Remove drooping eyelids without laser surgery. Laser blepharoplasty: reviews, results, contraindications. Laser blepharoplasty: photo of the operation

Laser blepharoplasty is one of the most popular and effective methods of skin rejuvenation in the area around the eyes. After the “warrior of light” – the laser beam – appeared in the service of doctors, the field of aesthetic surgery reached a completely new level.

Now those who were frightened by the mere thought of the cold metal of a scalpel can restore attractiveness and expressiveness to their eyes as safely and accurately as possible. What do you need to know about laser blepharoplasty, what is it?

What is laser blepharoplasty?

Laser blepharoplasty is a surgical procedure that uses a laser to correct deformities or improve the aesthetic appearance of the eye area.

In most cases, laser blepharoplasty is performed for cosmetic reasons.

However, it may be a medical necessity due to visual impairment in the peripheral area. The results of the manipulation usually last for a very long period.

Operations to restore the face to its former beauty were practiced 3 thousand years ago in Ancient Egypt.

A person has carried the desire to remain young and attractive for as long as possible throughout his entire history, and in modern society it only grows stronger every day, especially among the fair sex.

A favorite of women today who want to tighten the skin around their eyes is blepharoplasty - an operation to correct the eyelids and eliminate wrinkles and fat bags.

But many women are afraid of the scalpel used by a plastic surgeon. In this case, you should pay attention to laser blepharoplasty.

For this, a laser beam is used instead of a scalpel. This method is less traumatic, but it also refers to surgical methods for eyelid correction.

There are also non-surgical techniques, which can be found out below. They do not involve incisions, but involve laser exposure to the surface of the skin, which leads to certain positive changes.

Let's first understand laser blepharoplasty, which is performed surgically. It is carried out through a dosed thermal effect of a light beam on biological tissue.

An erbium or carbon dioxide (CO2 or carbon dioxide) laser is a beam of light that penetrates tissue to a depth of only 1 micron and is not capable of leaving a burn, which is extremely important when performing manipulations on delicate skin.

The beam penetrates deep into the layers of the skin and seals the lumens of blood vessels.

This reduces the risk of bleeding, but increases the possibility of severe burns and painful encounters. It is the carbon dioxide laser that is used in surgical blepharoplasty.

Using a CO2 laser, surgeons achieve a thinner incision, which results in a more aesthetic and invisible suture. Laser blepharoplasty typically results in less swelling and bruising and faster recovery.

TOP 10 advantages of laser procedure

The popularity of using a light beam is due to a number of advantages that the method has:

After the beam, a wound appears that is much smaller in width than after a scalpel, which means minimal tissue trauma and, as a result, rapid healing.
Due to the high temperature, the laser beam cauterizes small vessels, thereby reducing the likelihood of hematomas and swelling after eyelid lift.
During the healing process, a scar does not form, although this is inevitable when performing an operation even with the thinnest instrument. After laser blepharoplasty, you will not have to disguise scars with decorative cosmetics or hide your eyes behind dark glasses.
After the intervention, there is less swelling and discomfort - the CO2 laser beam retains the lymphatics, which leads to a decrease in postoperative swelling and discomfort.
After laser blepharoplasty, a faster recovery is observed. The fact is that reduced trauma, minimal bleeding, less pain and swelling lead to faster recovery.
By cauterizing the incision site, the likelihood of infection entering the wound and the risk of complications are minimized.
Laser blepharoplasty does not require the patient to stay in the hospital. After a few hours, a person can safely go home and later come to the clinic only for follow-up examinations.
The effect of the procedure lasts from 4 to 10 years.
Blepharolifting, carried out using a light beam, can be combined with laser resurfacing, which provides maximum rejuvenating effect.
The list of contraindications for such manipulations is smaller than for traditional surgery.

5 main types of blepharoplasty

Depending on the location and severity of the problem, the doctor prescribes the patient one or another type of laser blepharoplasty surgery:

Laser blepharoplasty of the upper eyelids. During the correction process, the doctor makes incisions and removes excess fatty tissue and skin. Upper eyelid surgery is performed to reduce the appearance of heavy and drooping upper eyelids. Incisions are made with a laser to gain access to remove/reposition fat deposits, excess skin and muscle above the eyes.
Laser blepharoplasty of the lower eyelids. Prescribed for bags, hernia, etc. There are two types of it: percutaneous subciliary (the tissue is cut along the ciliary edge) and (the incision is made on the inner surface of the eyelid). Also performed to remove/reposition fat deposits, excess skin and muscles under the eyes.
– correction of two eyelids at the same time.
Correction of eye shape. It is especially popular among women with Asian appearance. In such cases, the surgeon removes the epicanthus (“Mongolian fold”) and forms a Caucasian fold.
Canthopexy. This operation is performed if a person has broken ligaments in the eyelid area. The doctor will correct not only the shape of the eyes, but also their expression during such laser blepharoplasty.

Indications

Correction of aesthetic imperfections, as a rule, is prescribed at the request of a person if he is not satisfied with something in his appearance. But there are also medical indications for laser blepharoplasty.

INDICATIONS

severe sagging or drooping of the lower eyelid;
a large amount of excess skin on the eyelids;
the presence of fatty hernias;
significant deformation of the eyelids and drooping corners of the eyes;
difference in eye shape and facial asymmetry;
significant changes in the skin of the eyelids associated with age;
wrinkles.

Contraindications

Correcting aesthetic defects using a laser is considered the safest procedure for human life and health. However, laser blepharoplasty has a number of contraindications.

