All about laser blepharoplasty. Benefits of upper and lower eyelid laser blepharoplasty Do I need special preparation

Laser blepharoplasty is a method of correction and rejuvenation of the area around the eyes using a laser beam. It is carried out to eliminate aesthetic imperfections or, according to indications, on an outpatient basis under local anesthesia. Unlike the operation performed with a scalpel, it is characterized by a lower risk of infection. The result obtained is maintained for 4 to 10 years.

general information

In eyelid blepharoplasty, a laser is used to send a thin beam of high-energy light to the skin, leaving behind micro-incisions. In this case, bleeding does not develop, because due to the high temperature, small vessels are immediately cauterized, as if sealed. As a result, the risk of bacteria entering the wound and the development of infection, as well as swelling and bruising, is minimized.

In addition, the width of the incisions themselves after the laser is much less than the width of the incisions after the scalpel, so the surrounding tissues are less injured, and the wound heals faster without leaving scars.

Two types of lasers are used for laser blepharoplasty:

• CO2, or carbon dioxide. It has a more powerful beam of light, so it penetrates deeper into the skin. With its help, thin incisions are made, it also contributes to the coagulation of blood vessels, but due to the sharp heating of the tissues, it can leave a severe burn.
• Erbium. Its wavelength is almost three times smaller, so it does not penetrate deep into the skin. It cannot burn, but it also has less efficiency: it eliminates fine wrinkles by layer-by-layer evaporation of the skin.

The choice of laser is carried out by the doctor individually, depending on the severity of the changes.

During the procedure of laser blepharoplasty of the eyelids, the cells are heated to a certain temperature, but are not destroyed. On the contrary, heat has a beneficial effect: muscle fibers, and with them the collagen frame, are strengthened, collagen synthesis is enhanced, the skin is tightened and rejuvenated.

Types of laser blepharoplasty

Depending on the localization of the problem, the doctor may prescribe to the patient:

• . During the procedure, excess skin and adipose tissue is excised. As a result, the patient gets rid of overhanging eyelids and a “heavy” look.
• . It is required when the patient needs to remove fat bags, puffiness under the eyes, sagging skin. It can be performed percutaneously (along the ciliary margin) or transconjunctivally (through the inner surface of the eyelid).
• . Allows you to solve the problems of two centuries at once.
• . A method of incision correction, in which the "Mongolian" fold is removed and a Caucasoid fold is formed.
• . It is prescribed for violation of the ligamentous apparatus in the eyelids. During the operation, the shape and expression of the eyes are corrected.

Indications and contraindications

With the help of laser blepharoplasty, patients get rid of age-related changes after 35-40 years and aesthetic imperfections. Meanwhile, there are medical indications for the procedure:

• excessive drooping of the lower or overhanging upper eyelid (they impair vision);
• the presence of fatty hernias;
• omission of the corners of the eyes, deformation of the eyelids and the appearance of a "heavy" look;
• facial asymmetry, different eye shapes, eye contour defects;
• formation of deep wrinkles or crow's feet.

The procedure is also prescribed after injuries and burns.

Contraindications for laser eyelid blepharoplasty:

• individual sensitivity to the laser;
• the presence of inflammation in the area of ​​manipulation;
• oncology;
• HIV infection;
• blood clotting disorder;
• diabetes;
• somatic pathologies;
• epilepsy;
• fever;
• period of pregnancy and lactation;
• severe diseases of the cardiovascular system;
• certain eye diseases and pathologies (dry eye syndrome, glaucoma, increased intraocular pressure, etc.)
• disruption of the endocrine system;
• infectious diseases.

The procedure may be delayed for other reasons, which are identified individually.

Preparing for the operation

Before performing circular blepharoplasty or blepharoplasty of the upper and lower eyelids with a laser, the doctor prescribes an examination. The patient is given directions to:

• blood test (general, biochemical, for sugar);
• urine;
• coagulogram;
• electrocardiogram;
• fluorography.

The surgeon also evaluates the condition of the skin, muscle tissue around the eyes, determines the amount of excess, the tone of the cartilage tissue, the depth of wrinkles and the degree of deformation of the eyelid. Along the way, he collects an anamnesis regarding allergies to medications and, if necessary, appoints consultations of narrow specialists.

No special preparation is required from the patient, however, the doctor may recommend that he give up alcohol and smoking 7 to 10 days before and after laser blepharoplasty in order to speed up the healing process. They may also advise you to stop taking medications based on aspirin and hormonal drugs.

