All about minimally traumatic blepharoplasty – how to “lift” the eyelids with little blood

There are many types of blepharoplasty, and all of them are divided into two major groups: surgical and non-surgical. How do they differ and which technique to choose if you are thinking of eyelid correction? Do business with an expert – eye surgeon, oculoplastic surgeon Elena Kudryashova.

All types of non-surgical or cosmetic blepharoplasty are considered gentle and less traumatic and, in turn, are divided into injection and non-injection.

All types blepharoplasty without injection are aimed at exposing the cells of the upper layer of the skin of the eyelids (epidermis) and partially destroying the deep layer of the skin (dermis). Thus, the skin of the eyelids thickens and the destroyed cells are replaced by collagen and elastin. As a result, the skin becomes less elastic and more elastic, and its thickening helps to hide slight flabbiness, fine lines and slight sagging of the skin of the eyelids.

Blepharoplasty without injection is divided into types of exposure. It might be exposure to heat (thermal), electric current or various lasers. But the principle of action is the same for everyone: renewal of the superficial layers of the skin and partial destruction of the inner layers so that they are replaced by connective tissue and thickened.

Injection blepharoplasty, on the contrary, is not aimed at destroying, but at nourishing the skin of the eyelids. These can be vitamin or hyaluronic acid injections, which hydrate the skin, or Botox injections, which relax and smooth the muscles around the eyelids, followed by small wrinkles. Well, injections of lipolytic drugs help eliminate unexpressed fat deposits in the eyelids.

The main disadvantages of modern non-surgical techniques are their fragility (the effect lasts from several months to several years) and ineffectiveness in the fight against pronounced changes. If the patient’s eyelid hangs heavily or there are bags under the eyes associated with excessive deposition of fatty tissue, you will need to resort to surgical techniques.

Operative or surgical blepharoplasty helps eliminate severe changes in the lower and upper eyelids. At the same time, modern surgery technologies help to perform the operation with minimal intervention, making it less traumatic. So, many clinics use the method of radio wave surgery, due to which all incisions are very thin and heal quickly.

Modern methods of surgical blepharoplasty allow you to perform an operation without bleeding and make an inconspicuous incision, which does not leave scars. At the same time, even an imperceptible scar, the specialist, operating, will “hide” in the crease of the eyelid or under the eyelashes, where the skin heals much faster.

Surgical techniques have a longer effect than non-surgical techniques. After surgical blepharoplasty, the result lasts about 10 years. There are also several types of these operations.

Depending on the areas of the operation, they distinguish lower And upper blepharoplasty, only on the lower or upper eyelids, respectively. If the operation is performed on both the upper and lower eyelids, such a blepharoplasty is called circular. During lower blepharoplasty, it is possible to make an incision not on the outer side of the eyelid, but on the mucous side. This blepharoplasty is called transconjunctival.

Methodology fat-conserving blepharoplasty helps to cope with the uneven distribution of fatty tissue, due to which in some areas there may be sunken areas, and in others, on the contrary, fat accumulations. This type of blepharoplasty is suitable for those who have, for example, sunken eyes with visibly visualized bone under the eyes. In a fat-conserving blepharoplasty, the surgeon distributes the fatty tissue evenly, making the eyelids clear and smooth. Unfortunately, such operations have a short-term effect, because in the postoperative period fat can continue to shift and distribute naturally.

Blepharoplasty “Singapore”Or Europeanization, is aimed at the formation of a fold on the upper eyelid, which is not expressed in the eastern structure of the eyes. This allows you to open your eyes.

Canthopexy – a method of blepharoplasty, in which the corners of the eyes are raised. The skin of the eyelids near the outer corner is sutured to the periosteum – and the effect of “sad eyes” disappears.

Blepharoplasty can be done at any age, but the need most often appears after 35 years.

Contraindications include systemic diseases that can interfere with wound healing. Blepharoplasty should not be performed if a person tends to form coarse keloid scars, diabetes mellitus and oncological diseases.

Recovery after minimally traumatic surgical blepharoplasty does not last longer than that of conventional cosmetic procedures. Swelling and bruising, if present, disappears within a few days, on the seventh day after the operation the stitches can be removed, and on the tenth day cosmetics can be used.