Causes: Edema under the eyes can be caused by a violation of the exchange of fluids in the body (in particular, improper functioning of the kidneys). The liquid is collected in areas where the skin is thin and easily accumulates water. Edema can also be caused by heart disease and thyroid disease.
But some people have a genetic predisposition to the formation of "bags". There is a hereditary defect in which subcutaneous fat under the eyes protrudes forward due to weakened muscles. Exacerbate the problem of certain medications, allergic reactions, smoking and alcohol.
Solutions:
Blepharoplasty (from the Greek Blepharon - eyelid) is a surgical correction of the eyelids by removing excess skin and adipose tissue in the upper and lower eyelids. The operation allows you to eliminate bags under the eyes, wrinkles and wrinkles around the eyes, if necessary, also the plastic of the muscles of the periorbital area.
"Blepharoplasty of the lower eyelids requires great skill and accuracy from the surgeon, because excessive skin tension can lead to ectopia (reversal of the lower eyelid)," says Dr. Igor Bely, MD, plastic surgeon of the Ottimo Clinic. "The procedure is conducted in mostly under local anesthesia. The doctor through the incision carefully removes excess fat and tissues, then the skin returns to the place and is slightly stretched. When the lower eyelid is plastic, it passes directly under the ciliary edge, so the scars after surgery are invisible. Operation is usually performed in a day hospital. During 2-3 weeks after surgery, edema of the tissues can be observed. Bruises go through 10 days. A full rehabilitation takes place after a couple of months.
With the help of classical blepharoplasty, it is possible to eliminate both age-related changes and congenital features of the lower eyelids. But you should know that it does not contribute to the complete removal of wrinkles under the eyes, especially in the field of "crow's feet", but is aimed at correcting subcutaneous fatty hernias.
Often, the so-called transconjunctival blepharoplasty is performed to correct the lower eyelids. From the usual it differs in that the hernial sacs are removed without an external incision through tiny punctures from the conjunctiva of the eyelid. But it can be carried out only in the absence of excess skin on the lower eyelids. As a rule, a similar situation occurs in relatively young patients with a good tone of elastic skin. This technique is not recommended for people with thin, dry skin - it can "not sit down" the right way after taking excess fat and lead to the effect of strengthening horizontal wrinkles in the lower eyelid .
Small incisions are made from the conjunctiva of the lower eyelid and, therefore, no visible scars remain. The recovery period after such an operation is more rapid - 2-3 weeks.
In some cases, with age or genetic weakness of the muscles after classical blepharoplasty , the so-called reversal of the lower eyelids occurs. To avoid this effect, doctors additionally perform cantopexy - an operation to fix the outer corner of the eye in a higher position. Sutures are removed on the third day, the period of incapacity for work lasts about 2 weeks.
Patients often wonder how to understand that cosmetic surgery can not be avoided. Of course, in many respects this depends on the aesthetic demands of a particular person. But you should know that swelling and excess skin around the eyes does not just visually weight and age the face, subcutaneous fatty hernia creates a constant and undesirable pressure on the skin from the inside. As a result, the skin ( thinning? ), There are additional wrinkles, under the weight of swollen tissues, the lower eyelid can even fall down a little? . Therefore, the decision on the operation should be taken, carefully examining all aspects of the issue. "
Belyi Igor Anatolievich, Doctor of Medical Sciences, Professor,
Leading plastic surgeon of the clinic of aesthetic surgery "OTTIMO"
Moscow, Petrovsky per., 5, building 2, tel .: (495) 623-23-48, 621-64-07, www.ottimo.ru