Blepharoplasty complications after surgery. Complications after blepharoplasty. Consequences of medical errors

Complications after blepharoplasty are a relatively common problem. Therefore, before such an operation, a thorough diagnosis and consultation with a doctor is necessary. This plastic surgery involves the correction of the upper and lower eyelids.

Quite often, patients develop swelling after blepharoplasty, which soon disappear. But there are other consequences, more long-term nature. We'll talk about all of them below.

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With a competent approach to preoperative examination, defects can be avoided by predicting in advance the possibility of their occurrence.

Complications that go away on their own

Hematomas

Limited hemorrhages in the cavity or tissue in case of vascular damage. Hematomas look like patches of blue or purple skin, gradually changing first to green and then yellow (they disappear completely after that).

Most common in blepharoplasty:

• Retrobulbar hematoma - if large vessels are damaged, blood flows out and accumulates in the space behind the eyeball, which causes acute pain due to increased intraocular pressure, eye mobility is limited. It is the most dangerous variant of a hematoma and requires repeated surgical intervention.
• Subcutaneous - is formed under the upper layers of the skin, with damage to small vessels. The most common side effect. It does not pose a danger and does not require active measures.
• Tense - occurs with significant bleeding, stretches the surrounding tissues forming an accumulation of blood. Eliminated by puncture and suturing the vessel in the damaged area.

Edema

Edema after blepharoplasty can be both mild and severe, in the form of rollers under the eyes or around the eyelids. They are considered to be the norm during the recovery period. They are caused by the accumulation of fluid in damaged tissues.

The intensity depends on:

• complexity of the operation;
• the physical condition of the patient;
• implementation of the recommendations of doctors.

Edema after bepharoplasty disappears faster when using medications and cosmetics. In the case when the swelling persists for more than 1-2 weeks after the operation, it is necessary to consult a surgeon.

Complications requiring special treatment

Below we will consider those of the latter that most often require additional operations.

Diplopia

In this case, the muscles of the eyes are affected and a bifurcation of visible objects occurs. The cause of diplopia is a malfunction or damage to the oblique muscle.

May go away on its own during the postoperative period. Otherwise, surgery is required.

Ectropion

Eversion of the lower eyelid. Failed blepharoplasty is often the cause of its occurrence. In this case, too much skin is removed during the operation and the lower eyelid turns outward. This prevents it from closing and causes dry eyes. Such a defect is eliminated by gymnastics and massage, the imposition of additional sutures. If the measures are not effective, then repeated plastic surgery is necessary.

Scarring

Late complication after blepharoplasty. Normally, scars should not be noticeable. Hypertrophic scars occur when the wound is not properly sutured or when the seams diverge. Eliminated by excision, laser correction, the use of special ointments.

Wound infection

It can occur when hygiene standards are violated during surgery or in the postoperative period. The symptoms are:

• the appearance of edema;
• redness;
• soreness at the site of infection;
• increase in body temperature.

In this case, drug treatment, the appointment of antibiotic therapy is necessary.

Blepharoptosis

Lowering of the upper eyelid with damage to the muscles of the eye or oculomotor nerve. It is bilateral and unilateral. Omission can be complete (covers the entire pupil) and partial (the edge of the eyelid closes one third or half of the pupil). Causes mechanical impairment of vision, can lead to development and diplopia. Occurs predominantly in elderly patients.

Divergence of seams

Occurs as a result of severe swelling, mechanical damage or infection. With this complication, the likelihood of scarring is high. After eliminating the cause of the discrepancy, the sutures are re-applied.

tearing

Lacrimation increases with:

• infection and inflammation of the lacrimal glands;
• displacement of the lacrimal openings;
• narrowing of the flow channel;
• postoperative swelling that presses on the tear ducts.

Asymmetry

In the case of a poorly performed operation, there is a possibility of eye asymmetry. It can be congenital and may worsen after unsuccessful blepharoplasty.

Dry eye syndrome

Lack of lacrimation in violation of lacrimal secretion. Main symptoms:

• dryness;
• sensation;
• pain;
• photophobia;
• possible itching and redness.

It occurs as an independent complication, and in combination with others (ectropion, blepharoptosis).

Cyst

The remains of the epithelium that has not been removed can form cysts, white or yellowish, located along the suture line. They can atrophy and disappear on their own. If this does not happen, they are removed surgically.

