Expressive eyes are the best decoration for any appearance. The inexorable passage of years, bad habits, insufficient care, the influence of aggressive factors - all this leads to a gradual loss of elasticity. In the eyelid area, characteristic crow's feet, dark circles, bags, and swelling appear. Eyelid contouring will help to cope with aesthetic problems and activate the synthesis of collagen and elastin. A safe and gentle procedure will provide lasting results and launch natural rejuvenation processes.
What it is
The injections are based on hyaluronic acid, whose molecules help maintain skin hydration and elasticity. Thanks to plastic surgery, it is possible to correct thin, delicate skin without side effects. A non-surgical method helps to quickly restore a fresh, well-groomed appearance. No additional procedures or rehabilitation after injections are required.
Indications for use
Correction is prescribed for both women and men. The best results can be achieved with unexpressed age-related changes, when there are no significant fat deposits or excess connective tissue. The earlier the sessions are prescribed, the lower the dosage will be needed and the more noticeable the result will be. To prevent age-related changes, the procedure is recommended after 25 years; to correct wrinkles and restore elasticity, it is used between the ages of 30 and 45. After injection, they are used in combination with hardware and other invasive techniques.
Indications for use:
- deformation of the tear trough;
- swelling, dark circles under the eyes;
- networks of fine wrinkles;
- sagging, loss of skin elasticity;
- crow's feet.
Attention! The procedure is ineffective for ptosis, drooping eyelids, hernias, and severe bags under the eyes. Also, with the help of injections it will not be possible to change the shape and shape of the eyes, or model the eyebrows.
Preparation for the procedure
Before prescribing contour plastic surgery, the doctor conducts a consultation. During the examination, the condition of the skin, the objectives of aesthetic correction, and the administration regimen are determined.
The cosmetologist also collects medical history data for contraindications and possible side effects. The procedure does not require special preparation, but there are a number of recommendations that must be followed:
- a week before you need to stop taking medications, including antibiotics, hormonal, anti-inflammatory drugs;
- within a few days, it is necessary to exclude spicy, salty, spicy foods, semi-finished products, strong coffee, tea, and alcoholic drinks from the diet;
- It is recommended to quit smoking, nicotine provokes the appearance of bruises;
- the day before the procedure, you cannot apply peeling procedures, or use decorative cosmetics;
- You should also avoid intense physical activity and sports.
Taboo after the procedure
Following some recommendations will help speed up the recovery period and prevent the development of the most common complications of the filler injection procedure (edema, local hemorrhages and swelling).
The following are prohibited:
– visiting a sauna, solarium or bathhouse;
– applying decorative cosmetics to the face;
– consumption of alcoholic beverages;
– treatment of facial skin with deep peeling agents.
Restrictions apply in the first week after the injection of filler under the skin. To avoid infection of damaged skin areas, the client must strictly follow the rules of hygiene and avoid swimming in open water and pools.
Following a certain diet that excludes salty and spicy foods will help prevent the development of edema.
If it is necessary to take medications, such actions must be strictly coordinated with your doctor.
Types of contour plastic surgery
There are 2 main types of eyelid surgery: contouring and tear trough correction. The choice of technique depends on the objectives of the procedure; it is possible to combine schemes.
Contouring does not have specific injection points, so it requires the cosmetologist to have skill and experience working with the eye area. Thanks to the procedure, it is possible to lift the drooping upper eyelid, restore skin elasticity, reduce the depth of creases, eliminate networks of wrinkles and small swelling under the eyes. It is also possible to correct eye asymmetry resulting from age-related changes.
Tear trough restoration is performed by filling a tube running from the inner corner of the eye under the lower eyelid with fillers. Over the years, bruises, swelling, and dark circles form in this area, which are difficult to remove with patches and creams. The most effective method is to fill the groove with hyaluronic acid, which allows you to restore elastic skin.
Note! Often contour plastic surgery is combined with hardware procedures such as laser peeling and microcurrent therapy. Prescribed in combination after 40–45 years.
