Blepharoplasty during menstruation. Contraindications for blepharoplasty: internal and external factors When is the best time to do blepharoplasty

Blepharoplasty is a plastic surgery on the eyelids, the purpose of which is to change the shape of the eyelids, the shape of the eyes.

Operation types

Classic blepharoplasty

1. Blepharoplasty of the upper eyelids;
2. Blepharoplasty of the lower eyelids;
3. Circular blepharoplasty (at the same time, the lower eyelid is also operated on);
4. Transconjunctival blepharoplasty (the incision goes along the mucous membrane of the lower eyelid);
5. Singapura (ethnic blepharoplasty);
6. Laser transconjunctival blepharoplasty;
7. Canthopexy (surgery whose purpose is to lift the outer corners of the eyes);
8. Fat-saving blepharoplasty is a way not only to tighten and smooth the skin around the eyes, but to restore its youthfulness, while maintaining the individual features of the appearance of the eyelids.

Indications for surgery

1. Overhang of the skin of the upper eyelid;
2. Excess skin in the lower eyelids;
3. Correction of the unsuccessful shape of the eyes, changing the natural shape of the eyes;
4. The presence of deep wrinkles in the lower eyelids;
5. Omission of the outer corners of the eyes;
6. Fat bags in the lower and upper eyelids, which create the illusion of a "heavy look";
7. The presence of congenital or acquired defects of the eyelids.

Contraindications

1. Infectious diseases, chronic diseases of internal organs in the acute stage;
2. Thyroid diseases;
3. Increased intraocular pressure;
4. Severe and complicated forms of diabetes mellitus;
5. Oncology;
6. Blood diseases;
7. Diseases of the cardiovascular system, severe arterial hypertension;
8. Skin diseases;
9. Frequent relapses of conjunctivitis;
10. Persistent dry eyes.

Analyzes

1. General blood analysis;
2. General urine analysis;
3. Biochemical blood test: ALT, AST, glucose, bilirubin, creatinine, amylase, urea;
4. Blood type, Rh factor;
5. Blood test for HIV, viral hepatitis, syphilis;
6. ECG with interpretation;
7. Fluorography;
8. Coagulogram.

Video: Description of blepharoplasty

Preparation for the procedure

1. The last meal and liquid intake no later than 8 hours before the start of the operation;
2. The operation is not carried out during menstruation, it must be scheduled at least 4 days before the start of menstruation or after their end;
3. It is imperative to accompany the patient after the operation, so you need to agree in advance with one of your relatives or friends;
4. It is forbidden to smoke before the operation;
5. A few days before the operation, it is necessary to stop taking medications that reduce blood clotting;
6. Buy ointment after blepharoplasty or Traumeel-S gel, Vizin eye drops.

Rehabilitation and recovery

After blepharoplasty surgery, the patient stays in the hospital for 2 to 12 hours. Then he can go home and visit a doctor who monitors the progress of healing and tissue repair, first every other day, and then according to indications. In cases where the operation was performed under general anesthesia, the patient spends a day in the clinic.

Immediately after surgery, cold compresses, ice or chilled gel pads are applied to the eye area. You can open your eyes immediately after the end of blepharoplasty.

The first time you need to visit a doctor two days after the operation to remove the stitches, unless a self-absorbable suture was used. The doctor can prescribe special eyewashes and will definitely show you how to use them. Care after blepharoplasty must be carried out in such a way as not to disturb the postoperative wound. Two weeks after the operation, you need to follow simple recommendations:

1. Use antiseptic eye drops for 3 days;
2. Spend the first three days at home and limit physical activity as much as possible;
3. Be sure to wear sunglasses;
4. Sleep with your head elevated, do not lie face down in the pillow;
5. Perform exercises to accelerate tissue recovery from the second day after surgery;
6. Before removing the stitches, take a shower and wash your face in such a way as not to affect the operated eyelids;
7. Do not wear contact lenses;
8. Do not work on an incline;
9. Refuse to use decorative cosmetics for 7-10 days;
10. Do not watch TV and do not work at the computer, do not read.

