This area is exposed to a variety of negative influences, such as poor nutrition, poor ecology, nervous stress, insufficient sleep - all of which lead to the appearance of wrinkles, bags under the eyes and other age-related defects that become a problem for their owners.
A person's appearance becomes less expressive. And if this is not so important for a man, then for women it is a very strong argument to use the services of a surgeon. Lower eyelid surgery not only improves the patient's appearance, but also slows down the natural aging process.
Indications for lower blepharoplasty
Usually, most people over the age of 35 face certain problems with the skin of the face and lower eyelid area.
The main indications for blepharoplasty include
- bags under the eyes
- drooping with deep skin folds and wrinkles
- drooping of the outer corners of the eyes
- fat folds in the periorbital area (paraorbital fat)
- dips in the lower part of the orbits
- congenital defects, consequences of trauma
However, it is a mistake to say that only middle-aged people are potential clients of plastic surgeons. Due to genetic inheritance or an unhealthy lifestyle, it is increasingly young patients under 35 who decide to eliminate various defects in the lower eyelid area with blepharoplasty.
Contraindications.
Before the operation, the patient must undergo a full medical examination. This is necessary to assess the state of health and identify the presence of certain diseases that can complicate lower blepharoplasty.
The main contraindications include:
- Dry eye syndrome
- Diabetes mellitus
- Oncology
- Problems with the thyroid gland
- Diseases of the cardiovascular system
- Poor blood clotting ability
- Chronic diseases that are at the stage of exacerbation
- Pregnancy
Preparation for the operation
Preoperative examination by a plastic surgeon and blood tests (complete blood count, biochemistry, coagulation, sugar level). If there is a suspicion that the bags under the eyes are the result of a systemic disease, the suspected organ is examined and treated before plastic surgery of the skin of the lower eyelids.
If you are taking blood thinners, you should inform your doctor. An electrocardiogram is also required and possible allergic reactions are detected. The preliminary diet for lower eyelid skin plastic surgery includes light protein and vegetable foods.
Transconjunctival method of surgery
Unlike upper eyelid surgery, which, as a rule, does not change the shape of the eyes, lower eyelid surgery requires certain difficulties, despite all the apparent simplicity. The classical method, when an incision and cosmetic suture are made under the lower military line, can change the original shape of the eyes to a certain extent.
This is due to the reduction of postoperative scar tissue along the suture directly above the lower eyelid cartilage strip (the socket may slightly decrease and round out), as well as under the lower eyelid skin flap, which often enhances the reduction of the suture line.
Even with the most careful performance of such an operation in compliance with all preventive measures, we are not yet able to control and predict the degree of reduction of postoperative scars. Therefore, in the presence of so-called "hernia bags" of the lower eyelids at a relatively young age, the choice of surgery may be to remove these bags through the conjunctiva (i.e. from the inside), which allows you to avoid violating the integrity of the skin and not create a risk of disturbing the shape of the eye socket.
Depending on the condition of the lower eyelid skin (its elasticity), the surgeon decides on a one-step chemical peel or laser resurfacing to reduce its outflow.