CONTRAINDICATIONS

the presence of endocrine diseases;
inflammatory process at the site of surgery;
exacerbation phase of a chronic disease;
the presence of benign and malignant tumors in the body;
blood diseases (hemophilia);
increased intraocular pressure;
HIV infection;
increased sensitivity to the laser beam.

Preparing for surgery

With all the professionalism of the chosen doctor and high guarantees of success, the patient should not miss the important fact that laser blepharoplasty, like any operation, must be carefully prepared.

It is mandatory to have your blood and urine tested, and also have a cardiogram done. At the preliminary appointment, the surgeon gets acquainted with the test results, studies the patient’s medical history and assesses the condition of the skin and muscle tissue around the eyes.

The standard list of preparatory measures includes (at least a week before the appointed date):

quitting smoking and drinking alcoholic beverages;
suspension of taking medications based on aspirin and hormonal drugs.

You should eat food no later than 5–6 hours before blepharoplasty.

How is blepharoplasty performed?

In 9 out of 10 cases, the procedure is performed on an outpatient basis. Most often, patients choose local anesthesia, but when planning additional procedures, general anesthesia is recommended.

First of all, the doctor marks the eyelids and places a protective lens on the pupil. Then a special anesthetic cream is applied to the surgical site.

After 10 - 15 minutes, the surgeon proceeds directly to cutting the tissue and correcting the eyelids.

Upon completion of the operation, the edges of the wound are sutured with absorbable sutures or secured with special surgical glue (tape).

Laser blepharoplasty does not require much time. When the anesthesia takes effect, the doctor begins work. On average it will take him about a third of an hour.

At the end of the operation, when the wounds have already been sewn or glued, the doctor applies a special agent to the affected area. It will reduce pain and protect against swelling.

After the manipulations have been performed, there is no point in detaining the person, so he has the right to go home on the same day and do his previous business.

Rehabilitation

The period of complete recovery lasts on average from one to two weeks. But you need to be especially careful and responsible in caring for the corrected area in the first few days.

apply cooling compresses;
sleep with your head slightly elevated, preferably on your side or back;
at least during the first week of the rehabilitation period, exclude the use of decorative cosmetics;
stop taking medications that contain aspirin;
avoid visiting a bathhouse, sauna, solarium (as well as long exposure to the sun);
limit physical activity;
do not forget to use a cream with a high protection factor against ultraviolet rays (for a month).

Do not be alarmed by the appearance of small scars on the eyelids - they will gradually disappear approximately three weeks after the operation.

Results

Provided that laser blepharoplasty is performed by a qualified specialist using proper equipment, the effect is amazing: all defects visible before the operation almost or completely disappear, and the look becomes more open and expressive.

In addition, the skin becomes even and smooth, making the patient look several years younger.

The “bags,” like hernias, disappear, and there is no longer a shadow of soreness and fatigue on the face.

Possible side effects and complications

Any surgical intervention is associated with the likelihood of discomfort and complications. Before undergoing laser blepharoplasty, the patient is notified of the possibility of side effects such as:

“Dry eye” syndrome or, conversely, permanent tearing. All this indicates dysfunction of the sebaceous glands, which, as a rule, are restored 2 to 3 weeks after the use of special eye drops.
Postoperative pain. If necessary, the doctor prescribes painkillers.
The appearance of hematomas and periorbital edema. It does not happen often and occurs due to damage to abnormally located vessels during surgery. Bruises disappear in about 7 – 10 days.
Noticeable asymmetry of the eyelids. This complication can occur both if the surgeon is insufficiently qualified and if the patient has structural features of the skin.
Burn. Possible consequences of surgery performed using a carbon dioxide laser

If one or more symptoms occur, as well as significant and prolonged discomfort, you must notify the specialist who performed blepharoplasty.

Question - answer

Blepharoplasty is a surgical intervention that is aimed at improving a person’s appearance. That is why there are no specific age restrictions. Basically, the operation is performed to eliminate age-related changes, so doctors advise not to think about plastic surgery before the age of 30-35.

To perform blepharoplasty, the doctor can use one of the above lasers. Erbium laser is more suitable for those with delicate skin that would be negatively affected by strong exposure. This laser will not burn the skin, because it does not penetrate deeply. In the case of blepharoplasty, a CO2 laser is often used, as it seals the vessels, which will protect against bleeding. But after it a burn may appear.

The cost of the service will be affected by the level of the clinic, the qualifications of the doctor, the complexity of the intervention, and the price of additional services. It is important to initially discuss with the doctor what is included in the cost of the operation, so that there are no misunderstandings in the future.

Fractional thermolysis (DOT rejuvenation)

Fractional thermolysis is a procedure that destroys tissue under the influence of high temperatures.

And photothermolysis is the same procedure, only the effect is caused by a point light (laser).

Dot therapy is aimed at targeted rejuvenation of the face and body, eliminating wrinkles, the effects of acne, scars and other skin defects.

This procedure is performed without surgery.

The doctor uses an erbium laser, which is applied precisely to the surface of the skin.

As a result, the top layer of the skin is removed, that is, dead cells are eliminated. Also, such laser correction improves the regeneration of the dermis.

Of course, one cannot argue with the fact that after laser blepharoplasty the patient gets a wonderful result. But should everyone, when correcting the eye area, go under a scalpel or laser beam?

These are radical methods of combating age-related changes that are ideal for people with pronounced problems.

What should women do if they have slight swelling, darkened skin around the eyelids, or shallow creases?