Cosmetic procedures such as lymphatic drainage facial massage, soft peels, procedures aimed at moisturizing and lifting the skin can speed up recovery and facilitate the rehabilitation period. Injections of hyaluronic acid preparations are allowed no earlier than three weeks after the operation. The tissues around the eyes are completely restored in 3-6 weeks. Repeated blepharoplasty is usually needed no earlier than in 10-12 years.

Few resort to a second operation, because even a few years after the intervention they look younger and better than their peers. In general, repeated operations are performed only for medical reasons.

Exercises and gymnastics for the eyes after surgery

A special set of exercises, which plastic surgeons advise all clients to perform without exception, allows you to activate the work of the eye muscles, and through the work of the muscles to speed up blood flow and eliminate lymph stagnation. Regular exercises for the eyes for 2 weeks will allow you to eliminate swelling much faster and create optimal conditions for the speedy resorption of hematomas.

Do you know that Asian eye surgery (Mongoloid or Oriental incision) is performed under local anesthesia with light sedation? Read more in the article. Find out how the laser can eliminate the presence of fatty hernias in the eyelid area, and how laser blepharoplasty of the lower eyelids works at this link.

Complications and side effects

1. Swelling of the eyelids, which causes a feeling of discomfort, heavy eyelids;
2. dry eyes;
3. Hematomas in the area of ​​the operated eyelids;
4. Hypersensitivity to light, blurred vision, which disappears within a month;
5. Scars at the site of skin incisions, which usually resolve within 2-3 months;
6. Bruising on the whites of the eyes may occur during or after surgery and usually resolves on its own;
7. Bleeding from the wound may occur both during the operation and within a few days after it;
8. Divergence of seams after surgery;
9. Infection of the postoperative wound with the development of purulent-inflammatory processes in the skin and subcutaneous tissue;
10. Violation of the healing of a postoperative wound with the formation of a rough scar;
11. Unsuccessful blepharoplasty with the development of eyelid prolapse (blepharoptosis);
12. Development of glaucoma and blindness in the late postoperative period;
13. Violation of the symmetry of the eyes.

It is worth noting that bruises, swelling and hematomas after blepharoplasty are the fate of all patients. You should be prepared for this. These complications pass on their own, if you follow the restrictions that are mandatory in the postoperative period.

Video: Eyelid surgery

Reasons for possible dissatisfaction with the result of the operation

Psychological

1. Exaggerated expectations of the patient from blepharoplasty without taking into account the possibilities and limitations of this type of surgical intervention. Sometimes, in order to get the desired result for the patient, blepharoplasty is not enough, it needs to be supplemented with either frontal-temporal lifting or liposuction of the chin area, or other types of plastic surgery on the face.
2. Underestimation by the patient of the contribution of other age-related changes to the creation of an unaesthetic appearance of the face, such as skin color, the presence of a double chin, “bulldog” cheeks, pronounced wrinkles in the nasolabial region, etc.

Physiological

Unpredictable tissue reaction in the form of delayed healing or vice versa, excessive development of connective tissue with the formation of a dense whitish scar.

Surgical

1. The effect of sunken eyes;
2. eye asymmetry;
3. Ectropion of the lower eyelid;
4. Blepharoptosis.

Failed blepharoplasty is the result of an incorrect technique or an abnormal tissue response to injury.

• Cosmetic procedures aimed at improving the tone and elasticity of the skin or accelerating the resorption of excess connective tissue at the site of healing;
• Repeated corrective surgery, which is performed no earlier than 6 months after blepharoplasty and is performed under local anesthesia.

Eyelid care after surgery

• It is better to entrust the selection of care procedures to a cosmetologist;
• Cheap makeup for the eye area is not recommended;
• It is necessary to cleanse the skin and remove makeup daily, preferably with a special cosmetic milk, selected according to skin type;
• It is mandatory to use special serums for the skin of the eyelids under the cream for the skin around the eyes;
• It is necessary to apply funds to the skin around the eyes along the lower eyelid from the outer edge to the inner, along the upper eyelid from the inner to the outer with soft movements, trying not to move the skin;
• Alcohol intake, rich salty foods should be avoided, as swelling in the area around the eyes quickly stretches the skin.

