 Before operation
 After operation
 Before operation
 After operation
 Before operation
 After operation
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Eyelids can be bottom and top –it is an axiom. From this axiom distinctions in cosmetology defects of eyelids appear. Surpluses of skin are the main characteristic for age changes of an upper eyelid, so hernial "bags" are formed very often. Thereto hernial "bags" can appear long before the formation of skin surpluses - at young age. These features influence on medical tactics. Operation on removal of "bags" without skin - cut was developed transconjuctive blepharoplastics especially for young patients with "bags" under eyes. It is very important to execute this operation in time as "bags" very soon can overlengthen the skin and then the classical plasticity is already required. At age changes in area of a lower eyelid operation is directed on elimination of surpluses of skin and wrinkles. After the procedure in parallel a line of eyelashes a thin scar is formed, which is almost invisible in a month. In addition modern techniques allow to make a tightening of the central part of the person through a cut of eyelids, that finally gives the best cosmetic effect. The popular belief that operation in the field of upper eyelids is more simple in comparison with lower eyelids, doesn't correspond to true.Features of this zone are that after simple operation on skin surpluses removal cosmetic effect can come to zero or even worsen the appearance of the patient.Complex approach has been worked out for solution of the age top eyelid changing in our clinic. Skin
“excess” clipping is applied when the patient has only skin surpluses without hanging skin under eyebrow. Cosmetic deffect is the result of eyebrow dropping in most cases, especially in the case of deep placed eyes.In this case eyebrow lifting is recommended to the patient without clipping of eyelid skin.In the case of sizable skin surpluses classic blepharoplasticity.
Sangapury
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There is category of people with mongoloid eyeform (main feature for Japaneese, Uygurs, Khazakhs, Chineese). The operation on top eyelid plasticity for the purpose of makingdecorative fold is simply called sangapury.Our experience in alike operation let us confirm that the result is stable.
Indications
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1. Patients complain about old, sad and weary eyelids.
2. Surpluses of skin, wrinkles, hanging “roof”, impossibility of putting on cosmetics especially on upeyelids
3. Hanging fold in outside corner of the eye.
4. “Bags” and constant hypostases of bottom eyelids.
Procedure
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1. Local anasthesia is applied, seldom general
2. The operation on up and botton eyelids takes not more 2 hours.
3. Cut is done in natural fold on upeyelids, surplus of skin and fat is removed
4. Cut on bottom eyelids is along lash border. Skin surplus is removed. Fat surplus is propated along eyelet.
5. Muscle is raised and hanged up.
6. Small wrinkles are removed with a help of peeling.
7. Eyelid plasticity is often combined with forehead and face lifting.
Rehabilitation
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1. You are allowed to go home in 1-2 hours after operation
2. You do not feel pain practically at all
3. Hypostases increase diring 3-4 days and comepletely disappear in 2 weeks
4. Bruises are presence but they disappear in a week by themselves
5. With correct make up you can go out in 4-5 days
6. Seams are removed on 3-5 day
7. You can set to work in 4-5 days
Result
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1. Very natural, looking relaxed and younger appearance
2. A beautiful sight and absence of weight and discomfort in the area of eyelids
3. Positive changes remain within many years and always look better than if you didn't do a plasticity
4. If necessary 8-10 years later the operation can be repeated.
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