Eye to eye: blepharoplasty pros and cons


Blepharoplasty “Cleopatra's Look” is a plastic surgery on the upper eyelid, during which the upper corner of the eye is raised. A distinctive feature of this operation is the short rehabilitation period. This technique got its name thanks to the famous Queen Cleopatra, who had almond-shaped eyes. The author's correction method belongs to Amdajra Al-Yousef. This type of correction has recently become very popular. The effect after surgery lasts about 12 years.

general information

When asked about the difference between blepharoplasty and the “Cleopatra’s Look” technique, surgeons explain that the latter is a variation of the former. The operation is performed separately or in combination with other eyelid correction procedures (lower blepharoplasty), rhinoplasty, facelift. Due to the fact that the plastic surgeon individually selects the angle of the incision, the scars after surgery are not visible. On the contrary, those around you notice a changed shape of the eye, which rejuvenates the face by 10 to 20 years.

By the way, they resort to it not only in adulthood. As practice has shown (and the number of women who have “made” themselves almond-shaped eyes has already exceeded 1000), the result of the procedure suits beautiful women of all ages.

The essence of the technique

The “Cleopatra's Look” technique is a type of blepharoplasty. It is quite possible to carry out such a correction in combination with other plastic surgeries, for example, rhinoplasty, eyelid correction, lower plastic surgery. The plastic surgeon chooses the angle of the incision individually for each patient, due to which the scars after surgery are practically invisible, and those that are noticeable disappear over time.

Please note that this technique in the modern world is common not only among mature women, but is actively practiced among young people who strive to gain individuality in everything. Today, the number of owners of almond-shaped eyes as a result of the operation is already measured in the thousands. The long-term effect after the procedure plays an important role; it sometimes reaches 20 years.

Indications and contraindications

The main indications for the operation using the “Cleopatra’s Look” method are aesthetic: it eliminates congenital and acquired eyelid defects. There are no age restrictions; you can go under a scalpel as soon as you reach 18 years of age.

Meanwhile, most of the patients are women over 35 years old. As they age, the corners of their eyes naturally droop. The situation is aggravated by overhanging skin folds and wrinkles in the lower eyelid area, which make the look heavy, tired, and dissatisfied.

Like other types of blepharoplasty, Cleopatra's Look has contraindications, including:

  • systemic diseases, diseases of internal organs, including heart problems;
  • hypertension;
  • increased intraocular pressure;
  • bleeding disorders;
  • oncology;
  • dry eyes;
  • high intraocular pressure;
  • thyroid diseases;
  • diabetes;
  • AIDS;
  • hepatitis;
  • myopia and frequent relapses of conjunctivitis, other chronic diseases of the organs of vision.

During consultations with narrow specialists in preparation for the operation, other factors may be identified that impede its implementation at the moment.

Contraindications

Like any surgical intervention, blepharoplasty has a number of limitations. These include:

  • hypertension;
  • dry eyes;
  • hepatitis;
  • HIV;
  • pathologies of the thyroid gland;
  • oncology;
  • increased intraocular pressure;
  • hypotension;
  • diabetes;
  • diseases of the cardiovascular system;
  • problems with blood clotting;
  • myopia, or other chronic eye diseases

If at least one of the contraindications is identified, the operation will have to be postponed or canceled completely, otherwise it may end in failure. In some cases, you may need to consult a related specialist: an ophthalmologist, cardiologist, endocrinologist, etc.

Preparation

When preparing for Cleopatra's Look, contraindications are excluded. The latter are identified by the results:

  • biochemical and clinical blood tests;
  • tests for HIV, hepatitis;
  • coagulograms;
  • fluorography;
  • ECG.

A consultation with an ophthalmologist is required, who will check vision and, if necessary, the volume of tear fluid. At an appointment with a cardiologist, cardiovascular diseases are excluded, and with a therapist, hypertension is ruled out.

If the operation is combined with correction of the lower eyelids, the patient may be advised to consult a nephrologist, endocrinologist, or allergist, since swelling under the eyes or fatty hernias (bags) sometimes appear with diseases of the thyroid gland, kidneys, or a persistent allergic reaction.