Prices in Moscow for surgery

The cost of blepharoplasty is determined by the qualifications of the surgeon and the complexity of the method of operation used by him, the quality of anesthesia, the number of dressings, the number of days the patient spends in the hospital.

Frequently asked Questions

How many times can blepharoplasty be done? Blepharoplasty of the eyes, done once, does not mean at all that you will have to repeat it. A second operation may be required 10-12 years after the first.

How long does it live? The recovery period after surgery usually takes 3-6 weeks. Usually, during this time, swelling subsides, hematomas disappear, scars may remain at the site of healed incisions, which disappear over time.

Is the operation painful? What method of anesthesia is used? Depending on the mood of the patient and what kind of blepharoplasty will be performed, anesthesia can be used at the discretion of the anesthesiologist. In most cases, cosmetic surgeries are performed under local anesthesia and are completely painless.

Will scars or scars be visible? Stitches and scars after blepharoplasty completely dissolve in about 2-3 months after the operation.

At what age can the operation be performed? For blepharoplasty, age is not important, it is important to have indications and contraindications for eyelid surgery.

Is there an alternative? There is. This is laser non-surgical blepharoplasty, in which excess adipose tissue is removed under the action of laser radiation without damaging the skin. I have formed a seal after blepharoplasty in the area of ​​the postoperative scar. What to do? After an examination, the surgeon who performed your operation can determine the cause of the lump. The most common cause of compaction is the overdevelopment of connective tissue at the site of the former incision. Usually the scar becomes softer over time and gradually resolves. In such cases, physiotherapy helps to speed up the elimination of compaction.

How often does surgery cause visual complications? Rarely. Some patients may experience a short-term decrease in visual acuity and photophobia, which disappear without treatment within a few weeks.

How soon can I start working after the operation? It depends on what your job is, since the performed blepharoplasty imposes restrictions on the rehabilitation period. According to your state of health, you can start working within 2-3 days after the operation, but heavy physical labor, work on an incline or work at a computer will be available to you at least 2 weeks after the intervention.

How is the operation carried out and how long does it take? General anesthesia, local anesthesia, or intravenous sedation may be used for pain relief. After the anesthesia takes effect, incisions are made on the skin of the eyelids so that they are then in the natural folds of the skin around the eyes. The operation on the upper eyelid lasts about half an hour, on the lower eyelids 40-60 minutes. Circular blepharoplasty usually takes one and a half to two hours. Skin incisions can be closed with non-absorbable or absorbable suture material (threads), special medical skin glue, or surgical tape. Some clinics leave the patient after surgery for a day in the hospital to monitor the course of the early postoperative period. Most often, such observation is indicated after the operation is performed under general anesthesia. What clinical examination should be done before the operation?

1. Consultation of a doctor who:
   • collect a complete history (what diseases, injuries, surgeries were in the past, what chronic diseases are there at the moment, visual acuity, allergic reactions, drug intolerance);
   • will determine the condition of the skin of the eyelids, the presence of a fatty layer, indications and contraindications for surgery;
   • explain the possible outcomes of the operation and what result can be expected after blepharoplasty.
2. Blood tests, urine tests, ECG, fluorography.

Wrinkles under the eyes give women a lot of annoying sensations. Read more about what exists. I wonder what is the difference between Threadlifting with 3D mesothreads and the well-known method of rejuvenation with gold threads? Follow this link. Did you know that when using decorative cosmetics, allergic swelling under the eyes can occur, which can cause serious harm? .

Photos before and after blepharoplasty

Made by Maxim Osin http://www.doctor-osin.ru/

Made by Maxim Osin http://www.doctor-osin.ru/
Made by Maxim Osin http://www.doctor-osin.ru/

Which celebrity did blepharoplasty?

In order to prepare thoroughly for future surgery and not get a refusal to perform the operation at the very last moment, you should know whether plastic surgery can be done during menstruation. There is disagreement between plastic surgeons and general surgeons on this issue. Evaluate the arguments of both sides and make your own choice.