The operation is usually performed on an empty stomach or not earlier than 5-6 hours after a meal.

Operation progress

Most often, laser blepharoplasty is performed on an outpatient basis under local anesthesia. If additional procedures are planned, general anesthesia may be used.

Previously, the doctor makes markings and covers the pupil with a protective lens. The operated area is treated with a special antiseptic cream and after 10-15 minutes the surgeon makes incisions.

Upon completion of all manipulations, the wounds are sutured with absorbable threads or their edges are “glued” with surgical tape, and then they are treated with an agent that reduces pain and minimizes the risk of swelling.

On average, the procedure lasts 15-20 minutes. Hospitalization is not needed: a person can go home the same day.

Recovery

In the case of the right choice of clinic and specialist for blepharoplasty, it does not exceed 2 weeks. The patient is advised to apply cold compresses in the first days to speed up recovery, and also to abandon cosmetics for the next 10 days. It is better to sleep on your side or on your back, making sure that your head is slightly elevated.

In the first month, it is better to avoid serious physical and emotional stress. It is also not recommended to go to the bathhouse, sauna, be in the open sun (when going outside, you should use sunglasses), use aspirin-containing drugs.

You can usually return to your usual lifestyle and go to work on the 10th day. At the same time, minor scars can still remain on the eyelids, which usually disappear after a few weeks.

Below are photos before and after laser blepharoplasty of the upper and lower eyelids:

Laser blepharoplasty photo before and after

Laser blepharoplasty of the lower eyelids video before, during and after:

Laser blepharoplasty review:

Defects on the face, of course, spoil the aesthetic appearance of each person. Wrong lifestyle, age-related features, heredity are not all the factors that affect the appearance of our face. The problem of impending eyelids existed even in the days of ancient Greece and Rome - since then, a long and painstaking work has gone on to find high-quality methods for carrying out plastic procedures. Fortunately, nowadays there are many ways to lift droopy eyelids. The most frequently requested plastic surgery is laser blepharoplasty, the features of which will be discussed below.

This article discusses the operation of laser blepharoplasty, the main purpose of which is to get rid of drooping eyelids and give the face a youthful appearance. The article discusses indications and contraindications for this procedure, its advantages, features of the procedure, and the period of rehabilitation.

Blepharoptosis. General information

Eyelids droop - why?

• Age-related skin changes

The most popular and understandable reason for sagging skin is a decrease in the substance of elastin in them - the main factor that is responsible for the tone of cell membrane structures.

Also, over time, there is a reduced blood supply to the tissues with oxygen, and due to the low water consumption, the epidermis of the skin is even more exfoliated and takes on a not very healthy appearance.

• Hernia development

This is a temporary anatomical pathology associated with a qualitative neoplasm in the upper or lower eyelids. The hernia will not pose any danger if it is removed in a timely manner.

• The problem of obesity and accumulation of excess fat in the form of folds on the eyelids

Genetic factors determine where the fat layers will accumulate. For many people, the place of accumulation of subcutaneous fat is the eyelids.

• The presence of consequences of damage to tissue structures

Also, sometimes it becomes necessary to correct the upper or lower eyelids through plastic surgery to achieve an aesthetic effect of the skin around the eyes and the face as a whole. This happens due to the presence of tumors, severe hematomas, scars, leading to the appearance of an impending eyelid.

• Small tone of facial muscles, underdevelopment of the muscles that lift the eyelid

Due to a violation of the work of these muscles, upper blepharoptosis occurs -. This reason is due to hereditary factors.

• The presence of pathology of the oculomotor eyelid

The third pair of cranial nerves - the oculomotor nerve - is responsible for the innervation of the muscles that lift the eyelid. There are cases when there is a violation of its innervation, not only because of heredity, but because of a violation of its structure due to other surgical procedures.

• Aponeurotic causes of drooping of the upper eyelid

Due to age-related features and changes occurring during this period, sometimes there may be a situation of muscle tendons moving away from the plate to which they are fixed. This discharge provokes tension of the upper eyelid.

What are the symptoms of blepharoptosis?

• The most obvious is a visually lowered eyelid;
• Feeling of irritation of the mucous membrane of the eye;
• The appearance in children of the frequent position of the “stargazer” - when the child throws his head back;
• Bifurcation of the picture in the eyes, the development of strabismus.

Note: with these symptoms, you should be diagnosed by a specialist doctor to identify the real cause.