The last stage is a visit to an anesthesiologist who will help you choose anesthesia. The author of the technique himself uses local sedation. But when an allergic reaction to novocaine, lidocoine and other anesthetics is detected, general anesthetics are used.

Immediately before plastic surgery, it is important to remove lenses and eyelash extensions. Before surgery, any salon procedures are contraindicated. If possible, a few days before the procedure, you should stop taking any medications, especially those that can cause bleeding, or warn your doctor about them. In particular, we are talking about aspirin, homeopathic, anti-inflammatory medicines, and vitamin complexes. Usually, treatment can be resumed no earlier than 3 to 4 days after surgery.

You also need:

  • stop smoking - nicotine slows down the process of tissue regeneration, prolonging rehabilitation time;
  • Keep hydrated before and after the procedure - this speeds up the healing process.

Visiting the solarium is also prohibited.

Blepharoplasty "Cleopatra's Eye"


The image of Queen Cleopatra of Egypt is reflected not only in world fiction, but also in examples of ideals of beauty among different nations.
The almond-shaped eye shape given to Cleopatra by nature with amazing frequency is elevated by masters of art to the rank of “gold standard of beauty.” Aesthetic surgery, aimed at serving beauty, adopted the model of Cleopatra’s face and created a special method for correcting the shape of the eyes, called “Cleopatra’s Eye” and gaining increasing popularity in Russian cosmetology clinics. The Cleopatra Eye technique is a type of upper blepharoplasty. It is performed on the upper eyelid with raising the upper corner of the eye.

For the surgeon, two features of the “Cleopatra’s Eye” technique are significant, which serve as the basis for dividing the types of blepharoplasty into “classical” and “Cleopatra’s Eye”.

The first feature of the operation using the “Cleopatra's Eye” technique is a higher excision of the muscle and skin flap, which causes the lateral edge of the upper eyelid to be lifted upward and gives a small and characteristic bend in the middle of the projection of the eyeball onto the eyebrow.

The second feature is the surgeon’s work in the temporal region, during which he removes a wedge-shaped muscle flap, pulls the corner of the eye up and attaches it to the temporal fascia (canthopexy). It is canthopexy that allows you to strengthen the new shape of the eye and maintain the result for many years.

This technique allows you to create an anatomically intact almond-shaped eye without traces of a specially performed plastic surgery. Currently, surgery using the “Eye of Cleopatra” technique is one of the most popular in our clinics.

Indications for surgery using the “Eye of Cleopatra” technique:

  • change in eye shape
  • tired look
  • ptosis (drooping) of the upper eyelid
  • excess skin of the upper eyelids
  • excess fatty tissue in the periorbital area
  • drooping eyebrows and forehead skin
  • laxity of the muscles of the periorbital zone
  • wrinkles around the eyes
  • exophthalmos – protrusion of the eyeball
  • eye asymmetry

Contraindications to surgery using the “Eye of Cleopatra” technique:

  • persistent arterial hypertension;
  • systemic collagenoses;
  • chronic infectious and viral diseases;
  • acute inflammatory processes in the facial area;
  • glaucoma;
  • retinal detachment;
  • diabetes;
  • severe cardiovascular diseases;
  • systemic connective tissue diseases (lupus erythematosus, scleroderma);
  • disorders of the blood coagulation system;
  • the presence of inflammatory elements on the skin of the eyelids.

Carrying out the operation:

The operation is carried out in four stages. The first stage is making a contour incision and removing skin from the outlined area of ​​the surgical field. The next stage is the removal of excess orbicularis oculi muscle, which opens access to “fatty hernias”. When performing blepharoplasty using the “Cleopatra's Eye” technique, the excision is carried out with a vector to the middle of the eyebrow to achieve an anatomical almond-shaped shape. The incision should also include the temporal region, where canthopexy is performed after wedge excision. The third stage involves the isolation and removal of excess fatty tissue in the postorbital region. At the fourth and final stage, layer-by-layer stitching of the muscle and skin is carried out.

