Blepharoplasty: everything you wanted to ask the doctor about

Anesthesia or local anesthesia? When performing certain plastic surgeries, the patient can independently choose one of two proposed options. If you decide to have a traditional abdominoplasty, then anesthesia will definitely be chosen, even without your participation. But if you just want to have eyelid surgery, then here you can express your preferences regarding pain relief. Blepharoplasty is sometimes performed under local anesthesia, which pleases patients who want to avoid complete immersion in sleep during surgery. What are the obvious and not noticeable features of eyelid correction under local anesthesia?

How to get flawlessly youthful eyes for 10 years or more

You are probably considering blepharoplasty. Choose a surgeon and clinic.

You've probably already read that eye rejuvenation usually involves removing excess skin in the upper and lower eyelids, as well as fatty hernias that give the effect of bags under the eyes.

You have already been promised that a youthful look will delight you for 7-10 years...

Unfortunately, this is false information.

Firstly , in a smoking and nervous metropolis, the result of classical eyelid surgery lasts no more than 5.

Secondly , few people know that the technique of performing classical blepharoplasty was finally formed by 1950 and has undergone virtually no changes since then!

Indications for upper eyelid blepharoplasty

Mostly, upper eyelid surgery is used due to age-related changes in the eye area. Often, lower blepharoplasty is performed simultaneously with the upper one.

Indications:

• Excess skin;
• Drooping eyelid (congenital feature);
• Loose skin;
• Wrinkles;
• Irregularities of the upper eyelids, asymmetry.

In addition to age-related indications, this operation is performed on patients with congenital features and eyelid defects. In this case, the aesthetic task is on par with the functional one, since sometimes excess skin on the upper eyelid contributes to poor vision.

Features of the postoperative period

4-5 days after blepharoplasty, the previously applied sutures are removed. During the rehabilitation period, bruising may be observed in the first week, and swelling may persist for up to two weeks. Already 7-10 days after plastic surgery, the patient can return to a full life, and the effect of blepharoplasty will be observed from the first days. Being one of the most effective and painless ways to correct your appearance, blepharoplasty will be an excellent tool for achieving your own ideal.

The cost indicated in the price list of leading clinics in Moscow assumes a comprehensive payment for the operation described above + a daily hospital stay with 3 meals a day. Delay in the clinic beyond the established period (including meals) requires an additional payment of 8,000 rubles per day.

List of analyzes

• Complete blood count (8 main indicators), erythrocyte sedimentation rate (ESR);
• Leukocyte formula;
• General urine analysis with sediment microscopy;
• anti-HCV, antibodies;
• HBsAg;
• HIV 1.2 Ag/Ab Combo (determination of antibodies and p24 antigen);
• Treponema pallidum, antibodies;
• Alanine aminotransferase (ALT);
• Aspartate aminotransferase (AST);
• Total protein in whey;
• Total bilirubin;
• Serum urea;
• Plasma glucose;
• Blood type ABO;
• Rh factor;
• Coagulogram No. 1 (prothrombin (according to Quick), INR);
• Fibrinogen;
• Electrocardiography (ECG);
• Chest X-ray.

How is surgery without stitches possible?

The secret to correcting the lower eyelids without applying suture material is to work from the inside of the eyelid - through the conjunctiva of the eyes. The conjunctiva is the thin membrane that lines the back of the eyelids and the eyeball. The surgeon makes an incision not on the skin, as happens during classic blepharoplasty, but from the mucous membrane. The wound is very thin. The eyelid serves as a natural barrier to prevent infection.

No visible traces of intervention remain. This is the main advantage of this technique.

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Contraindications to upper blepharoplasty

For a number of reasons, a plastic surgeon may recommend postponing blepharoplasty or refusing to perform the intervention altogether.

Contraindications:

• Chronic and infectious diseases in the acute phase;
• Poor blood clotting;
• Oncological diseases;
• Uncompensated diabetes mellitus;
• Dry eyes;
• Diseases of the cardiovascular system;
• Pregnancy, lactation;
• High intraocular pressure.

How can a plastic surgeon help?

Liposuction

Liposuction is not a weight loss method, but a local removal of fat traps. During the operation you can get rid of a maximum of four to five liters of fat. This is the volume that is considered safe for the patient’s health. It is clear that with a lot of weight, this figure is insignificant. Therefore, it is impossible to radically lose weight using liposuction.