Women with subtle age-related changes and problems with the eyelids should pay attention to a more gentle laser method - fractional thermolysis.

The following advantages of fractional thermolysis can be highlighted:

Safety. This method is much safer when compared to other types of laser blepharoplasty. The specialist acts on the skin with a laser without disturbing its integrity. The patient does not run the risk of infection.
Delicacy. This method is gentle on the surface of the face.
Physiological. During the procedure, the upper layer of the dermis is damaged, the skin begins to rejuvenate and recover.
Long lasting effect. It does not disappear for 2 years. And after the session, the skin is restored within a few days.
Painless. The doctor uses anesthetic ointments to minimize pain during laser thermolysis.

The procedure itself lasts about 20-45 minutes. Clinics often use the Fraxel laser.

Blepharoplasty with laser resurfacing

It is a method that will also protect a person from the plastic surgery office. Often, a carbon dioxide laser is used for the procedure. With its help, the upper layer of the dermis is evaporated.

There is no need to worry, as the skin itself is not damaged. The session lasts from half an hour to an hour. For proper results, you need to conduct about 5 such sessions.

This method has almost the same undeniable advantages as thermolysis. But the effect of the procedure lasts longer.

Surgeon Sonia Bandreshia-Bansal is of the opinion that blepharoplasty in combination with CO2 laser resurfacing will give the best result. Blepharoplasty will remove excess skin and the CO2 will help tighten the skin and stimulate collagen.

Defects on the face undoubtedly spoil the aesthetic appearance of every person. An unhealthy lifestyle, age-related characteristics, heredity are not all the factors that affect the appearance of our face. The problem of impending eyelids existed back in the days of ancient Greece and Rome - it was from then that long and painstaking work began on finding high-quality methods for carrying out plastic procedures. Fortunately, there are now many ways to lift sagging eyelids. The most frequently demanded plastic surgery is laser blepharoplasty, the features of which will be discussed below.

This article discusses the operation of laser blepharoplasty, the main goal of which is to get rid of drooping eyelids and give the face a youthful appearance. The article discusses indications and contraindications for this procedure, its advantages, features of its implementation, and the rehabilitation period.

Blepharoptosis. General information

Eyelids droop - why?

Age-related skin changes

The most popular and understandable reason for sagging skin is a decrease in elastin, the main factor responsible for the tone of cellular membrane structures.

Also, over time, there is a reduced blood supply to tissues with oxygen, and due to low water consumption, the epidermis of the skin becomes even more sloughed and takes on a not very healthy appearance.

Hernia development

This is a temporary anatomical pathology associated with a qualitative neoplasm in the area of the upper or lower eyelids. A hernia will not pose any danger if it is removed in a timely manner.

The problem of obesity and the accumulation of excess fat in the form of folds on the eyelids

Genetic factors determine where fat layers will accumulate. For many people, the place where subcutaneous fat accumulates is the eyelids.

Presence of consequences of damage to tissue structures

Also, sometimes there is a need to correct the upper or lower eyelid through plastic surgery to achieve an aesthetic effect for the skin around the eyes and the face as a whole. This happens due to the presence of tumors, severe hematomas, scars, leading to the appearance of an impending eyelid.

Low tone of facial muscles, underdevelopment of the muscles that lift the eyelid

Due to disruption of these muscles, upper blepharoptosis occurs. This reason is due to hereditary factors.

Presence of oculomotor eyelid pathology

The third pair of cranial nerves, the oculomotor nerve, is responsible for the innervation of the muscles that lift the eyelid. There are cases when there is a violation of its innervation not only due to heredity, but due to disruption of its structure due to other surgical procedures.

Aponeurotic causes of drooping upper eyelid

Due to age-related characteristics and changes occurring during this period, sometimes a situation may occur where the muscle tendons move away from the plate to which they are fixed. This deviation provokes tension in the upper eyelid.

What are the symptoms of blepharoptosis?

The most obvious thing is a visually drooping eyelid;
Feeling of irritation of the mucous membrane of the eye;
The appearance in children of a frequent “stargazer” position - when the child throws his head back;
Double images in the eyes, development of strabismus.

Note: if these symptoms occur, you should undergo a diagnosis from a medical specialist to identify the real cause.

Laser blepharoplasty procedure for the area around the eyes

In what other cases is it indicated?

Changes in the skin associated with the aging process;
The presence of a congenital feature associated with the racial shape of the eyes;
Development of baggyness in the lower eyelids;
Problem of excessive skin around the eyes;
Asymmetry on the face related to the periocular surface.

Contraindications to the laser blepharoplasty procedure

What are the advantages of the laser blepharoplasty procedure?

In the modern world of surgery, the use of a laser device is one of the advanced methods of performing surgical operations. This is based on the significant advantages of this method:

That is why, when choosing which is better: laser or surgical blepharoplasty, the choice of many clients falls on the first option.

Laser blepharoplasty process

Preparation for the procedure is carried out in several stages.

General preparatory activities

They start two weeks before the procedure itself.

To do this, you need to switch to a diet prescribed by a doctor, which includes following a split diet, eliminating heavy foods (highly fatty and fried), eliminating fast carbohydrates (sweets, flour, starch), alcohol-containing products and tobacco products from the diet.

The use of the latter will significantly reduce the speed of rehabilitation of the body and increase the risk of developing postoperative complications.

The last meal is taken no later than six hours before the start of the operation.

Direct preparation for the procedure itself

This stage includes consultations and examinations with specialists (therapist, anesthesiologist, surgeon), diagnostic tests (general and biochemical urine tests, ultrasound, ECG, general blood test). Also, during this period the issue of choosing the type of anesthesia is decided.

