Is it possible to do blepharoplasty under local anesthesia and does it hurt? Blepharoplasty is a safe way to tighten and rejuvenate the skin of the eyelids Blepharoplasty local anesthesia

Narcosis or local anesthesia? When performing certain plastic surgeries, the patient can independently choose one of the two proposed options. If you decide to do a traditional abdominoplasty, then anesthesia will definitely be chosen, even without your participation. But if you just want to do eyelid surgery, then here you can express your preferences regarding pain relief. Blepharoplasty is sometimes performed under local anesthesia, which pleases patients who want to avoid full immersion in sleep during the operation. What are the obvious and not at first glance noticeable features of eyelid correction under local anesthesia?

Eyelid surgery and local anesthesia

If you decide on blepharoplasty, this does not mean that the possibility of general anesthesia is automatically excluded in your case. Avoiding anesthesia during surgical correction of the eyelids is possible only with a technically simple and small operation, for example, with upper blepharoplasty. Of no small importance is the moral state of a person who must be psychologically prepared to undergo surgery while being conscious.

Speaking about the advantages of using local anesthesia for plastic surgery on the eyelids, it is worth mentioning the following points:

extremely low risk of developing possible complications, since more “heavy” drugs are used during anesthesia
the patient can move the eyelids and open and close them at the request of the doctor, which makes it easier for the latter to perform the operation
reduces the risk of under- or over-correction of the eyelids
Ability to go home on the day of surgery

But since plastic surgery, regardless of the level of technical complexity, is a surgical intervention, blepharoplasty under local anesthesia has its own pitfalls. So:

during the operation, the patient will have high blood pressure due to nervous tension. In itself, this phenomenon is not dangerous, but it will be less convenient for the doctor to work
there is still a risk of allergic and other drug reactions
many surgeons as a matter of principle work only with patients under anesthesia, so as not to be distracted by anything during the operation

How is the operation carried out?

Whether local or general anesthesia is ultimately used, the patient follows the same rules regarding the preoperative period. So, you can not take blood-thinning drugs, 2 weeks before the intervention, stop drinking alcohol and smoking. The patient submits a list of tests, and the doctors compile his allergological and anesthetic history so that during the operation there are no complications and threats to the health and life of the patient.

Before the operation, the plastic surgeon applies special markings on those parts of the eyelids where eyelid surgery will be performed. Then an antiseptic is applied to the entire face, painkillers are injected. After the anesthetic takes effect, the plastic surgeon begins manipulations.

After the operation is completed, the patient spends several hours in the ward under observation. If no complications have arisen, painkillers (tablets or injections) are prescribed, then the patient is discharged home.

Is it painful to do blepharoplasty under local anesthesia?

So that the patient does not feel pain and at the same time is not under anesthesia, two methods are used.

The first is called application, which involves the local application of an anesthetic cream or spray. After that, the area becomes numb, but the action of the cream does not affect the deep layers. This method of pain relief is usually used for injections of Botox or fillers.
The second way is injection. From the name it is clear that the anesthetic drug is injected into the tissues with an injection, which allows the active substance to penetrate into the subcutaneous fat. fiber and muscles. Typically, the drug includes lidocaine, ultracaine and bupivacaine.

The injections themselves are rather unpleasant to endure, because the injections are injected at a considerable depth, and at the same time, the periorbital region itself is very sensitive. When the operation itself is going on, there will be no pains themselves, but all the manipulations will be felt - the pressure of the instruments, the moving threads during suturing. The process will resemble dental treatment with anesthesia, when the movements of dental instruments in the oral cavity are felt, but without pain.

During blepharoplasty, the patient will see the light of surgical lamps, and also, if a laser is used instead of a scalpel, the person lying on the operating table will also have to inhale the smell of burnt meat. Not everyone can cope with such an ordeal in cold blood, so sedatives are often added to local anesthesia to bring the patient into a more calm, sleepy state.

If the patient has a low pain threshold or is too sensitive, then intravenous sedation is usually recommended. Consciousness is turned off, which makes this option of anesthesia almost equivalent to anesthesia, with which they differ only in the dosage of drugs and the possibility of spontaneous breathing.