Abdominoplasty

Abdominoplasty is a plastic surgery that allows you to correct the shape of the abdomen. It is performed if the weight has already been lost, stabilized and it is necessary to get rid of the so-called sagging skin flap on the abdomen. As a rule, abdominoplasty is combined with liposuction. As a matter of fact, in most cases, tummy tuck begins with liposuction. This is necessary so that the flap of skin moves better and is more mobile. Also during the operation, diastasis is sutured (this is a discrepancy in the rectus abdominis muscles, which is often found in women who have given birth and those who are obese). As a result of abdominoplasty, we get a flat stomach and a narrow waist.

How long does it take to recover after surgery?

Typically, on average, patients require about two weeks of recovery for upper blepharoplasty and about three weeks for lower blepharoplasty. Accordingly, a combined lift will also require about three weeks. In fact, the sutures heal almost completely within a week after surgery. Patients can easily carry out their usual activities without experiencing any pain or any significant discomfort. However, traces of the operation will still remain on the eyes in the form of small bruises and swelling. As a rule, the vast majority of patients do not want to appear in this form in public places or in front of colleagues, so the entire rehabilitation process takes from 2 to 3 weeks.

Advantages of blepharoplasty at ART-Clinic

Online consultations for patients from the regions

A team of highly qualified specialists with extensive experience

Modern minimally invasive techniques of operations and reconstructions

Affordable prices, promotions, discounts, installments

The ART Clinic employs a close-knit team of surgeons who are experts in the field of facial plastic surgery. Our experience includes thousands of successful facial surgeries. The practice is supported by constant advanced training and a serious scientific base - our plastic surgeons have academic degrees in medicine and are the authors of progressive techniques.

If your eyelids look heavy, swollen and generally give your face a tired, gloomy look - sign up for a consultation at ART-Clinic by calling +7 495 150 23 32 and (calls within Russia are free) or using a special form and find out how you can restore youth and beauty to your eyes.

Rehabilitation

You need to be prepared for swelling and bruising after the intervention. After 6-12 days, the face returns to normal.

How to care for your eyes:

• compresses from green tea bags several times a day for a week
• using antibacterial drops
• to reduce swelling and hematomas, use “Troxevasin gel” or “Badyaga” cream
• do not strain your eyes, do not work at the computer for several days after surgery

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Will wrinkles disappear after surgery and will my face look tight?

The goal of blepharoplasty is not to get rid of wrinkles, but to make the look more youthful and open, to get rid of excess sagging skin that forms a tired, shabby appearance. The main goal of the operation is to create a natural look without disturbing the normal anatomy of the eye and the balance of all parts of the face. Therefore, blepharoplasty performed by a skilled doctor will not cause a tense appearance. On the other hand, it will not be able to get rid of all the wrinkles above the eyes, under them, and especially on the forehead. After removing excess skin, the eyes take on a fresh look, and some of the small wrinkles are usually smoothed out, but the large ones remain in their place. In order to get rid of wrinkles, fillers or lipofilling should be additionally considered.

Who is the procedure suitable for?

Indications for intervention include age-related changes and congenital pathologies of the upper eyelid:

• loose overhanging skin;
• wrinkles, creases and folds;
• fatty hernias;
• overhanging soft tissues, provoking the effect of a sad and tired look;
• congenital or acquired asymmetry;
• hypertrophy of the circular muscles in the periorbital zone;
• swelling;
• turning of the eyelids.

In some cases, cosmetic imperfections cause both psychological and physical discomfort. Over time, upper eyelid ptosis can lead to blurred vision, drooping eyelashes, and eye irritation. The constant need to strain the facial muscles to keep the eyes open leads to the formation of wrinkles on the forehead, in the area of ​​the nasolabial folds and other areas.

Contraindications:

• pregnancy and lactation;
• increased intracranial or intraocular pressure;
• myopathy;
• corneal infections;
• impaired blood clotting;
• oncological pathologies;
• exacerbation of chronic diseases and infections;
• rehabilitation after ophthalmological interventions.

Possible complications after blepharoplasty

The most dangerous complication of local anesthesia is an allergic reaction to the components of the drug, which can lead to anaphylactic shock. To avoid this, the surgeon and anesthesiologist examine the patient's health status and, if there is reasonable doubt, perform a sensitivity test. This test is also performed at the request of the patient. But even if the test turns out to be positive, then with the wide variety of modern anesthetics available today, it will not be difficult for doctors to replace the substance in the drug that causes an allergy in the patient.

Side effects of local anesthesia may include puncture of the vessel, which will cause the patient to feel a burning sensation during the injection. After surgery, puncture of the vessel may lead to the formation of a bruise. There is also a risk of impaired spontaneous breathing, but this complication occurs in patients with a history of serious respiratory dysfunction. But for such patients, local anesthetics are generally contraindicated.

