Tests for blepharoplasty. What tests are needed for blepharoplasty What tests are needed for blepharoplasty

The cost of plastic surgery does not include preoperative examination. Preoperative tests are performed by the patient on their own.

IMPORTANT! Results and more examination, the patient must send for approval by e-mail. surgeon's address [email protected] no later than in 10 days before surgery.

Algorithm for preparing for a medical examination and sending documents to a plastic surgeon Grudko A.V.

✔ Blood tests are taken strictly on an empty stomach.

It is forbidden to take food and any liquid;
At least 8-12 hours of fasting is recommended;
More favorable are the morning hours of blood sampling in the interval from 07:30 to 12:30;
Blood sampling is carried out before fluorography, chest X-ray, CT of the nose, MSCT of the chest);
Taking venous blood should be preceded by a 15-minute rest;
You must refrain from smoking 1 hour before donating blood for research.

✔ Urinalysis.

A strictly morning portion of urine is collected, allocated immediately after waking up (the previous urination should be no later than 2 am);
Before starting urine collection, it is necessary to perform hygiene procedures without using disinfectants and antibacterial soap;
The first few milliliters of urine should be flushed down the toilet. Further, the entire portion of morning urine must be collected in a dry, clean container with free urination;
The collected material must be immediately delivered to the laboratory;
It is undesirable to collect urine during menstruation.

✔ On the eve and on the day of the test, psychological and thermal stress, heavy physical exertion (including sports training), alcohol intake are unacceptable.

✔ Medical documentation is accepted only in Russian.

✔ Copies of analyzes are not allowed, only originals of all documents are accepted upon admission to the clinic.

✔ Each analysis/opinion of a specialist should be placed on a separate form.

✔ Each form must contain the name of the institution, the signature of the person who issued the document, the original seal.

✔ When a complete set of medical documents is ready, they should be sent to the following email address: [email protected] .

✔ When sending analyzes, please pay attention to the format of sending and the quality of reading the forms.

✔ In the subject of the letter, indicate: full name, date of consultation and operation, name of the operation, contact mobile phone for communication.

✔ Within 24 hours after sending the letter, the personal assistant of the plastic surgeon Grudko A.V. will contact you. confirm receipt of honey. documents, inform about the completeness of the set, as well as their satisfaction.

On the day of the operation, the patient must provide the results of all tests to the clinic., conclusions, extracts and other medical documents strictly in ORIGINAL form.

The scope of the study before blepharoplasty includes mandatory tests and additional tests, which are given individually according to indications.

Features of preparation for surgery

At the preparatory stage, in addition to laboratory and instrumental examination, a number of mandatory activities are performed, which include:

• blepharoplasty volume planning which is performed by a plastic surgeon during the initial consultation with him;
• history taking- information provided to the doctor about the patient's life, previous diseases, the presence of allergic reactions to medications, knowledge of this information will help to avoid complications;
• in case of taking aspirin or its analogues, it is necessary to stop it 3 weeks before blepharoplasty, since these drugs increase vascular bleeding;
• at least 1 week before the operation, you need to stop drinking alcohol and smoking to improve tissue healing after the procedure;
• on the day of blepharoplasty, high-quality facial photos are taken for subsequent comparison of the quality of the procedure performed;
• the day before, the doctor informs about the possible consequences and complications of the operation, anesthesia, after which the patient signs his consent to blepharoplasty.

Mandatory tests

There is a list of mandatory tests that the patient passes, regardless of the results of the collected anamnesis and the examination by the doctor.

It includes:

1. Clinical blood test- the level of hemoglobin, the number of erythrocytes and leukocytes in the blood, the erythrocyte sedimentation rate are determined. It makes it possible to determine anemia (anemia), the presence of inflammatory reactions in the body, which may be a contraindication to blepharoplasty. It is performed no earlier than 2 weeks before the operation.
2. Clinical analysis of urine- the presence of protein in the urine is examined, microscopy of the sediment is performed in order to detect an increase in the number of leukocytes in it or the appearance of erythrocytes. This analysis allows you to make a conclusion about the functioning of the excretory system, it is also performed in 2 weeks.
3. Coagulogram- an analysis of blood coagulability indicators (bleeding duration, prothrombin index, fibrinogen concentration in the blood), their decrease is a contraindication to surgery, since there is a risk of bleeding from the vessels. A coagulogram is given no earlier than 2 weeks in advance.
4. Determination of blood group and Rh factor- a mandatory analysis that is carried out before any surgical manipulation.
5. Blood test for HIV infection, viral hepatitis B and C, RW(Wasserman reaction to detect antibodies to the causative agent of syphilis) - mandatory tests before any medical manipulation, are given no earlier than 3 months.
6. Electrocardiogram(ECG) is a method of functional examination of the heart, showing even minor deviations from the norm in its work. It is carried out not earlier than 1 month before the procedure.
7. Fluorography of the chest organs- Mandatory X-ray examination to detect lung diseases. It is carried out once a year, if the patient has already undergone fluorography, then he can provide a copy of the result.
8. Therapist's consultation- is carried out after passing all the mandatory tests, the doctor interprets their results. Finds out the presence or absence of somatic diseases that may be a contraindication to blepharoplasty.