Note: During laser blepharoplasty, local anesthesia is performed, as a result of which tactile sensitivity of the postoperative area disappears and nerve endings are blocked. However, the touch of a scalpel is still felt.

Surgical intervention. Performing laser blepharoplasty

Before surgical procedures, the areas of skin that will be removed are marked;
The front part is disinfected using a disinfectant solution;
The anesthetic substance is used directly, through small injections or by applying an anesthetic gel.
After this, the surgeon makes excisions on the skin of the eyelid, performing the necessary measures;
The operation ends with suturing, connecting tissues using special glue, surgical threads or tape.

Types of laser blepharoplasty, areas around the eyes: upper and lower eyelids

Upper eyelid blepharoplasty using laser

Based on the name, it becomes clear that operations are performed to eliminate the upper drooping eyelids. An incision is made along the natural folds of the upper blephar, and subcutaneous fat accumulations are removed. Also, at the same time, the surgeon works with the structure of muscle tissue and, if necessary, performs a brow lift.

Circular blepharoplasty

With this procedure, the right and left eyelids are corrected simultaneously.

Laser blepharoplasty of the lower eyelids

There is another division of this blepharoplasty into three types:

Percutaneous subciliary lower blepharoplasty, when the excision is located at the eyelash line.
Transconjunctival- with this type of plastic surgery, excision is applied from the inner surface of the eyelid. It is used if the patient has excess fat deposits and the volume of skin tissue is in the normal range.
Intraoral- here the surgeon makes an incision through the oral cavity. It is used if you want to correct not only subcutaneous fat deposits and overhanging skin surface, but also to change the contours of the orbit.

Recovery after blepharoplasty: rehabilitation period, recommendations for eyelid skin care

With properly performed blepharoplasty, recovery time after surgery is about two weeks.

Until the tenth day of the rehabilitation period, you must stop using decorative cosmetics;
The recommended sleeping position is on your back or side, with your head elevated;
Avoid the use of drugs with anticoagulant properties;
Avoid physical exercise;
Use sunglasses outdoors for ten days if the sun is strong;
It is very important to exclude the use of baths, saunas, and swimming pools;
It is recommended to use sunscreens to apply to the skin in the next month after the laser eyelid correction procedure.

Possible complications after laser blepharoplasty of the upper or lower eyelids

Laser blepharoplasty patient reviews

Having analyzed the forums with reviews about laser eyelid correction, we can conclude that the effect after this blepharoplasty procedure is “amazing.” Patients agree that this method of eyelid lifting is an excellent alternative to the classical methods of eliminating blepharoptosis.

Every self-loving woman and every self-respecting man wants to look aesthetically pleasing. In the collected reviews, patients admit that they are ready to resort to this procedure several more times, despite it being sometimes painful and unpleasant.

In order to evaluate the result of blepharoplasty of the upper and lower eyelids in the photo before and after the operation, we recommend that you go to forum sites dedicated to plastic surgery.

What is included in the full cost of laser blepharoplasty?

The level of the clinic, based on the competence of the specialists working in it, the equipment and the guarantees and services provided to it;
Choosing a specific type of laser blepharoplasty;
The complexity of surgical procedures and the amount of work;
List of necessary services after surgery.

Cost of laser blepharoplasty: the average price of laser correction of the upper and lower eyelids starts from 45,000 rubles.

The skin of the eyelids is the most vulnerable part of the epidermis. It does not have a fat layer that protects against aggressive environmental influences. Sun rays, along with poor ecology, unbalanced diet, and various diseases, quickly lead to the appearance of swelling, wrinkles and bags under the eyes. Because of this, the eyes lose their beauty and expressiveness. But the most important enemy of the skin, undoubtedly, is age. At thirty-five years old, the first signs of aging may already appear. The article will discuss reviews of laser blepharoplasty, as well as the pros, the preparation process and all the advantages of the operation.

Indications for blepharoplasty

Laser blepharoplasty is usually performed in the following cases:

Changes in the skin around the eyes due to age.
Congenital feature of the shape of the eyelids.
Developmental pathologies, injuries, and so on.
Having bags under the eyes.
Drooping corners of the eyes along with asymmetry.

Laser blepharoplasty is performed for people of all ages. Most often, women over forty who want to eliminate age-related changes resort to eyelid lifting.

Contraindications

This procedure has a large number of different contraindications. The main prohibitions of laser eyelid blepharoplasty most often include the following:

Advantages

It is worth saying that today laser eyelid blepharoplasty is slowly replacing surgical techniques, as it has many advantages. The main advantages of this procedure include the following advantages:

Another reason why this method is the safest

Laser blepharoplasty of the upper eyelids, as well as the lower ones, is usually performed using two types of rays: carbon dioxide and erbium. Through the wavelength and absorption coefficient, the carbon dioxide laser penetrates deep into the skin and promotes vascular coagulation. Thanks to this method, the risk of bleeding is significantly reduced. During this procedure, the tissues become very hot, so pain may occur. The price of laser blepharoplasty varies depending on many factors.

How should you prepare for surgery?

In order to prepare the patient for surgery, the surgeon prescribes an examination. Thanks to him, it is possible to identify chronic pathologies, which in the future will allow the specialist to choose the safest method of performing the procedure. Before performing laser blepharoplasty of the lower eyelids, as well as the upper ones, the patient must undergo the following tests:

General and biochemical blood tests.
Coagulability assay.
Determination of sugar content.
Electrocardiogram.