Is it worth it to rush with plastic surgery during menstruation?

There are many types of urgent surgical interventions, when the doctor does not have the opportunity to take into account the moment that the patient has her period. However, plastic surgery is not an option in which haste helps or it is not possible to delay the appearance correction for a few days.

If there is such a possibility, is there a need for it? Studies show that during menstruation, some women experience significant blood loss, and if you add to this the loss during surgery, the body can cause significant damage.

In addition, on critical days, the ability of tissues to heal significantly deteriorates. That is why many plastic surgeons discuss this nuance during an interview with a potential client. Often they work according to the scheme: the deadlines for plastic surgery are five days before menstruation and three after it.

But not all doctors follow these principles. Many do not consider the presence of menstruation as a reason for postponing the operation. How to proceed in your particular case, it is better to discuss this with a plastic surgeon. He, as a person with extensive experience, will advise the best option. If you need to undergo surgery, you should not be upset, this is not appendicitis, three days will not play a special role.

Correction of appearance does not tolerate haste, so a deliberate approach is only to the benefit of a successful result.

Blepharoplasty is one of the most requested surgeries today! When and in what cases should it be done? We asked Sergey Alexandrovich Kolesnikov, a plastic surgeon, candidate of medical sciences, to answer these and other questions.

Hello! I have one eyelid more droopy than the other and it's been since birth... can it be fixed? how much is it? What consequences? How quickly can this be fixed?

Apparently, you have a congenital ptosis of one eyelid (sagging). You can perform surgical correction. The operation is performed under local anesthesia or under sedation. The operation involves the presence of a bandage on the operated eyelid for 6-7 days. The sutures are removed on the 7th day. The operation costs 40,000 rubles. The consequences can be discussed only after examination and assessment of the degree of ptosis.

I wanted to lift (raise) the eyelids. How effective is this procedure in clinics. How long is the operation and postoperative period? What is the complexity of the operation (risk), the cost of the operation in Russia?

The effectiveness of an eyelid lift is determined by the degree of age-related changes. The more pronounced they are, the more noticeable the result of the operation. The operation lasts: upper eyelids (both eyes) - 40 minutes, lower eyelids - depending on the method of operation, from 60 to 80 minutes. The operation is classified as simple, if there are no pronounced age-related changes. Risks are also determined by the degree of age-related changes. The sutures are removed after the eyelid lift on the 4th day, the edema disappears after 5-9 days, although the latter is quite individual.

Good afternoon! I am 26 years old, and I have had bags under my eyes almost since childhood ... I always have them, regardless of whether I slept or not, drank water at night, etc. In addition, deep wrinkles formed on the bags (2 under every century). What can be done? Thanks in advance for your reply.

It's hard to answer this question without seeing you. It is possible to perform transconjunctival blepharoplasty - when hernial formations are removed through a puncture of the conjunctiva of the lower eyelid or hernial formations are moved in such a way as to reduce the severity of the nasolacrimal sulcus.

I am 38 years old. I had plastic surgery 2 years ago. My upper eyelids are starting to droop again. How many times can plastic surgery be done on the eyes?

As a rule, in case of upper eyelid revision blepharoplasty, it makes sense to simultaneously perform an endoscopic brow lift or forehead lift. This will correct the sagging skin of the upper eyelid, since excessive removal of the skin of the upper eyelid can lead to undesirable aesthetic and functional results.

At what age is it better to have blepharoplasty? Are there any restrictions or recommendations regarding this?

Indications for blepharoplasty are determined by the condition of the skin and fatty formations under the skin of the upper and lower eyelids. There are several types of blepharoplasty, which differ in the degree of aggressiveness. Depending on the degree of age-related changes, one or another operation is performed. Usually, blepharoplasty is resorted to starting at the age of 22-23.

