Which blepharoplasty is better and where is it best to start the transformation: from the upper or lower eyelids?

Blepharoplasty

is an aesthetic surgery to correct eyelids, with which you can remove “bags” under the eyes (fatty hernias) and fill nasolacrimal grooves, remove excess skin - the effect of “overhanging” upper eyelids, correct asymmetry of the eyes, change their shape or cut.
Excess skin and fatty tissue in the periorbital area, drooping corners of the eyes and wrinkles make the face look more aged and the look “heavy”. Eyelid surgery is called a “small” operation with a spectacular result, since this minimal surgical intervention eliminates visible signs of age-related changes and makes the look more open, lively and expressive. The results of blepharoplasty last for years: there is no need to remove bags under the eyes again.
Caring for the skin of the periorbital area after surgery will help maintain its tone and consolidate the results of the operation.

Indications for blepharoplasty

Blepharoplasty allows you to make your appearance not only more youthful, but also attractive. Young people aged 20 to 30 undergo eyelid surgery to get a beautiful almond-shaped eye shape, get rid of congenital or acquired defects, signs of painful fatigue and swelling.

BLEPHAROPLASTY AT THE PIROGOV CLINIC IS AN OPERATION IN THE BEST PLASTIC SURGERY CLINIC IN ST. PETERSBURG.

*according to the ratings of the portals “Doctor Peter” and “Fontanka.ru” in 2021. Read more.

What effect can be achieved as a result of blepharoplasty?

• Remove wrinkles around the eyes (“crow’s feet”);
• Eliminate drooping upper eyelids (excess skin and fatty tissue);
• Remove “bags” under the eyes (fat bags);
• Fill the nasolacrimal groove;
• Raise the drooping corners of the eyes;
• Remove epicanthus;
• Correct ectropion of the lower eyelids;
• Correct asymmetry;
• Change the shape and shape of the eyes;
• Make your eyes visually larger and your look fresher.

Blepharoplasty performed by Egor Andreevich Parygin.

Preparation for the procedure

Everything will depend on the method the doctor chooses. Laser blepharoplasty is considered a low-traumatic intervention. It is performed on an outpatient basis, it has a minimum of contraindications and practically does not cause discomfort. No special training is required either.

If you need classic blepharoplasty (using a scalpel), the preparation will be the same as for any other operation. You will need to undergo general clinical tests (blood and urine), a blood coagulogram (to determine if there are any problems with clotting), and an ECG. Such interventions are performed under general anesthesia, and the doctor must be informed about all your chronic diseases and medications you are taking, if you are allergic to any medications, etc.

Before the operation (about 8 hours) you will need to refuse food. There should be no wounds or damage in the lower eyelid area. Blepharoplasty is also not performed if there are signs of allergies (itching, redness of the eyes).

Types of blepharoplasty

Plastic surgeons at the Pirogov Clinic perfectly perform all types of eyelid correction operations.
We make sure that a beautiful and natural result pleases our patients for years, so we give preference to modern minimally invasive techniques and fat-sparing blepharoplasty .
The peculiarity of the latter is that during the operation, fatty tissue in the periorbital area is not completely removed, but is evenly redistributed under the skin. This allows you to maintain good skin quality - prevent aging, dryness, and avoid the “bulging eyes” effect. After blepharoplasty, lipofilling of the eyelids can be performed for the purpose of additional biorevitalization of the skin and correction of volume deficits.

The principle of operation of threads

The process of implanting threads takes place with minimal risks and discomfort for patients. The result of this eyelid lift is characterized by high efficiency rates and long-lasting results.

Another name for the technique is vector technology. Biocompatible threads are implanted taking into account maximum tension and contraction of the skin, in a direction - vector, which is previously determined by a specialist. After inserting them under the skin, they create a kind of frame that reliably holds the skin in the chosen position and prevents it from sagging.

Aptos materials are characterized by strength and the specific shape of the notches on the threads. The presence of notches, verified by multiple clinical studies, allows you to retain tissue throughout the entire period that the thread is in the tissue. From the second day of their implantation, the active process of collagen production begins - a process that ensures the elasticity and strength of the skin. It lasts up to two months.