How long the duration of anesthesia will be provided depends on the amount and concentration of the administered drug. The individual characteristics of the patient's body also have their influence. There have been cases when during the operation the patient feels that the effect of the painkiller is reduced. In such a situation, it is necessary to tell the plastic surgeon about this, who will introduce an additional injection.

Possible complications after blepharoplasty

The most dangerous complication of the use of local anesthesia is an allergic reaction to the components of the drug, which can lead to anaphylactic shock. To avoid this, the surgeon and anesthetist examine the patient's health and, if there is reasonable doubt, conduct a sensitivity test. This test is also carried out at the request of the patient. But even if the test turns out to be positive, then with a wide variety of modern anesthetics available today, it will not be difficult for doctors to replace the substance that causes an allergy in the patient in the composition of the drug.

Side effects of local anesthesia can be a puncture of the vessel, which will cause the patient to feel a burning sensation during the injection. After the operation, the puncture of the vessel may lead to the formation of a bruise. There is also a risk of impaired spontaneous breathing, but this complication occurs in patients with a history of serious respiratory dysfunction. But in such patients, local anesthetics are generally contraindicated.

Summing up

The choice of a particular type of anesthesia is influenced by whether upper or lower blepharoplasty will be performed. The individual characteristics of the patient's body also contribute to the selection process. Preferences in the choice of anesthesia can be expressed by the patients themselves, but the final word remains with the plastic surgeon. But patients should remember that the use of one or another type of anesthesia does not affect the quality of the operation - only the level of professionalism of the doctor affects this.

Pain and discomfort are constant companions of any surgical intervention, especially if it is performed in an area with very thin and delicate skin.

However, very often blepharoplasty under local anesthesia is even necessary, because with asymmetry of skin folds (and it happens very often), only by talking with the patient and controlling how the line of the future scar lies in the natural fold of the skin and what distance remains from the eyebrows, you can get a symmetrical result. Many women are interested in whether it hurts to do blepharoplasty under local anesthesia. This question can best be answered by patients who have already undergone surgery and all the difficulties of the rehabilitation period.

Eyelid lift in first person

These are the impressions left by plastic surgery in women who were operated on by the surgeon (names have been changed):

When the doctor said that she would do blepharoplasty under local anesthesia, whether it hurt or not, I didn’t even think, to be honest. The whole hour that the operation was going on, I, to my great surprise, chatted with her, talked about the recent vacation, family, and did not even notice how it all ended. (Irina, 36 years old).
The most unpleasant thing, in my opinion, is the “waste” after general anesthesia, but there is little benefit from it for the body. Therefore, I immediately asked if it hurts to do blepharoplasty under local anesthesia. She assured me that the most I would feel was an anesthetic injection in my eyelid and the very fact that something was being done to my face. Indeed, for the first time I felt pain only in the ward, when the action of the anesthetic was over. But this quickly passed after the painkiller pill. And so, everything is fine, I recommend it to everyone! (Mila, 44 years old).
I endured the operation quite easily, I did not feel much pain and severe discomfort. All the difficulties began the next day, when I had already come to my senses a little. It hurt to open my eyes and even just blink, not like reading or watching TV. Because of the huge bruises, I became like a panda. I was upset, of course, very much, but she said that it should be so. On the second day, however, I felt much better. Unpleasant sensations finally left along with bruises, about a week later. The result is very satisfied. (Margarita, 30 years old).

What to expect after the operation?

It is not painful to do under local anesthesia. The doctor will inject the drug intravenously or make an injection directly into the eyelid. You will be fully conscious and able to talk to the surgeon.

As a rule, if the operation is performed correctly, patients in the postoperative period do not experience unbearably severe pain. Slight soreness, swelling, bruising are natural phenomena that are observed in all women. They usually go away on their own within 7-14 days and do not require special treatment. You can pre-evaluate the result after 1-2 months.

To correct both the upper and lower eyelids, an aesthetic operation is performed - blepharoplasty. Hanging eyelids, bags under the eyes make the face look older and tired, and can also contribute to poor vision. Aesthetic eyelid correction eliminates these problems.

Circular blepharoplasty

Since blepharoplasty is a surgical intervention, it is performed under anesthesia, for complete anesthesia throughout the procedure. What type of anesthesia should be used during this operation: general or local? Will it hurt during surgery?