In addition, at the stage of preparation for the procedure, the doctor asks the patient for information about allergies to medications. The use of medications containing aspirin and the presence of dry eye syndrome are also taken into account.

How does a surgeon prepare a patient for surgery?

As part of the preparatory stage before laser blepharoplasty of the upper and lower eyelids, the doctor must perform the following steps:

Set the level of eyelid deformation.
Assess the amount of excess skin.
Determine the depth of wrinkles.
Give a forecast regarding the likelihood of drooping eyelids.
Assess the tone of cartilage tissue.
Set the amount of unnecessary fat tissue.
Perform computer simulation of the final result.

Carrying out blepharoplasty

The question of where laser blepharoplasty is performed can be answered unequivocally - in plastic surgery and cosmetology clinics under the strict guidance of a specialist doctor.

At the very beginning, the surgeon marks the eyelids. Special lenses are put on the eyes to perform protective functions. To carry out this procedure, local anesthesia is used. For these purposes, a special cream is applied to the affected area. Exposure time ranges from ten to fifteen minutes.

Immediately after pain relief is achieved, the doctor uses laser light to make a small incision in the natural folds of the skin. Through the incision, excess skin and, in addition, fatty tissue are removed.

Absorbable sutures, surgical tape or a special cream are used to stitch the wound. The laser acts in such a way that it heats the cells to the required temperature, which has a positive effect on them. As a result of this procedure, muscle tissue and collagen framework are strengthened. In addition, collagen production is stimulated.

To complete the full course of laser blepharoplasty, the patient is required to visit the clinic up to four times. In Moscow, laser blepharoplasty can be performed in many places. The main thing is to be very careful when choosing an institution and a specialist surgeon. The reason is simple - everything related to beauty and health requires a scrupulous approach. As for the cost, it starts from 40,000 rubles.

How long does this procedure take?

Laser circular blepharoplasty or intervention on only one type of eyelid does not require spending a lot of time. First, a special cream that has an anesthetic effect is applied to the affected area. Twenty to thirty minutes after this, laser exposure begins. As practice shows, the duration of one such procedure does not exceed fifteen to twenty minutes.

After the laser intervention is completed, the treated area is covered with a special agent that helps reduce pain and prevent swelling. Laser blepharoplasty does not require hospitalization of the patient, so the patient is sent home literally on the same day.

Patient rehabilitation

If the laser intervention was carried out correctly, the rehabilitation period will last no more than two weeks. On the first day after completion of the procedure, a cold compress should be applied to the eyelids. This will reduce the risk of any bruising or swelling in the treated area.

In the first weeks after surgery, small scars may be noticeable on the eyelids. But over time they will gradually disappear. Scarring is common and occurs towards the end of the third week. In order to slightly speed up recovery and recovery, doctors recommend doing the following:

Patients should avoid using cosmetics for ten days. The only exception in this case is special means.
It is recommended to sleep on your side or back, with your head slightly elevated.
You should not use aspirin, or any medications that contain it.
During the first month after completion of the operation, it is necessary to refrain from intense physical activity.
It is not advisable to visit a sauna or bathhouse.
It is extremely important to avoid prolonged exposure to the sun.
Doctors usually recommend the use of sunscreen, which must be applied to the skin for one month after the procedure.

Possible complications

It is important to note that such a procedure can cause negative health consequences, which include the following complications:

Now let’s find out what patients who have undergone laser blepharoplasty say.

Many people are not too happy with their eye shape, eyelid size, or the presence of dark circles and puffiness on their face. Laser blepharoplasty will help eliminate these appearance defects.

Recently, this procedure has become increasingly popular, gradually replacing surgical correction methods.

Indications

Laser blepharoplasty is usually performed in the following cases:

age-related changes in the skin in the eye area;
changes in the shape of the eyes, congenital features of the shape of the eyelids, developmental pathologies or disorders resulting from injury;
bags under the eyes;
drooping corners of the eyes;
asymmetry of the eyes.

Laser blepharoplasty is performed by people of different ages for various reasons. In most cases, women over 40 years of age resort to this procedure to eliminate age-related changes.

Contraindications

Despite the fact that laser treatment belongs to the category of minimally invasive procedures, it has many contraindications.

The main prohibitions include the following:

dry eye syndrome;
diabetes mellitus;
exacerbation or decompensation of somatic pathologies;
serious disturbances in the functioning of the endocrine system;
severe pathologies of the cardiovascular system;
any malignant formations;
bleeding disorders;
infectious pathologies;
mental disorders;
epilepsy;
fever;
pregnancy;
lactation;
high sensitivity to laser;
inflammation in the affected area;
increased intraocular pressure.

Advantages over a scalpel

Laser blepharoplasty is gradually replacing surgical methods of correction, as it has many advantages.

The main advantages of this minimally invasive procedure include the following:

The use of a laser makes it possible to obtain a much smaller incision. Thanks to this, the wound heals faster, and the surrounding tissues are not so damaged. As a result, the recovery period is significantly reduced.
Due to the high temperature of the laser beam, it is possible to cauterize small vessels. This significantly reduces the risk of bruising and swelling after the procedure.
After the wound heals, no scar changes remain on the skin. The use of even the thinnest scalpel still leads to the appearance of scars. If you use laser treatment, you will be able to avoid the need to hide scars under makeup or glasses.
After laser blepharoplasty, a local microburn remains on the wound walls, which prevents pathogenic microorganisms from entering the bloodstream. This significantly reduces the risk of infection.
There is no need to go to the hospital for this procedure. Literally a few hours after laser blepharoplasty, the patient is sent home. Subsequently, he only needs to visit the clinic for a follow-up check.
A sustainable effect after surgery lasts for 4-5 years. In some cases, this figure even reaches 10 years.

