How long does the edema persist after blepharoplasty?

Blepharoplasty of the eyelids (eyelid correction)

Blepharoplasty (from the Greek. blepharon - eyelid) - surgical correction of the eyelids, the purpose of which is to eliminate the overhang of the skin fold of the eyelids and the effect of "bags under the eyes". Plastic operations on the upper and lower eyelids correct the contours of the eyes due to the removal of excess skin or fat formations.

To date, blepharoplasty is one of the mostthe most common operations on the face. That is why there are several different ways of eyelid correction, allowing to change the shape and cut of the eyes, to eliminate various defects of the eyelids, including their age changes. Among them the plastic of the upper eyelids, the plastic of the lower eyelids, the transconjunctival plastic of the lower eyelids, and the combined (circular) plastic of the upper and lower eyelids are best known. Usually blepharoplasty is done by people (usually women) aged 35 years and older, but often, if necessary, their problems with eyelid correction are solved by patients at a younger age.

Indications for blepharoplasty (for eyelid correction)

  • excess skin of the upper and lower eyelids (overhang)
  • protrusion of "fatty tissue" in the upper and lower eyelid ("fat sacks of the eyelids")
  • wrinkles in the lower eyelid
  • lowered corners of the eyes
  • deep folds in the lower eyelid and in the corners of the eyes
  • desire to change the shape or cut of the eyes
  • increased arterial or intraocular pressure
  • dry eyes
  • Thyroid gland diseases
  • diseases of the cardiovascular system and other serious diseases of internal organs
  • diabetes
  • oncological diseases
  • bleeding disorder

The procedure for blepharoplasty (eyelid correction)

Blepharoplasty implies a fairly seriousinterference in the area of ​​the orbital fiber of the eye, therefore before the operation it is necessary to be examined from an ophthalmologist. In this case, if you wear glasses or contact lenses, you need to show them for advice. Also after consultation it is necessary to undergo a full examination.

Blepharoplasty is performed only in stationaryconditions under general anesthesia in combination with local infiltration anesthesia. The operation usually lasts from 1, 5 to 3 hours. Actually, the eyeball is not affected during the operation and this operation is absolutely safe for the eyesight.

Incision on the upper eyelid is done in placesnatural folds of the eye so that, with open eyes, the postoperative scar would not stand out. Sometimes, additional manipulations may also be performed to correct the lacrimal gland and "tighten" the circular muscle of the eye, if necessary, remove the fatty hernia. Excess skin of the upper eyelid is removed by excising the spindle-shaped skin flap.

In the lower eyelid, the most subtle incisions occur immediatelyunder the line of eyelashes, in places of cosmetic "eyeliner" of the eyes. Through these incisions the surgeon separates the skin from adipose tissue and muscles, removes excess fat, and also often cuts off the weakened skin and muscles. After that, the cuts are sewn by cosmetic sutures.

In cases where the patient has excess fatin the lower eyelids and there are no surpluses of the skin, the method of transconjunctive blepharoplasty can be applied. This method is suitable for young patients with thicker and more elastic skin. In this method, a miniature incision or puncture is done inside the lower eyelid (via conjunctiva), through which the surgeon removes excess fat. Transconjunctival blepharoplasty removes visible seams or scars on the skin and drastically shortens the recovery period. At the same time, facial expressions are not disturbed and the incision and shape of the eyes do not change.

Recently, for the reduction of surgicalinterference to a minimum more and more advanced plastic surgeons try not to remove the "fatty" hernia in the lower eyelids, but to redistribute. This method is called - intra-oral blepharoplasty and consists in the fact that the detachment of tissues is made through the mouth. In this case, the doctor reaches the edge of the eye's orbit, allocates a "fatty" hernia and sutures it to soft tissues. It should be noted that this operation, in view of its innovativeness, is being conducted so far by a limited number of specialists.

Rehabilitation period under standardblepharoplasty is 10-12 days. In some cases, in the postoperative period, bruises are noted in the area of ​​intervention, which lasts up to 2 weeks. To avoid their appearance and reduce edema in the first hours after blepharoplasty, it is recommended to make cold lotions. In any case, edema of the tissues and bruises gradually pass within 2-3 weeks. During the first 3 days it is recommended to use eye drops, as well as special exercises for the eyes. Sutures are removed on the 3rd, sometimes the 5th-7th day. The most common complication after blepharoplasty is bleeding, which can occur both within a few days and several hours after surgery. Therefore, often such operations are performed on an outpatient basis. During the first month, intense stress is not recommended, which can lead to additional hemorrhages due to increased blood pressure (including hot showers, torso torso, etc.). During the first 2-4 months, it is necessary to observe the correct water-salt regime. All medicamentous treatment should be carried out only in consultation with the doctor. Also, to prevent compaction of the postoperative scar, treatment (Buki) can be performed after some time after the operation.

As a rule, the final result of the operationis estimated after 1,5-2 months, when the scar is completely formed and the postoperative edema disappears. If the recommendations of specialists and appropriate care are observed, the result may last 7-10 years, and sometimes longer depending on the individual characteristics of the organism and the patient's lifestyle.