Local anesthesia

Most often, blepharoplasty is done under local anesthesia in combination with sedative therapy. This operation can be performed under general anesthesia if the patient is afraid of being conscious during any surgical intervention. Before using drug sleep, you must undergo a thorough examination and obtain permission from a doctor.

The operation is simple and plastic surgeons do it for about an hour. Since the surgery is less traumatic, it is better to choose local anesthesia. This anesthesia will reduce the risk of post-anesthetic complications, and on the same day, a couple of hours after the procedure, you can go home. It will only hurt a little in the place where painkillers are injected, but this is tolerable, unlike the side effects after drug sleep. Therefore, surgeons prefer to perform the operation under this method of anesthesia.

Transconjunctival blepharoplasty

Local anesthetics block nerve conduction, so there is a temporary loss of sensation in a limited area and the patient does not feel pain during the operation. After a few hours after the eyelid correction, the numbness will completely disappear. If the patient experiences pain after the procedure, the doctor will prescribe an anesthetic drug.

Sedative therapy is used before surgery, during correction in combination with local anesthetics and after it. It allows you to achieve complete calm and relaxation of the patient, and he will not worry that it will hurt when performing surgery under local anesthesia.

Being under observation after performing blepharoplasty under local anesthesia, the patient should immediately contact the medical staff if there are any negative sensations. For example, unbearably painful, burning or itching in the operated area, and so on. The supervising doctor will be able to provide first aid in time for the development of complications.

drug sleep

Under general anesthesia, the patient is unconscious with a complete absence of pain throughout the body. To perform blepharoplasty, the patient is given such anesthesia if he is afraid that it will hurt under the local one or transconjunctival aesthetic plastic surgery should be performed. In this operation, the surgeon makes an incision on the inside of the eyelids.

Only anesthesiologists do anesthesia with a complete blackout of consciousness. Previously, patients undergo a full examination and pass additional tests prescribed by the supervising doctor. Anesthesiologists must conduct a preoperative consultation in order to identify the presence of allergic reactions to medications, previous serious illnesses, and so on.

Throughout the surgical intervention, the anesthesiologist monitors the condition of the operated person. The operated under general anesthesia does not hurt when the surgeons do all the necessary manipulations. After a complete awakening, the patient does not remember the details of the operation due to the complete loss of consciousness.

If it is possible to perform blepharoplasty under local anesthesia, it is better to refuse medication sleep, because it will not hurt in any case. The rehabilitation period will pass much faster and without unnecessary post-anesthetic complications, and the patient will be able to return home earlier.

Training

Young woman having a blepharoplasty consultation

Preparation for surgery on the eyelids depends on the type of anesthesia. Before applying local anesthetics, preparation is minimal and does not require much effort. It is necessary to stop drinking alcohol 24 hours before the procedure, and you should also refrain from smoking. Your surgeon should be told if you are taking any other medicines, especially those that make your blood clot poorly. If the operating doctor prescribed an additional drink of sedatives, be sure to follow the instructions.

General anesthesia requires more careful preparation. It is very important to stop smoking two months before the scheduled date of aesthetic surgery - blepharoplasty. Smoking strongly affects the lungs and after medication sleep can even provoke pneumonia. Alcoholic drinks are also not recommended to be consumed during the day before the operation, and after that refuse for the entire recovery period.

Blepharoplasty is a correction of the upper and lower eyelids. During plastic surgery, bags under the eyes and overhanging eyelids are removed.

Surgical intervention is carried out both under local anesthesia and with the help of medical sleep.

Anesthesiologists argue that the operation under local anesthesia is more appropriate than the use of medical sleep, but only if the surgery is performed on one of the eyelids - upper or lower.

In addition, the choice of the type of anesthesia will be influenced by the complexity of the operation.

Target

Local anesthesia for blepharoplasty, first of all, helps to avoid the risks of complications that may appear after general anesthesia.

Its action is aimed at blocking nerve impulses, which allows for the loss of temporary sensitivity of the eyelids.

Before the operation, along with anesthetics, sedative therapy is prescribed, which allows you to completely eliminate anxiety and relax.

Advantages

With local anesthesia, the risk of complications is minimized.

After a few hours, the patient can leave the hospital, while with general anesthesia, you will need to be under the supervision of medical staff for a day.

