10/30/2021
16 minutes
Blepharoplasty is a surgical operation that involves changing the shape of the eyelids and/or the incision of the eyes. In most cases, the elimination of excess skin located around the eyes, as well as fatty formations, is carried out. Eyelids after blepharoplasty become more open, the look is clearer, the appearance is younger.
According to statistics, the plastic surgery in question is the most popular all over the world (compared to other types of aesthetic operations). The first mention of such a procedure appeared in the 10th century in the writings of Avicenna. A well-known physician believed that removing excess skin around the eyelids improves vision. At the same time, an analogue of modern local anesthesia was used. Also, information about blepharoplasty operations is found in books from India.
The term used in the modern world to define this type of plastic appeared much later – in the 19th century. It was introduced into general use by the German ophthalmologist Karl-Ferdinand von Grefe. At first, only the removal of excess skin was carried out, but later they also began to remove excess fat from the area around the eyes.
Eyelid lift surgery has several varieties. Anchor or upper blepharoplasty helps to tighten the upper eyelid. This removes excess skin, existing fat deposits, and in some cases, also muscles. In the case of the so-called Asian blepharoplasty or Singapore, on the contrary, a fold is formed, which is absent in the Asian race.
Sublicial or inferior blepharoplasty is performed on the lower eyelid. It is prescribed for more serious changes and is carried out after making an incision under the eyelash growth line. Such surgical intervention allows you to redistribute or remove fat, eliminate sagging skin and tighten the drooping corner of the eye. If necessary, such plastic surgery can be performed transconjunctively, that is, without a long incision. In this case, the dissection is performed from the inside of the eyelid, and there are no stitches at all after the end of the operation. With volumetric or fat-saving blepharoplasty, excess fat is not removed from the eye area – it is simply redistributed.
Circular blepharoplasty affects both upper and lower eyelids. If a combined operation is performed, it may include, for example, plastic surgery of the upper eyelid, performed according to the classical technique, and plastic surgery of the lower eyelid, performed transconjunctively.
The laser type of blepharoplasty, which is practiced in modern plastic surgery clinics, differs from the classical instrument: in this case, a laser knife is used. This provides a significant simplification of the rehabilitation process.
The first time a blepharoplasty operation using a laser was performed in 1980 by Baker. After four years of practice, he published the results of forty operations. The conclusion was positive, because this type of correction of the shape of the eyelids fully corresponded to the expectations of patients. To make sure of this, you can consider the section blepharoplasty of the eyelids: blepharoplasty before and after.
Interest in such a eyelid lift intensified in the nineties of the twentieth century, when they began to use a high-energy CO2 laser, which is called UltraPulse. It emits a pulsed high-frequency beam capable of making neat incisions with the minimum possible area of thermal damage. At the same time, the frequency of the pulsed laser and its energy can be adjusted until an ideal combination is achieved for performing a specific operation.
It is worth noting that the radiation frequency of the device in question ranges from 1000-3000 Hertz. As for the diameter of the laser beam, it was only 0.2 mm. At the same time, the area of thermal damage is 115 microns.
It was found that in most cases it is more effective to perform plastic surgery on the eyelids using laser technologies, rather than using classical steel tools. There are several reasons for this:
An overhanging upper eyelid or an excess of fat deposits in the lower one is a serious aesthetic problem that needs to be solved. These changes may be the result of genetic predisposition or age-related changes. In any case, blepharoplasty helps to rejuvenate the face, gives the look youth and freshness. How to decide which of the two types of this minimally invasive surgical intervention should be resorted to? Let`s consider the features of these techniques.
Unlike surgical or classical laser blepharoplasty is performed by evaporation of excess tissue by exposure to laser directed radiation. This non-surgical technique helps not only to eliminate the problem of the overhanging eyelid, but also smoothes the nasolacrimal furrow and wrinkles in the corners of the eyes. The peculiarity and advantage of using the laser method is the penetration of the beam by 1 micrometer into the skin. At the same time, the upper layer of the skin is not injured, as it happens when performing an incision with a surgical scalpel.
Laser blepharoplasty, the price of which is mainly lower in the Turkish clinic than in other countries, is being performed more and more often. Considering the above, the following advantages of this type of plastic surgery can be distinguished:
It is noticed that from surgical intervention, that is, from classical blepharoplasty, wide incisions left by a scalpel remain. At the same time, there is still a risk of damage to the eyeball if the surgeon`s hand trembles. It should also be taken into account that wounds from conventional surgery heal longer than from laser intervention. Among the disadvantages of laser plastics, laser blepharoplasty cost can be distinguished (compared to the usual classical).
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