Keraconjunctivitis

Inflammation affecting the cornea and conjunctiva when the mucous membrane of the eye is infected. Treatment consists in the appointment of antibacterial drops.

These complications usually do not go away on their own. When they appear, it is necessary to consult a doctor in order to identify the cause and prescribe a plan to eliminate the identified defects.

It is extremely rare to encounter such serious complications as visual impairment and, but the risk of their occurrence should not be completely ruled out.

In order to avoid such problems, it is necessary to carefully approach the choice of a clinic and follow all the recommendations of doctors, especially in the postoperative period.

Blepharoplasty is considered one of the simplest plastic surgeries. With its help, you can remove hanging eyelids, bags under the eyes, change the shape of the eyes. However, not everyone knows that a number of complications after blepharoplasty can, on the contrary, worsen the appearance.

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Causes of possible complications of blepharoplasty

Undesirable consequences after eyelid surgery occur for the following reasons:

• Technical errors during the operation. Complications after eyelid blepharoplasty most often occur if a young specialist or a doctor who does not have sufficient experience in this area is engaged in eyelid correction;
• Non-compliance with the recommendations of the surgeon the patient during the period of preparation for surgery and after it;
• Individual characteristics of the organism. Complications may be due to the tendency of the skin to form scars, unforeseen allergic reactions, changes in the course of the operation due to the abnormal location of the vessels in the patient.

With any operation, there are so-called general surgical risks. They are associated with skin injury, and in the area around the eyes it is the thinnest and most sensitive, which increases the likelihood of complications.

Table of the development of complications depending on time

Regardless of the type of complication and the timing of its occurrence, the operating surgeon should be made aware of disturbing changes immediately.

Types of early complications

Early complications of blepharoplasty of the upper eyelids most often occur due to vascular damage, injury to sensitive skin, and non-compliance with the surgeon's recommendations before and immediately after preparing for plastic surgery.

Swelling after surgery is considered normal, but only if it lasts for the first few days after blepharoplasty. The cause of swelling is minor damage to the vessels, in which excess fluid enters the surrounding tissues. With simultaneous blepharoplasty of the lower and upper eyelids, the edema can spread in a circle and completely interfere with opening the eyes for the first 2-3 days.

Puffiness that does not go away for a long time often causes headaches, blurred vision and double vision. Limiting fluid intake in the first days after surgery, sufficient rest, and sleeping on a low pillow helps to reduce the likelihood of severe edema.

The main cause of hemorrhages in the upper eyelids after blepharoplasty is vascular damage. Hematomas appear either immediately or 2-3 days after plastic surgery. Depending on the extent of damage, they are divided into:

• Subcutaneous. Blood accumulates at the incision site under the skin. This type of hemorrhage is not dangerous, the bruise resolves in 1-2 weeks. Palpation helps to speed up this process, the use of ointments from hematomas allowed by the surgeon. But in some cases, the doctor may recommend opening the edges of the wound and removing the accumulated blood;
• Tense. They differ from subcutaneous ones by the accumulation of blood in a large volume. Treatment consists in opening the postoperative wound, pumping out blood and suturing damaged capillaries;
• Retrobulbar. The cause of the hemorrhage is damage to large vessels located behind the eyeball. With a small amount of blepharoplasty, it rarely occurs. Signs of retrobulbar hematoma - protrusion of the eye, limitation of its mobility, severe pain, impaired visual function, hematoma under the eye or on the upper eyelid, redness of the conjunctiva. If such symptoms appear, you should immediately contact the operating surgeon or ophthalmologist, untimely therapy of retrobulbar hematomas leads to temporary loss of vision, in severe cases, retinal thrombosis and acute glaucoma.

Ectropion

The term ectropion refers to the eversion of the lower eyelid. The defect occurs due to the removal of too much tissue in time and is a complication of blepharoplasty of the lower eyelids. Ectropion not only worsens the appearance, but also increases the dryness of the mucous membranes, which in turn predisposes to the development of ophthalmic diseases.

The complication is eliminated conservatively or surgically. If the defect is not very pronounced, the doctor first recommends doing a special massage and gymnastics for the eyes. If they are ineffective, surgical intervention is recommended, which consists in the imposition of supporting sutures.

Increased lacrimation

A frequent complication of transconjunctival blepharoplasty is increased lacrimation. In most cases, due to severe swelling in the postoperative period. But if lacrimation continues to bother even after the edema subsides, then other reasons for its appearance should be considered. This may be scarring, leading to narrowing of the tubules or displacement of the lacrimal openings.