The rehabilitation period with the use of local painkillers will take less time, unlike drug sleep, and after about 10 days the patient will be able to almost completely return to their usual way of life.

When is it appropriate to use general anesthesia?

With transconjunctival aesthetic plastic surgery, general anesthesia is required, since the incision is made from the inside of the eyelids.

When performing plastic surgery of the upper and lower eyelids at the same time, surgeons still recommend resorting to medical sleep.

Correction of two eyelids at once is more difficult for the patient, and the operation itself takes twice as long.

Photo: Before and after the operation

Methods

Blepharoplasty under local anesthesia is performed by one of two methods:

application;
injection.

The application or surface method consists in applying an anesthetic to the area where the surgical intervention will be performed. Nerve endings become numb and sensitivity is completely lost.

Injection or infiltration anesthesia is performed by injecting an anesthetic under the skin into the area where the operation will be performed.

Along with anesthetics, sedatives are often administered to allow the patient to completely relax.

Required tests

Before carrying out blepharoplasty, regardless of the type of anesthesia, it is necessary to undergo an examination and pass tests.

When using local anesthesia, the doctor is provided with:

general blood analysis;
general urine analysis:
coagulogram;
blood for sugar;
examination for HIV infection, syphilis, hepatitis;
electrocardiogram;
fluorography (preferably in the last six months).

Only if all the necessary tests and examinations are available, an operation can be prescribed. In addition, before surgery, it is necessary to consult a general practitioner and an anesthesiologist.

Video: How the operation is performed

Training

Before using local anesthetics, preparation for surgery does not require any complex manipulations.

The patient needs:

do not take alcohol the day before the operation;
refrain from smoking;
inform the surgeon about taking all medicines in the last 3 days;
in some cases, the doctor may prescribe sedatives a few days before the procedure, the intake of which is mandatory.

Before the operation, the plastic surgeon:

marks areas of skin to be removed;
the face is wiped with a disinfectant;
then the areas of surgical intervention are cut off, or an anesthetic gel is applied.

After these manipulations, the doctor proceeds to perform blepharoplasty. The duration of the operation largely depends on the complexity of the operation. Most often, the procedure does not take more than 20-40 minutes.

Is it painful to do blepharoplasty under local anesthesia?

When performing blepharoplasty under local anesthesia, tactile sensitivity of the nerve endings is completely lost, so the patient does not feel pain.

At the same time, the touch of the scalpel and the moment of suturing are still felt.

Pain may be present only at the time of chipping with the injection method.

Once the procedure is completed, the patient is given an anesthetic injection.

After the operation, anesthesia gradually ceases to have its effect and unpleasant sensations appear.

Important! If there is severe pain, burning or itching after blepharoplasty, you should immediately contact your supervising doctor.

Are there any contraindications

Since blepharoplasty under local anesthesia is still a surgical intervention with the use of mandatory anesthetics, there is a list of contraindications in which the operation is not performed.

Any surgical intervention is contraindicated for persons suffering from:

severe cardiovascular disease;
eye diseases (glaucoma, dry eye syndrome);
diabetes mellitus;
blood diseases (thrombocytosis, hemophilia, etc.);
mental disorders;
malignant tumor.

If the patient is panicky afraid to go under the surgeon's scalpel in consciousness, general anesthesia can be performed at the request of the patient.

What you need to know about the postoperative period

After the anesthetic wears off, the patient must know that the pain syndrome cannot be completely avoided.

In case of severe discomfort, the doctor may prescribe painkillers.

In the first days, swelling of the eyelids appears, and in some cases, the formation of hematomas is possible. The patient experiences pain in the eyes.

Complications

When conducting local anesthesia, there is also a risk of complications. In rare cases, an allergic reaction to the anesthetic used may occur.

With the injection method, by mistake of a doctor, an anesthetic can be injected into a blood vessel. In this case, the patient experiences pain and burning, the formation of severe edema and bruising is possible.

Incorrect calculation of the drug leads to an overdose, which causes a toxic reaction. A high concentration of local anesthetic in the blood is no less life-threatening than with general anesthesia.