Patient reviews about blepharoplasty

“I’ve already had one procedure done, on the eyes (drooping eyelid), under general anesthesia... Now I’ve come to further improve myself. I wish you prosperity and more clients.”

Lily

“I had two operations in one with Dr. Dmitry Vladimirovich Elenschläger. Operations – blepharoplasty and mammoplasty. Initially, when I arrived, he conducted the consultation, immediately announced the scope of work, in principle, I was satisfied with it, and we combined two operations into one, and for this I am grateful to him, I did not have to undergo rehabilitation twice. In principle, in preparation for the operation, the managers who work here provide information in full. On the day of the operation, everything went without worry for me, everything went very smoothly, very quickly and, most importantly, painlessly.”

Oksana

“I had blepharoplasty with the surgeon Dmitry Aleksandrovich Blinov. At the moment, 12 days have passed since the operation, all my friends are already noticing changes in a positive direction, they say that they look very much younger and in general everything is wonderful.”

Hope

“I turned to the Institute of Plastic Surgery in order to correct some age-related changes. I came to Dr. Blinov, and he advised me to undergo certain operations. I really liked the attitude, the operation itself was completely painless, the rehabilitation period also went very well, in general I am very pleased with this clinic, I recommend it to everyone!”

Olga

“I had a circular blepharoplasty procedure done by Dmitry Aleksandrovich Blinov. I’m very pleased with everything, I really liked everything, thank you very much to all the staff!”

Patient

“Satisfied! I would recommend everyone to visit this institution, it’s very pleasant. Five!"

Irina Evgenievna

“I contacted the Institute of Plastic Surgery and had blepharoplasty four and a half months ago. Doctor Grigoryan did it, I’m very pleased with everything.”

Chechkova Olga

I would like to express my deep gratitude to my doctor, Marina Plotnikova, and the entire team who worked on me. The perfect eyelid lift. We did blepharoplasty of the upper and lower eyelids. I am satisfied with the price and quality of the operation performed. Excellent and very attentive service. The care is felt in everything: from the first consultation to postoperative examinations. It's nice to have such an attitude! Thank you for my wonderful transformation!

Alla

Thank you for the perfectly performed circular blepharoplasty, Dr. Yuri Rafaelovich...Your light hand and sense of humor work wonders...Thank you..)

Natalia

Excellent clinic, reasonable prices, qualified specialists, masters of their craft, thank you very much, good luck and more clientele and prosperity.

Alla

I would like to leave a review about a perfectly performed operation by Aslan Auesovich Meshchezov! I went to the doctor because I had bags under my eyes. The problem was solved by blepharoplasty performed by him. Now I look great, for which I am immensely grateful to the doctor!

Lyudmila Vershkova

I had blepharoplasty done by Dr. Matvey Olegovich Goglov. A very attentive and careful doctor. I was very pleased with the result and looked 10 years younger.

I recommend to everyone.

The manager Lena Belyaeva is also very attentive and quickly resolves all issues. I am lucky that I fell into the hands of such people.

Aramina Olga

I want to say a big thank you to the clinic specialist. Matvey Olegovich Goglov is an excellent surgeon and person. He made beautiful eyes at me. Lyudmila Mikhailovna is an excellent manager, a person in the right place. He always gives advice and arrives on time. Great employees never stand still.

Success, health and prosperity to the wonderful clinic.

Patient

I thank Aslan Auesovich Meshchezov for the beautifully performed blepharoplasty. Thank you for my rejuvenated face and my great mood, as I look great now!

Irina Vorobyova

Your Institute of Plastic Surgery does not need Sukharevsky Lane, but the Avenue of Women’s Desires. On December 17, 2022, I had blepharoplasty. This day is marked in my calendar with a red pencil. My destiny brought me together with people who give and prolong youth! I'm happy! I began to live differently, eat differently. I fly. Everything has changed in my life. Goglov Matvey Olegovich is a plastic surgeon, I love you for your professionalism, for your soul, which you put into every patient. You have a talent from God! And the manager Lyubov Anatolyevna is a fairy. She quickly finds contact, captivates with her attention, and I believed her. Thank you, Love.

Igitova Natalya Vasilievna

At the beginning of November 2022, I had circumferential blepharoplasty. Great result! I would like to thank surgeon Matvey Olegovich Goglov and his assistant (unfortunately, I don’t know his name), therapist Olga Igorevna, manager Svetlana for their high professionalism, attentive attitude and moral support before and after the operation. I am no longer afraid of surgical intervention, I am convinced that all problems can be solved, I will contact you again!