To eliminate lacrimation, probing of the lacrimal canals is used, sometimes excision of scar tissue.

infection

The entry of pathogenic microorganisms into the wound is possible both during the operation and after it. Signs of infection are - increasing redness of the suture area and around it, an increase in local temperature, an increase in edema, pain. At an early stage, secondary infection is successfully treated with antibiotics, in advanced cases it may be necessary to cut the suture to cleanse the wound from the inside.

Divergence of seams

The causes of this complication after blepharoplasty surgery are non-compliance with the technique of suturing the wound, severe swelling, inflammation due to infection. If the condition of the suture causes concern, then the surgeon who performed blepharoplasty should be consulted.

With the divergence of the seams, the likelihood of infection of the injured skin, the opening of the wound and the formation of rough scars increases.

Diplopia

Diplopia is double vision resulting from trauma to the eye muscle during surgery. It does not pose a particular danger, since in about 2-3 weeks the muscle recovers on its own and normal vision returns. However, a patient with diplopia should be observed by an ophthalmologist, if the problem persists, the integrity of the muscles is restored with the help of surgery.

Types of late complications

Late complications after blepharoplasty become noticeable at the end of the rehabilitation period. That is, in the period from 3-4 weeks to 3-4 months after the operation. They occur most often due to the low qualification of a plastic surgeon, although some undesirable consequences are also explained by the individual characteristics of the body.

Blepharoptosis

The term blepharoptosis refers to a pathological drooping of the upper eyelid that prevents the eye from opening fully. The eyelid, as it were, hangs over the eye, covering most of it. The appearance of blepharoptosis with swelling is considered a variant of the norm. You need to see a doctor if the defect persists even after the swelling subsides. In this case, the cause of blepharoptosis may be damage to the muscle fibers and ligaments during blepharoplasty. To correct true ptosis, a second operation is necessary.

With lagophthalmos, the process of normal closing of the eyelids is disrupted. It is clearly seen what this complication of blepharoplasty is in the photo. The cause of the defect is excessive skin removal during surgery. Lagophthalmos often occurs if repeated blepharoplasty is performed too quickly after the first one.

With lagophthalmos, the process of natural hydration of the cornea is disrupted, as a result, it loses its transparency and, as a result, this can lead to blindness. Therefore, with incomplete closure of the eye, a second operation is essential.

Cyst

A cyst is a neoplasm separated from healthy tissues by a capsule. Most often, during blepharoplasty, it is formed next to the seam. The treatment consists in surgical removal of the cyst, such an operation does not affect the result of blepharoplasty and therefore the cyst can be considered a mild complication.

hyperpigmentation

The appearance of dark spots on the eyelids and under the eyes occurs after the resorption of severe hemorrhages. When blood decomposes, dark-colored decay products accumulate in the subcutaneous layers, they do not always leave the body naturally and over time can appear as dark spots on the skin. Treatment mainly consists in the use of absorbable ointments and lotions.

Formation of rough (keloid) scars

Normally, in 3-5 months, postoperative scars on the eyelids after blepharoplasty soften and dissolve. That is, they should remain almost invisible. However, this is not always the case.

There are several reasons for the formation of keloid scars, these are:

• Divergence of seams;
• Incorrect suturing;
• Individual characteristics of the organism.

If, during preparation for surgery, the patient has a tendency to form coarse scar tissue, then in the process of blepharoplasty itself, the surgeon must introduce drugs into the incision area that promote gentle tissue healing.

With existing scars from plastic surgery, their severity can be reduced with the help of mesotherapy, laser resurfacing, fractional thermolysis.

Eye asymmetry

The reasons for the appearance of a complication of blepharoplasty of the upper eyelids in the form of asymmetry of the eyes are associated with improper suturing, a violation of the process of scarring of tissues. A complication may also be a consequence of the surgeon's inattentive attitude towards patients with already existing congenital asymmetry of the eyes, which leads to an increase in an acquired or congenital defect.

Keratoconjunctivitis

In almost any ophthalmic eye surgery, keratoconjunctivitis sicca develops over time. This also applies to blepharoplasty.

However, "dry eye syndrome" is one of the easiest to eliminate the consequences of plastic surgery.

Instillation of eye drops, similar in composition to a tear, completely solves the problem.