The rehabilitation period after blepharoplasty lasts for 2-3 weeks. During this time, the patient should:

limit eye strain;
in the early days, do not make sudden movements and do not bend over;
limit physical activity;
avoid thermal procedures and direct sunlight;
wear sunglasses;
do not use cosmetics;
do not wash until the stitches are removed;
do not wear contact lenses.

Compliance with simple actions will help prevent the development of such unpleasant complications as extensive hematomas and rupture of sutures, which will require repeated surgical intervention.

Pain relief or general anesthesia

Which method of anesthesia will be used during blepharoplasty depends largely on the wishes of the patient.

After passing all the necessary tests and consulting a doctor, it is decided which type of anesthesia is more appropriate.

Since this operation is not a serious surgical intervention, in the absence of any contraindications and with the consent of the patient, local anesthesia is performed.

The risk of complications with local anesthesia is minimal, unlike the use of medical sleep.

Modern anesthetics and sedatives completely relieve the patient of anxiety and anesthetize during the operation, plunging into a light nap.

General anesthesia induces sleep, and awakening occurs after all the manipulations. As a rule, the patient does not remember any fragments of the surgical intervention.

Getting out of drug sleep is much more difficult than with local anesthesia.

In any case, the patient decides for himself whether to use general anesthesia or local anesthesia.

What problems does blepharoplasty solve?

Eyelid surgery in most cases is the correction of various age-related changes: hernias of the lower eyelids (in the common people they are called bags under the eyes), sagging skin, wrinkles. Depending on the indications, plastic surgery of the lower, upper or both eyelids is performed. In more rare cases, blepharoplasty corrects birth defects, changes the shape and size of the eyes.

Where do bags under the eyes come from?

With age, in some people, soft tissues (skin, circular muscles of the eye) lose their elasticity. Subcutaneous fat accumulates, resulting in the formation of hernias or so-called bags under the eyes. The formation of hernias is influenced by genetic predisposition and lifestyle - malnutrition, lack of sleep, overload, stress, alcoholism. Some women experience this problem after having a baby. Sometimes, due to the anatomical and genetic predisposition, hernias occur in adolescence at the age of 15-16 and then they can be corrected.

What are the types of eyelid surgeries?

There are two main types: classical and transconjunctival. The classic version is performed on the lower and upper eyelids: the hernia and overhanging skin of the upper eyelid are removed. Transconjunctival blepharoplasty eliminates only hernias. It is done, as a rule, at the age of 30-35, when there is no overhanging of the skin. After such an operation, there is no scarring, because the incision is made under the skin, on the mucous membrane of the lower eyelid. It is done with a scalpel or laser. Operations in both cases give the same results. The laser makes the operation less traumatic, as it immediately solders the vessels, the bleeding stops, and bruises do not form.

The type of blepharoplasty is chosen according to indications: if you need to do plastic surgery of the upper and lower eyelids due to a hernia and excess skin, then it is recommended to do a classic operation. Yes, white stripes-scars remain on the eyelid after a classic operation, but it is not possible to remove excess skin in another way.

Is it possible to get rid of hernias without surgery? For example, adjust the diet and rest?

A hernia, if it has formed, will not go away on its own. If a person leads a healthy lifestyle, gets enough sleep and eats right, but he has bags under his eyes, this is an aesthetic problem that requires a surgical solution. But many live with bags under their eyes and are successful in every way.

What makes you go for plastic surgery anyway?

Patients say that this cosmetic flaw really prevents them from feeling confident at work, at home. They are irritated by bags, hanging eyelids, they are physically uncomfortable. Moreover, men do blepharoplasty not much less often than women. But the men hide the fact that they went through the operation. And women are increasingly no longer shy about aesthetic operations, openly talk about them.

Are there contraindications?

Contraindications can be severe cardiovascular disease, diabetes mellitus, blood diseases, progressive myopia, oncology and other diseases that pose an immediate threat to life.

Does blepharoplasty require special preparation?

Prepare for it in the same way as for any other operation. The preparatory complex depends on the method of anesthesia: local or general. Before surgery with local anesthesia, it is enough to undergo standard examinations: blood tests for biochemistry, general for infections and coagulogram (clotting). You may need to consult a therapist or a specialist in whom a person is observed for some kind of chronic disease. For example, a cardiologist with heart problems. If the operation is planned under general anesthesia, an ECG, fluorography or chest x-ray and consultation with an anesthesiologist will be needed.