Natalia

Thanks to Dmitry Alexandrovich Blinov! The result of circular blepharoplasty with meopexy took me back 10 years ago)) A pleasant bonus was the incentive to lose excess weight)) “Unpleasant” - I’m looking for new clothes and my friends no longer recognize me)))

Tatiana

Three weeks ago I had blepharoplasty and check lifting with Dmitry Elenschläger, the results are already visible! Thank you very much to Dmitry Vladimirovich for the quality work, I am very pleased! I have already returned to work and am receiving compliments. I am very grateful to all the clinic staff! To the manager Anna and the nurses, there is a favorable, friendly atmosphere in the clinic.

Alina

I’m 35 and I regret that I didn’t have eyelid surgery earlier. I started having hereditary hernias when I was 25, so I put it off and was afraid. It really takes 3-4 months to heal, but 2 years have passed since Terezanov did a circular bluff for me here, and my eyes look just wonderful!

D.

The bruises and hematomas took a long time to heal... only after 4 months did I see a full-fledged excellent result. So, patience, just patience! and also drop chloramphenicol into the eyes and foundation is more expensive))))

Faith

I did a circular bluff, the result was impressive, especially in the first days))) it was scary to look at myself. And to be honest, after 2 months I was very glad that I survived it all. Because it's worth it!

Blue eyes :)

See more reviews or Leave a review about your visit to the clinic. Also, you can read Molodeu Magazine or watch Videos on procedures.

Circular (full) blepharoplasty for only 49,900 rubles. This amount includes absolutely everything!

Does everyone need an additional brow lift or is blepharoplasty enough?

The relationship between the upper eyelids and eyebrows is very interesting and continues to be studied by plastic surgeons around the world. It is known that as we age, our eyebrows droop more and more. At the same time, the skin of the upper eyelids sagging, and the muscles become more and more relaxed. Thus, almost every patient who comes to the surgeon with problematic, sagging eyelids will also experience ptosis (drooping) of the eyebrows to one degree or another. However, not every patient necessarily needs brow lift surgery to achieve an aesthetically pleasing result. The short answer to the question: is it necessary to perform an additional brow lift along with blepharoplasty, is that it all depends on the individual characteristics and goals of the patient.

How is the operation performed?

Whether local or general anesthesia is ultimately used, the patient follows the same rules regarding the preoperative period. So, you should not take blood-thinning medications, and stop drinking alcohol and smoking 2 weeks before the intervention. The patient submits a list of tests, and doctors also compile his allergy and anesthesiological history so that during the operation there are no complications or threats to the patient’s health and life.

Before the operation, the plastic surgeon applies special markings on those areas of the eyelids where eyelid surgery will be performed. Then an antiseptic is applied to the entire face and painkiller injections are administered. After the anesthetic takes effect, the plastic surgeon begins manipulations.

After the operation is completed, the patient spends several hours in the ward under observation. If no complications arise, painkillers (tablets or injections) are prescribed, then the patient is discharged home.

Is it painful to have blepharoplasty under local anesthesia?

To ensure that the patient does not feel pain and is not under anesthesia, two methods are used.

1. The first is called application, which involves local application of an anesthetic cream or spray. After this, the area becomes numb, but the cream does not affect the deeper layers. This method of pain relief is usually used for Botox or filler injections.
2. The second method is injection. From the name it is clear that the anesthetic drug is injected into the tissues using an injection, which allows the active substance to penetrate the subcutaneous fat and muscles. Typically the drug contains lidocaine, ultracaine and bupivacaine.

The injections themselves are quite unpleasant to endure, because the injections are administered to a considerable depth, and the periorbital area itself is very sensitive. When the operation itself takes place, there will be no pain, but all manipulations will be felt - the pressure of the instruments, the moving threads during suturing. The process will resemble dental treatment with anesthesia, when the movements of dental instruments in the oral cavity are felt, but without pain.

During blepharoplasty, the patient will see the light of surgical lamps, and also, if a laser is used instead of a scalpel, the person lying on the operating table will also have to inhale the smell of burnt meat. Not everyone can cope with such an ordeal calmly, so sedatives are often added to local anesthesia to put the patient into a calmer, sleepier state.

If the patient has a low pain threshold or is too sensitive, then intravenous sedation is usually recommended. Consciousness is switched off, which makes this option of pain relief almost equivalent to anesthesia, with which they differ only in the dosage of drugs and the possibility of spontaneous breathing.

How long the pain relief will be provided depends on the amount and concentration of the drug administered. The individual characteristics of the patient’s body also have an impact. There have been cases when during surgery the patient feels that the effect of the painkiller is decreasing. In such a situation, you need to tell the plastic surgeon about this, who will administer an additional injection.