Laser eye blepharoplasty procedure

In what other cases is it indicated?

• Skin changes associated with the aging process;
• The presence of a congenital feature associated with a racial cut of the eyes;
• Baggage development in the lower eyelids;
• The problem of excessive skin around the eyes;
• Asymmetry on the face, related to the periocular surface.

Contraindications for laser blepharoplasty

What are the benefits of laser blepharoplasty?

In the modern world of surgery, the use of a laser device is one of the advanced methods for performing surgical operations. This is based on the significant advantages of this method:

That is why, when choosing which is better: laser blepharoplasty or surgical, the choice of many clients falls on the first option.

The process of laser blepharoplasty

Preparation for the procedure is carried out in several stages.

General preparations

Their start begins two weeks before the procedure itself.

To do this, you need to switch to a diet prescribed by a doctor, including following a fractional diet, excluding heavy foods (very fatty and fried), excluding fast carbohydrates (sweet, starchy, starchy), alcohol-containing products and tobacco products from the diet.

The use of the latter will significantly reduce the rate of rehabilitation of the body and increase the risk of postoperative complications.

The last meal is taken no later than six hours before the start of the operation.

Direct preparation for the procedure itself

This stage includes consultations and examinations with specialists (with a therapist, anesthetist, surgeon), testing for diagnostics (general and biochemical urinalysis, ultrasound, ECG, complete blood count). Also, at this period, the question of choosing the type of anesthesia is being decided.

Note: With laser blepharoplasty, local anesthesia is performed, as a result of which the tactile sensitivity of the postoperative area disappears, and nerve endings are blocked. However, the touch of the scalpel is still felt.

Surgical intervention. Performing blepharoplasty with a laser

• Before surgical procedures, the skin areas that will be removed are marked;
• The front part is disinfected with a disinfectant solution;
• The anesthetic substance is used directly, through small injections or the application of an anesthetic gel.
• After that, the surgeon makes excisions on the skin of the eyelid, performing the necessary measures;
• The operation ends with suturing, connecting tissues using special glue, surgical threads or tape.

Types of laser blepharoplasty, areas around the eyes: upper and lower eyelids

• Upper eyelid blepharoplasty with laser

Based on the name, it becomes clear that the operations are carried out to eliminate the upper overhanging eyelids. An incision is made along the natural folds of the upper blephar, subcutaneous fat accumulations are removed. Also, at the same time, the surgeon works with the structure of muscle tissue and, if necessary, performs a brow lift.

• Circular blepharoplasty

With this procedure, the correction of the right and left eyelids is carried out simultaneously.

• Laser blepharoplasty of the lower eyelids

Here there is another division of this blepharoplasty into three types:

1. Percutaneous subciliary lower blepharoplasty, when the excision is at the lash line.
2. Transconjunctival- with such plastic surgery, the excision is applied from the inner surface of the eyelid. It is used if the patient has excess fat accumulations with a volume of skin tissues that is in the normal range.
3. intraoral- here the surgeon makes an incision through the oral cavity. It is used if you wish to correct not only subcutaneous fat deposits and the overhanging surface of the skin, but also to change the contours of the orbit.

Recovery after blepharoplasty: rehabilitation period, recommendations for eyelid skin care

With a properly performed blepharoplasty, the recovery time after surgery is about two weeks.

• Until the tenth day of the rehabilitation period, it is necessary to abandon the use of decorative cosmetics;
• The recommended sleeping position is on the back or on the side, while it is desirable to achieve an elevated state of the head;
• Exclude the use of drugs with anticoagulant properties;
• Exclude exercise;
• Use sunglasses outdoors for ten days if the sun is strong;
• It is very important to exclude the use of baths, saunas, pools;
• it is recommended to use sunscreen to apply to the skin in the next month after the laser eyelid correction procedure.

Possible complications after laser blepharoplasty of the upper or lower eyelids

Laser blepharoplasty patient reviews

After analyzing the forums with reviews about laser eyelid correction, we can conclude that the effect after this blepharoplasty procedure is “amazing”. Patients agree that this method of eyelid lift is a great alternative to the classical methods of eliminating blepharoptosis.

Every woman who loves herself and every self-respecting man wants to look aesthetically pleasing. In the collected reviews, patients admit that they are ready to resort to this procedure several more times, despite its, in some places, pain and discomfort.