Types of injections
Before settling on any specific type of therapy, it is advisable to familiarize yourself with all the options that currently exist. So, what do cosmetologists inject under the eyes for wrinkles?
Injection methods to combat aging of the skin around the eyes can be divided into the following main groups:
- Plasmolifting.
- Mesotherapy.
- Contour plastic surgery using fillers.
- Botulinum therapy.
- Lipofilling.
Each of these procedures has a number of advantages and disadvantages; in order to understand what is better to inject under the eyes, we will dwell in more detail on each of them.
What drugs are administered
Eyelid contouring is performed primarily using preparations based on hyaluronic acid. Unlike biopolymers, side effects such as the formation of lumps and compactions are excluded. Modern fillers are safe, remove naturally, and rarely cause allergic reactions.
Juvederm. A preparation based on hyaluronic acid. There are different forms depending on the molecular density. Produced by the American company Allergan. The XC mark indicates inclusion in the anesthesia composition. The effect lasts from 6 to 12 months, depending on the characteristics of care and aging processes.
Restylane. The drug is produced by a Swedish pharmaceutical company and contains hyaluronic acid obtained using bacteria. Indicated for correcting wrinkle networks and filling volume in cases of severe sagging skin. Used to correct tear grooves. Side effects go away on their own within a week. The result lasts from 6 to 8 months.
Radiesse. Produced in the USA, it is a synthetic polymer with a fairly dense structure. Not the best choice for the eyelid area, prone to diffusion and formation of compactions. There is prolonged swelling for about 2 weeks, the result lasts for a year.
Perline. Swedish filler contains hyaluronic acid and is suitable for smoothing out more pronounced wrinkles. The effect lasts up to a year; the density of the gel can lead to the appearance of tubercles.
How does the procedure work?
Before the procedure, it is necessary to study quality certificates, expiration dates of drugs, and check the doctor’s diploma. The injections do not cause discomfort; hyaluronic acid is injected into the middle layers of the skin.
Stages of implementation:
- The face is cleaned of decorative cosmetics, dust, and treated with an antiseptic.
- An anesthetic ointment is applied to the area around the eyes; anesthesia can often be included in fillers.
- The ointment will take effect in 20 minutes, during which time the doctor prepares the injections, and the autopsy is performed in the presence of the patient.
- Then the doctor injects the drugs into the eye area using thin needles or cannulas, improved needle shapes, the concentration and injection points are determined individually.
- To ensure even distribution, the doctor performs a light massage.
- Repeated treatment with an antiseptic is carried out.
The procedure lasts from 30 to 40 minutes, after which the patient can go home.
Carrying out the procedure
The session begins with cleansing the skin. The doctor removes any remaining cosmetics and uses an antiseptic. Injection blepharoplasty does not require mandatory anesthesia. Anesthetics are used at the request of the patient. Cosmetologists use local anesthetics (EMLA cream).
The drugs are administered with a thin needle. The doctor punctures the lines that form the “cushion” that supports the skin. The cosmetologist tries to distribute the drug evenly. To do this, after administering the substance, the doctor additionally massages the puncture sites.
Upon completion of the manipulations, the cosmetologist invites the patient to relax and observes the condition for 15–20 minutes. The absence of unexpected reactions indicates the possibility of returning to everyday activities. The patient can go to work, but it is better to rest while waiting for the puncture sites to completely heal.
The procedure lasts 30–40 minutes. Side effects rarely occur if the cosmetologist is highly qualified. To prevent unwanted consequences, it is recommended to carefully choose a clinic or doctor. Reviews from friends will help you decide. Showing interest in licenses, certificates, and the actions of the cosmetologist during the session will help achieve the desired result.
Healing period
Despite the fact that the procedure is low-traumatic, special care is required after the procedure. In the first days, swelling, small hematomas are observed, and painful sensitivity is felt at the puncture sites. Following your doctor's recommendations will eliminate the risk of infection and side effects.
