Blepharoplasty reviews by cosmetic surgeons

Question 1

What to do after an eyelid lift?

Answer

Even an operation such as an eyelid plasty can't get rid of age-related changes forever. Over time, the body's physiological characteristics will "make themselves known" again. To preserve youthfulness and attractiveness for a long time, we recommend to give up alcohol and nicotine, stick to the rules of a healthy diet and try to always be in a good mood. After all, nothing makes a person look better than a sincere smile and a clear, open look.

Question 2

Does the shape of the eye change after surgery?

Answer

If this was not the patient's original goal (e.g. Asian eyelid plasty), no. The eye will get a fresher look, the eyes will look younger, but their shape will not change in any way. The surgeon's goal is to maintain the appearance of individuality while refreshing the overall condition of the area around the eyes.

Question 3

Do any visible scars remain?

Answer

After surgery, a thin scar forms at the incision sites, which will eventually turn lighter and take on a hue almost indistinguishable from the complexion. It can only be noticed by someone who has reliable knowledge of the incision. In some cases, special cosmetic procedures may be recommended.

Question 4

How long do the results last?

Answer

The minimum duration is ten years, in most cases the final result after surgery is lifelong. Many women report a pronounced rejuvenating effect, so the benefits of blepharoplasty are obvious. A small amount of time will allow for a lifetime of fresh, youthful looking and overall attractiveness.

Question 5

Are there any age restrictions?

Answer

Blepharoplasty is often an age-related operation and is mostly indicated after the age of 30-35, when the skin begins to lose its natural firmness and elasticity. According to individual indications, correction can also be performed earlier. There is no upper age limit; you can make an appointment for correction at any age.

Question 6

What kind of anaesthetic is used during the operation?

Answer

Blepharoplasty is performed under both local and general anaesthesia. The type of anaesthesia depends on the individual case: the complexity of the surgery, health conditions and so on. The main goal is to ensure comfort and safety for the patient. An experienced anaesthesiologist calculates the necessary drugs and their dosage for each patient individually and monitors the patient's condition during the operation. Uncomplicated corrections can be carried out under local anaesthesia. However, if the patient is emotionally uncomfortable, general anaesthesia may be indicated before the operation if the patient so wishes.

Question 7

Who needs blepharoplasty?

Answer

Correction of the upper and/or lower eyelid area becomes relevant in the following indications:
- Ptosis (drooping) or drooping upper eyelids, which create a heavy look;
- pronounced mimic or age-related wrinkles around the eyes;
- tear furrows that make the face look tired;
- bags under the eyes created by fatty hernias;
- decreased skin turgor (loss of elasticity of excess soft tissue, flabbiness);
- congenital or acquired asymmetry of the eyelids;
- exophthalmus, i.e. bulging of the eyeball;
- entropion, or eyelid eversion.
In some cases, our surgeons consider blepharoplasty to be inappropriate, as the situation can be rectified with minimally invasive techniques. These include hardware rejuvenation procedures (laser fractional rejuvenation, thermolifting, etc.) and beauty injections (mesotherapy, biorevitalisation, injections of fillers, botulinum-based products).
Whereas in the past, the procedure was often performed after the age of 30-35, today, due to the emergence of a large number of effective treatments, the age limit has moved closer to 45 years of age. An exception to this would be the removal of fat hernias (bags under the eyes), which can only be removed surgically at any age.

Question 8

How do you eliminate the sad-eye effect?

Answer

Blepharoplasty alone is usually not enough to remove the "sad Pierrot look". In such cases, both the corners of the eyes and the superciliary arches are raised, and sometimes the skin in the middle third of the face is also sagging. This is why a complex laser operation is performed, which includes blepharoplasty, a brow lift and a midface lift.

Question 9

How is the operation carried out?

Answer

The operation lasts a relatively short time - usually half an hour to an hour. Our anaesthetists most often use intravenous anaesthesia or general anaesthesia. For minor corrections, local anaesthesia is possible.
Upper blepharoplasty begins with an incision along the natural fold. The amount of skin tissue and subcutaneous fat to be removed is determined on an individual basis. It is important not to leave any excess skin and not to put too much pressure on the skin. At the surgeon's discretion, the orbital circular muscles may also be affected.
Lower blepharoplasty is performed through open or closed access. If excess skin needs to be excised, the incision is made from the outside, and if only fat hernias need to be removed and the skin is well elastic, the surgeon "approaches" through the conjunctiva. Sometimes a redistribution of the subcutaneous fat (Loeb operation) is appropriate.

Question 10

How do I prepare for surgery?

Answer

Preparation begins with a series of medical examinations. The obligatory "programme" includes an ophthalmologist's consultation, an ECG and a fluorography, several different blood tests and a general urine analysis.
1-2 weeks before the due date, the patient stops:
- taking blood thinners, dietary supplements and vitamins;
- the use of alcohol;
- sunbathing and using a sunbed.
The use of cosmetics must be avoided the day before the operation. No food is allowed on the day of the operation and the patient must be in the clinic on an empty stomach.

Question 11

What is laser blepharoplasty?

Answer

Non-surgical laser blepharoplasty is a method of rejuvenating and reducing the skin of the eyelids. It is essentially a laser resurfacing of the upper/lower eyelid.
Our skin is a protein formation, and any protein shrinks under the influence of temperature (we have all seen, for example, how chicken skin shrinks when a piece of chicken is exposed to temperature). But just heating the skin isn't enough - it needs to be perforated to reduce its area and trigger rejuvenation and repair processes (it's called fractional laser resurfacing).
By penetrating the skin, the targeted light beam burns the micro-channels, tissue and intercellular fluid is vaporised at the site of the laser, which has the effect of lifting and shrinking the skin flap and triggering regeneration processes.
It is the high-temperature laser treatment that allows the initial upper eyelid ptosis to be reduced and the skin overhang reduced. If there is too much excess skin, however, the laser is powerless - it must be cut off with a scalpel.

Question 12

When is it time for laser blepharoplasty?

Answer

Blepharoplasty in the classic sense involves a surgical procedure that involves removing excess skin around the eyes or redistributing intra-orbital fat.
Don't wait for the eyelids to droop! You should be alert:
- The first signs of ptosis of the upper or lower body;
- Initial manifestations of nasolacrimal furrow problems and bags under the eyes.
- Flabby eyelid skin;
- Dull colour and loss of skin tone.
It is important to realise that correction of these aesthetic defects is only possible in the initial stages.