Periorbital region. Anatomy, structure and danger zones.

The periorbital zone is the area around the eyes, which includes the upper and lower eyelids and the lacrimal apparatus. She actively participates in facial expressions and is more susceptible to aging than others. Wrinkles appear - facial, age-related, gravitational. They can be both superficial and deep, which occur not only on the skin, but also in the subcutaneous fatty tissues.

The first signs and minor traces can be combated with cosmetics; contour plastic surgery, mesotherapy, and thermolifting can be used. In case of significant changes, surgical periorbital rejuvenation (periorbitoplasty) .

A complex operation aimed at rejuvenating the eye area. Includes:

  1. Upper and lower blepharoplasty;
  2. Endoscopic lifting of the upper face;
  3. Endoscopic midface lift;
  4. Lipofilling of eyelids;
  5. Transposition of Bisha's lumps;
  6. Correction of the levators of the upper eyelids;
  7. Correction of corrugators;
  8. Correction of the nasolacrimal trough using your own tissues without the use of implants.

According to indications, it may include a number of other manipulations, while the price remains unchanged.

Before/after photos


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How does biorevitalization work?

In order for the skin to remain young and be able to resist the aging process, it is necessary that it be hydrated, i.e. have the necessary supply of fluid.
In the human body, the ability of tissues to retain water molecules is determined by the content of hyaluronic acid in them. It is capable of attracting and holding water in a volume exceeding its own weight. If skin cells are sufficiently hydrated, they can renew themselves in a timely manner and adequately withstand the adverse effects of the environment. If the amount of hyaluronic acid is not enough, the skin becomes flabby, dull, and fine wrinkles appear on it.

Biorevitalization not only replenishes the deficiency of hyaluronic acid through injection of the drug, but also stimulates its production by the body itself, thereby strengthening the skin’s protective mechanisms by replenishing its own resources.

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Biorevitalization of the paraorbital area

Biorevitalization of the skin area around the eyes is performed with a 1-2 ml syringe with a G30 needle (0.3 mm in diameter) and 13 mm in length. First, the skin around the eyes is treated with 0.25% chlorhexidine bigluconate. Anesthesia of the paraorbital area is optional and the possibility of its use is discussed between the doctor and the patient individually. Opponents of anesthesia in this area note a decrease in the effect due to the anesthetic being absorbed into the thin skin. However, with a low pain threshold and a pathological phobia of injection needles, it is better to reduce sensitivity - any flinching of the patient during injections in this area can cause serious injuries. In this case, it is also worth verbally calming and distracting the person, as well as giving him a sedative before the procedure.

For convenience, the entire area around the eye is divided into three sections - between the supraorbital groove and the palpebral fissure there is a zone of the upper eyelid, between the infraorbital groove and the palpebral fissure there is a zone of the lower eyelid, 5-10 square centimeters lateral from the outer corner of the eye is the zone of action or expression.

In the areas of the lower and upper eyelid, biorevitalization is usually carried out using the microinjection technique - for this, a needle is inserted with a cut upward at an angle of 30-40 degrees to a depth of 1 mm and a papule with a diameter of 3 mm is formed. The distance between injections is 1 cm, the first row is made along the supra- or infraorbital groove, then the next row is made closer to the palpebral fissure. In the area of ​​the lower eyelid, two rows are often enough; on the upper eyelid, they are done in parallel rows.

If there are pronounced “painting bags” under the eyes or in the cheekbone area, the cosmetologist should bypass them and not include them in the treatment area. This cosmetic defect is caused not so much by a violation of the skin structure, but by the accumulation of adipose tissue. This problem has hereditary causes and can be corrected by other methods of aesthetic medicine, and not by biorevitalization.

The technique in the expression zone depends on the condition of the skin. In the absence of pronounced facial wrinkles or with a slight hint of their appearance, a similar microinjection technique is performed - the first column of injections, consisting of the formation of 5-6 papules, goes vertically down at a distance of 0.5 cm from the corner of the eye, then another 2-3 rows are made on 1 cm apart. In case of pronounced skin wrinkles, they resort to the “point by point” technique - applying injections tightly adjacent to each other with the formation of 1-mm papules from each injection. Such injections are made along the most pronounced wrinkles of the skin. After the procedure, the entire area is wiped with a cotton pad soaked in sterile saline solution.

On average, 0.1-0.2 ml of a standard biorevitalization solution containing 8-16 mg (0.8-1.6%) of hyaluronic acid per milliliter is spent on each paraorbital area. In the case of other concentrations, the volume is adjusted depending on the goals and indications for the procedure.

Classification of wrinkles in the upper third of the face

Wrinkles can be classified based on various criteria, such as localization, depth, etiopathogenesis of their formation.
In the upper third of the face there are: By localization:

  • forehead wrinkles (wrinkles of anxiety, wrinkles of surprise);
  • wrinkles between the eyebrows (wrinkles of dissatisfaction, wrinkles of anger).

By depth:

  • superficial - changes at the level of the epidermis and upper dermis; under the influence of aging processes they can transform into deeper creases and folds;
  • deep wrinkles - changes in the middle and lower third of the dermis.

