Eyes are the first thing that determines a woman’s attractiveness. The eyes convey emotions, mood and feelings, and reflect the state of our health. Even Cleopatra paid special attention to the eyes, in particular the eyelids, which needed especially careful and regular care.
But, unfortunately, the skin of the eyelids ages very quickly. This happens for several reasons. We often close our eyes, blink, and our eyebrows gradually lower. In addition, there are very few sweat and sebaceous glands on the eyelids - both upper and lower. Therefore, the skin in this area is dry and thin. So, with age, signs of aging become noticeable: the upper eyelids droop and hang over the eyes, bags, folds, dark circles and swelling form under the eyes. And of course, wrinkles appear.
With age, a gradual atrophy of connective tissue occurs in the eyelid area, which normally tightly holds the fatty tissue, preventing it from shifting. Adipose tissue, falling lower, forms the so-called bags under the eyes. In these situations, to rejuvenate the area around the eyes, blepharoplasty, which refers to eyelid surgery or eyelid lift, may be required.
The aging process is natural and cannot be avoided. But, fortunately, all these age-related manifestations can be easily eliminated! To do this, you need to turn to plastic surgery called “blepharoplasty,” which the specialists of our center kindly offer you.
With the help of blepharoplasty, or, in other words, eyelid surgery, you can significantly improve the appearance of the eyelids, eliminate age-related changes around the eyes - bags, folds, wrinkles, bruises, and ultimately significantly rejuvenate the face.
Postoperative period
The patient is discharged from the hospital on the same or the next day. If stitches were applied, they are removed on the 4th or 5th day after surgery.
Please note that after blepharoplasty, tissue swelling usually persists for one to two weeks. Bruises disappear after 5–8 days. Therefore, for 7–14 days after surgery, we recommend using sunglasses: they protect the skin well from ultraviolet rays and from unnecessary glances. Decorative hypoallergenic cosmetics are allowed to be used 7–10 days after the intervention.
The effect of blepharoplasty lasts for decades, and thus your eyelids will remain youthful forever!
Indications for surgery
Age-related changes, excessive exposure to the sun, the use of low-quality cosmetics, poor environment, poor nutrition and much more negatively affect the thin skin around the eyes. It loses its elasticity, becomes thinner, stretches, and an overhanging fold appears in the area of the upper eyelids and “bags” under the eyes.
The most common indications for an eyelid lift are: a skin fold hanging over the eyelash edge in the upper eyelid area, wrinkles and swelling in the lower eyelid area. Severe sagging of the skin folds of the upper eyelids can limit the field of vision and therefore serves as an indication for surgery not only from an aesthetic but also from a medical point of view. Often, the indication for blepharoplasty is congenital fatty hernias of the lower eyelids, which appear at a young age.
Depending on the indications, eyelid surgery is performed on the upper or lower eyelids, or both the upper and lower eyelids at the same time.
The operation allows the patient to get rid of blueness and “bags” under the eyes, eliminate overhanging skin folds in the upper eyelids, get rid of a tired, frowning look and look younger.
There are practically no age restrictions. But it is worth considering that the methods of performing the operation in older patients and young people may differ significantly. Thus, young patients with bags under their eyes can undergo transconjunctival blepharoplasty. This operation falls into the category of seamless. In this case, the incision is made along the conjunctiva (the mucous membrane of the lower eyelid). Through this access, fatty hernias are removed or redistributed. After the operation, stitches are not applied, because the mucous membrane is recovering well.
It is also worth considering that if you want to look much younger after surgery, it is not enough to “do” just your eyes. To achieve a real effect, at the same time improving your features, you need a circular facelift. After a high-quality operation, you can close this issue for a truly long time - for 10-15-20 years.
Contraindications
Before undergoing laser blepharoplasty in St. Petersburg, you should consult with a cosmetologist. There are restrictions on the use of laser anti-aging technologies. Among them:
- period of pregnancy and breastfeeding;
- inflammatory processes at the treatment site;
- blood clotting disorders;
- history of malignant tumors.
Impaired visual acuity in this case is not a contraindication.
To make an appointment with an experienced specialist, contact us by phone or online. Prices for laser blepharoplasty at the Bionika clinic start from 6 thousand rubles.
Preparation for the procedure
Rehabilitation after laser blepharoplasty takes 2-3 days, so it is recommended to plan the procedure during time free from work and other activities. Calmness and relaxation after treatment will contribute to the rapid and complete restoration of the eyelid skin for a flawless appearance.
When preparing for laser rejuvenation, you must avoid:
- any warming procedures (visits to baths and saunas, hot baths);
- prolonged exposure to the sun (before going outside, be sure to apply products that protect against UV rays);
- physical activity, cigarettes, drinking coffee and alcohol (2-3 days);
- visits to the solarium and tanning on the beach (1 month in advance).