Prevention of complications

It is quite possible to reduce the risk of most complications after blepharoplasty. For this you need:

• Choose a reliable clinic equipped with the most modern equipment;
• Find a qualified surgeon who has the appropriate certificates and sufficient experience in the field of eye surgery;
• Make sure that the clinic follows all the rules of asepsis and antisepsis;
• Get advice from an ophthalmologist. The doctor will assess the condition of the eyes, determine the likelihood of complications and give his recommendations;
• Undergo a complete diagnosis, based on the results of which it will be possible to conclude whether blepharoplasty is possible or this plastic surgery is contraindicated for you;
• Follow all the recommendations of a specialist during the preparation period and during recovery after the procedure.

If any alarming changes in well-being appear after blepharoplasty, you should consult a doctor - timely therapy prevents the progression of the disorders that have arisen.

Anastasia (40 years old, Moscow), 04/12/2018

Hello dear Doctor! I am writing to you to get a qualified answer. My name is Anastasia, I am 40 years old. Recently, my friend had an eyelid surgery, thereby rejuvenating for several years. I was also very excited about this idea, I talked to my husband and he agreed. But I'm concerned about money. I looked at the prices on your website, but will I need to buy any additional ointments for the eyelids after the operation? If necessary, which ones? And what is their price? Thank you!

Good day, Anastasia! After blepharoplasty, it is necessary to use a regular night cream for the skin of the lower eyelids. The upper eyelids do not need active moisturizing with special means. Sincerely, plastic surgeon Maxim Osin.

Alexander (44 years old, Moscow), 04/05/2018

Hello, Maxim Alexandrovich! Are there any special rules that must be observed after blepharoplasty? I heard about reducing physical activity, for example? Sincerely, Alexander.

Hello, Alexander! Indeed, for the rehabilitation period (which usually lasts from one and a half to two months), it is advisable to refrain from an active lifestyle and intense physical exertion. This is due to the fact that non-compliance with these requirements can lead to pressure fluctuations that affect healing. In addition, there may be individual factors that should be considered during the rehabilitation process.

Maria (18 years old, St. Petersburg), 03/28/2018

Good afternoon, my name is Maria, I'm 18 years old. Not so long ago I had an accident, I got stitches and now one eyelid hangs over my eye. Can you please tell me how to fix this problem? Thanks in advance.

Hello Maria! To assess the extent of the problem, it is advisable to see you at a face-to-face consultation, or your photo - send it to me by e-mail. If you have ptosis of the upper eyelid, then blepharoplasty will cost around 50 thousand. If only tissue scarring is observed, then about 30 thousand.

Daria (37 years old, Moscow), 03/13/2018

Hello! Tell me, are swelling and bruising visible after? How soon can you leave the hospital?

Hello! Swelling and bruising after this operation usually disappears in 7-14 days. If you were hospitalized after the operation (although they may let you go home immediately), you can be discharged within 1-3 days - the decision is made by the surgeon who performed the operation. Good luck to you! Thanks for the question!

Violetta (41 years old, Korolyov), 06/04/2017

Hello Maxim! Due to genetics, I have very droopy eyelids. It's the same with my mom. I want to do eyelid surgery, but I don't know how difficult it is to prepare for the operation. Could you tell? Violet.

Good afternoon, Violetta. We always start the examination with an initial face-to-face consultation and passing all the necessary tests (the list can be requested from the administrator of our clinic). 3 weeks before plastic surgery, I strongly recommend that you stop smoking, alcohol and drugs containing aspirin. Before the operation itself, you need to rest. Sincerely, plastic surgeon Maxim Osin!

Olga (37 years old, Moscow), 06/03/2017

Good afternoon, Maxim Alexandrovich! My name is Olga, I am 37 years old. I really want to do blepharoplasty on my eyelids. Can you tell me how long the results last?

Good afternoon, Olga. The result after eyelid surgery can please you for many years (from 7 to 10 years). The only thing you need to remember is that eyelid surgery does not reduce the natural aging of the skin. Sincerely, plastic surgeon Maxim Osin!

Alexandra (58 years old, Moscow), 06/01/2017

Hello! Please tell me, how long after the eyelid surgery can I calmly take a shower and wash my hair? Do I have to wait 2 weeks? Until the rehab is over?

Hello! Of course not! The very next day after eyelid surgery, you can take a shower and wash your hair. The main thing is to thoroughly dry the head and seams after water procedures. The stitches will be removed approximately on the fourth day after the operation. But you can use cosmetics after eyelid surgery only for 7-10 days. Sincerely, plastic surgeon Maxim Osin!

