Blepharoplasty is an operation whose purpose is plastic surgery, rejuvenation of the eyelids and periorbital area.

It is customary to distinguish upper and lower blepharoplasty, respectively, into the upper and lower eyelids.

Indications and contraindications

Indications for blepharoplasty: the presence of excess skin of the upper and/or lower eyelids, the presence of “bags” under the eyes.

Contraindications for blepharoplasty: severe pathology of the cardiac system, respiratory system, blood coagulation system, cancer, acute inflammatory diseases, facial skin diseases.

Most often, eyelid surgery is performed under local anesthesia, but in some cases it is necessary to use general anesthesia.

List of tests and examinations for blepharoplasty

• Fluorography or chest x-ray
• ECG (electrocardiography)
• Clinical blood test
• General urine test (wash first)
• Screening coagulogram
  • PV (% according to KVIKU, INR)
  • fibrinogen
• Blood group and Rh factor
• Used blood test:
  • Total protein
  • Sugar
  • AlAt, AsAt
  • Bilirubin
  • Creatinine
  • Urea
• Blood for HBs-Ag
• Blood for HCV-Ag
• Blood on F-50
• Blood on RW
• Pregnancy test
• A physician's report with test results is MANDATORY!

Analyzes take on an empty stomach.

Test results are valid for 14 days.

Rehabilitation period

• It must be remembered that the result of eyelid surgery can be fully assessed only after the final resolution of the edema. On average, swelling resolves completely within 1 month after surgery. In some cases, a longer resolution of swelling may be possible.
• The maturation of scar tissue occurs according to very specific stages. At the beginning, the scar has a bright pink color and a dense consistency, then the scar gradually matures, at the end of which the scar becomes thin, soft and white. Scar maturation is a lengthy process and can take up to 12 months. It is important to understand this and be prepared for it.
• The final assessment of the result of blepharoplasty should be no earlier than 3 months after the procedure.
• For pain Ketanov 1 tablet.
• Protective regime for 14 days (limiting physical activity, drinking alcohol, visiting bathhouses, saunas, solariums, discos, fitness clubs).
• Limit heavy lifting for 14 days.
• Hygienic mode: the face can be rinsed with water. Do not rub your face with a towel; after rinsing, pat your face dry.
• Apply ointment that accelerates the resolution of bruises to the area around the eyes 3 times a day for 5 days.
• Perform examinations and dressings in accordance with the recommendations of the attending physician.

The scope of research before blepharoplasty includes mandatory tests and additional ones, which are taken individually according to indications.

Features of preparation for surgery

At the preparatory stage, in addition to laboratory and instrumental examinations, a number of mandatory activities are performed, which include:

• planning the scope of blepharoplasty which is performed by a plastic surgeon during an initial consultation with him;
• history taking– information provided to the doctor about the patient’s life, previous illnesses, the presence of allergic reactions to medications; knowledge of this information will help to avoid complications;
• If you are taking aspirin or its analogues, you must stop it 3 weeks before blepharoplasty, since these drugs increase vascular bleeding;
• At least 1 week before surgery you need to stop drinking alcohol and smoking to improve tissue healing after the procedure;
• on the day of blepharoplasty, high-quality photographs of the face are taken for subsequent comparison of the quality of the procedure performed;
• the day before, the doctor informs about the possible consequences and complications of the operation, pain relief, after which the patient signs his consent to undergo blepharoplasty.

Mandatory tests

There is a list of mandatory tests that the patient undergoes, regardless of the results of the collected medical history and examination by the doctor.

It includes:

1. Clinical blood test– the level of hemoglobin, the number of red and white blood cells in the blood, and the erythrocyte sedimentation rate are determined. Makes it possible to determine anemia (anemia), the presence of inflammatory reactions in the body, which may be a contraindication to blepharoplasty. Performed no earlier than 2 weeks before surgery.
2. Clinical urine analysis– the presence of protein in the urine is examined, microscopy of the sediment is carried out in order to detect an increase in the number of leukocytes in it or the appearance of red blood cells. This analysis allows us to draw a conclusion about the functioning of the excretory system; it is also performed within 2 weeks.
3. Coagulogram– analysis of blood clotting indicators (duration of bleeding, prothrombin index, fibrinogen concentration in the blood), their decrease is a contraindication to surgery, since there is a risk of bleeding from the blood vessels. A coagulogram is submitted no earlier than 2 weeks in advance.
4. Determination of blood group and Rh factor– a mandatory analysis that is carried out before any surgical procedure.
5. Blood examination for HIV infection, viral hepatitis B and C, RW(Wassermann reaction to detect antibodies to the causative agent of syphilis) - mandatory tests before any medical procedure, taken no earlier than 3 months in advance.
6. Electrocardiogram(ECG) is a method of functional examination of the heart, showing even minor deviations from the norm in its functioning. It is carried out no earlier than 1 month before the procedure.
7. Fluorography of the chest organs– mandatory x-ray examination to detect lung diseases. It is carried out once a year; if the patient has already undergone fluorography, he can provide a copy of the result.
8. Consultation with a therapist– carried out after passing all the required tests, the doctor interprets their results. Determines the presence or absence of somatic diseases that may be a contraindication to blepharoplasty.

Additional tests

They are prescribed by a doctor in case of any deviations in the results of mandatory tests.

These include:

1. Biochemical blood test– includes determination of the level of bilirubin, creatinine, urea in the blood, activity of the enzymes ALT, AST, alkaline phosphatase. Based on its results, the therapist can judge the functional state of the liver and kidneys.
2. – prescribed for additional examination in case of changes detected during fluorography.
3. Ultrasound examination of the abdominal organs– prescribed by a therapist in case of questionable clinical analysis of blood and urine.
4. Echocardiography– ultrasound examination of the heart, which allows visualization of structural changes in the myocardium and valves.
5. Consultation with a cardiologist– mandatory when detecting changes in the results of ECG and echocardiography.
6. Consultation of narrow specialists– prescribed by a therapist if he detects changes in the functioning of internal organs and identifies somatic pathology.

When diseases are identified, the question of the possibility of performing blepharoplasty is decided by a council of doctors of several specialties based on the results of the examination.

Preparing for tests

The reliability of the results of mandatory and additional tests before blepharoplasty depends entirely on proper preparation, which includes several important points:

• blood and urine tests are taken in the morning on an empty stomach, the evening before, a light dinner without fatty and smoked food is desirable;
• It’s better to abstain from drinking alcohol for a few days;
• last smoked at least one hour before visiting the clinic;
• It is better to discuss taking medications with your doctor, since most of them can affect the reliability of test results;
• Overheating of the body must be avoided within 2-3 weeks before the test(refuse to visit baths or saunas);
• It is advisable to plan your arrival at the laboratory so that you have 15-20 minutes to rest before taking the tests;
• on the eve and on the day of the examination, try to avoid nervous tension and stress.

Prices

Average prices for mandatory tests in Moscow clinics are presented in table form:

Price table for additional tests for blepharoplasty in Moscow clinics:

Passing mandatory tests before blepharoplasty is necessary for many reasons, first of all, this will avoid consequences and complications after surgery, and identify contraindications.

Video: How is eyelid surgery done?

Anastasia (40 years old, Moscow), 04/12/2018

Hello, dear Doctor! I am writing to you to get a qualified answer. My name is Anastasia, I am 40 years old. Recently, my friend had eyelid surgery, thereby making her look several years younger. I was also very excited about this idea, talked to my husband and he agreed. But, I am concerned about the issue of money. I looked at the prices on your website, but will I need to buy any additional ointments for the eyelids after the operation? If necessary, then which ones? And what is their price? Thank you!

Good day, Anastasia! After blepharoplasty, you must use a regular night cream for the skin of the lower eyelids. The upper eyelids do not need active moisturizing with special means. Sincerely, plastic surgeon Maxim Osin.

Alexander (44 years old, Moscow), 04/05/2018

Hello, Maxim Alexandrovich! Are there any special rules that must be followed after blepharoplasty? I've heard about reducing physical activity, for example? Best regards, Alexander.

Hello, Alexander! Indeed, during the rehabilitation period (which usually lasts from one and a half to two months), it is advisable to refrain from an active lifestyle and intense physical activity. This is due to the fact that failure to comply with these requirements can lead to pressure fluctuations, which affect healing. Additionally, there may be individual factors that need to be considered during the rehabilitation process.

Maria (18 years old, St. Petersburg), 03/28/2018

Good afternoon, my name is Maria, I'm 18 years old. Not long ago I had an accident, I had stitches and now one eyelid is drooping over my eye. Please tell me what correction can be used to solve this problem? Thanks in advance.

