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Lower eyelid blepharoplasty
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Lower eyelid blepharoplasty

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Anomalies in the structure of the lower eyelid, the presence of fatty hernias, or excessive stretching of the skin in the delicate zone leads to the fact that even in young people, the gaze acquires “age-related” fatigue. Heavy eyes, bags under the eyes, or cyanosis due to closely spaced vessels - all this can be corrected by lower eyelid blepharoplasty.

The peculiarity of the operation is that the effect will please up to 10 years. Moreover, repeated changes in the tissues of the lower eyelid will be less pronounced. According to statistics, the operation is performed only 1-2 times - this is enough to maintain the attractiveness of the look.

What does the lower eyelid blepharoplasty surgery include?

The patient’s desire alone may not be enough. Before the appointment of the date of the operation, the surgeon at the Dobrobut clinic carefully examines the condition of the patient’s lower eyelid tone and adjacent muscle and fat structures. It is necessary to decide on the methods of the intervention, whether additional adjustments will be needed in the adjacent areas - the forehead, temples, and the middle part of the face. The doctor looks at what exactly caused the violation of the aesthetics of the lower eyelid - drooping of the eyebrows, stretching of the skin, ptosis. At the same time, it is being ascertained whether the patient has contraindications for surgical intervention.

The patient will have the following stages:

  • preliminary consultations with a surgeon and anesthesiologist (they explain to you what will be done, what the planned result is, the terms of rehabilitation);
  • direct surgical intervention;
  • postoperative period, removal of stitches;
  • assessment of the final result.

You need to understand that the final effect of lifting the lower eyelid can be assessed only after a few months - when the swelling finally disappears and the scars are smoothed out.

When doing a lower eyelid lift

The service is becoming the most popular among middle-aged patients over 35 years old. Men and women after 50 years either re-apply or need blepharoplasty of the lower eyelid in combination with other techniques (temporal lift, circular lift, plastic of the middle part of the face). Lift of the lower eyelids in youth - from 18 years of age - is more often associated with the correction of the eye cut, the elimination of fatty hernias, or anatomical features that qualitatively worsen not only aesthetics but harm the patient’s health.

Indications for surgery

It is important to understand that lifting the lower eyelid does not eliminate expression wrinkles, but it can completely remove hernial sacs.

The operation is indicated for such manifestations as:

  • congenital anomalies in the structure of the eyelids or the consequences of trauma, due to which the eyes look asymmetrical, create an aesthetic defect or contribute to visual impairment;
  • ptosis of the eyelid (prolapse under the influence of natural gravity);
  • exo- or enophthalmos (the eyeball is deep-seated or, on the contrary, protruding outward);
  • hernial protrusions;
  • the formation of skin folds under the eyes, deep wrinkles.

Blepharoplasty of the lower eyelids in Kyiv based on the MN Dobrobut clinic is performed in the presence of objective cosmetic eyelid imperfections. They can be congenital or appear due to age-related changes in the eyelid's structure skin.

Contraindications

A lower eyelid lift is a surgical procedure. The patient should feel good, be loyal to the drugs used for anesthesia. We do not provide services to pregnant women, people with blood clotting disorders, cancer, severe diabetes mellitus.

You will also have to wait if:

  • in the eye area, inflammatory processes, irritation, pustular lesions, fungal formation, the presence of infection are active;
  • if hyaluronic acid preparations, other fillers were previously injected;
  • with chronic diseases in the stage of exacerbation, the presence of viral, infectious pathology.

The specialist of our clinic pre-consults each patient individually and decides whether the operation can be performed or whether it is necessary to wait. For example, if a patient has been injected with Botox or fillers, then you will have to wait until the effect disappears.

Preparation for surgery and stages of lower eyelid blepharoplasty in Ukraine

Before starting the operation, it is important for the surgeon to correctly assess the condition of the skin in the area of ​​intervention. The patient may need to do some tests or get approval from a healthcare professional beforehand if they have a chronic medical condition or are taking medications.

The doctor preliminarily plans the markings along which the incisions will be made, chooses the method:

  • along the line of eyelash growth (relevant for older patients);
  • transconjunctival (for young people and middle-aged patients);
  • fat-preserving blepharoplasty (for women 35+).

The type of anesthesia is selected for the patient. Mostly, the cost of lower eyelid blepharoplasty includes local anesthesia. But if additional corrective interventions are required, or the patient is anxious, full anesthesia can be used.

The operation is performed in 3 stages:

  1. Cuts are made with a thin scalpel along the previously marked lines, the skin is separated from the muscles.
  2. Through the separation of muscle bundles, the doctor gains access to the contents of the protrusion at the lower eyelid.
  3. Excess tissue is excised, vessels are cauterized, sutures are applied.

The patient is removed from the state of sedation. If the condition is satisfactory, a follow-up visit is prescribed and released for rehabilitation.

What can / cannot be done after a lower eyelid lift and the duration of rehabilitation

Unlike upper eyelid correction, lower eyelid blepharoplasty is a more complex operation. Therefore, rehabilitation lasts a little longer - an average of 14 days.

  • Until the stitches are removed (5-7 days), the patient is recommended to wash with cool boiled water or neutral antiseptics (chlorhexidine, miramistin).
  • No special care is required. The doctor may prescribe ointments to stimulate blood circulation and speedy tissue regeneration, and physiotherapy procedures will also help get rid of wounds and edema faster. Hematomas resolve within 7-14 days after surgery.
  • After 2-3 months, only weakly noticeable manifestations remain.

If the operation was performed during the high solar activity season, you will have to cover your eyes from direct rays. Until the doctor gives the go-ahead, it is worth avoiding procedures and stresses that could affect the rate of healing of the eyelids: gym, sauna, steam bath, swimming pools, and beaches.

Result

The final assessment of the results of the operation is carried out after complete healing of the tissues, when the scars are finally smoothed out and become invisible to an outside observer. It takes on average 5-8 months, depending on the individual characteristics of the organism.

Reduction of tissue volume, redistribution of subcutaneous fat allow you to get a clearer, more open, youthful look. The face looks healthier, without the appearance of chronic fatigue, edema, sagging under the eyes, which creates a natural attractiveness to the image.

Service benefits

A high-quality lower eyelid lift performed by a plastic surgeon at the Dobrobut Clinic will restore an attractive appearance for many years. Our observations show that after the operation, the skin of the lower eyelid becomes denser and, with proper care, even age-related changes affect it weaker.

Even if after 10-15 years you decide to have a second operation, the severity of aesthetic imperfections will be much less. Unlike contour plastics, you get a stable result that does not require a regular repetition of the procedure.

Appointment at the clinic MN “Dobrobut” in Kyiv

To find out the price of blepharoplasty or come for an initial consultation with a specialist, just call by phone or fill out an application on our website. The administrator will help you choose a convenient time for your visit.

Registration for a consultation

Bibliography

  1. Rostami S, de la Torre JI, Czyz CN. Lower Eyelid Blepharoplasty. [Updated 2021 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan.
  2. Григораш, Н. В. Реконструктивна хірургія повік: естетична чи медична ціль?. Архів офтальмології України. – 2020.
  3. Taban, Mehryar Ray. Lower eyelid retraction surgery without internal spacer graft. Aesthetic surgery journal 37.2 (2017): 133-136.
  4. Branham, Gregory H. Lower eyelid blepharoplasty. Facial Plast Surg Clin North Am 24.2 (2016): 129-138.

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st. Idzikowsky Family (M. Mishina), 3, Kyiv
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