The formed frame in the local area increases the density of the skin and is fixed in the right place naturally. This allows you to maintain the results for at least one and a half years.

To correct small areas of the face (eyelids), short threads are used. Their implantation allows patients to rehabilitate in 2–3 days.

Upper eyelid blepharoplasty

Upper eyelid surgery is prescribed for deep wrinkles

,
drooping corners of the eyes
and
sagging skin of the upper eyelid
, which makes the look seem tired. During the operation, excess skin of the upper eyelids and sometimes fatty tissue are removed. In this way, the soft tissues of the eyelids are tightened. After upper blepharoplasty, the look becomes more open.

Read more about the service

Here

Lower eyelid blepharoplasty

bags under the eyes once and for all

, swelling and folds.
Redistribution of the tissue of fat bags allows you to fill the nasolacrimal grooves
. Lower blepharoplasty may be the best solution for those who are tired of dealing with these defects using conservative methods.

Read more about the service

Here

Circular blepharoplasty

The combination of blepharoplasty of the upper and lower eyelids will allow you to solve all problems at once during one operation.

The full scope of eyelid correction allows you to achieve the most pronounced effect. Circumferential blepharoplasty is often performed in conjunction with a facelift (facelift) or other anti-aging surgeries.

Read more about the service

Here

How is blepharoplasty surgery performed?

Duration of circular blepharoplasty – up to 1.5 hours

.
The operation takes place under local or general anesthesia. The plastic surgeon makes incisions in the natural folds of the skin of the upper eyelid and under the eyelash line (when correcting the lower eyelids). This provides access to the subcutaneous fatty tissue. After removing excess skin and fat, the surgeon applies stitches and a special bandage, which is removed 30 minutes after the operation. The length of hospitalization
after blepharoplasty ranges from 6 hours (in a day hospital) to 1 day in a ward, after which we discharge patients home.

What does the patient preparation stage before blepharoplasty include?

Any eyelid surgery requires careful preparation, not only on the part of the plastic surgeon, but also on the part of the patient. A mandatory step is to undergo a comprehensive medical examination and submit all necessary tests:

• electrocardiography;
• fluorography;
• general analysis of urine and blood;
• biochemical blood test, analysis for RW, HIV and hepatitis;
• determination of blood group and Rh factor;
• coagulogram.

In the process of preparing for blepharoplasty, special attention is paid to examining the condition of the eyes. In particular, the patient should:

• check visual acuity;
• assess the volume of tear fluid;
• undergo examination for possible eye diseases.

Plastic surgery of the lower and upper eyelids can be performed under general anesthesia (the patient is unconscious during surgical procedures) or under local anesthesia (the doctor injects the drug into the area of ​​correction). It doesn’t matter whether the operation is performed using a laser or using classical surgical technology, the choice of anesthesia is always determined by the anesthesiologist individually for a particular patient. It is more rational to carry out some operations under local anesthesia, because rehabilitation after eyelid blepharoplasty in this case will be the easiest for the patient and with minimal discomfort and pain. But there are a number of operations (for example, circular eyelid surgery) that need to be performed only under general anesthesia.

Recovery after blepharoplasty

The patient can return to normal life the very next day after the operation; it is important to follow the recommendations of the plastic surgeon: apply ice at first, avoid ultraviolet radiation at high temperatures, and intense physical activity. Pain is usually not expressed. Stitches are removed within 4-6 days

after surgery, examined by a doctor. Bruises disappear within 14 days. You can speed up recovery and make it more comfortable with the help of a course developed by our plastic surgeons and cosmetologists.

Contraindications for eyelid lift:

Before plastic surgery, the patient must check his health, as there are a number of contraindications for blepharoplasty:

• diseases of the heart and blood vessels;
• bronchial asthma;
• various sexually transmitted diseases or cancer;
• exacerbation of chronic ailments;
• diabetes;
• blepharospasm (involuntary contraction of the orbicularis oculi muscle);
• inflammatory diseases of the conjunctiva;
• excessive swelling in the eye area;
• dry eye syndrome, etc.

Also, experts in the field of plastic surgery recommend not smoking or taking drugs that negatively affect blood clotting (especially 14 days before plastic surgery on the upper or lower eyelids).

