Anti-aging blepharoplasty of the eyelids without the effect of the operated face


Injecting your own fat cells is a safe and effective way to correct a number of cosmetic imperfections. The scope of lipofilling is extensive. Correction is carried out in the face, arms, legs, chest and even buttocks. With the help of the procedure, they not only increase the volume, but also remove a number of defects. For example, asymmetry, uneven surface, sagging skin or wrinkles.

The operation does not have any special contraindications. It is performed for both women and men, although the technique is still more popular among women. The restrictions are the same as in other plastic (and not only) surgical interventions - exacerbation of a chronic disease, acute infection or inflammation, diabetes, oncology, diseases of the cardiovascular system, pregnancy, age under 18 years.

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!

Contraindications

  • Menstruation;
  • Diabetes;
  • Atherosclerosis;
  • Oncology;
  • Infection, influenza, fever, virus, acute respiratory infections, ARVI;
  • Exacerbation of chronic diseases;
  • Inflammation on the skin of the face, especially in the eye area;
  • Diseases of the cardiovascular system;
  • Diseases of the endocrine system;
  • Poor blood clotting;
  • Psychological diseases.

Author: Demin Sergey Anatolyevich Plastic surgeon, Candidate of Medical Sciences Author of more than 20 scientific papers on aesthetic and general surgery. Winner of the Crystal Lotus Award in the nominations “Best Plastic Surgeon for Abdominoplasty” and “Best Plastic Surgeon for Lipolifting”.

The trust of celebrity patients is one of the best proofs of the “couture” level of skill

Let’s not hide that Platinental surgeons trust their eyes to celebrities and politicians.

We are somehow accustomed to the fact that all stars undergo plastic surgery. But we rarely think that they are not only the most demanding patients. They are also the busiest. Their filming and touring schedule is planned 3-5 years in advance .

Due to lack of time and the nature of the profession, such patients always make 2 strict demands:

  1. the operation should take place without complications and have the shortest possible recovery period,
  2. the operation must provide a long-term result and be done as rarely as possible, because forced downtime can easily ruin a career.

And the stars of politics and business present one more thing.

They are not eager to make public the fact of the anti-aging procedures performed. Therefore, the operations that we perform at Platinental provide the most natural result without the effect of an operated face. Everything looks as if the person began to lead a healthy lifestyle and gets enough sleep regularly .

We are pleased to offer all these technologies to you.

Iskornev Andrey, plastic surgeon.

Eyes are the main factor of attractiveness. They determine how sociable you are, what mood you are in, what mood you are in, whether you are flirtatious or strict, analytical or, conversely, prone to adventurism.

The harmony of the eyes, like all facial features, has its own rules, but the degree of “deviation” from the conventional norm can be much greater than with the shape of the lips, nose or chin.

Despite this, there are strict rules:

— The contour of the lower eyelid should touch the lower border of the iris, otherwise the eyes look round, “fishy”, this is how the eyelid of an elderly person looks. That is why lower eyelid blepharoplasty is a special science, and only a few surgeons are concerned about the stability of the eyelid shape after such an operation.

Regular and fisheye

— The outer corner of the eye should be 2-3mm higher than the inner one. This creates the effect of an almond-shaped eyelid, which on a woman’s face emphasizes the artistry and sexuality of nature.

Regular and almond-shaped eyes

- There should be a small roll of muscle under the lower eyelid (pretarsal roll of the lower eyelid). This should definitely be taken into account when planning lower eyelid blepharoplasty. The surgeon must be able to model this roll of muscle to highlight the youthful shape of the eyelid and the natural result of rejuvenation.”

The pretarsal ridge of the lower eyelid on Kate Middleton, Emma Watts and the model from the Christian Dior show certainly speaks of their youth.

How long does the effect last?

As noted earlier, in the most favorable scenario, the result of the operation will last for life , but there are exceptions due to the presence of the following factors:


  • A sharp change in weight, in particular during the rehabilitation period, can lead to disruption of metabolic processes in the area around the eyes and provoke improper distribution or resorption of the transplanted material.

  • The quality of the procedure performed, which is determined by the professionalism of the surgeon, the technological level of the equipment used during the operation (for example, the final result depends on the diameter of the holes on the needles intended for collecting fat).
  • Individual characteristics of the patient’s body and immune system, which contribute to accelerated or excessive absorption of adipose tissue in the correction area. As a rule, such a problem is solved by repeating procedures.

If the effect of eye lipofilling for some reason is not pleasing with its duration, you should repeat the procedure, which is guaranteed to give a more stable result.

In this case, you should resort to eye lipofilling no earlier than six months after the previous operation.

Seamless blepharoplasty of the upper eyelids

Typically, to perform a classic upper eyelid blepharoplasty, the surgeon makes an incision in the natural crease of the upper eyelid and carefully removes excess skin.

The art of the surgeon in this case:

  • remove as much as needed. No more and no less
  • make the seam as invisible as possible and hide it exactly in a natural fold.

