Indications for eyelid surgery

Intense insolation, natural skin aging, poor ecology, bad diet, failure to keep to a daily routine, lack of sleep, poor-quality cosmetics – it’s not even a full list of all those factors that drastically affect the skin around eyes. The skin gets thinner, loses its elasticity, becomes dry, dragging – that’s how wrinkles on the upper eyelids and baggy eyes appear.

Blepharoplasty is recommended for the following cases:

  • Sagging skin of the upper eyelid;
  • Fatty deposits (“bags”) in the lower eyelid;
  • Aging changes of the eyelid skin;
  • Congenital defects of the upper and lower eyelid;
  • To change the eye shape;
  • Lower lid eversion.

Such types of blepharoplasty as canthoplasty and canthopexy – a surgical correction of the eye corner and eye shape – are performed for patients upon prescription.

Besides standard contra-indications to surgeries (critical performance status, critical cardiac, respiratory, hepatic, kidney failure, infections, coagulation failure, critical internals impairment, thyroid disorders, mental disorders) blepharoplasty is not performed on people with elevated intraocular pressure and a dry-eye syndrome.

Contra-indications

  1. ARVI, ARD;
  2. Acute exacerbation of a chronic respiratory or cardiovascular disease;
  3. Critical performance status (critical cardiac, respiratory, hepatic, kidney failure);
  4. coagulation failure.

Anyway, a decision on the surgery is taken on an individual basis by your surgeon. An additional examination and consult of specialized doctors are prescribed if needed.

Blepharoplasty procedure

Types of eyelid plastics

  1. Upper blepharoplasty – Incisions are made in the natural folds of the eyelid. Then all dragging skin and excess fat is removed.
  2. Lower blepharoplasty – A surgeon makes an incision some millimeters from the lashes growth line.
  3. Double blepharoplasty – This surgery is made both on the upper and lower eyelids.
  4. Canthoplasty – Incisions are made in the natural folds of the upper eyelid. For example, they eliminate an epicanthic fold (a skin fold in the inner eye corner) and create a half-moon shaped fold in the upper lid to change an Asian eye shape. Asians and Europeans have different visions of beautiful eyes, so the goal of a surgeon is not to create a European-type eye shape but to create eyelids that will look natural and correspond to cultural and racial traditions of the patient.
  5. Transconjunctival blepharoplasty. It’s an upgraded technique of the eyelid plastics. As a rule, this method is applied to young people with “baggy” eyes only, with a good skin that needs no lifting. An incision is made from the inner side of the lid (on the conjunctiva). This method leaves no scars, as the eye conjunctiva recovers well and needs no stiches.

Post-op rehabilitation

Bruised and swollen eyes are natural effect following the blepharoplasty surgery. Eyes can water for some time, especially in windy weather. Such discomfort might remain for some weeks after the surgery. Mild pain is possible, however, pain medications are prescribed in case of severe pains. A patient might also experience an enhanced light sensitivity during the first few days.

It’s recommended to apply green tea packs, brewed and cooled to a room temperature, every 2-3 hours to reduce the swelling. An eye doctor can also prescribe eyedrops (Garazone, Gentadexa, Sofradex). Stitches are removed in 4-5 days after the surgery. The scar will first have an intense pink color but it will get pale after some time. It’s recommended to avoid direct sunlight, sleep on a high pillow, wash a face avoiding water on the eyelids. No make-up should be worn for 7-10 days. After this time, it’s allowed to apply foundation to visible post-op scars. A patient must wear glasses instead of contact lenses for the first two weeks. One should also restrain from computer and long eye pressure.

As most plastic surgeries, preliminary results of the blepharoplasty can be rated at least in three months.

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)

An approximate price for an upper or lower eyelid blepharoplasty from 1100.00 BYN, for both upper and lower eyelid blepharoplasty2200.00 BYN. A doctor will tell you the exact price at your consult after evaluating the workscope.

A price for a plastic surgeon consult is 15.00 BYN.

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