If you smoke, it is advisable to reduce the number of cigarettes, or completely stop smoking 1 to 2 weeks before and after blepharoplasty. As a result of smoking, blood flow to the skin is reduced, as a result, postoperative wounds heal longer than in non-smokers. It is recommended to stop drinking alcohol 10 days before eyelid surgery. 10 days before eyelid surgery, you should stop taking aspirin and other drugs that affect the blood coagulation process. Recommendations for women: Taking birth control or other hormonal drugs can cause bleeding. This issue is resolved on an individual basis in consultation with a plastic surgeon.

If blepharoplasty is performed in conjunction with a facelift, then the patient's stay in the clinic increases to 2-3 days. Anesthesia. Blepharoplasty, as a separate operation, can be performed under local or general anesthesia.

BLEpharoplasty during menstruation

Most often, it is recommended to stop taking this kind of drugs 10-14 days before blepharoplasty. It is impossible to do a monthly operation, so it is worth planning the date of the operation in such a way that it does not fall into the period of menstruation (you should exclude the days of menstruation, as well as 3-5 days before and after it). Eyelid surgery often takes place on an outpatient basis and 1-2 hours after the operation, the patient can leave the clinic on his own. At the request of the patient, he can stay in the clinic for a day.

BLEPHAROPLASTY

Eyelid surgery: preparation for surgery. In most cases, no special preparation for the operation is required. The emotional mood of the patient largely depends on himself, as well as on the level of trust in his plastic surgeon. Questions about taking medications, eating, smoking and other issues are discussed with your plastic surgeon. Please follow the recommendations of your surgeon, excessive attention to the opinions of other people may worsen the result of the operation, and your condition in general.

What type of anesthesia is optimal in your case is decided together with the surgeon during the consultation. If eyelid surgery is performed in conjunction with other rejuvenating/corrective surgeries, then general anesthesia is usually used.

The rehabilitation period is reduced to seven days, and the manipulation itself is almost painless. The seamless method is carried out in two ways. It may…

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Eyelid surgery should be performed according to indications. Age in this case is not of key importance. If there is a genetic predisposition to hernias (fat "bags" under the eyes - ed.), overhanging eyelids, then this operation can be performed at the age of 25. As for blepharoplasty for, then mostly patients over 35 years old come to it. Plastic surgery on the eyelids can be performed several times in a lifetime, everything is individual here. Each operation takes place with the formation of scars, both external and subcutaneous. An experienced doctor will always be able to determine whether the condition of the skin allows for a second operation or it is better to refuse it.

In which case, which types of blepharoplasty are recommended?

Upper eyelid surgery performed with excision of the upper overhanging skin flap and removal of hernias. There is a special technique for suturing and different types of incisions. This is a very serious procedure from an aesthetic point of view. it is important to make such a cut so as not to “round” the shape of the eyes, not to make it too elongated, not to make a “sad look” with lowered corners, and so on. Lower eyelid surgery performed in two ways. In one case, an incision is made along the lower edge of the eyelash growth, which allows you to tighten the skin or remove a hernia. In the second, the incision is made transconjunctival, i.e. the hernia is removed through the conjunctiva. Transconjunctival blepharoplasty more suitable for young patients whose skin has not lost tone and elasticity. Sometimes blepharoplasty is performed by a combined method - the hernia is surgically removed, then the skin around the orbit of the eye is resurfaced with a laser.

How long does the operation take, under what anesthesia is it performed?

Blepharoplasty is performed both under local anesthesia and under general anesthesia. It is calmer for the surgeon when general anesthesia is done and the patient sleeps peacefully. I do the upper and lower eyelids for about 40 minutes.

How is the recovery period after eyelid surgery?

One day the patient walks with special bandages. On the second or third day after plastic surgery on the eyelids, we remove the sutures and apply special glues to relieve the load on the seam formed during the operation. Further, we recommend the use of masks that relieve swelling and reduce the likelihood of bruising in the eyelid area. Within a week after blepharoplasty, all visible traces of the recent operation finally disappear and you can safely go to work or “go out”.

Microcurrents are very effective. They can be performed the day after eyelid surgery. Cosmetic procedures with the use of lymphatic drainage and improving skin elasticity have also proven themselves very well.