In order to evaluate the result of blepharoplasty of the upper and lower eyelids in the photo before and after the operation, we recommend that you refer to the sites of forums dedicated to plastic surgery.

What is included in the full cost of laser blepharoplasty?

• The level of the clinic, based on the competence of the specialists working in it, the equipment and the guarantees and services provided to it;
• Choosing a specific type of laser blepharoplasty;
• The complexity of the surgical procedures and the amount of work;
• List of necessary services after surgery.

The cost of laser blepharoplasty: the average price of laser correction of the upper and lower eyelids starts from 45,000 rubles.

The skin is the main indicator of all changes that occur in the body. The area around the eyes is the most sensitive to the action of time. There are many ways to restore skin elasticity and get rid of dark bags under the eyes. The most effective method is laser eyelid blepharoplasty. This procedure allows you to restore the external beauty and emphasize the expressiveness of the eyes.

What is blepharoplasty for an eyelid lift?

It is an innovative plastic procedure in aesthetic medicine. This is a procedure that removes excess skin from the upper or lower eyelids.

This type of blepharoplasty is the safest in plastic, since the incisions are made not with a scalpel, but with a laser.

Thanks to the procedure, the following problems can be solved:

• the presence of bags under the eyes (laser blepharoplasty of the lower eyelids will help from this);
• omission of the corners of the eyes;
• the appearance of fatty hernia of the eyelids;
• the presence of any wrinkles;
• asymmetrical eye shape.

Advantages of the procedure

This type of plasty is performed using a CO2 laser. Its use allows you to correct a certain area of ​​\u200b\u200bthe skin. The procedure has advantages, namely:

• making thinner incisions compared to a scalpel blade;
• the procedure is performed without contact of the surgeon with the skin of the eyelids;
• absence of scars and scars;
• easy postoperative course compared to conventional surgery;
• the transparency of the laser beam allows the doctor to see the entire field of operation;
• due to the ability of the laser to solder blood vessels, the likelihood of bleeding is excluded;
• significantly reduced operation time due to better visibility due to the absence of bleeding;
• minimal chance of injury to the eyeball and nearby tissues.

Varieties of laser blepharoplasty

There are several types of procedures. These include:

When to carry out the procedure?

Blepharoplasty with a laser is indicated in two cases: in the presence of an expressed desire of the patient and medical indications. The procedure is carried out with:

• overhanging of the upper eyelid;
• excess skin in the eyelid area;
• the presence of fatty hernias;
• eyelid deformities;
• the need to correct the shape of the eyes;
• asymmetry of the face;
• the presence of age-related changes in the skin.

Plastic surgery is carried out on an outpatient basis. In most cases, the choice falls on local anesthesia. In some cases, if additional procedures and health indications are necessary, general anesthesia can be used.

When should the procedure not be performed?

In some cases, if there are contraindications, the doctor will refuse to perform laser blepharoplasty. These states include:

• the presence of inflammation;
• identified sensitivity to laser exposure;
• the development of neoplasms of a malignant nature;
• infectious process;
• disruption of the endocrine system;
• existing chronic diseases at the stage of exacerbation;
• the presence of blood clotting disorders;
• the presence of HIV infection;
• revealed elevated intraocular pressure.

Stages of the operation

The whole process of laser blepharoplasty is divided into several stages.

• Preparatory stage

Starts 14 days before the procedure. For this, drugs that affect blood clotting, alcohol, and smoking are excluded from use. They spend less time in the sun and do not visit the solarium.

• Preparing for the operation

The stage is carried out on an outpatient basis. Includes visits to narrow specialists: therapist, anesthesiologist, surgeon. All necessary tests are given: blood, urine, electrocardiogram, fluorography. In parallel, contraindications are excluded. The type of anesthesia and the method of the procedure itself are discussed with the patient. As a rule, a neck lift is also in demand.

• Stage of immediate operation

First, a special marking is carried out, lenses are put on the eyes. After anesthesia, the doctor makes incisions, performs the necessary actions, sutures after surgery and applies a special plaster.

The duration of the procedure is on average an hour, sometimes a little more. When suturing, they use: removable or absorbable threads, special glue for the skin or a special surgical tape.

Features of rehabilitation after the procedure

Laser blepharoplasty is necessarily accompanied by a postoperative period - a rehabilitation stage. On average, it lasts up to two weeks. Doctor's recommendations include:

• applying cold compresses;
• abstinence from the use of cosmetics for 10 days;
• position during sleep - lateral or on the back, the head should be located above the body;
• exclusion of taking aspirin and preparations containing it;
• limitation of physical activity for 3 to 4 weeks;
• refusal to visit the bath, sauna;
• limiting time spent in the sun;
• when performing transconjunctival plasty of the lower eyelids, it is necessary to use sunscreen.

