Upper eyelid surgery
Blepharoplasty surgery is a surgical intervention in the periorbital area for aesthetic or reconstructive purposes. It is carried out in isolation or in combination with other types of correction of the facial area. Since the beginning of this century, the popularity of the operation has doubled, and today eyelid correction is the most popular invasive plastic procedure. The price of blepharoplasty in Moscow and other cities varies, it depends on the experience, authority of the clinic, additional services for the comfort and convenience of the patient. Clinic "K+31" performs operations based on the best world experience in plastic surgery and the latest developments, which allows you to adapt the procedure to each patient, increasing efficiency.
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Expressive eyes characterize a person, tell about his character and individuality. We say “young beautiful eyes”, meaning that:
- No wrinkles around or under the eyes
- The upper eyelid has sufficient turgor and does not hang over the eyelashes
- The contour is smooth, even, full
- The corners are not omitted
- The tail is located just above the head of the eyebrow
When the skin is firm and elastic, there are no muscle spasms or fascial defects, the face in the normal state of a person does not look tear-stained, tired, or sad. The condition of the area around the eyes in this case is not a cause for concern.
The area around the eyes is very sensitive and delicate, so it is the first to show signs of aging. The first symptoms of chronological changes appear at the age of 28-35, and after 40 the skin condition quickly deteriorates.
However, the reasons for changes may not only be age:
- Congenital or acquired blepharoptosis (drooping, drooping of the upper eyelid)
- Injuries, diseases of the periorbital region affecting tissue
- Previous operations in this area (not only plastic ones), which violated anatomical symmetry
- Internal diseases that lead to swelling of the eyes, perforation of fatty hernias under the eyelids
Aesthetic problems can be deepened by insufficient or improper care of the area around the eyes, improper use of cosmetic techniques, massage, and hardware procedures.
Indications and initial examination
Indications for upper blepharoplasty
Not everyone needs upper blepharoplasty surgery; some minor defects can be eliminated by properly selected non-invasive cosmetology. However, with pronounced overhang, fatty hernias, cosmetics or cosmetic procedures are powerless. Anatomical errors can only be corrected by plastic surgery.
Indications for surgery on the upper eyelid:
- Dermatochalasis - drooping of the eyelids, overlap of the eyelashes by the skin fold. Because of this, not only aesthetic defects arise, but also difficulties in installing eye lenses, and in women with makeup
- Dropping of the corners of the eyes (“face of sorrow”)
- Excess fat under the skin of the eyelid (fat hernia)
- Pronounced wrinkles, folds around the eyes
- Lack of skin tone in this area
- Congenital or acquired insufficiency of the orbicularis muscle
- Blepharophimosis (a developmental abnormality characterized by fusion of the eyelids at the corners of one or both eyes)
- Eye asymmetry
- Scars on the eyelid from past surgical interventions, injuries
Anti-aging upper or circular blepharoplasty is prescribed for women or men after 30-40 years.
The operation can be performed at the request of a woman or a man, if they want to change the shape, shape of the eyes, or eliminate the anatomical features of the eyelid, which they consider unaesthetic. In each case, the doctor carefully listens to the patient’s wishes and suggests ways to solve problems.
Contraindications for surgery
Despite the fact that upper eyelid blepharoplasty is not a large-scale operation and is often performed under local anesthesia, if there are restrictions, the intervention is not possible.
Absolute and relative contraindications:
- Glaucoma
- Retinal detachment
- Pregnancy, breastfeeding
- High intraocular pressure
- Diabetes mellitus, pathologies of the endocrine system
- Severe chronic diseases of the heart, kidneys, liver, nervous system
- Exacerbation stage of chronic diseases
- Mental disorders, instability of the emotional sphere
- Blood clotting disorders
- Epilepsy
- Oncology
- Dry eye syndrome
- Pyoinflammatory processes in the surgical area
- Elevated body temperature, fever, ARVI
Some conditions can be corrected and then blepharoplasty performed. The decision on the admissibility of surgical intervention is made by both the plastic surgeon and the treating specialist who is observing the patient.
Medical examination
The doctor will prescribe an examination program, taking into account individual health indicators.
Laboratory diagnostics:
- General clinical blood test with leukocyte formula
- General clinical examination of urine
- Biochemical blood test
- Coagulogram
- Blood glucose level
- Analysis for STDs, hidden infections: HIV (HIV), RW, HBS, HCV
Additionally, you may need a PCR test for SARS-CoV-2, tests necessary for an existing disease and prescribed by a specialized doctor.
Some hardware diagnostic methods are assigned:
- Fluorography
- ECG interpreted by a functionalist doctor
- X-ray, CT, MRI of internal organs, breast for existing chronic disease
- Ultrasound with Doppler of the lower extremities to exclude thrombosis
The examination results are interpreted by a therapist and doctors of narrow specializations. The results of the medical report with diagnoses and conclusions about admission to surgery are transferred to the plastic surgeon.
General information about the procedure
Preparation for surgery
When preparing for surgery, you must follow all the surgeon’s instructions; this will minimize the risk of complications and side effects and speed up recovery. Following the rules will increase the efficiency of the operation and prolong the result.
First, you should consult with an ophthalmologist, and in case of a chronic disease, with your doctor.
Preparation should begin long before blepharoplasty:
- Two months before the procedure, you should stop sunbathing and visit the solarium
- Quit drinking alcohol and smoking
- Stop taking medications that may affect blood clotting (eg, aspirin, methotrexate, paracetamol, ibuprofen, diclofenac). If the drug is prescribed by a doctor to be taken on an ongoing basis, you should discuss with him the possibility of taking a break
- For two weeks you cannot visit the bathhouse, sauna, perform facial massage, face building, peeling
- 3-4 days before the procedure, women should remove artificial eyelashes, take out contact lenses and stop using eye makeup, creams, and cosmetics
- One day before surgery, you cannot engage in active sports
You do not need to follow a special diet, but you should choose a low-fat, light menu for several days before surgery so as not to feel heaviness in your stomach. Prevention of ARVI and strengthening the immune system will not hurt.
Eyelid lift at the K+31 clinic
High-quality blepharoplasty in Moscow is performed at the multidisciplinary medical center “K+31”. We employ qualified plastic surgeons with extensive clinical experience in eyelid surgery and the elimination of defects of any degree of complexity.
The full price of upper eyelid blepharoplasty in Moscow will depend on the type and volume of surgical intervention. However, the K+31 clinic is known for its democratic approach to the cost of services, so the final price of blepharoplasty for our patients will be at the level of average prices in the region with consistently high quality. Our surgeons use advanced equipment, new surgical techniques, modern instruments and materials, which improves the efficiency of each invasive plastic procedure.
Plastic surgery at K+31
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Types of eyelid surgery
It is impossible to independently choose the type of operation depending on how much blepharoplasty costs. The patient tells the doctor about the aesthetic defects that bother him, and the choice of the type of operation is the competence of the doctor, whose opinion must be listened to.
By objectives and scope, the following interventions are distinguished:
According to surgical techniques, eyelid lift can be performed using the classical algorithm or in a less traumatic way:
During blepharoplasty, a temporal lift can be performed if there are indications for this. The extent of surgical intervention depends on the tasks to be solved. The operation plan is carried out in advance, after diagnosis.