Additional tests

They are prescribed by a doctor in case of any deviations in the results of mandatory tests.

These include:

1. Blood chemistry- includes the determination of the level of bilirubin, creatinine, urea in the blood, the activity of the enzymes ALT, AST, alkaline phosphatase. Based on its results, the therapist can judge the functional state of the liver and kidneys.
2. - is prescribed for additional examination, in case of detected changes during fluorography.
3. Ultrasound examination of the abdominal organs- is prescribed by a therapist with a doubtful clinical analysis of blood and urine.
4. echocardiography- Ultrasound examination of the heart, which allows visualization of structural changes in the myocardium and valves.
5. Cardiologist's consultation- mandatory when detecting changes in the results of ECG and echocardiography.
6. Consultation of narrow specialists- is appointed by a therapist, in case he detects changes in the work of internal organs and reveals somatic pathology.

When diseases are detected, the issue of the possibility of blepharoplasty is decided at a council of doctors of several specialties based on the results of the examination.

Preparation for testing

The reliability of the results of mandatory and additional tests before blepharoplasty depends entirely on proper preparation, which includes several important points:

• blood and urine tests are taken in the morning on an empty stomach, on the evening before, a light dinner without fatty and smoked food is desirable;
• for a few days it is better to refrain from drinking alcohol;
• last smoking at least one hour before visiting the clinic;
• It is best to discuss medication with your doctor, since most of them can affect the reliability of the test results;
• overheating of the body should be excluded within 2-3 weeks before the study(refuse to visit baths or saunas);
• it is advisable to plan your arrival to the laboratory so that you have 15-20 minutes to rest before taking the tests;
• on the eve and on the day of the examination, try to avoid nervous strain and stress.

Prices

The average prices for mandatory tests in Moscow clinics are presented in the form of a table:

Price table for additional tests for blepharoplasty in Moscow clinics:

The delivery of mandatory tests before blepharoplasty is necessary for many reasons, first of all, this will help to avoid consequences and complications after the operation, to identify contraindications.

Video: How is eyelid surgery done?

Anastasia (40 years old, Moscow), 04/12/2018

Hello dear Doctor! I am writing to you to get a qualified answer. My name is Anastasia, I am 40 years old. Recently, my friend had an eyelid surgery, thereby rejuvenating for several years. I was also very excited about this idea, I talked to my husband and he agreed. But I'm concerned about money. I looked at the prices on your website, but will I need to buy any additional ointments for the eyelids after the operation? If necessary, which ones? And what is their price? Thank you!

Good day, Anastasia! After blepharoplasty, it is necessary to use a regular night cream for the skin of the lower eyelids. The upper eyelids do not need active moisturizing with special means. Sincerely, plastic surgeon Maxim Osin.

Alexander (44 years old, Moscow), 04/05/2018

Hello, Maxim Alexandrovich! Are there any special rules that must be observed after blepharoplasty? I heard about reducing physical activity, for example? Sincerely, Alexander.

Hello, Alexander! Indeed, for the rehabilitation period (which usually lasts from one and a half to two months), it is advisable to refrain from an active lifestyle and intense physical exertion. This is due to the fact that non-compliance with these requirements can lead to pressure fluctuations that affect healing. In addition, there may be individual factors that should be considered during the rehabilitation process.

Maria (18 years old, St. Petersburg), 03/28/2018

Good afternoon, my name is Maria, I'm 18 years old. Not so long ago I had an accident, I got stitches and now one eyelid hangs over my eye. Can you please tell me how to fix this problem? Thanks in advance.