Angelina (44 years old, Moscow), 05/30/2017

Good afternoon! I'm getting ready for blepharoplasty. I'm 44 years old. How long will it take for me to see the result of blepharoplasty? How long will the swelling last? When can you be sure how successful everything went?

Hello! I recommend evaluating the result of eyelid surgery two weeks after the operation. Puffiness will persist for the first three days after surgery. Only after 10 days will your bruises completely disappear. The scar will become invisible after 1.5-2 months. Then we can talk about the final result of the operation. Sincerely, plastic surgeon Maxim Osin!

There is an opinion that blepharoplasty is a simple and safe operation, which even a young surgeon can do. Believing this, patients sometimes refuse to spend a lot of time looking for an experienced specialist, and then face negative consequences after unsuccessful blepharoplasty. Conventionally, the latter are divided into two types: some simply spoil the appearance and can be eliminated, others worsen vision, threatening to completely lose it.

The reasons

The most common causes of complications after blepharoplasty:

• Individual characteristics. We are talking about allergies, the location of blood vessels, unforeseen circumstances in the process of scar formation (when the body itself reacted in an unexpected way).
• Non-compliance by the patient with the advice of the doctor after the procedure and before it.
• General surgical risks. Any operation is a trauma, and even more so for the delicate and thinned area - the skin around the eyes. To minimize the risks, you should undergo an examination and exclude the presence of contraindications.
• surgeon's mistakes. Unfortunately, young professionals sometimes underestimate blepharoplasty, forgetting that this is one of the most technically complex manipulations.

It also happens that in the actual absence of complications, the patient remains dissatisfied with the result. Everything is to blame - physiological reasons (slow healing, the formation of a rough scar), psychological (high expectations from the operation).

Types of complications after blepharoplasty

Depending on how much time has passed since the operation, there are:

• early complications. They appear at the stage of the procedure or in a short time after its completion. They are hematomas, edema, foci of inflammation due to infection.
• Late. Occur after a few weeks, and sometimes months, and are detected in the divergence of the seams, hyperpigmentation, blepharoptosis, aesthetic problems.

In any case, treatment should be started immediately, otherwise serious and irreversible consequences cannot be avoided.

Main problems and ways to deal with them

Puffiness, which manifests itself in the first days after surgery, is not a complication after blepharoplasty. Edema (pictured) is a common reaction of the body to injury. When they appear, the permeability of the vessels increases, through the walls of which a larger volume of blood is excreted, which, on the one hand, leads to swelling, and on the other, accelerates the healing process, eliminates inflammation.

Normally, swelling persists from 2 to 7 days and decreases due to anti-inflammatory ointments and gels prescribed by a physician. If the swelling persists longer, then an additional consultation with the surgeon is definitely needed to find out the cause. Otherwise, the condition threatens with blurred vision, double vision, headaches (if the swelling presses on the organ of vision).

The main causes of persistent edema:

• toxic-allergic conjunctivitis (most often on drugs that were instilled after surgery, and confirmation of this is itching, redness of the skin and whites of the eyes);
• infection.

The basis of therapy is antiallergic drugs.

Hematomas

Being an accumulation of blood, hematomas appear immediately after injury or damage to the skin or after a few days. Conventionally, they are divided into three types:

• Subcutaneous - simple, prone to self-resorption. Sometimes a puncture or removal of a collection of blood through incisions is required. The main thing is not to delay with the latter, if there are indications, since sealing of the eyelids and subcutaneous nodes may subsequently occur.
• Tense - occur if a large vessel is damaged (it does not thrombose naturally) and blood constantly comes out of it, squeezing the tissues around. The condition is accompanied by a feeling of fullness, numbness of the damaged area. The problem is solved by surgical intervention, in which the vessel is sutured.
• Retrobulbar - represent a hemorrhage in the orbit. This is a serious complication after blepharoplasty, which can provoke visual impairment due to compression of small vessels that supply oxygen to the retina and optic nerve. In severe cases, possible: blindness, acute glaucoma. The condition manifests itself on the first day or on the 5th - 7th day and is accompanied by pain, protrusion of the eyeball. The reasons are the mistake of the surgeon or non-compliance with his advice (tilts, physical activity). To avoid complications, doctors use tools that seal the vessels (electroknife, laser). Relieve symptoms with drugs to reduce intraocular pressure, and if vision worsens, a second operation is performed.

