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Blepharoplasty

 

Eyes are the window to the soul. They are the first thing we pay attention to when meeting a person for the first time. The eyes look can tell us about the person’s mood, feelings and emotions. When someone is all right, when he/she is healthy, vivacious, young and joyful his/her eyes sparkle. But diseases, fatigue and emotional stresses make your look gloomy. Why is it so?

Our eyes look is formed by the combination of the eye-ball structures (sclera, keratoderma, pupil and iris color) as well as the look of the soft tissues surrounding the eye-ball including upper and lower eyelids, cheek-bone contours and eyebrows position.

The stress caused by hard mental and physical work exhaust the tissues round your eyes. As a result, the skin and the subiculum descend creating the fatigue look.

Soft tissues recover and lift after a nice rest. You look fresher, healthier and more amiable.

But it’s OK when you’re young. When aging your skin and subdermal tissues change: they loose elasticity, collagen and elastine quantity reduce, the tissues lose water. The tissues lose their ability to resist gravity like they used to when being young. Thus, the eyelid, cheekbone and eyebrow skin descend a little and occupy a new position. We have a tired and sad person’s effect. And this appearance remains even after the best rest. That happens at the age from 30 till 40. Then things go even worse: besides the skin descending, baggy lower eyelids appear, cheek bones become too obvious and wrinkles appear.

How can plastic surgery help? Manipulation like blepharoplasty can correct the eyes aging changes. Excessive skin and subcutaneous fat (that visually looks like baggy eyelids) removing as well as the upper and lower eyelids structure strengthening are the main ideas of the surgery. Blepharoplasty results into the eyelid contour improvement, outside eye corner ascends, the look gets lighter, opener and younger.

There are two key surgery methods: open and close. During the open blepharoplasty, a nearly invisible scar is formed that is hidden by the lower eyelashes and upper eyelid folds. This method allows to remove excessive skin and make the eyelid contour smoother.

Why is the scar in this zone nearly invisible? The matter is that the eyelid skin is extremely thin, has good blood circulation and thus regenerates very quickly. From the point of view of surgery, that provides excellent conditions for the wound healing. The similar processes happen in the child’s skin that heals quite fast and well.

The second method is transconjunctive blepharoplasy: the cut comes along the internal eyelid surface and is absolutely invisible. This methods allows to remove interorbital fat and correct the baggy lower eyelids only. You can’t remove excessive skin with that method. That’s why such surgery is mostly used for the patients aged from 30 to 40 with good skin condition.

Let us say some words about the manipulation itself. It lasts from 20 minutes to an hour under both local and general anesthesia. The patient can stay at the hospital only one day if he/she is enough disciplined and responsible. The stitches are removed on 3-4th day. The post-manipulation period is characterized with the marked eyelid swell that reaches its maximum on the 3-4th day and disappears on the 7th day in most cases.