And only a few know that in 3 out of 4 cases, an incision on the eyelid can be omitted . Especially in young patients.

Injection removal of bags under the eyes with Eyebag Solution.

Often the cause of excess skin on the upper eyelids is drooping eyebrows. Classic blepharoplasty in this case can greatly aggravate the ptosis and sharply outline the contours of the eye sockets.

Therefore, at Platinental we offer endoscopic brow lift as an alternative to blepharoplasty. It simultaneously allows you to 1) “open your eyes”, 2) remove the overhang of the skin fold of the upper eyelid and 3) model the shape of the eyebrows.

To obtain an even more pronounced and long-lasting result, eyebrow lifting and correction is performed using absorbable implants - endotins.

This three-in-one approach allows you to avoid 100% stitches on the eyes and provides a much more pronounced and long-lasting result.

The effect of the procedure is impressive. See for yourself:

Preparation for lipofilling of the area around the eyes

At the preparatory stage, the patient must notify the doctor about the peculiarities of his lifestyle. Based on the information received, if necessary, the specialist makes recommendations on its correction, in particular, if you have bad habits, it is recommended to reduce the consumption of alcohol and tobacco, and when taking medications, exclude drugs that prevent blood clotting. At this stage, a technique appropriate to the problem being solved is selected, the scope of work and the donor zone are determined.

Lower eyelid blepharoplasty

During classic blepharoplasty, the surgeon makes an incision under the eyelash line. Its task is to eliminate excess skin and remove hernias, which create the effect of puffy eyes.

If there is no excess skin, a minimally invasive operation is performed to remove the bags - the so-called transconjunctival blepharoplasty without external incisions. An incision is made on the inside of the eye, through which the fat sac will be removed. The advantage of transconjunctival blepharoplasty is the absence of a visible scar on the face after healing.

Lower eyelid blepharoplasty at Platinental is performed differently. As a rule, simultaneously with a low-traumatic cheek lift. This technique is called Cheek lift light.

Circumferential blepharoplasty and endoscopic midface lift. Done by Andrey Iskornev.

Cheek lift techniques are varied.

  • you can fill the area of ​​the cheekbones and mid-face with your own fat (do lipofilling),
  • You can lift the overhanging area of ​​the cheekbone with the absorbable Endotine device. Endotins in plastic surgery are also called biological face lifting, since endotin is absorbed 5-6 months after injection, but the tissue continues to be stretched.

In this case, no additional incisions are required - the entire procedure is carried out through an incision in the eyelash edge.

No other eye blepharoplasty gives such a result! Just imagine. Your new face without nasolacrimal grooves, the protruding contours of the eye sockets (the transition between the lower eyelid and cheek) are smoothed, the nasolabial folds magically disappear, the cheekbones return to the top and are filled with youthful volume. Your face glows with youth!

TOP 7 main indications for surgery

Globally, the use of the patient’s own fat solves two problems: modeling facial contours and rejuvenation.

  • Chin augmentation and modeling
  • Increasing the volume of the cheekbones
  • Lip augmentation
  • Filling nasolabial folds
  • Lower eyelid correction
  • Correction of facial asymmetry
  • Scar correction

The age of the patient in this case does not matter. The condition of the tissue and objective indications for surgery are important to the specialist.

Laser blepharoplasty: young eyes should look wrinkle-free!

Contrary to popular myths, it is impossible to eliminate crow's feet using classic blepharoplasty.

For radical eye rejuvenation, we at Platinental combine surgery with light fractional laser eyelid peeling. Carbon dioxide laser allows you to make the skin more elastic after surgery, erase the relief of fine wrinkles and improve its color, especially for those who suffer from dark circles under the eyes.

Resurfacing is performed in the clinic simultaneously with the operation under TIVA anesthesia, so pain is excluded.

Possible complications

  1. The appearance of lumpy skin, asymmetry of the correction area. This problem can be solved by performing a repeat operation to smooth out the fatty tissue under the skin.
  2. Infection of the body, which can manifest itself both in excessive swelling and redness of the area around the eyes, and in the development of the inflammatory process in the body as a whole. In such cases, consultation with a doctor is required and, as a rule, treatment is carried out using a number of antibiotics.
  3. The occurrence of pain (in particular in the area where adipose tissue is taken for transplantation). Sometimes in such situations, painkillers are prescribed.
  4. The disappearance of the effect after surgery due to the resorption of adipose tissue in the correction area, which is a consequence of the individual characteristics of the patient’s metabolic processes.

Photos "before and after"

Circular blepharoplasty. One of the indicators of successful blepharoplasty is the stability of the lower eyelid. Changing the curvature of the line even by 1 mm gives the effect of “operated” eyelids. The result “before” and 9 days “after” the operation. Subsequently, the seam will almost completely turn white and disappear. Surgeon: Iskornev Andrey.

The photo on the left shows a patient with rounded eyelids after previously performed blepharoplasty. The photo on the right shows the corrected shape due to canthoplasty and lipofilling of the infraorbital areas. Performed by surgeon: Andrey Iskornev.