To eliminate hematomas, decongestant infusion therapy can also be carried out.

infection

It is observed during surgery in a non-sterile operating room or in the presence of foci of inflammation in the patient (caries), when the infection enters the wound with blood flow. Accompanied by swelling, redness, fever, less often - necrosis. Antibiotic therapy is used for treatment.

Scarring problems

With an individual predisposition to the appearance of keloid scars, rough scars and cysts appear. Small neoplasms are prone to self-resorption, the rest are removed surgically. At the initial stages, they are treated with ointments, hardware procedures, after six months only peelings and laser resurfacing are effective.

This is a drooping of the upper eyelid, in which the patient cannot open the eye. Appears with swelling, but normally passes quickly. If it persists for several weeks, it means that the surgeon made a mistake when he damaged the ligaments, muscle fibers. The defect is corrected in the process of performing a repeated operation.

Lagophthalmos

A condition in which the eye does not close completely. It happens if the doctor removes too much skin or the patient goes to the surgeon's table without waiting for a full recovery from the previous plastic surgery. The complication leads to a violation of the hydration of the cornea, as a result of which it loses its transparency. The outcome is blindness. Treatment consists of the use of moisturizing drops and repeated surgery.

A consequence of lower blepharoplasty, in which the eye also does not close. Eliminated in two ways: gymnastics, massages to increase the tone of the circular muscle, or repeated surgery with skin grafting.

Another complication after lower blepharoplasty is called "round eye". It occurs when the shape and incision of the palpebral fissure are deformed. Accompanied by lacrimation, dryness, redness. The eyes appear unnaturally protruding. Corrected with reoperation.

The process of rehabilitation after plastic surgery does not always heal quickly and flawlessly. Firstly, the rate of regeneration of operated tissues varies from person to person. And secondly, the recovery period may have certain features for which patients may not be psychologically prepared, despite a preliminary discussion of all the nuances with a plastic surgeon.

Sealings on the eyelids after blepharoplasty can form under the seams or near them. This phenomenon is more typical for lower blepharoplasty. If such a problem appears, then usually patients call the seals a “bump” or “pea”. However, they can have different etiologies:

• emerging scar tissue. It occurs most often and, in principle, is not a complication. High degree of self-absorption of this seal
• local swelling in the area of ​​suturing. safe side effect
• cyst. This nuisance is formed after poor-quality suturing of incisions.
• bulging of the eyelid when the connection of the cartilage of the ciliary edge of the eyelid with the muscle is damaged
• fat lumps during eyelid lipofilling (combined surgery with eyelid surgery)
• pyogenic granuloma

Analyzing this list, we can understand that seals can be both a normal development of events and a postoperative complication.

Causes and consequences of improper scarring

In the normal process of tissue repair, scarring of incisions should not be a problem. Swelling in the eyelid area and some excess connective tissue in the first 2-3 months after blepharoplasty is a normal process that should not frighten patients. However, this process may have specific features in different patients:

• Someone 10-14 days after blepharoplasty can boast of the absence of any postoperative traces. Others complain of "bumps" in the area of ​​​​the seams for several months. They can not only be felt during palpation, but also be noticeable to others.

• Seals can dissolve at different rates. Let's say, on the right - faster, and on the left eyelid, the process will take longer. The scar itself may be uneven and show through more at the tips of the incision, closer to the corners of the eyes.

• It may seem to the patient that the scars are located directly on the eyelids. The occurrence of such an effect is caused by edema and active growth of the connective tissue, and not by the mistake of the surgeon. Such is the specificity of tissue regeneration in this zone. Over time, as excess collagen is absorbed, the scars will take on a normal shape, become thin and be hidden in the natural folds of the skin.

The formation of seals is not very typical for upper blepharoplasty. Rather, it is the specificity of lower eyelid surgery. According to the calculations of surgeons, edema and induration should disappear 3 months after the operation. The following factors can slow down the speed or worsen the rehabilitation process:

• burns of chemical and thermal origin. This is the effect of laser radiation, as well as drying, even disinfecting solutions. For this reason, after blepharoplasty, peels should not be done until rehabilitation is completed.
• inflammation of the incision causes an overgrowth of connective tissue.
• inaccurate suturing, when the edges of the wound are excessively and incorrectly stretched.
• problems with the body's immune system.
• genetic predisposition to the formation of hypertrophic scars or keloids.