Laser blepharoplasty is usually performed using two types of rays: carbon dioxide and erbium.

Due to the wavelength of 10.6 microns and the absorption coefficient of 800 cm-1, the carbon dioxide laser penetrates deep into the skin, promoting vascular coagulation.

This significantly reduces the risk of bleeding. In this case, the tissues become very hot, which can cause severe burns and pain.

The erbium beam has a wavelength of 2.94 µm and has an absorption coefficient of 12000 cm-1. Thanks to this, the light beam does not penetrate so deeply. It cannot cause a burn, and this is very important when affecting the delicate skin of the eyelids.

Video: Frequently Asked Questions

Species

Several methods can be used to perform eyelid correction. The choice of a specific technology depends on the problem, its severity and the condition of the skin.

The following types of influences are currently used:

Laser blepharoplasty of the upper eyelids. This procedure is used to eliminate drooping folds. In this case, the incision is made along natural folds. During the intervention, the doctor removes excess skin and fatty tissue. If necessary, muscle correction or eyebrow lifting can be performed.
Blepharoplasty of the lower eyelids. This intervention helps to cope with bags under the eyes, swelling, and hernias. However, there are different varieties of this procedure. Thus, when performing percutaneous subciliary correction, an incision is made on the ciliary part of the eyelid.

The transconjunctival method involves making an incision on the inside of the eyelid.

This type of intervention is used if a person has excess adipose tissue in combination with normal skin volume.

When performing intraoral blepharoplasty, access is through the mouth.

In this case, not only correction of adipose tissue and skin is carried out, but also orbital plastic surgery is performed:

Circular. In this case, two eyelids are corrected at once.
Correction of eye shape. This operation is very popular among Asian women. In this case, the epicanthus is removed to form a Caucasian fold.
Canthopexy. This procedure is used to combat disorders of the ligamentous apparatus of the eyelids. In this case, the shape and expression of the eyes are corrected. This intervention is indicated for patients who have disorders of the facial nerve.

Photo: Before and after surgery

How to prepare for surgery

To prepare for surgery, the doctor prescribes an examination. Thanks to this, he identifies chronic diseases, eye pathologies, and surgical interventions in the anamnesis. This will allow the specialist to choose the safest method of performing the procedure.

Before undergoing blepharoplasty, the patient must undergo the following tests:

general and biochemical blood test;
blood clotting test;
blood sugar determination;
electrocardiogram.

In addition, at the stage of preparation for surgery, the doctor must find out from the patient information regarding allergies to medications, taking medications containing aspirin, and the presence of dry eye syndrome.

Also at the preparatory stage, the doctor should do the following:

determine the level of eyelid deformation;
assess the amount of excess skin;
determine the depth of wrinkles;
predict the likelihood of eyelid drooping;
assess the tone of cartilage tissue;
determine the amount of excess fat tissue;
make a computer simulation of the final result.

How is laser blepharoplasty performed?

First, the doctor marks the eyelids and puts special lenses on the eyes that perform protective functions.
Local anesthesia is used for the procedure. To do this, apply a special cream to the affected area. The exposure period is 10-15 minutes.
After adequate pain relief has been achieved, the doctor uses laser light to make a small incision in natural skin folds, through which excess skin and fatty tissue are removed.
Absorbable sutures, surgical tape, or a special cream can be used to close the wound.
The laser heats the cells to a certain temperature, which has a positive rather than destructive effect on them.
Thanks to this procedure, muscle tissue and collagen framework are strengthened.
In addition, collagen production is stimulated. For a full course of blepharoplasty, you need to contact the clinic 3-4 times.

How long does the procedure take?

Laser blepharoplasty does not require much time. First, a special cream with an anesthetic effect is applied to the area of intended treatment.

20-30 minutes after this, laser exposure begins.

As a rule, the duration of this procedure does not exceed 15-20 minutes.

After completion of the intervention, the treated areas are covered with a special product. It helps reduce pain and prevent swelling.

Laser blepharoplasty does not imply hospitalization of the patient. Therefore, literally on the same day a person can go home.

Rehabilitation

If the laser treatment was carried out correctly, then rehabilitation will last no more than 2 weeks.

On the first day after the procedure, cold compresses should be applied to the eyelids.

This will minimize the risk of bruising or swelling in the treated area.

In the first few weeks after the intervention, small scars can be seen on the eyelids. However, they will gradually disappear - this usually happens by the end of the third week.

To speed up the recovery process, experts recommend performing the following manipulations:

within 10 days, stop using cosmetics - the only exceptions are special products;
It is recommended to sleep on your side or back, and it is better to raise your head slightly;
It is prohibited to use aspirin and any medications that contain it;
During the first month after surgery, it is better to avoid intense physical activity;
you should not visit a bathhouse or sauna;
it is important to avoid prolonged exposure to the sun;
When performing transconjunctival lower eyelid surgery, the doctor will recommend the use of sunscreen - it is applied to the skin for a month after the procedure.

Complications

It must be taken into account that this procedure may cause negative health consequences.