Hello Maria! To assess the extent of the problem, it is advisable to see you at a face-to-face consultation, or send your photo to me by email. If you have ptosis of the upper eyelid, then blepharoplasty will cost around 50 thousand. If only tissue scarring is observed, then about 30 thousand.

Daria (37 years old, Moscow), 03/13/2018

Hello! Tell me, are the swelling and bruises noticeable after? How soon can I be discharged from the hospital?

Hello! Swelling and bruising after this surgery usually goes away within 7-14 days. If you were admitted to a hospital after the operation (although you may be sent home immediately), you may be discharged within 1-3 days - the decision is made by the surgeon who performed the operation. Good luck to you! Thanks for the question!

Violetta (41 years old, Korolev), 06/04/2017

Hello, Maxim! Due to genetic characteristics, I have very sagging eyelids. It's the same with my mom. I want to have eyelid surgery, but I don’t know how difficult it is to prepare for surgery. Could you give me some advice? Violetta.

Good afternoon, Violetta. We always start the examination with an initial in-person consultation and passing all the necessary tests (the list can be requested from the administrator of our clinic). 3 weeks before plastic surgery, I strongly recommend giving up smoking, alcohol and medications containing aspirin. You need to rest before the operation itself. Sincerely, plastic surgeon Maxim Osin!

Olga (37 years old, Moscow), 06/03/2017

Good afternoon, Maxim Alexandrovich! My name is Olga, I am 37 years old. I really want to have blepharoplasty on my eyelids. Tell me, how long does the result last?

Good afternoon, Olga. The result after eyelid surgery can please you for many years (from 7 to 10 years). The only thing you must remember is that eyelid surgery does not reduce the natural aging of the skin. Sincerely, plastic surgeon Maxim Osin!

Alexandra (58 years old, Moscow), 06/01/2017

Hello! Please tell me how long after eyelid surgery I can calmly take a shower and wash my hair? Will I have to wait 2 weeks? Until the rehabilitation time passes?

Hello! Of course not! The very next day after eyelid surgery, you will be able to take a shower and wash your hair. The main thing is to thoroughly dry your head and seams after water procedures. The stitches will be removed approximately the fourth day after surgery. But you can use cosmetics after eyelid surgery only for 7-10 days. Sincerely, plastic surgeon Maxim Osin!

Angelina (44 years old, Moscow), 05/30/2017

Good afternoon I'm getting ready for blepharoplasty. I am 44 years old. Tell me, how long will it take for me to see the results of eyelid surgery? How long will the swelling last? When can you be sure how successfully everything went?

Hello! I recommend assessing the results of eyelid surgery two weeks after surgery. Swelling will persist for the first three days after surgery. Only after 10 days will your bruises completely disappear. The scar will become invisible after 1.5-2 months. Then we can talk about the final result of the operation. Sincerely, plastic surgeon Maxim Osin!

The cost of plastic surgery does not include preoperative examination. The patient undergoes preoperative tests independently.

IMPORTANT! Results and extras The patient must send the examination for approval by email. surgeon's address [email protected] no later than in 10 days before surgery.

Algorithm for preparing for a medical examination and sending documents to plastic surgeon A.V. Grudko

✔ Blood tests are taken strictly on an empty stomach.

It is forbidden to take food or any liquid;
A minimum of 8-12 hours of fasting is recommended;
More favorable hours for blood sampling in the morning are from 07:30 to 12:30;
Blood is taken before fluorography, chest x-ray, CT of the nose, MSCT of the chest);
Venous blood collection should be preceded by a 15-minute rest;
1 hour before donating blood for testing, you must refrain from smoking.

✔ Urine analysis.

A strictly morning portion of urine is collected, excreted immediately after waking up (the previous urination should be no later than 2 am);
Before starting urine collection, it is necessary to perform hygiene procedures without using disinfectants and antibacterial soap;
The first few milliliters of urine should be flushed down the toilet. Next, the entire portion of morning urine must be collected in a dry, clean container while urinating freely;
The collected material must be immediately delivered to the laboratory;
It is not advisable to collect urine during menstruation.

✔ The day before and on the day of the test, psychological and thermal stress, heavy physical activity (including sports training), and alcohol intake are unacceptable.

✔ Medical documentation is accepted only in Russian.

✔ Copies of tests are not allowed; upon admission to the clinic, only originals of all documents are accepted.

