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BLEPHAROPLASTY OF UPPER AND LOWER EYELIDS

Upper and lower eyelid blepharoplasty is a procedure that shapes the eyelids, removes excess of flaccid skin and visually rejuvenates the eye area. The procedure lasts for several dozen minutes and is preceded by infiltration anaesthesia. During the procedure, a physician marks incision lines on the skin with a marker, and then cuts out designated sections of skin. The procedure can be performed by means of traditional surgery, i.e. with a scalpel or with a laser knife. The latter method is characterised by greater precision and less bleeding. A physician then inserts sutures, bringing the wound edges closer together and joining them. Small strips are placed behind the sutures, and the sutures are removed during the follow-up visit, i.e. seven to ten days after the procedure. As part of post-operative eye care, the Patient can apply moisturising drops and if in case of any pain, we recommend cold compresses and over-the-counter painkillers.

LASER EYELID CORRECTION

1

LOWER EYELID BLEPHAROPLASTY

Upper eyelid blepharoplasty is performed primarily to remove excess skin on the upper eyelids. In some people, such excess skin is a congenital feature, in addition, with age, the thin skin around the eyes increasingly loses elasticity and its structure weakens. The skin around the eyes is particularly susceptible to these changes: it is much thinner, has no sebaceous glands and contains much less subcutaneous fatty tissue.
Upper eyelid blepharoplasty begins with marking the incision line on the upper eyelid. The lower edge of the incision is always marked in the fold of the eyelid, which significantly reduces visibility of the post-treatment scarring. Then, after removing the excess skin with tweezers, the upper incision line is marked. These lines are drawn with the lower eyelid closed and must run in such a way as to remove the optimal amount of excess skin, allowing the eye to be completely closed. The next stage of the procedure is topical anaesthesia: lidocaine and articaine are injected as anaesthetics and adrenaline shrinks blood vessels and reduces bleeding.
Excess skin and the underlying fragment of the circular muscle of the eye are removed according to the marked incision lines. Finally, the wound edges are brought closer together and sutured, and the sutures are secured with strip dressings. The procedure results in removal of excess skin, shaping of the upper eyelid, optical opening of the eye and improvement in the comfort of vision if drooping eyelids obstruct Patient’s field of vision.

2

UPPER EYELID BLEPHAROPLASTY

Lower eyelid blepharoplasty is performed primarily to remove excess skin under the eyes, promoting formation of the so-called bags under the eyes. Such changes may appear with age as a consequence of skin aging, thinning and sagging. In some people, bags under the eyes is a personal, genetically determined trait. Another indication is presence of fatty herniation.
As in the case of an upper eyelid procedure, lower eyelid blepharoplasty begins with determination of the incision line. The upper line runs along the lash margin, and the lower one – up to several millimetres below the upper line. The next stage is anaesthesia, which reduces pain and bleeding during the procedure. Excess skin is removed in accordance with the designated incision lines, and then single or continuous sutures and plaster dressings are placed.
The effects are visible after complete healing of the wounds, which takes place about 6 – 10 weeks after the procedure. The procedure results in reduction of bags under the eyes, thanks to which the eye area is rejuvenated. The face gains a more cheerful, rested expression. The skin under the eyes is tightened and deep wrinkles are smoothed. The shape of the eyes is corrected. Sometimes physiologically progressive ageing processes make it necessary to repeat the procedure after several years.

3

REMOVAL OF FATTY HERNIATION

Fatty herniation is an unwanted lesion located in the lower eyelid and responsible for formation of bags under the eyes. However, this mechanism differs from that caused by skin flaccidity. Fatty herniation can be caused by genetic predisposition, as well as an unhealthy lifestyle: stress, unbalanced diet and sun exposure. Accumulation of fat tissue under the eyes leads to accentuation of this area, stretching of the skin under the eyes and its increased flaccidity. Fatty herniation is visible when gently pressing on the eyeball. Fatty herniation can be removed during a surgical procedure. It is often combined with a lower eyelid blepharoplasty, when removal of the fat pad is accompanied by excision of the excess skin.
Removal of fatty herniation of the lower eyelid involves administering topical anaesthetic and making an incision on the conjunctiva or on the skin. Conjunctival incision is made between the lower eyelid and the eyeball so that the postoperative scar is completely invisible. Skin incision, on the other hand, is made directly under the lash line. After the incision is made, excess fat is removed and, if necessary, excess skin under the eyes is also removed. Finally, sutures and strips are applied. The effect of the treatment can be assessed when the treatment site has completely healed, i.e. after a few weeks. The effect is smoothening of the skin under the eyes, reduction of fat bags and rejuvenation of the eye area.

BEFORE AND AFTER GALLERY

I highly recommend!