Result after laser blepharoplasty
Laser eyelid surgery SMOOTH EYE Fotona provides natural lifting:
- noticeable increase in tissue turgor;
- eliminating the effect of a drooping upper eyelid;
- smoothing and tightening of the skin;
- volumization (restoration of healthy tone);
- obtaining the “eyes wide open” effect (for severe changes, laser exposure is combined with grinding techniques);
- smoothing the skin texture.
The effectiveness of the course can be assessed from the photo. The number of repetitions to achieve the desired result and its prolongation (up to 18 months) depends on the individual characteristics of the body.
How is the operation performed?
The operation, depending on the volume, can last from half an hour to an hour. If plastic surgery of only the upper eyelids is performed, local anesthesia may be used. When performing upper and lower blepharoplasty simultaneously, intravenous anesthesia is used in combination with infiltration. In some cases, it is possible to combine eyelid surgery and a facelift.
The essence of the operation: in the area of the upper eyelids, an incision is made along the natural fold, excess skin is removed, and fatty hernias are either excised or redistributed. An intradermal suture is placed on the wound. In the area of the lower eyelids, the incision is located at a distance of 2-3 mm from the eyelash edge. Excess skin is excised, fatty hernias are removed or redistributed. An intradermal suture is placed on the wound.
Post-procedure care
After treatment, the skin turns pink and slight swelling may occur. No intervention is required to eliminate these phenomena. The skin itself regenerates and takes on a natural appearance after 2-3 days.
Recommendations after SMOOTH EYE Fotona correction in our clinics in St. Petersburg:
- exclusion of overheating, visits to the solarium, saunas, baths (3-4 weeks);
- constant use of high-quality sunscreens;
- abstaining from smoking, taking antibiotics, drinking alcohol, hot, spicy and fatty foods (several days).
Blepharoplasty of the upper and lower eyelids
The skin around the eyes ages quickly, bags under the eyes and wrinkles appear, as it is the thinnest and most sensitive. Over the years, the look becomes less open and expressive.
Blepharoplasty of the eyelids is the most effective way to solve all problems in the area around the eyes at the same time.
Eyelid lift (blepharoplasty) radically changes the appearance, thanks to a pronounced rejuvenation effect. After surgery, patients look several years younger, and the results last for many years.
The Eva clinic successfully performs upper eyelid blepharoplasty, lower eyelid blepharoplasty and circumferential blepharoplasty.
Upper eyelid blepharoplasty provides the following types of correction:
- removal of the overhanging fold of skin above the eye. In some cases, this can even improve the patient's vision;
- raising the outer corners of the eyes;
- change in eye shape. With this type of correction, a small incision is made along the natural crease of the eyelid. In the future, the seams are almost invisible.
Blepharoplasty of the lower eyelids involves the removal of excess skin and fatty hernias, the so-called bags under the eyes. This involves making a small incision under the lash line. A variant of this operation is the method of puncturing the mucous membrane of the eyelid, through which the fat sac is removed. With such an operation it is impossible to remove excess skin, and therefore it is performed, as a rule, on young patients.
Circular, that is, upper and lower blepharoplasty, allows you to achieve significant results in one surgical intervention. This is the most preferred method to solve aging problems.
Blepharoplasty in St. Petersburg can be performed using a scalpel or a laser beam. Laser blepharoplasty has a number of advantages, which include minimal trauma, accelerated tissue regeneration, the impossibility of wound infection during surgery, the absence of scars and hematomas. At the same time, the cost of blepharoplasty performed using a laser is no higher than using the traditional method.
Blepharoplasty at the Eva clinic is performed using both methods - both laser and using a scalpel. We employ the best doctors specializing in this field.
The structure of the palpebral fissure
Eyelids are movable folds around the eyes. The eyelid is covered with thin skin with a layer of muscle tissue underneath. The skin is represented by a thin epidermis, around the eyes there are almost no sebaceous glands and subcutaneous fatty tissue, collagen fibers are arranged in the form of a mesh, so the skin is easily stretchable.
- Upper eyelid fold. It should be 7 mm above the edge of the eyelid in men and 10 mm in women.
- Upper eyelid.
- Lateral canthus.
- Horizontal axis of the eye.
- Lower eyelid fold. It is located 2-3 mm below the edge of the eyelids.
- Eyelid-cheek separation.
- Nasolacrimal groove.
- Internal canthus.
Blepharoplasty of eyelids before and after.
How is the operation performed at the Eva Clinic?
As before any operation, a preliminary consultation with a surgeon is necessary. During the consultation, an examination will be performed, a medical history will be taken, and indications and contraindications for blepharoplasty will be identified. You will be able to ask the doctor all the questions you are interested in.
Before surgery, it is necessary to undergo a brief laboratory diagnosis. Take a clinical blood test and a coagulogram (a test that evaluates blood clotting). Both tests are taken on an empty stomach at the Eva clinic or any independent laboratory, the results are ready the next day.