RESULT OF BLEPHAROPLASTY

Correction of the eyelids instantly transforms the appearance: the look becomes open and youthful, swelling, bags under the eyes, wrinkles, and sagging eyelids disappear. The result of the operation lasts for many years; recommendations for care and consolidation of the effect will be given by specialists from the Cosmetology Department of the N. I. Pirogov Clinic. For a quick recovery, cosmetologists select a program, after which you can quickly enjoy the result of the operation and demonstrate it to others.

Blepharoplasty: prices and reviews

The cost of the operation depends on the scope of correction and the qualifications of the plastic surgeon. Our clinic also has profitable promotions, you can find them in this section

. The cost of lower/upper eyelid blepharoplasty already includes: surgery, anesthesia, stay in the ward, postoperative patient care (examination by a surgeon, dressings and suture removal), consultation with a cosmetologist and one procedure of hardware lymphatic drainage massage

view reviews of blepharoplasty at the Pirogov Clinic
(St. Petersburg) in the corresponding section on our website.

Advantages of the technique

Among the main advantages that thread lifting is characterized by are the following:

• the anatomical areas that have undergone modeling are as close to natural as possible;
• the result of the tightening, depending on the chosen material and the characteristics of the client, remains stable for up to 2 years or more;
• the minimum rehabilitation period is 3–5 days;
• no postoperative stitches, cuts, scars.

Why is it worth getting blepharoplasty at the Pirogov Clinic (St. Petersburg)?

• The Pirogov Clinic was recognized as the best plastic surgery clinic according
  to the national rating of private clinics in St. Petersburg by the medical portal “Doctor Peter” and the city portal “Fontanka.ru” in 2022;
• Our team of specialists includes experienced plastic surgeons, doctors of the highest category, winners of prestigious awards
• online consultations with plastic surgeons;
• free consultations with plastic surgeons;
• affordable prices for eyelid blepharoplasty;
• the opportunity to undergo all preoperative examinations in the clinic within one day;
• own laboratory: test results - quickly and with a guarantee of reliability;
• equipping operating rooms with the most advanced medical equipment from leading Western companies;
• attentive and responsible medical staff: a team of anesthesiologists, resuscitators, assistants and nurses coordinately and quickly resolves any issues around the clock;
• modern comfortable hospital: you feel like you are in a European hotel room;
• quick recovery after blepharoplasty;
• the ability to perform several operations simultaneously, which means you get the best result in one surgical intervention;
• the cosmetology and laser dermatology departments carry out procedures for the fastest possible tissue regeneration, allowing you to start enjoying the results as soon as possible;
• interest-free installment payment for any operations, credit;
• discounts on services under VHI policies.

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How to choose the “best” plastic doctor, eyelid surgery specialist?

• find out what experience he has in performing plastic surgery on the lower and upper eyelids;
• read reviews from real patients who talk about the course of surgery, the attitude of the plastic surgeon towards the patient and the result after blepharoplasty;
• look at photographs of patients “before” and “after” operations, where differences in the condition of the lower and upper eyelids will be visible.

You should not chase the low cost of the operation, because this means that the plastic surgeon does not have much experience in surgical correction of the area around the eyes and will “teach” his hand on patients.

Before you decide to have blepharoplasty, consider:

• Would you trust the “mirror of your soul” to a surgeon who has already performed more than 3 thousand plastic surgeries of varying complexity, including blepharoplasty?
• Should you contact a specialist who will provide assistance in cases where other surgeons refuse to provide you with services?
• Would you trust a plastic surgeon who participates in large-scale television projects that help you radically and safely change your appearance (for example, in the program “Cinderella. Reboot”)?
• Will you go to an appointment with a surgeon who was awarded the international prestigious beauty and health award “Grace”?
• Will you listen to the doctor about whom patients have already left hundreds of reviews and recommendations on various forums?

If your answer is “YES”, let me introduce myself – plastic surgeon Maxim Osin.

Over the past 10 years, I have been performing classical and laser blepharoplasty operations in Moscow. My patients are women and men over the age of 18, with a wide variety of cases.

Do your eyes not look as young and attractive as you would like?

I invite you to a consultation - let's see how exactly blepharoplasty can help you.