Anesthesia:

The operation is performed under local anesthesia; additional oral sedatives may be used. After the operation, an hour's observation of the patient's condition is sufficient; there is no need for the patient to stay in the hospital.

Rehabilitation requires compliance with the following rules:

  1. in the first days after surgery, avoid drinking large quantities of liquids, and also avoid drinking alcohol;
  2. take the antibiotic UNIDOX SOLUTAB for seven days - one tablet (at a dose of 100 mg) once a day, after meals;
  3. If there are noticeable bruises, use Traumeel S or Bruise OFF cream to speed up the resorption of hematomas. Apply the cream morning and evening to the hematoma area. It is strictly forbidden to apply cream to the seam area!
  4. sleep on your back for 4-5 days;
  5. avoid trauma to the operating area;
  6. refrain from visiting the bathhouse, sauna, solarium, swimming pool for 1 month;
  7. do not open wound coverings until the sutures are removed without the consent of the attending physician;
  8. Avoid intense physical activity for a month.

Postoperative rehabilitation takes from 5 to 10 days. The stitches are removed on days 6-9. If there are small traces of the suture after surgery, they are corrected by peeling or grinding methods in 1-3 sessions until the traces completely disappear.

Result:

The final result after the operation is observed after 3-4 months, when traces of the operation completely disappear, and lasts up to 20 years or more.

Progress of the operation

If local anesthesia is used, the patient is immersed in a shallow sleep, in which she does not experience discomfort. Then, according to the technique, the plastic surgeon makes an oblong incision along the upper eyelid at such an angle that the scars after plastic surgery remain invisible. Fatty tissue and excess skin are excised and the outer corners of the eyes are raised.

On average, everything takes from 30 minutes to 2 hours, depending on the complexity of the case. Then cosmetic stitches are applied and sealed with a special adhesive plaster. Within an hour after the operation, the patient is usually sent home, making sure that her loved ones will be able to stay with her during the first 24 hours.

Recovery

After local anesthesia, women recover faster and easier, as they do not have headaches, dizziness or disorientation. The most difficult thing is in the first 3 days, when swelling increases, hematomas appear. To get rid of them faster, you need to provide your eyes with complete rest, and yourself a break from physical and mental stress.

The stitches are removed on the 5th day. In general, postoperative rehabilitation lasts 7–10 days, after which the woman can return to her usual routine. The first results are noticeable after 12 - 14 days, but the final results can be assessed only after 2 - 3 months.

At this time, the doctor additionally recommends applying ointments, making compresses, and leading a healthy lifestyle. In addition, it is better to sleep with your head elevated and spend less time in the sun.

Below are photos before and after blepharoplasty using the Cleopatra's Look method:

Rehabilitation after surgery

In the first days after blepharoplasty, bruising and bruising and swelling may occur. To minimize discomfort, you need to give your eyes complete rest. The patient herself must also give up mental and physical stress.

The stitches will be removed no earlier than 5 days later. The rehabilitation itself can last up to two weeks, after which the patient can return to her usual rhythm of life. It will be possible to fully evaluate the result of blepharoplasty in a couple of months. During the recovery period, the doctor may prescribe special ointments and compresses that promote speedy healing.

It is recommended to adhere to a healthy lifestyle, be less exposed to sunlight, and sleep only with the head of the bed raised.

Forecast

When choosing a good plastic surgeon, patients are usually satisfied with their appearance.

Complications rarely occur:

  • swelling;
  • cyanosis;
  • tearfulness;
  • infection, conjunctivitis;
  • noticeable scars, for example, if the incision is made far from the natural fold.

It is worth noting that these complications are not always the result of surgeon errors when planning and performing the operation. Any surgical intervention is an injury to which the body can react in different ways. At the same time, an experienced specialist knows not only how to avoid these mistakes, but also how to help the patient recover faster.

The result of the technique lasts 10–12 years, depending on the patient’s genetics and lifestyle.

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