What determines the choice between general and local anesthesia?

How difficult is blepharoplasty?

It has been done for a long time and is well developed, it does not pose a danger to life and health. But any wound can fester, become inflamed, and the seams open. Most often it is about aesthetic complications. Jewelry precision is needed, then there will be no noticeable scars and the patient will be satisfied. But there are various asymmetries, including eversion of the lower eyelid. This is due to the incision of an excess amount of soft tissues of the skin, then the cartilage of the lower eyelid does not withstand and pulls down. Ophthalmic complications are also possible. The mucous membrane suffers indirectly, sometimes conjunctivitis, keratitis, lacrimation, dry eyes develop. But these are rather exceptions to the rule and are quite rare.

Can I correct the consequences of an unsuccessful operation?

Any unsuccessful scar can be corrected, but only after six months. If the postoperative suture has parted, it must be immediately sutured. It will look unaesthetic, but you have to be patient. After six months, you can make a correction.

How quickly does the patient leave the hospital and enter the normal rhythm of life?

If the operation was performed under anesthesia, then the patient stays in the hospital overnight, and leaves home the next day. After surgery with local anesthesia, you can leave after a few hours.

As a rule, the stitches are removed on the 4-5th day. They usually return to work after two to three weeks, when the swelling subsides. Some run to work the day after the operation. It depends on whether the patient wants to hide the operation or not. After 2-3 months, no traces remain. All scars disappear completely.

Are there any features of recovery after eyelid surgery?

The skin of the eyelids is very delicate, after plastic surgery, a bruise-edema appears. On the 4-5th day, the swelling disappears, and the bruise remains for 10-14 days. The average recovery time is 2-3 weeks. Some heal faster, some slower. No special drugs are prescribed after the operation. At the request of the patient, physiotherapy is done to speed up healing. Before removing the stitches, you can not wash your face because of the special bandages on the eyelids. Within two weeks after the operation, you must remain calm and not lift weights. You can resume playing sports after a month.

Does eyelid surgery solve the problem for life or does it need to be repeated periodically?

It all depends on the lifestyle. As a rule, this operation is repeated in 10-15-20 years.

Choose!

Expert opinions often differ. Where one recommends a blepharoplasty, another recommends a forehead lift and lipolift, a third a thread lift, a fourth an endotin correction, and a fifth thinks a deep peel will help you. At the same time, everyone will convincingly prove their case, citing many reasonable arguments. Whose recommendation to choose - you decide.

Personal experience

Tatyana, 49 years old, veterinarian

I had hernias of the lower eyelids. I felt uncomfortable about this. At first I wanted to remove only the hernia of the lower eyelids, but then I decided to tighten the upper eyelid too, to completely put my eyes in order. I had surgery about 4 years ago.

The operation took place under local anesthesia. It is quite painful and generally a terrible feeling. The most difficult test is the injection of painkillers before the operation and the removal of hernias. The excess skin is then cut off and sewn together. The operation lasts 30-40 minutes. Then about an hour or two lay with ice. Anesthesia before the eyes and after the operation is felt quite strongly: it doubles or triples in the eyes. I walked staggering, as if I was carrying a vessel with water and I was afraid to spill it. Went home the same day.

Before removing the stitches, she slept for 3 days, half-sitting, sleeping as usual (especially on her side), bending over, making sudden movements, lifting heavy things during this period is impossible. If blood rushes to the eyelids, a hematoma may form. The sutures were removed after 3 days. I had no bruises or hematomas, only a slight yellowing, and, of course, fresh scars stood out under the eyelashes. She went to work 2 weeks later. Almost nothing was noticeable. The only thing is that the shape of the eyes changed after the operation, became more rounded, and thin seams under the eyelashes still remain.

Maxim Osin:I recommend performing upper and lower eyelid surgery under general anesthesia. And local anesthesia is used when it comes to the operation of only one eyelid, when correcting both eyelids at once, the operation under local anesthesia is difficult to tolerate. White stripes-scars on the eyelids really remain forever.

Nina, 46 years old, manager

In the first days after the operation, I went on business, left the house, went to the car, it seemed to me that it was out of order. I leaned over to check if everything was in order. Blood rushed to the face and a hematoma formed on the eyelid. I had to re-cut and clean it out. There was still a stain after that. As a result, I did this operation again, but with a different doctor.