Side effect

Blepharoplasty, like most medical procedures, has side effects. They are associated with:

Complications of the procedure

In addition to side effects, the operation may result in the development of complications. These include:

• the development of paraorbital edema in violation of the integrity of the vessels;
• the development of a large hematoma in violation of a large vessel with a non-specific location;
• the appearance of asymmetry of the eyelids, which is due to the low qualification of the doctor, or the specifics of the structure of the human dermis;
• the appearance of a burn when using a carbon dioxide laser;
• eversion of the lower eyelid, when a large amount of skin is excised.

What makes up the cost?

Quality work as a plastic surgeon requires good pay. The price for the procedure of laser blepharoplasty consists of the following points:

• clinic location;
• the level of quality of the services provided;
• the specifics of a particular operation and its complexity;
• list of services after surgery.

Laser blepharoplasty allows you to get rid of many problems. The main thing after its implementation is to follow all the recommendations of the doctor. This type of plastic surgery does not give too visible results compared to using a scalpel. However, it has many advantages over it. Any plastic surgery must be approached consciously, weighing all the advantages and possible complications.

About the author: Ekaterina Nosova

Middle-aged and older people face cosmetic eyelid problems and often resort to plastic surgery. Most often, blepharoplasty is done between the ages of 35 and 45. It is during this period that tissue destruction occurs; after surgery, the natural feature of the skin at this age contributes to its healing and restoration. The seam after the procedure remains invisible, as it will be "hidden" in the natural crease of the eyelid.

What is laser blepharoplasty

A procedure in which excess fat deposits on the eyelids are removed, after which the person's look becomes more expressive, and the skin around the eyes noticeably younger. It is possible to carry out plastic surgery only of the upper or lower eyelids, such a procedure is resorted to by those who want to change their appearance and rejuvenate their face.

After its implementation, the following results can be achieved:

• get rid of wrinkles around the eyes, the so-called "";
• eliminate both the top and raise their corners;
• cut hernias under the eyes and thereby get rid of;
• improve vision if the eyelid hung over the pupils and obstructed the outlook.

The eyelids give out a person’s age very much, and often such a defect prevents him from seeing the full picture around him, but a lift is needed not only because of age-related changes, but also for a number of other reasons:

• sharp weight loss;
• hormonal and biological changes;
• choosing the wrong cosmetics for eye care;
• improperly performed plastic surgery;
• bad habits.

What is laser blepharoplasty and what are its advantages, the video below will tell:

Concept and types

An eyelid lift can be either when the laser treats all areas of the skin around the eyes, or it can only treat the upper or lower eyelid.

• Blepharoplasty of the lower eyelids eliminates even, as well as bruises, "bags" and various visual defects. The procedure is performed on an outpatient basis and can be performed under local or general anesthesia. After it, there are practically no scars, and if they remain, they are barely noticeable. Compared to other methods, laser blepharoplasty causes only slight swelling and discomfort, and rehabilitation does not last long.
• Blepharoplasty on the upper eyelids it is used when the skin in these places lose elasticity and an overhanging eyelid appears. At the same time, a person looks much older than his years, and his eyes become tired. The procedure is used for people who have hernias or excess skin on the upper eyelid. Hospitalization for the operation is not required, it is performed on an outpatient basis using local anesthesia. On average, the operation lasts 40 minutes.

Laser blepharoplasty of the lower and upper eyelids (before and after photos)

Differences from other types of blepharoplasty

It belongs to minimally invasive methods, it, like laser plastic surgery, has a short rehabilitation period, eyelid incisions are not made, excess skin is eliminated due to punctures. For older patients, suturing may be necessary, but this measure is applied only for a day.

Unlike other techniques, after laser blepharoplasty, there is no edema left, the skin after the operation immediately begins to produce its own elastin and collagen. If all the flaws could not be eliminated the first time, then a correction can be carried out, but with a mandatory break of one month.