✔ Each analysis/conclusion of a specialist must be placed on a separate form.

✔ Each form must indicate the name of the institution, the signature of the person who issued the document, and the original seal.

✔ When a complete set of medical documents is ready, they should be sent to the following email address: [email protected] .

✔ When sending tests, please pay attention to the format of the submission and the quality of reading the forms.

✔ In the subject of the letter, please indicate: full name, date of consultation and operation, name of the operation, contact mobile phone number for communication.

✔ Within 24 hours after sending the letter, the personal assistant of plastic surgeon A.V. Grudko will contact you. will confirm receipt of honey. documents, will inform you about the completeness of the set, as well as their satisfactoriness.

On the day of surgery, the patient is required to provide the clinic with the results of all tests., conclusions, extracts and other medical documents strictly in ORIGINAL form.

Before blepharoplasty, a comprehensive examination of the patient is performed, which includes tests. Among them there are mandatory and possible (they are assigned when bad or controversial results are identified). Their main task is to perform blepharoplasty and minimize the risk of complications.

General information on preparing for blepharoplasty

At a preliminary consultation with a doctor, the degree of age-related changes is assessed. Along the way, the patient is asked about previous illnesses and allergic reactions, and is asked whether he is taking any medications.

The doctor also informs you about the risks and possible complications caused not only by surgery, but also by the use of anesthesia. Afterwards, the patient is recommended to give up bad habits, smoking and alcohol (they affect the intensity of blood flow and, therefore, the speed of wound healing) and get advice from specialized specialists (therapist, cardiologist, ophthalmologist, anesthesiologist).

Then they give a referral directly for examination.

Mandatory tests

All patients undergoing blepharoplasty must undergo the following tests before surgery:

• Clinical blood test. It shows not only the level of hemoglobin, but also the presence of inflammatory processes.
• Clinical urine analysis. Based on the results obtained, conclusions are drawn about the presence or absence of diseases of the excretory system.
• Coagulogram. It indicates the rate of blood clotting and eliminates one of the contraindications.

The maximum “shelf life of results” is 14 days.

Additionally, blood is taken to determine its group and Rh factor, and examined for the presence of HIV, hepatitis B, C, and antibodies to the causative agent of syphilis. These tests are required not only before blepharoplasty, but also before any other surgical intervention. If they were submitted earlier, you should make sure that no more than 3 months have passed since the date of delivery.

Also important:

• ECG, or electrocardiogram. It allows you to identify the slightest problems in the functioning of the heart. If you have ECG results, you should make sure that no more than 1 month has passed since the examination.
• Fluorography. Helps identify lung diseases. Usually carried out once a year.

Other research methods may be prescribed individually, for example, for vision problems or detection of somatic pathologies.

Tests for additional examination

If something worries the doctor, he prescribes:

• Biochemical blood test. Shows the level of bilirubin, enzymes and other substances that allow us to judge problems in the liver and kidneys.
• Survey radiograph. Its purpose is to further examine the chest organs. It is prescribed when changes are recorded in a fluorography image.
• Echocardiography. Allows you to study the myocardium and valves.

By the way, unsatisfactory research results are not always a reason to refuse the operation itself. The final decision in each case is usually made at a consultation, where specialists study the patient’s condition and weigh the risks.

Pay attention! External factors can influence the results, changing them for both the better and the worse. Therefore, it is important to prepare not only for surgery, but also for the examination itself.

Preparing for tests

To obtain reliable data, you should:

• Come to the laboratory in the morning on an empty stomach. In the evening, it is better to have a light dinner, avoiding fatty and smoked foods.
• It is not recommended to drink alcoholic beverages several days before the appointed day.
• You can smoke no later than an hour before coming to the laboratory.
• You should not visit baths and saunas in the next 2 - 3 weeks before coming to the laboratory assistant, as overheating of the body can affect the results.
• On the appointed day, it is better to go to the laboratory 15 - 20 minutes before taking the tests to calm down and restore your breathing if there was a rush.

Stress, heavy physical activity, and nervous shock also affect the results, which is why they should be avoided the day before and on the chosen day.

Only after making sure that everything is fine with the patient does the doctor set a day for the operation. If he recommends undergoing other examination methods, you should not neglect his recommendations. In the end, not only health, but also life depends on the reliability of the results and obtaining an overall picture of health.