These include the following:

Dry eyes or constant watery eyes– these symptoms indicate problems in the functioning of the lacrimal glands. As a rule, this condition goes away on its own within 2 weeks.
Periorbital edema– this symptom is a consequence of a violation of the integrity of blood vessels.
Hematoma- appears when a large vessel is damaged, which has an abnormal location.
Asymmetry of the eyelids– this complication may be due to insufficient qualifications of the doctor or structural features of the human skin.
Burn– possible in the case of using a carbon dioxide laser.

Surgeons' opinion

This method causes an ambiguous attitude on the part of surgeons. Today you can easily find both supporters and opponents of this technology.

Some doctors believe that laser blepharoplasty has many advantages, while others prefer to use a scalpel.

Surgeons who choose traditional surgery claim that a scalpel allows for a smoother cut. And this is true.

However, regardless of the chosen method, the final result is the same.

At the same time, laser blepharoplasty is recognized as less traumatic, and therefore not as painful.

In addition, the use of this method significantly reduces the likelihood of complications and significantly shortens the recovery period.

It is worth noting that serious opponents of this innovative method are the old generation of surgeons who are true masters of their craft, but have difficulty accepting changes.

At the same time, young doctors who can learn are happy to introduce new methods and use innovative technologies.

Approximate cost

Because this procedure is much faster than traditional surgery and requires fewer materials, it costs significantly less.

The price of laser blepharoplasty directly depends on the type of procedure:

So, removing excess skin of the lower eyelids will cost 27,000-29,000 rubles.
To cope with excess skin on the upper eyelids, you will have to pay 27,000-29,000 rubles.
If correction of both upper and lower eyelids is required, you will have to pay from 40,000 to 47,000 rubles.
To correct the shape of the eyes you need to pay 40,000-50,000 rubles.

Laser blepharoplasty is a fairly effective procedure that helps eliminate obvious eyelid defects. Moreover, this type of intervention is less traumatic and not as painful as traditional surgery.

The eyes are the first to indicate our age. Drooping upper eyelids and bags under the eyes are signs of aging. The look, at the same time, seems tired or even angry.

Plastic surgery helps to regain open, clear eyes. Recently, blepharoplasty has become very popular as a type of plastic surgery - an excellent alternative to surgery.

There are a sufficient number of clinics in Moscow that provide laser plastic surgery. The price for eyelid blepharoplasty in Moscow is determined by the complexity and number of manipulations performed.

Attention!! Thus, the price in Moscow for upper eyelid blepharoplasty can be below 25,000 rubles. And for blepharoplasty of the lower eyelids in some clinics it may not differ from the same procedure for the upper eyelids, but it may be higher.

Blepharoplasty – what is it?

The skin in the eyelid area is very thin and delicate, so it is more intensely exposed to external influences (sun rays, dust, precipitation, harmful production) than other areas of the face. These factors cause external changes that appear over the years, subsequently forming the first light wrinkles and skin folds. Thanks to blepharoplasty, it has become possible to eliminate age-related metamorphoses and other defects without instrumental intervention.

Laser blepharoplasty in Moscow allows you to remove excess skin around the eyes without a single cut.

At the same time, a small area of the old dermis layer is eliminated due to laser treatment of the eyelid area. Such a gentle operation leads to a quick restoration of the aesthetic appearance of the eyes.

More recently, eyelid correction was carried out only through surgery, which involved cutting the skin with a scalpel. New technologies make it possible to carry out gentle procedures using a laser device.

Attention!! The price of blepharoplasty for eyelids in Moscow is given separately for each eyelid (two upper or two lower) or for both eyelids at once (upper and lower eyelids on both eyes). At the same time, the price of laser blepharoplasty often does not include either local or general anesthesia, but may include a consultation with a surgeon and anesthesiologist, which is why the cost may be higher.

Which laser is more effective?

A blepharoplasty session is usually carried out using one of two types of light emitters - CO2 (carbon dioxide) and erbium.

CO2 laser radiation passes deeply through the layer of epidermis, cutting it, the edges of the vessels are melted, reducing the formation of bruises to a minimum. The disadvantage of using such a laser is that the skin tissue being treated becomes very hot, increasing the likelihood of burns and pain in the postoperative period.

An erbium laser produces a beam of light that penetrates shallowly into the tissue and is not capable of causing a burn to the delicate skin of the eyelids. This is a very important factor to consider. The erbium laser is considered the safest for the organs of vision, and the procedure performed with it is painless.

The price for eyelid blepharoplasty in Moscow does not depend on the choice of laser type. There are no fixed prices for upper eyelid blepharoplasty. To choose a suitable clinic, you need to compare prices yourself and find out which laser will be used to perform the procedures.

Benefits of laser surgery

Plastic surgery involves unpleasant complications in the form of bruises, hematomas under the eyes, infection, and scarring. Laser blepharoplasty in Moscow allows you to avoid unwanted consequences of the operation. Its advantages lie in a number of factors:

Rapid healing of wounds. The incision made with a laser has a small width. In this case, the surrounding tissues are completely slightly injured. This allows the incision to be intensively delayed and the rehabilitation period to be significantly reduced.
The appearance of hematomas and swelling is reduced to a minimum. This effect is achieved due to high thermal indicators of light exposure. During the procedure, small vessels are simultaneously cauterized, eliminating internal bruising that forms bruises.
Lack of Scars. No matter how sharp the scalpel is, it still leaves scars, which often have to be hidden under a layer of makeup or behind dark glasses. The laser beam eliminates the formation of scars.
No infectious complications. During laser surgery, the wound walls receive a local mini-burn, which prevents pathogenic microorganisms from entering the blood. This reduces the risk of infection to a minimum.
Outpatient treatment. The short recovery period after surgery precludes inpatient observation. For 4-5 hours after the end of the operation, the patient is at rest, under the supervision of a doctor; then, if the indicators are satisfactory, he is sent home. The patient comes to the clinic only to check the postoperative condition on the day prescribed by the doctor. Prices for laser blepharoplasty in Moscow are set taking into account the stay in the clinic, where special clothing and a clean bed are provided.
Lasting effect. Depending on the characteristics of skin aging, the lifting effect lasts for 4-5 years, in some cases up to 10 years.