According to etiopathogenesis:

  • facial wrinkles - wrinkles on the forehead, between the eyebrows (glabellae); are formed as a result of contractions of the underlying facial muscles, the intensity of which depends on the behavioral characteristics of the person;
  • static wrinkles, or creases - are formed as a result of prolonged and habitual contraction of the same muscle group and atrophic changes in the skin (photo 4);
  • gravitational wrinkles are the result of gravity and the movement of fat compartments; In this zone, faces, as a rule, appear only at a fairly old age.

Rehabilitation

The rehabilitation period takes up to 2 weeks, only after this time it will be possible to evaluate the result. While the sutures are healing, you must strictly follow the doctor's recommendations. You should not rub or scratch your eyes, wear contact lenses, watch TV, use a computer, or even read. For several days after the operation you will have to sleep with your head elevated and avoid physical activity, and for a month you should not be in the sun without high-quality sunglasses. If blepharoplasty is successful and the patient complies with all instructions, the anti-aging effect will last for an average of 10 years.

Blepharoplasty at the Rostov Plastic Surgery Clinic

An operation is always stressful, so the Medical Park clinic has created the most comfortable environment. We employ highly qualified transplantologists and plastic surgeons, and our offices are equipped with the latest equipment and technology. An individual approach to each patient, the high equipment of the clinic and the golden hands of doctors allow us to achieve excellent aesthetic results against the backdrop of low trauma and the best price for blepharoplasty in Rostov-on-Don. Are you concerned about the shape of your eyes, do you consider it necessary to undergo rhinoplasty, have you decided to undergo a hair transplant, breast enlargement, or for some other reason are you unhappy with your appearance? Start the path to correcting the situation - sign up for a consultation with us.

How to prepare for eyelid surgery

It is not enough to simply find out how much an eyelid lift with threads and correction of the corners costs or find out the minimum price of blepharoplasty in Rostov-on-Don in order to consider yourself completely ready for the operation. First, you need to consult with a good surgeon, telling him about your expectations and learning about the nuances of each method. When choosing the optimal technique, a specialist examines the skin and muscles in the problem area, can make contour markings, take photos in different projections, and use special measuring instruments. Then you need to undergo a routine examination and tests. If no contraindications are identified, the doctor will determine the day of surgery.

When blepharoplasty is contraindicated:

  • pregnancy, breastfeeding;
  • infectious diseases in the acute phase;
  • diabetes mellitus and hyperfunction of the thyroid gland;
  • high intracranial pressure;
  • heart diseases;
  • allergy to anesthesia;
  • poor blood clotting, and for women - the period of menstruation;
  • oncology.

Contraindications

  • The presence of inflammatory foci in the intervention area.
  • Autoimmune pathology.
  • Presence of cancer.
  • The need to take anticoagulants.
  • Tendency to form hypertrophied and keloid scars.
  • A history of allergic reactions to the components of the proposed drug.
  • Pregnancy and lactation period.

The cost of biorevitalization of the periorbital area is 10,000 rubles. To make an appointment, call: +7 (495) 120-08-07 . Our address: 123557 Moscow, Central Administrative District, st. Presnensky Val, 14, building 3, 5 minutes walk from the 1905 Goda metro station

Are there any complications after the procedure?

Complications are extremely rare and only occur after an incorrect procedure. That is why it is worth contacting experienced professionals with good recommendations and carefully selecting a clinic.

Side effects after the procedure:

  • Slight swelling;
  • Swelling;
  • Seals in the place where the injections were made;
  • Temporary numbness of the skin;
  • Bruises.

It all goes away in a few days. Sometimes the rehabilitation process drags on for a week.

Cost of blepharoplasty - principles of pricing

How much eyelid correction can cost can be judged by the chosen method and the tasks that the patient sets for himself. There are two fundamentally different approaches to correcting defects in the periorbital zone.

  1. Non-surgical (cosmetology). In 2022, cosmetologists have at their disposal a wide range of non-surgical technologies for tightening the eye area, including injection (injection of fillers) and laser (lifting, fractional thermolysis).
  2. Classic (operation). When cosmetology and facelifting (facelift exercises) are powerless, they resort to drastic methods. Plastic surgery involves removing excess skin and fatty tissue through a direct incision on the eyelids. The transconjunctival method is also used.

The price of blepharoplasty is determined taking into account many factors. The final cost of blepharoplasty is influenced by the complexity and scale of the problem, the method of execution, the reputation of the clinic and the surgeon personally. Some clinics set very high prices, justifying their position with an impeccable reputation. However, even the most talented surgeon is not immune to mistakes and failures, so a too high price tag does not guarantee an excellent result.

What are periobital wrinkles?

Wrinkles in the periorbital area are age-related or facial changes around the eyes. They can appear even in very young people. The fact is that the skin in this area is very thin and, moreover, has few sebaceous glands, which is why it is most susceptible to various negative influences (such as dry air, incorrectly selected cosmetics, etc.).

In addition, each of us cannot do without regular blinking, and if we also have the habit of squinting, early wrinkles around the eyes are unlikely to be avoided.

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