Transconjunctival blepharoplasty of the lower eyelids: operation technique

Blepharoplasty before and after: the result is obvious

Blepharoplasty is a surgery to correct the shape of the eyelids. During the surgery, excess skin and adipose tissue are removed, supporting structures are strengthened, and eyelid ptosis and entropy are eliminated. Scars from the sutures after eyelid surgery are almost invisible, and the face looks much younger. The blepharoplasty procedure solves functional and cosmetic problems of the periorbital area.

Transconjunctival blepharoplasty of the lower eyelids

The purpose of blepharoplasty is to restore facial aesthetics in the eye area while maintaining the proper functioning of the eyelids. During the operation, external incisions are usually made along the natural skin folds of the upper and lower eyelids, which then hide scars.

Transconjunctival blepharoplasty of the lower eyelids is a technique for removing orbital fat through incisions on the inner surface of the lower eyelid. The plastic surgeon performs a cosmetic modification of the lower eyelid, i.e. removes the so-called eye hernia. The transconjunctival technique has become the norm in the field of plastic surgery. The method is recommended for patients with a dark skin tone; a standard external incision leaves a visible white scar.

A thorough preoperative examination of the periorbital area allows you to determine the scope and method of surgery for a particular patient. Consistent blepharoplasty of the lower eyelids successfully copes with anatomical problems of excess skin, relaxation of the eye muscles and orbital septum (palpebral ligament), excess orbital fat, and incorrect positioning of the lower eyelid.

How much does it cost to undergo blepharoplasty in the clinic?

Blepharoplasty of the upper eyelids, in addition to the aesthetic component, solves the problem of loss of peripheral vision caused by relaxation of the upper eyelid skin. Laser blepharoplasty of the upper eyelids is a surgical procedure in which a laser is used instead of a scalpel. The operation is often combined with laser eyelid rejuvenation, and the procedures can be performed simultaneously.

The price of circular blepharoplasty of the upper and lower eyelids depends on the category of complexity. The price list of plastic surgeries performed at the Dobrobut Medical Center is available on our website Dobrobut.com.

The cost of blepharoplasty in the clinic depends on the scope of the surgical intervention and the conditions of the medical institution. The qualifications of the specialist also affect the price of the operation. The cost of plastic surgery for eyelid lifting by the best surgeons is usually much higher.

East Asian blepharoplasty (double eyelid surgery) is a procedure used to create an epicanthal fold on the upper eyelid in a patient who does not have such a fold. It is up to the patient to decide whether to undergo blepharoplasty for Asian eyes. The epicanthal fold is common to most ethnic groups, but is absent in about half of the Asian population.

Postoperative period

Eyelid surgery usually lasts 1-3 hours. Swelling immediately after upper and lower blepharoplasty is severe, so you cannot see the result of the operation quickly. Initial swelling and bruising gradually decrease and disappear completely in 1-2 weeks. The final results of the correction can be seen in a few months. Blepharoplasty before and after is best evaluated by comparing pre- and postoperative photographs of the patient's eye area.

The functional and aesthetic results of the operation are influenced by:

1. The anatomical condition of the eyelids.
2. Patient's skin type.
3. The patient's age.
4. General condition of the neighboring tissues.

Medical complications are exacerbated by dry eye syndrome and weakness of the skin of the palpebral area.

Complications after unsuccessful eyelid surgery:

• ectropion - the lower eyelid is turned inside out with exposure of the conjunctival mucosa. In case of significant ectropion, a second surgery is required;
• ptosis is a drooping of the upper eyelid associated with damage to the eye muscle. Complications require repeated surgery;
• retrobulbar hematoma - accumulation of blood in the retrobulbar space. In case of complications, ophthalmic surgery is indicated;
• dry eye syndrome. The risk of dry eyes increases with simultaneous plastic surgery of the lower and upper eyelids;
• asymmetry of the eyes;
• formation of keloid scars;
• incomplete eyelid closure;
• inflammation of the eye membranes and sutures.

Recovery period

Rehabilitation after laser blepharoplasty is carried out strictly on the recommendation of the surgeon. In the early postoperative period, cold compresses, antiseptic treatment of sutures, eye drops, and special gymnastics are indicated.

Plastic surgeons recommend

• wear sunglasses;
• use a sunscreen emulsion for the eyelids;
• do not use contact lenses for 3-4 weeks after surgery;
• reduce the load on the eyes if possible;
• limit physical activity;
• refuse to visit solariums and baths;
• sleep on a high pillow.

Where can I get non-surgical injection blepharoplasty? Only in a medical center. The procedure should be performed by a cosmetologist after a preliminary examination of the patient.

Related services:
Consultation of a family doctor
Consultation by a plastic surgeon