SMAS lift, upper and lower blepharoplasty, forehead lift, Hollywood neck lift, CO2 laser resurfacing. Surgeon: Iskornev A.A.

Marina Glushenkova underwent upper and lower transconjunctival blepharoplasty. The result is relief from drooping upper eyelids and bags under the eyes. Surgeon: Iskornev Andrey.

Photo from the patient’s personal archive. Completed by: Andrey Iskornev.

Elena Savitskaya “before” and 6 months “after” blepharoplasty. Surgeon: Iskornev A.A.

Review by Elena Savitskaya


SMAS face and neck lift, blepharoplasty of the upper and lower eyelids. Surgeon: Iskornev Andrey.

Done by Andrey Iskornev.

Done by Melnikov D.V.

Blepharoplasty of the lower eyelids, Cheek lift (cheek lifting) using the Endotine Midface ST fixator. Done by Andrey Iskornev.

Blepharoplasty of the upper and lower eyelids, cheek lift light. Surgeon: Iskornev Andrey.

Bags or dark circles under the eyes occur not only due to pathology. Sometimes, after a party or drinking a lot of liquid at night, bags can appear in healthy people. These are fatty hernias of the lower eyelids.

Transconjunctival blepharoplasty can help get rid of dark circles or bags under the eyes. Excess fat hernias are removed without visible incisions. As a result, the bags will disappear, and dark circles will not appear even after the New Year holidays.

Completed by: Vasiliev Maxim.

The administrator is the face of the clinic! Blepharoplasty of the upper and lower eyelids, SMAS lifting of the lower third of the face. Plastic surgeon: Iskornev A.A.

What you should know about your own fat

Let this paragraph be a fly in the ointment, but I consider it my duty to warn patients about the difficulties that fat rejuvenation poses. My approach is true.

  1. Biodegradation (resorption) of transplanted fat. This is an absolutely normal recovery process. Some cells do not take root and seem to “go away”. Therefore, the patient may require re-correction.
  2. Asymmetry. Consequence of tissue resorption. The volume decreases somewhat and there is a risk that this will not happen evenly. It can also be corrected by repeated correction.
  3. Irregularities on the skin . This can be for two reasons: fibrosis (when adipose tissue is replaced by connective fibers) or the formation of fatty cysts (when a very large volume of biomaterial is introduced).
  4. Fat migration . Fat moves and collects in compacted areas - oleogranulomas.

I publish this information not with the goal of “dissuading” from surgical intervention, but to understand the seriousness of the operation and a thorough approach to choosing a clinic and specialist! I repeat: rejuvenation with lipofilling is an operation with all the attendant nuances.

READ ALSO: How long does the effect of lipofilling last?

Temporal lifting, circular blepharoplasty, lipofilling of the forehead, cheekbones and nasolabial folds

Postoperative period

  • Sutures are removed on days 2–6 after surgery.
  • Day 7 – You can go to work.
  • Bruising and swelling after blepharoplasty can last up to 10 days.
  • During the first week, it is recommended to limit sports and dancing, sexual contacts, and refrain from cleaning, reading and watching television.
  • Starting from day 8, you can use hypoallergenic decorative cosmetics.
  • 14 days – it is forbidden to sunbathe in the sun or in a solarium.
  • 21 days – it is not recommended to use contact lenses.
  • 30 days - avoid hot showers, saunas, baths and swimming pools.
  • For 3 months after surgery, you need to use sunglasses to protect from ultraviolet radiation.

Where can the procedure be performed?

In Moscow, among others, the following clinics enjoy authority::

  • Plastic surgery clinic on Tsvetnoy Boulevard (address: Maly Sukharevsky Lane, 10 (metro Tsvetnoy Boulevard), tel. +7 (499) 495-10-91).
  • Clinic of Innovative Medical Technologies Gradient (address: Chistoprudny Blvd., 11, building 1, 2nd floor, tel. +7 (495) 125-02-67).
  • Institute of Plastic Surgery and Cosmetology on Trubnaya (address: Maly Sukharevsky lane, 10 (metro station Trubnaya), tel. (495) 120-37-21).

The following clinics are famous in St. Petersburg:

  • Cosmetology OstMedConsult (address: Shpalernaya str. 34, tel. (812) 380-68-69).
  • Multidisciplinary medical center MedSwiss (address: Gakkelevskaya str., 21A, tel.).
  • GrandMed Clinic (address: Spassky lane, 14/35 (entrance from Sadovaya street 35), tel. (812) 327-5000).

Seams

Scars after blepharoplasty are no thicker than a “cat scratch” and are located strictly in natural folds.

Complete absence of scars after upper blepharoplasty 3 weeks after surgery. Surgeon - Vasiliev Maxim.

For additional resorption, fractional laser resurfacing of the skin of the upper and lower eyelids is performed 1 month after surgery. As a result, the seam will not be visible even to the most experienced “best friends” without makeup.

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