Contraindications

Despite the safety of the procedure, it still cannot be carried out with the following deviations:

• poor blood clotting;
• during lactation and pregnancy;

Indications

Laser eyelid surgery is used in the following cases:

• at ;
• arising "mesh" under the eyes and;
• elimination of congenital defects of the eyelids;
• to change the shape of the eyes;
• in the presence of subcutaneous fatty hernias;
• with increased fatigue of the eyes due to the skin hanging over them;
• omission of the eyelid;
• with facial asymmetry.

Transconjunctival lower eyelid surgery with laser

Comparison with similar methods

• As an alternative to the procedure in question, the doctor may suggest, but most often these two procedures are performed sequentially one after the other. With their simultaneous implementation, the doctor will not be able to determine the degree of intervention.
• Lipolifting or can act as additional procedures for blepharoplasty.
• In some cases, plastic cannot cope with, then it is advisable to use injections with or.

How is the operation performed

The operation is carried out using a laser, which makes excisions in the right places. The duration of the operation is from 30 minutes to 1.5 hours, this factor is affected by the number of defects, the complexity of their elimination.

The full effect after the operation can be assessed only after two to three months.

Training

Without preliminary preparatory measures, a person may appear, so you should strictly adhere to the recommendations of the treating specialist. Before blepharoplasty, you must:

• make a fluorography;
• pass laboratory tests;
• consult with a therapist and endocrinologist;
• pass the .

Analyzes must be passed in order to exclude the presence of somatic and infectious diseases that will negatively affect the results after blepharaplasty. It is important to submit:

• , according to the chemical analysis of which the presence of diseases in the organs of the genitourinary system is determined;
• , it is checked for the number of leukocytes, hemoglobin level and erythrocyte sedimentation rate;
• analysis for AIDS and hepatitis C and B;
• , after which you can determine the rate of blood clotting;
• blood for checking the Rh factor and blood type;
• for the presence of syphilis.

For successful results, you need to adhere to some restrictions:

• a few days before the operation, you can not use cosmetics, deodorants and perfumes;
• 2 months before the procedure, you should not sunbathe and visit solariums;
• a couple of days before the process itself, physical activity should be stopped;
• , since it has a toxic effect on the entire body, inhibits tissue regeneration and suspends metabolic processes;
• , since nicotine released from cigarettes is a vasoconstrictor, which worsens wound healing;
• you can’t drink medicines before the operation that reduce blood clotting, these drugs include:, acetylsalicylic acid and;
• it is necessary to switch to products that can improve the elasticity and healing of the skin, and remove from the diet those that can increase vascular bleeding: citrus fruits, cocoa pastries, chocolate, smoked meats, spices, strong coffee, fatty and spicy foods.

Procedure

To protect the patient's pupils, special lenses are put on them, and then the eyelids are marked. Then the progress of the operation is as follows:

1. The areas where the incisions will be made will be anesthetized. This is carried out using a special type cream.
2. Then you need to wait a quarter of an hour for the anesthesia to work.
3. Incisions are made in the intended places and manipulations are performed to remove excess fat or remove hernias.
4. The incisions are sutured, they are surgical tapes or glue.
5. A sterile bandage is tied. Since the laser has a cauterizing effect on the vessels, there is no bleeding after the operation.

Marking on the eyelid before such an operation

Anesthesia can be general, the choice is made before the operation.

How the procedure is carried out, see this video:

results

After a correctly performed operation, a person immediately has an open look, the eyelids rise significantly, wrinkles around the eyes are eliminated.

Rehabilitation

It lasts for 14 days. For the first time, cold compresses are applied to the eyelids, which can prevent the formation of edema and bruising. With normal skin regeneration, the sutures heal within a week. But cosmetics on the eyelids can not be applied until 10 days have passed.

• In the first two weeks, swelling or bruising may persist, sometimes increased lacrimation, and there may be increased eye sensitivity.
• Physical activity is not allowed within a month after the operation.
• If a person wore lenses before blepharoplasty, then they should not be worn immediately after the operation, they must be kept for at least 2 weeks.

Consequences and complications

If there are any deviations, then there is an explanation for this:

• Edema. It is a consequence of a violation of the integrity of blood vessels.
• Dry eyes. It occurs due to a violation of the lacrimal glands.
• Eyelid asymmetry. It can manifest itself only because of the insufficient competence of the doctor.
• Hematomas. They may be due to damage to a large vessel.

How much does it cost and where is it made

Blepharoplasty is performed in specialized clinics, and its prices vary from 30 to 80 thousand rubles. The cost is affected by the complexity of the problem, the fame of the doctor and clinic, as well as the geographical location of the selected medical center.