A successful operation allows the patient to lose about 5 years. In addition, the procedure makes it possible to live a full life, getting rid of unpleasant appearance defects in the eye area. The price in Moscow for eyelid blepharoplasty includes the cost of manipulation of the upper and lower eyelids, often including an inpatient stay.

In what cases is laser surgery performed?

Laser blepharoplasty, of course, is primarily carried out on the initiative of the patient. But, often, surgical intervention is determined by medical indicators.

What does the laser blepharoplasty procedure eliminate?

Let us list the main indicators, both obtained over the years and at birth:

facial wrinkles around the eyes of varying intensity;
mesh wrinkles (crow's feet);
excess skin, drooping eyelid;
drooping (ptosis) of the upper eyelid in varying degrees of manifestation;
deformation of the eyelids;
change in eye shape;
dark circles of a bluish or brown tint under the eyes;
bags or hernias under the eyes;
asymmetry of eyelid lines;
clearly defined nasolacrimal grooves;
decreased muscle activity of the eyelids;
feature of Mongoloid type eyes;
pronounced facial aging.

Laser blepharoplasty has no age-related contraindications and can be performed when minor changes in the appearance of the eyes occur. In these cases, the procedure is carried out without cutting the skin, in a gentle manner.

If the patient has significant deep transformations of the skin of the eyelids, the specialist uses surgical intervention, cutting, making incisions in the skin area, if necessary.

How much does blepharoplasty cost in Moscow??

Prices for eyelid blepharoplasty range from 40-70 thousand rubles for the entire operation. In addition, the price increases if additional manipulations are required, so it is not fixed, it may be slightly higher.

Contraindications

Like any surgical intervention, laser blepharoplasty has its contraindications. These include the following conditions:

High sensitivity to laser radiation;
Inflammatory processes in the operation area;
Pathological changes in the endocrine system;
Exacerbation of chronic diseases;
The presence of neoplasms, both benign and malignant;
Problems with blood clotting;
Presence of HIV infection;
Glaucoma, increased eye pressure;

Before deciding to undergo laser blepharoplasty of the eyelids, the patient should understand that puffiness under the eyes and dark circles may be symptoms indicating the presence of some disease in the body, for example, kidney disease. Therefore, in any case, you should consult a therapist before making an appointment for blepharoplasty.

Laser blepharoplasty technique

The price for eyelid blepharoplasty is often lower for eyelid surgery as a whole than if it were done separately at different times for the lower and upper eyelids.

How does surgery take place using a laser device? During laser treatment, the processes of coagulation (clotting) and ablation (removal of skin particles) of the treated area are carried out. That is, with the help of a laser, the coagulation of the protein fraction of the skin is achieved, and through ablation, the copy layer is polished. In fact, a significant surface of the skin is removed from the treated area. Subsequently, the skin quickly recovers and regenerates, creating an excellent lifting effect.

How is the laser blepharoplasty procedure performed?

This procedure is carried out in one session, the duration of the effect lasts for five years;
The first stage involves marking the eyelids, while the eyes are protected with special lenses;
Immediately before the procedure, an anesthetic cream is applied to the treated area around the eyes. But when performing additional manipulations, general anesthesia is recommended;
The process itself takes no more than 20 minutes, this factor makes blepharoplasty very convenient and comfortable for the patient;
The edges of the wound are sutured using surgical glue or tape. Sometimes the edges are sutured with absorbable sutures;
After the procedure, slight hyperemia (temporary redness of the skin) may be observed in the treatment area. By the end of the day or the next morning, slight swelling and redness appear;
On the third day, there is a decrease in swelling and a slight change in the color of the skin around the eyes. During this period of restoration of eyelid skin function, it is recommended to treat the area with Bepanten cream or any other soft cream;
On the fifth day, peeling of the treated area is observed, scabs come off from the skin in the form of small or large plates of the epidermis;
The restoration of the eyelid skin occurs by the seventh or eighth day. These days you can already see the results of blepharoplasty: excellent lifting effect, significant reduction of wrinkles, reduction or complete disappearance of fatty hernias. Prices for laser blepharoplasty of the lower eyelids with redistribution of hernial sacs range from 40-50 thousand rubles;
But the rejuvenation effect does not end there. The intensity of the process is observed for another 6-7 weeks;
The final result is most evident in the 8th week after the procedure. The price can be chosen based on the possibilities, the result will not take long to arrive;

In the future, after a two-month period, additional procedures may be carried out if desired:

Biorevitalization. Introduction of microinjections of special preparations, the base of which is hyaluronic acid.
Plasmolifting. Platelet-rich plasma is injected into the skin. This rejuvenation technique does not require surgical intervention.
Botulinum toxin. Special tampons enhance the effect after blepharoplasty.

Prices for laser eye blepharoplasty in Moscow, regarding the correction of Mongoloid eye shape, start from 30,000 rubles, reaching 65,000 rubles.

It may be limited to only carrying out the procedure itself without additional manipulations; it may not include additional procedures; their cost must be negotiated separately.