JUSTYNA GRADEK

PROCEDURE

Eyelid blepharoplasty used to be performed exclusively with a scalpel. Today it can be also performed with a laser knife. Laser blepharoplasty allows for performing of a much more precise procedure. The CO2 surgical laser operates with an accuracy of up to tenths of a millimetre, which is particularly important when making incisions in the delicate eye area. In addition, laser allows for operating on those areas within the eyelid hollows that are not well accessible to a scalpel. Great precision of the incision and the use of a very narrow laser beam result in a much smaller scar which, when hidden in the eyelid hollow, is completely invisible.
Another benefit of using a laser knife instead of a traditional scalpel is faster healing of the wound. During laser eyelid blepharoplasty there is less bleeding at the site of skin incision, as the laser light immediately closes damaged blood vessels. It is possible thanks to photocoagulation. There is less post-treatment swelling and pain. Treatment sites heal much faster than in case of traditional surgical methods with a scalpel.
Lower or upper eyelid blepharoplasty begins with application of local anaesthesia, after which a physician makes laser incisions on the designated lines. Excess skin and a fragment of the orbicularis oculi muscle located underneath are removed. Then the wound is sutured using single sutures or an intradermal continuous suture. The scars after the procedure are almost invisible, as they are hidden in the natural eyelid hollows or under the lash margin. After a few weeks the final effect of upper and lower eyelid blepharoplasty can be assessed. Both procedures can be combined or blepharoplasty can be performed in one location only (upper eyelid or lower eyelid).

EFFECT

Eyelid blepharoplasty results in restoration of desired shape of upper and lower eyelids. In case of drooping eyelids the effect of “opening” of the eye is obtained, which positively influences the quality of vision and makes the eye look younger and more cheerful. Lower eyelid blepharoplasty allows for reduction of excess skin that contributes to formation of bags under the eyes. An ultimate effect is spectacular rejuvenation of the eye area, making the eye contours more visible, softening the facial expressions and enlarging the field of vision. The effect lasts for several years, after which the procedure can be repeated. This is due to the fact that blepharoplasty does not stop the ageing process of the skin around the eyes and skin flaccidity and thinning may reoccur.

HOW SHOULD I PREPARE?

The procedure does not require much preparation.

Do not consume alcohol, caffeine or drugs 24 hours before the procedure.

One week before the procedure, do not take common painkillers, as they thin the blood and may cause more bruising after insertions. Garlic and onion have a similar effect.

If you take NSAIDs, talk to your GP and ask if you can discontinue them two weeks before your procedure. If your GP refuses, don’t discontinue your medication on your own! The procedure can still be performed, but you must expect more bruising.

Two weeks before the procedure, you can start taking vitamin C, which will strengthen capillary walls and thus reduce formation of bruises.

RECOVERY

After the procedure, the eyelids are swollen and bruising is possible. Sutures are removed on the 7th-10th day after the procedure. You can return to work after 7-14 days and full recovery takes 6-12 weeks. There is almost no pain during the healing process.

CONTRAINDICATIONS

There are not many contraindications to blepharoplasty, but they must be taken into consideration. Below you will find the most important of them.

Asymptomatic carrier of hepatitis B or hepatitis C.

Viral hepatitis often affects autoimmune reactions. It mainly depends on the stage of the disease as well as its activity. Only your attending physician may decide whether you are eligible for an aesthetic medicine procedure. Ask them for a written consent for the procedure. Only then, we can perform the procedure.

Diabetes.

In case of advanced diabetes wound healing is impaired. However, when treated and controlled, diabetes is not a problem. If you have diabetes, please ask your attending physician for a written consent for the aesthetic medicine procedure and present it to us on the day of the procedure.

Active cancer.

Cancer that occurred less than 5 years prior to the procedure.

Chemo- and radiotherapy

Autoimmune diseases apart from thyroid disease, acquired vitiligo, and alopecia areata. For example, these diseases include psoriasis, rheumatoid arthritis, lupus, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis, sarcoidosis, Crohn’s disease, ulcerative colitis.

Treatment with Izotec or its substitutes less than 6 months prior the procedure date.

Steroids, except asthma medications and inhaled steroids, taken less than one month prior to the scheduled procedure.

Fungal medications or antibiotics taken less than one week prior to the procedure.

Tendency to keloids.

Hemofilia.

Epilepsy.

Pregnancy and breastfeeding. We do not perform procedures in pregnant ladies or nursing mothers, even with the physician’s consent. When it comes to children, one can’t be too careful!

Asymptomatic HIV infection or active AIDS.

Skin diseases in the planned treatment site.

Fever, viral or bacterial infection on the day of the procedure.

WHY IS IT WORTH VISITING PRINCESSE?

EXPERIENCE

Our clinic was established in 2005, thanks to which we have gained vast experience. We have performed over 30,000 procedures. We are also one of the leading training facilities for physicians and cosmetologists in Poland.

QUALITY

At Princesse, we use only the highest quality preparations obtained directly from manufacturers. Avoiding wholesalers, we fully reduce the risk of purchasing inauthentic or substandard products.

SAFETY

We have all medical devices that are needed in case of sudden complications and we employ physicians with experience not only in treating aesthetic medicine complications but also in emergency procedures.

ABOUT PRINCESSE

Princesse is a modern aesthetic medicine clinic and training centre. It was established in 2005. Thanks to extensive experience and over 30,000 procedures performed to date, we have been able to select only the best procedures and equipment.
Princesse employs highly specialised medical and cosmetology staff, who continue to improve their skills by participating in seminars and conferences devoted to the fields they practice, both in Poland and worldwide.
At Princesse, we focus on naturalness and perfection as well as spectacular effects presented by models and celebrities. We believe that aesthetic medicine procedures are meant not to be a disguise, but to emphasise and highlight the strengths that each of us has.

THESE ARE THE PRODUCTS THAT WE USE

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