Hello Maria! To assess the extent of the problem, it is advisable to see you at a face-to-face consultation, or your photo - send it to me by e-mail. If you have ptosis of the upper eyelid, then blepharoplasty will cost around 50 thousand. If only tissue scarring is observed, then about 30 thousand.

Daria (37 years old, Moscow), 03/13/2018

Hello! Tell me, are swelling and bruising visible after? How soon can you leave the hospital?

Hello! Swelling and bruising after this operation usually disappears in 7-14 days. If you were hospitalized after the operation (although they may let you go home immediately), you can be discharged within 1-3 days - the decision is made by the surgeon who performed the operation. Good luck to you! Thanks for the question!

Violetta (41 years old, Korolyov), 06/04/2017

Hello Maxim! Due to genetics, I have very droopy eyelids. It's the same with my mom. I want to do eyelid surgery, but I don't know how difficult it is to prepare for the operation. Could you tell? Violet.

Good afternoon, Violetta. We always start the examination with an initial face-to-face consultation and passing all the necessary tests (the list can be requested from the administrator of our clinic). 3 weeks before plastic surgery, I strongly recommend that you stop smoking, alcohol and drugs containing aspirin. Before the operation itself, you need to rest. Sincerely, plastic surgeon Maxim Osin!

Olga (37 years old, Moscow), 06/03/2017

Good afternoon, Maxim Alexandrovich! My name is Olga, I am 37 years old. I really want to do blepharoplasty on my eyelids. Can you tell me how long the results last?

Good afternoon, Olga. The result after eyelid surgery can please you for many years (from 7 to 10 years). The only thing you need to remember is that eyelid surgery does not reduce the natural aging of the skin. Sincerely, plastic surgeon Maxim Osin!

Alexandra (58 years old, Moscow), 06/01/2017

Hello! Please tell me, how long after the eyelid surgery can I calmly take a shower and wash my hair? Do I have to wait 2 weeks? Until the rehab is over?

Hello! Of course not! The very next day after eyelid surgery, you can take a shower and wash your hair. The main thing is to thoroughly dry the head and seams after water procedures. The stitches will be removed approximately on the fourth day after the operation. But you can use cosmetics after eyelid surgery only for 7-10 days. Sincerely, plastic surgeon Maxim Osin!

Angelina (44 years old, Moscow), 05/30/2017

Good afternoon! I'm getting ready for blepharoplasty. I'm 44 years old. How long will it take for me to see the result of blepharoplasty? How long will the swelling last? When can you be sure how successful everything went?

Hello! I recommend evaluating the result of eyelid surgery two weeks after the operation. Puffiness will persist for the first three days after surgery. Only after 10 days will your bruises completely disappear. The scar will become invisible after 1.5-2 months. Then we can talk about the final result of the operation. Sincerely, plastic surgeon Maxim Osin!

During this operation, the surgeon works with only a few square centimeters of the face area; you cannot just decide on this procedure one fine morning and be in the operating room by lunchtime. Such an approach is extremely risky and can lead to both a delay in the operation and serious problems after it - such a risk is in no way justified. So what needs to be provided so that everything goes smoothly and without injuries?

Preparation for blepharoplasty of the upper eyelids begins with the following questions:

• the presence of chronic diseases;
• problems specifically with the eyes, in the past or now;
• whether the patient has undergone previous surgery.

Due to the fact that there are quite a lot of methods and tools for blepharoplasty, the patient is often not well versed in them, so the doctor is also responsible for this decision.

If there are no problems with this part, then the following checks follow:

• whether aspirin-containing drugs are taken;
• the presence of an allergic reaction to anesthetics or drugs - perhaps the best solution would be blepharoplasty without anesthesia;
• presence of dry eye syndrome.

Also, glaucoma can become a serious obstacle on the way to surgery, but its presence is not always a categorical contraindication: if it is at the initial stage, then the operation can be performed. Next, you will need to take a series of tests, but more on that later.

If at this stage you did not fall under any of the points - great, ⅔ of the way has been completed. Ahead is the surgeon's final check, or rather, an assessment of the current situation and computer simulation of the expected result. But in fact, there are much more points here:

• the degree of deformation of the operated eyelid is determined;
• the probability of eyelid drooping is estimated;
• the amount of excess skin and fat is calculated;
• the depth of wrinkles and cartilage tone are examined;
• and finally, a digital model of the result is built.