It is better to perform eyelid blepharoplasty in the first half of the day to increase the recovery period before sleep. A person in a dream is not able to control his behavior and can make sudden movements. On the morning of the day before surgery, breakfast should be light.
Mandatory photographs are taken before the operation. Why is this being done? In plastic surgery, this is a prerequisite. Before and after pictures are the only way to record and evaluate the effectiveness of the operation. Don’t worry that the clinic will use the photos for publication in any sources without your knowledge. The Clinic can use photographs only with your permission and, as a rule, these are fragmentary images that do not allow personal identification.
At the Eva Clinic, the operation is performed under local anesthesia - this is very convenient and means that after the operation you can go home. Anesthesia is performed by conduction or infiltration method. The drug is selected individually, taking into account the expected time of the operation and the possibility of allergic reactions (lidocaine, ultracaine, ubistezin...).
The operation itself lasts 1 – 2.5 hours, then the client remains in the ward, keeps the cold, rests, drinks tea or coffee. There will be no pain after the operation. The sutures after blepharoplasty will be covered with narrow surgical dressings. The doctor will give you a leaflet with rules of behavior and care after surgery.
Be prepared for the fact that after the operation there will be swelling and hemorrhages (bruises) are possible; these manifestations may persist for 1-2 weeks. Wearing dark sunglasses with large lenses will help you feel more comfortable. The process of postoperative recovery (healing) is individual and depends on the age and characteristics of the body.
Typically, a follow-up examination is scheduled 1-2 days after surgery. Sutures after blepharoplasty are removed on day 5-6. These services are included in the cost of the operation. The final follow-up examination is scheduled after a month. Recovery after upper eyelid blepharoplasty is faster than after lower eyelid blepharoplasty.
After blepharoplasty surgery
After the operation, you should strictly follow all the doctor’s recommendations and prescriptions. To do this, you will be given a detailed reminder.
- It is especially important: do not rub, scratch, or injure the surface of the eyelids, so as not to disturb the sutures after blepharoplasty.
- It is advisable to sleep with your head elevated.
- Avoid physical activity, sudden head tilts, exposure to the sun, and thermal procedures during the first days.
- Before and after surgery, refrain from bad habits; it is recommended to drink plenty of fluids.
- Do not use decorative cosmetics or contact lenses.
The effect of eyelid blepharoplasty
Sutures after blepharoplasty become completely invisible after 1.5 months. It is at this time that the final result of the operation can be assessed. In many patients, the effect is very pronounced; correction of the shape and age-related changes of the eyelids gives a rejuvenation effect that cannot be achieved in any other way. The result of the operation is durable and lasts for decades. Blepharoplasty, from a surgical point of view, is considered a simple operation to recover. The rehabilitation period, of course, will be inevitable, since the integrity of the skin is compromised. There will be swelling, and the effect is difficult to assess in the first days after surgery. Do not worry! After all, then all these temporary inconveniences will be fully rewarded when you see your new reflection in the mirror.
After operation:
After eyelid surgery, the patient does not require painkillers due to the absence of pain. Discharge from the clinic occurs in the evening, on the day of the operation.
After surgery, all patients experience swelling and intradermal hemorrhages of varying severity. The swelling decreases and goes away within a week after surgery. Intradermal hemorrhages resolve within 10-15 days. Until this time, it makes sense to wear dark glasses in crowded places. If intradermal sutures were placed during the operation, they are usually removed on the 5th day. The suture line (scar) becomes completely invisible after 1-1.5 months.
For a speedy recovery after blepharoplasty, a plastic surgeon may recommend courses of cosmetic procedures both before and after surgery. As well as placing eye ointments with antibiotics in the conjunctival sacs.
Prices for blepharoplasty
| Code | Procedure name | Cost, rub. |
| F35.06.07.0.002 | Upper blepharoplasty (difficulty category 1) | 30000 |
| F35.06.07.0.003 | Upper blepharoplasty (difficulty category 2) | 41500 |
| F35.06.07.0.004 | Lower blepharoplasty (difficulty category 1) | 34600 |
| F35.06.07.0.005 | Lower blepharoplasty (difficulty category 2) | 45000 |
| F35.06.07.0.007 | Blepharoplasty of the upper and lower eyelids | 80600 |
| F35.06.07.0.009 | Plastic surgery of the lower eyelids using transconjunctival access | 44000 |
| F35.06.07.0.010 | Plastic surgery of the lower eyelids using transconjunctival access (fat-saving) | 65000 |
| F35.06.07.0.001 | Oriental eyelid surgery | 40000 |
| F35.06.07.0.008 | Creating an upper eyelid crease | 44000 |
| F35.06.07.0.011 | Lower eyelid plastic surgery using percutaneous subciliary approach with myopexy | 56000 |
| F35.06.07.0.006 | Surgical correction of lower eyelid deformity | 65000 |