Seals are also formed after increased physical impact on the operated area. So, after eyelid surgery, you do not need to wipe your eyes out of habit or massage the area of ​​\u200b\u200bthe eyelids, which patients often “prescribe” to themselves, trying to reduce postoperative swelling. So why not put physical pressure on the lower eyelid area? It's just that the collagen fibers of the new scar are arranged randomly and are not able to prevent the wound from stretching. To avoid such a development of the situation, surgeons recommend special patches-strips. Moreover, in the first weeks after eyelid surgery, you don’t need to touch your eyelids at all, because any physical impact causes blood flow, accelerates the production of collagen cells and slows down the resorption of excess connective tissue. If you do not follow these rules, then instead of thin scars, the patient will receive noticeable scars.

But if noticeable fibrous seals still appear, it is necessary to contact a plastic surgeon or dermatologist as soon as possible. In no case should you self-medicate. Only a specialist is able to give accurate recommendations. First, the doctor prescribes healing drugs, anti-scar ointments.

If this does not help, microcurrents and other physiotherapy procedures are added. When there is no improvement after a few weeks, the specialist may recommend injections of hormonal drugs - glucocorticosteroids. When, within 2-3 months, the seals do not think to disappear, the option of surgical correction is discussed. However, in some cases, you just need to be patient, because swelling after eyelid surgery may well last up to 6 months.

Blepharoplasty incisions are usually sutured with round atraumatic sutures. After 10-14 days, they completely resolve. For biodegradation to occur, our immunity increases the flow of blood and lymphatic fluid in the area of ​​the foreign body. This can cause swelling, which may look like a "bump", but normally it goes away on its own. At the same time, the resorption process may be delayed due to problems with immunity, an excessively superficial arrangement of threads in the skin.

Deceleration of edema resorption can occur due to a low level of blood circulation in the operated area, when blood outflow becomes more difficult due to large edema, and the lymphatic fluid stagnates. Fresh scars after blepharoplasty also contribute. As a rule, they are the most common cause. But even this is not called a complication, because the “extra” filament material is successfully removed, and the skin is quickly restored.

According to the longest calculations, the threads can dissolve for a long time, within 8-10 weeks after the operation. And now, if after this period the seals are still present, then the surgeon can make incisions and remove the threads, or prescribe a course of absorbable injections.

Accumulations of fat cells

With combined operations of blepharoplasty and lipofilling, fatty seals may occur when the distribution of transplanted adipocytes has gone unevenly. Or this happens when the processing of the transplanted material was not up to par and there were lumps in the composition. This complication is immediately visible in the infraorbital region, since the skin here is very thin.

Fat lumps can dissolve themselves, or they can remain. In the latter case, they are eliminated with the help of massage, injections of fillers based on hyaluronic acid, liposuction or repeated lipofilling.

Cyst after eyelid surgery

Such a "bump" is formed near the surgical incision and is a yellowish or whitish ball with a liquid content.

During combined operations of blepharoplasty and lipofilling, fatty seals may occur

The cyst does not appear just like that, but due to incorrect processing of the surgical incision. If the imposition of the edges of the wound was incorrect and the epithelium fell into the deep layers of tissues, then this causes the formation of a neoplasm. It can reach a size of up to 0.5 cm. Within 3 months, it must be observed and the seal should not be touched in any way. But if after this time resorption has not occurred, surgical excision of the complication is performed.

Pyogenic granuloma (botryomycoma)

Despite the benign nature, this side effect is a complication, since it is formed on the mucous membrane of the eyelid due to tissue injury. In order to cause a granuloma, when the vessels grow abnormally, even microtrauma may suffice.

Botriomycoma is a round or lobular formation of a dark red or burgundy hue up to 2 cm in size. Being at the maximum stage of development, the granuloma is able to lift the skin of the eyelid and be palpated with pressure. Sometimes this neoplasm can appear a couple of days after blepharoplasty, sometimes after 2-3 months.

If you have a dark red neoplasm on the mucous membrane of the eyelids, then do not resort to any massages or ointments. Such actions can cause accelerated development of the granuloma and cause bleeding. But you don't have to worry too much. This seal is easily and quickly removed surgically or with the help of laser technologies.

Seals in the eyelids can have different causes of appearance, so it will not be possible to make a diagnosis on your own. It is imperative to consult your doctor in order to take the necessary measures in time to prevent and treat such cases.