If the result satisfies the client, and the surgeon is sure that he will be able to thoroughly carry out the operation, you can finally start it.

Tests for blepharoplasty

Let us dwell on this point in more detail and consider what tests are needed for blepharoplasty:

If at least one indicator is bad, then the operation will be denied. But not only they can serve as a stop signal for the surgeon - there are at least 8 more reasons why you can get a refusal:

• infection;
• diabetes;
• oncology;
• retinal disinsertion;
• inflammation etiology;
• pressure problems;
• the aforementioned glaucoma and clotting problem.

And again one “miss” and the surgeon will refuse you.

From all of the above, we can draw a simple conclusion: not everyone can count on even such a local and relatively small operation.

All these are medical indicators that the patient often cannot influence on his own. But how to prepare for upper eyelid blepharoplasty at home?

One step closer to surgery

If the surgeon did not find contraindications for blepharoplasty in your tests, body and body, then for about two weeks many will have to change their lifestyle very much so that the operation and the first days after blepharoplasty pass without problems and complications:

• alcohol and prolonged exposure to direct sunlight should be excluded 2 weeks before surgery;
• no smoking for at least 10 days;
• the same amount without anticoagulants;
• on the evening before the operation, refuse to eat and drink;
• come to the operation without jewelry and, obviously, cosmetics.

The procedure itself, in comparison with other operations, as already mentioned, is quite tiny: blepharoplasty lasts up to an hour, preparation for the operation is no easier than before much more “large-scale” surgical interventions, such as breast augmentation or abdominoplasty.

It is also one of the few procedures whose preoperative period lasts almost twice as long as the postoperative period. From 2 to 10 days will be spent on rehabilitation - such a spread in terms is due to the amount of work performed and the tools that were used to solve the problem.

At the same time, it is not replete with serious restrictions - just abstract from physical exertion and follow the doctor's recommendations - after about 15 days you will not even remember the shortcomings that provoked you to take this step.

Blepharoplasty is an operation, the purpose of which is plastic, rejuvenation of the eyelids, the periorbital region.

It is customary to allocate upper and lower blepharoplasty, respectively, to the upper and lower eyelids.

Indications and contraindications

Indications for blepharoplasty: the presence of excess skin of the upper and / or lower eyelids, the presence of "bags" under the eyes.

Contraindications for blepharoplasty: severe pathology of the cardiac system, respiratory system, blood coagulation system, oncological diseases, acute inflammatory diseases, diseases of the skin of the face.

Most often, eyelid surgery is performed under local anesthesia, but in some cases it is necessary to use general anesthesia.

List of tests and examinations for blepharoplasty

• Fluorography or X-ray of the chest
• ECG (electrocardiography)
• Clinical blood test
• Urinalysis (pre-wash)
• Screening coagulogram
  • PV (% according to QUIC, INR)
  • fibrinogen
• Blood group and Rh factor
• B / x blood test:
  • total protein
  • Sugar
  • AlAt, AsAt
  • Bilirubin
  • Creatinine
  • Urea
• Blood for HBs-Ag
• Blood for HCV-Ag
• Blood on F-50
• Blood on RW
• Pregnancy test
• The conclusion of the therapist with the results of the tests is MANDATORY!

Analyzes take on an empty stomach.

Test results are valid for 14 days.

rehabilitation period

• It must be remembered that the result of eyelid surgery can only be fully evaluated after the final resolution of the edema. On average, edema resolves completely within 1 month after surgery. In some cases, a longer resolution of edema is possible.
• The maturation of scar tissue proceeds according to quite definite stages. At the beginning, the scar has a bright pink color and a dense texture, then the scar gradually matures, after which the scar becomes thin, soft and white. The maturation of the scar is a long process and can take up to 12 months. It is important to understand this and be ready for it.
• The final assessment of the result of blepharoplasty should be no earlier than 3 months after the performance.
• For pain Ketanov 1 tab.
• Protective mode 14 days (limitation of physical activity, alcohol consumption, visits to the bath, sauna, solarium, discos, fitness clubs).
• Limit heavy lifting for 14 days.
• Hygiene mode: the face can be rinsed with water. Do not rub your face with a towel, blot your face after rinsing.
• Apply an ointment accelerating the resolution of bruises to the area around the eyes 3 times a day for 5 days.
• Perform examinations and dressings in accordance with the recommendations of the attending physician.