Plastic correction of the eyelids was carried out in ancient Egypt more than three thousand years ago. Their ultimate goal, as in modern times, was the elimination of defects in appearance and the maximum prolongation of youth. Since those times immemorial, only the desire of a woman to always remain young and beautiful has remained unchanged, while the possibilities of plastic surgery have increased many times over. One of the most effective ways to restore enthusiasm, expressiveness to your eyes and get rid of age-related changes is laser blepharoplasty.

Laser or scalpel?

For most women, the decision to see a plastic surgeon is a very difficult one. They are afraid of possible complications of anesthesia, bruises and hematomas under the eyes, the possibility of infection and the formation of ugly scars. That is why specialists in the field of blepharoplasty called into service the most powerful, but at the same time accurate "warrior" - a ray of light. Why is it worth giving preference to the laser? There are several answers to this question:

1. The width of the wound caused by the laser is much smaller than the incision made by the scalpel. And this means rapid wound healing, minimal trauma to surrounding tissues and a significant reduction in the rehabilitation period.
2. The high temperature of the light beam allows you to immediately cauterize small vessels, which reduces the likelihood of bruising and swelling after blepharoplasty.
3. The wound heals without scar formation. When using the thinnest and sharpest scalpel, the scar will still remain, the laser will save you from having to hide thin scars behind a layer of makeup or glasses.
4. A local mini-burn, which remains on the walls of the wound, prevents the penetration of pathogenic microorganisms into the bloodstream, which minimizes the risk of developing infectious complications.
5. You will not need to go to the hospital - after 3-4 hours the patient calmly goes home and returns to the clinic only for a follow-up check.
6. A persistent lifting effect is observed for 4-5 years, in some cases - about 10 years.

Laser blepharoplasty (both surgical and non-surgical) is most often performed by two types of light beams - carbon dioxide and erbium.

With a wavelength of 10.6 µm and an absorption coefficient of 800 cm-1 CO2, the laser penetrates deep into the skin, coagulating the vessels and causing their ablation. This effect significantly reduces the likelihood of bleeding, but there is a significant heating of the tissues, which can lead to a deep burn and pain.

An erbium laser is a beam of light with a wavelength of 2.94 µm and an absorption coefficient of 12,000 cm-1. This means that the beam of light penetrates only 1 micron deep, that is, it is not capable of causing a burn, which is important when working with the delicate skin of the eyelids.

Types of operating laser blepharoplasty

Eyelid correction can be performed using several methods and depends on the problem itself, its severity, skin condition, location and skill of the plastic surgeon.

1. Upper eyelid laser blepharoplasty used to eliminate overhanging folds of the upper eyelid. The incision is made along natural folds, during the operation, excess skin and adipose tissue are excised, if necessary, the surgeon also works on muscle tissue or performs a one-time operation.
2. Blepharoplasty of the lower eyelids used in the presence of bags under the eyes, hernias, puffiness. There are two types:
   • percutaneous subciliary - the incision is located on the ciliary edge of the eyelid. If necessary, blepharoplasty is performed simultaneously with.
   • - the incision is located on the inside of the eyelid. It is used in cases where the patient has an excess of adipose tissue with a normal skin volume.
   • intraoral - access is through the oral cavity. It is used when it is necessary to correct not only skin and fat changes, but also for orbital plasty.
3. Circular blepharoplasty both eras rule at the same time.
4. Eye shape correction- one of the most popular operations in Asian women (the epicanthus is removed, the Caucasoid fold is formed).
5. Canthopexy- is aimed at eliminating defects in the ligamentous apparatus of the eyelids, corrects the shape and expression of the eyes, is used in patients with dysfunction of the facial nerve.

Indications for laser blepharoplasty and the course of the operation

One of the main indications for surgery on the eyelids is the desire of the patient, but there are also medical indications for blepharoplasty:

1. Correction of the overhang of the upper eyelid.
2. Dropping of the upper eyelid.
3. Excess skin on the eyelids.
4. "Fatty hernias".
5. Eyelid deformity.
6. Eye shape correction.
7. Facial asymmetry.
8. Age-related changes in the skin of the eyelids.

In 90% of eyelid laser correction is performed on an outpatient basis. Even in the process of preparing for the intervention, the issue of anesthesia should be resolved - many patients choose local anesthesia, but if additional interventions are planned, it is better to use general anesthesia.