Maxim Osin: When tilted, bruising is sometimes formed, the seams can disperse. Therefore, it is recommended to avoid such situations: do not bend too much so that the blood does not rush to the face, do not understand the weights, etc. But this is not a rule, but rather a matter of chance. For some, this happens, others behave after the operation as usual and there are no problems. Of course, it's better not to risk it.

Anastasia, 38 years old, housewife

Six days ago I had blepharoplasty of the upper and lower eyelids (transconjunctival). I look at myself in the mirror and it seems that my eyes are now completely different. One eye looks more open than the other, and the seam on it seems to be pulling. And it feels like the seam on one eye is lower than on the other. The operation was done by a good, according to the reviews of his patients, a surgeon. And I myself can’t believe that the surgeon could allow such a marriage in his work. Relatives console me, they say that I find fault with myself, others do not see my far-fetched shortcomings.

Maxim Osin:A week after the operation, it is impossible to evaluate the result. It will be visible only a month later. In this case, the defect may be caused by swelling and will disappear with time.

Victoria, 42 years old, accountant

I had upper blepharoplasty 3 months ago. One eye was more open than the other, and there was excess skin over one eye. It seemed to me that the doctor removed too little. I thought that I would have to operate this eye again, but then gradually everything fell into place. Now everything is fine, although the seams are at different levels. On one eye, the seam is completely invisible, on the other - if you know about it. As I was told, the seams can be slightly asymmetrical, since the eyes and the folds of the upper eyelid are not symmetrical.

Maxim Osin:Indeed, if there is asymmetry before the operation, it persists after it.

Alla, 45 years old, lawyer

I chose my surgeon very carefully. You need a doctor to inspire confidence. At the consultation, the doctor truthfully explained that he would not be able to do transconjunctival blepharoplasty for me. I am over 40, so I need to do a classic blepharoplasty. After it, excess skin will remain, which then will have to be fought. But he promised to remove the bags under my eyes and showed how beautiful I would be after the operation. Operated under general anesthesia. A week after the operation, the stitches on the upper eyelids were more visible than on the lower ones. One eye watered, it was hard to see - there was a feeling of a foreign body, so I used special drops. A week later, there was almost no scar under this eye, under the other one it was barely noticeable, but a bag remained, as if they had not been operated on. He dissipated only after 5 months.

Maxim Osin:The age of the patient is important. If a person is over 40 years old, overhanging eyelids and wrinkles, then transblepharoplasty will not be able to solve all problems - you must choose the classic version. Completely bags and swelling disappear after a month, but sometimes they can remain for a longer time. Everything here is very individual.

Anna, 42 years old, manager

A couple of months ago, I took bags under my eyes for granted. I went to the beautician to get a Botox injection. The beautician said that hernias under the eyes can be removed and advised a doctor. I read reviews on the Internet and came across the concept of "transconjunctival blepharoplasty". I went to a consultation, there a surprise awaited me that it was too late for me to do this type of plastic surgery, only the classics. On the 3rd day after the operation, the swelling almost subsided, only yellow bruises under the eyes remained. Everything looked pretty decent, only under the right eye - an obvious wrinkle, but it was before the operation.

Maxim Osin: Transconjunctival blepharoplasty allows you to get rid of only hernias. It is done at the age of 30-35, when there is no such problem as overhanging skin. Later, more radical solutions are needed, so classic blepharoplasty is done, it removes wrinkles.

Especially for men

Mikhail, 37 years old, manager

Two weeks ago I had plastic surgery of the lower eyelids. In order to operate on the upper ones, there were no indications . There were no traces left, except for barely noticeable scars in the corners of the eyes. I think they will disappear in a couple of weeks. Everything was done under local anesthesia. Unpleasant sensation from the first injection, as in the treatment of teeth, and then, when a hernia is pulled out. I can not say that it hurts, rather unpleasant. In general, everything is painless: both the operation itself and no pain after it. I even regretted that I did not come with my own car.

Maxim Osin: Indeed, if the upper eyelid does not hang, then you can limit yourself to plastic surgery of the lower one. This operation is quite easy under local anesthesia.