.
Obligatory before planning an operation is an ophthalmologist's examination to detect possible retinal problems and their correction.
Surgery is performed under local anesthesia or under intravenous anesthesia. The duration of the operation is not more than one and a half hours, stay in the hospital is usually a day( no longer required ).The patient is changed into hospital clothes, photographed, and then the surgeon applies markings on the patient's skin in the places where the cuts are planned.
The incision in the upper eyelid is made by a curve shape, in the form of a crescent, at a distance of no more than 1 cm from the edge of the eyelid, in the crease above the eye. The second cut of the skin( of the same shape) is done about a half inches from the eyebrow. These two lines limit part of the skin, which is subsequently removed, converging at the same time in the inner corner of the eye and outside in a natural fold. In the lower eyelids, cuts are made from a natural fold that is located in the outer corner of the eye, then led under the eyelashes to an angle inside, and then the area of the skin is later separated, which is then removed. After the excess skin is excised( sometimes partially removed and the muscle of the upper eyelid), the excess fat tissue is removed( usually about five hernias, two at the top and three at the bottom) and cauterization of small blood vessels. Then they cover the skin with a thin thread, put on a bandage for several hours, which is then changed to stickers that fix the lines of the cut of the skin. They must be worn for at least seven days. The pain syndrome is either not expressed, or is expressed slightly in the first hours after the operation.
Features of the postoperative period
In the first 30 minutes after surgical treatment, the patient is advised to press firmly the napkins that lie in front of the eyes, then ice should be applied to reduce swelling of the tissues. To relieve the unexpressed pain syndrome, which may appear after the local anesthetic effect has passed, it is recommended to use not potent analgesics. Removal of sutures is carried out for 3-4 days, up to 6 days they may not be cleaned. In the first couple of weeks after surgery, it is recommended to limit physical activity. Hematomas, which appear after a couple of hours after the operation, completely pass within two weeks. There may be( rarely enough) bruises on the eye proteins that pass through three weeks. There will also be swelling of the tissues around the eyes, which will disappear after 20 days, but the feeling of tension and heaviness in the eyelids can be troubling for quite some time. In addition, it is possible to erode eyelashes( because of their loss) and reduce the sensitivity of the skin around them.
Some precautions are recommended during the postoperative period: during the week it is necessary to wear sunglasses, for the tenth day we allow easy make-up, face massage for up to 1 month after operation is prohibited.
The postoperative period lasts up to six weeks. Patients consider themselves in a satisfactory condition after three weeks, but the final result is to be judged no earlier than in six months.
Consequences of plastic surgery ( possible complications and risks)
As with any operation, it is not always possible to avoid any undesirable consequences that can be:
- It is possible to develop an allergic reaction to medications;
- Inflammatory process in the postoperative period is rare, but it can not be excluded. For prevention, use of antibacterial therapy after surgery is mandatory;
- It is also a rare occurrence of the appearance of a keloid scar on the skin incision line, which is due to the individual characteristics of the organism and does not depend on the quality and technique of the intervention;
- There may be a violation of the shape of the eyes, in which the protein becomes slightly more visible than it should be. If this is not agreed before, then during the operation the change of form should not occur;
- If the skin is removed excessively, the lower eyelid can turn out, the eyebrow and the corners of the eyes can be lowered from the outside, which will give the patient a sad appearance. To avoid such moments, those patients whose eyebrows are too low near the eyes are advised to tighten the forehead and eyebrows;
- Possible development of tearing due to the presence of edema, which decreases as it falls off. However, with the formation of scars, the outflow of tears may persist;
- Doubling in the eyes appears due to a malfunction in the muscles of the eye. It usually stops within two weeks.
Complications of surgical intervention by an experienced surgeon and with proper marking are rare and easily overcome.
Surgical correction of the eyelids is the most complex and subtle intervention that is performed only according to indications established by a qualified specialist, as in some cases it is possible to use other methods of rejuvenation.
However, the possibilities of surgery are not unlimited, and the operation does not always allow you to completely remove a lot of small mimic wrinkles in the lower eyelid area that arise during the process of laughter or a smile. Since the cause of their appearance is the age-related changes in the skin structure and a decrease in its elasticity, the appearance of dryness and atrophy, and not its excess. The same applies to facial wrinkles in the outer corners of the eyes( the so-called "crow's feet") and in this case the problem is eliminated by circular face plasty.
A successful result of the operation will be a significant reduction or complete disappearance of bags, excessive skin and wrinkles above and under the eyes, facial rejuvenation, improvement of its appearance and expressive look.