At the first stage, the marking of the eyelids is carried out, protective lenses are put on the eyes. Next, the patient is anesthetized the operation site with a special cream (exposure - 10-15 minutes). Once adequate anesthesia is achieved, the surgeon makes an incision and performs the surgical procedure. The wound can be sutured with absorbable threads, special glue or surgical tape.

Rehabilitation and possible complications

If the operation is performed correctly, the recovery period will last about 2 weeks. On the first day after blepharoplasty, cold compresses should be applied to the eyelids - this will reduce the likelihood of bruising and swelling around the eyes. With adequate healing, the sutures are removed on the 7th day (sometimes earlier). In the first few weeks, small scars are visualized on the eyelids, but by the end of the third week they will gradually disappear. Experts do not recommend applying makeup and exposing the skin of the eyelids to intense insolation in the first 10 days after blepharoplasty.

Complications after laser blepharoplasty:

1. The feeling of dry eyes or, conversely, constant tearing indicate a violation of the lacrimal glands. Most often, this condition disappears in 10-14 days.
2. Paraorbital edema - occurs due to a violation of the integrity of the vessels.
3. Hematoma, the cause of which may be damage to an abnormally located large vessel.
4. Asymmetry of the eyelids - the reason is the insufficient qualification of the surgeon or the structural features of the patient's skin.
5. Skin burns occur when working with a carbon dioxide laser.

The following conditions are considered contraindications:

1. Inflammatory formations at the site of a future operation.
2. Pathology of the endocrine system.
3. Chronic diseases in the acute stage.
4. Benign and malignant neoplasms.
5. Violation of the blood coagulation system.
6. HIV infection.
7. Increased intraocular pressure.

Correctly performed laser blepharoplasty allows you to “lose” 4-5 years, make the expression of the eyes more perky and cheerful, and also get rid of many obvious defects in the paraorbital region.

Circular laser blepharoplasty, the introduction of lipolytics into the area of ​​the lacrimal trough

Surgical laser blepharoplasty of the upper and lower eyelids

Circular blepharoplasty and laser resurfacing of the eye area

Circular blepharoplasty

Upper and lower laser blepharoplasty, endoscopic brow lift, lipofilling and laser resurfacing of the face

Transconjunctival laser blepharoplasty of the lower eyelids

Transconjunctival lower eyelid lift

Asian Eye Blepharoplasty

Lower blepharoplasty and fractional thermolysis of the periorbital region

Blepharoplasty and laser resurfacing of the periorbital area

Non-surgical methods of laser exposure

Fractional thermolysis

The effectiveness of surgical laser blepharoplasty is undeniable, but still it is considered the lot of patients whose skin condition is very deplorable. If a woman is concerned only with small wrinkles, darkening of the skin of the eyelids and the appearance of barely noticeable edema, we recommend using the fractional thermolysis procedure.

Using this technique of non-surgical eyelid correction, the specialist makes a point effect of laser beams on the skin (an erbium laser is used in the procedure). At the same time, the upper layer of the epidermis (dead cells) is removed and regeneration processes in the dermis are activated.

The advantages of this technique are obvious:

1. Fractional thermolysis is absolutely safe - since the integrity of the skin is not violated, the risk of infection is zero. Also, the erbium laser does not contain UV rays that adversely affect the skin.
2. The physiology of the method - only a fifth of the skin is damaged, which triggers the processes of rejuvenation and recovery.
3. Delicacy - the laser has such a gentle effect on the skin that thermolysis is used to rejuvenate the skin of the neck, eyelids, and décolleté.
4. Rapid recovery - the epidermis is restored in 2-5 days.
5. Good durability of the effect - it lasts more than 2 years.

The procedure can be carried out all year round, just remember to avoid direct sunlight for 2 weeks. So that the patient is not disturbed by discomfort, the skin of the eyes is lubricated with an anesthetic. The duration of the session is 20-40 minutes, the durability of the effect after the course of procedures is 2-3 years. The most popular laser for the procedure is the laser.

Indications and contraindications for fractional thermolysis and laser resurfacing are the same:

1. Inflammation of the skin of the eyelids.
2. Herpes in the acute stage.
3. Increased sensitivity to the laser.
4. Oncopathology.
5. Chronic somatic diseases in the acute stage.
6. Endocrinological disorders.
7. SARS.

As you can see, the laser is not only a weapon of brave warriors or an instrument of the medical service, it can also be called the most perfect "brush" of the Masters of Beauty and Perfection - modern cosmetologists-estheticians.