Rehabilitation:
- for 2 days after the procedure, the injection sites are treated with an alcohol-free antiseptic;
- For the first 24 hours, you should not touch your face with your hands, rub your face, and it is also not recommended to wash your hair;
- the first week it is prohibited to visit the bathhouse, beach, sauna, solarium, swimming pool, or play sports;
- to prevent swelling, alcohol, smoking, strong tea, coffee, salty and spicy foods should be avoided;
- you need to sleep on a high pillow in a supine position;
- During the month, it is important to protect your skin from exposure to direct sunlight.
If the result is unsatisfactory, additional correction can be done after 2 weeks. The effect lasts from 6 to 12 months, after which the procedure can be repeated.
Plasmolifting
The plasmolifting technique involves the subcutaneous administration of platelet plasma obtained from the client’s own blood. That is, after examination and examination, blood is drawn from a vein from the client, after which it is specially processed and injected into problem areas.
In addition to eliminating wrinkles around the eyes, this method will also improve skin color, give it radiance and a healthy appearance.
Sometimes this procedure is performed on patients to treat acne, to combat hair loss, cellulite, etc.
Contraindications
Despite the fact that plasma lifting practically eliminates the occurrence of allergic reactions and other complications due to the use of material obtained from one’s own blood, in some cases it is better to refrain from the procedure. This manipulation has a number of contraindications, these include:
- Age under 18 years.
- The period of pregnancy and lactation in a woman.
- Alcohol or drug addiction.
- Menstrual bleeding.
- Exacerbation of any chronic disease.
- Period of taking antibiotics.
- Presence of rashes, inflammatory reactions in the area of the procedure.
- Diabetes.
- Hemophilia, hypofibrinogenemia and other blood pathologies.
- Oncological diseases.
- Epilepsy.
- Hepatitis.
- Any kidney disease.
Given the wide range of contraindications, before the procedure it is necessary to undergo a number of mandatory tests and obtain a physician’s opinion on the absence of contraindications to this procedure.
Mechanism of action
The beneficial effect of subcutaneous injection of plasma into the area around the eyes is due to the fact that red blood cells, when entering problem areas of the skin, release special substances called “growth factors.” These compounds stimulate recovery by promoting the activation of stem cells, increasing the production of collagen, hyaluronic acid, elastin, and also promoting moisture retention.
Also, in the process of processing blood during plasma production, it is saturated with vitamins and amino acids, which has a beneficial effect not only on the condition of the skin, but also on the muscle layer. It is thanks to these mechanisms that smoothing of both crow's feet and eyelid folds is carried out during the plasma lifting procedure.
Stages of the procedure
The entire plasma lifting procedure can be divided into three main stages:
- Blood collection. Most often, 50-70 ml of venous blood is taken from the patient.
- Preparation of red blood cell plasma. Placed in a special tube that already contains a special gel, the blood is centrifuged. As a result, the required solution (PRP gel) is obtained.
- Direct injection of the gel into the area around the eyes. To reduce pain, the skin can first be wiped with ice cubes or lubricated with an anesthetic cream.
On average, the entire procedure takes about 40 minutes.
For 2 days before the procedure, avoid consuming fatty foods, alcohol, blood thinning medications (heparin, aspirin, etc.)
Result
The effect is most often noticeable after the first session, but full results may require 2 to 5 repetitions, and it lasts for 2 years. As a result of plasma lifting, you will not only get rid of wrinkles around the eyes, but also dark circles, hyperpigmentation and many other aesthetic skin defects. After 1.5-2 years, a second course is possible.
Contraindications
Hyaluronic acid injections are gentle and safe procedures. But to avoid unwanted effects, it is important to follow all doctor’s recommendations. The procedure is not performed if the patient:
- pregnancy, lactation period;
- postoperative rehabilitation;
- oncology;
- fever, increased body temperature;
- drug therapy is carried out;
- diabetes;
- autoimmune diseases;
- pathologies of the cardiovascular and endocrine systems;
- individual intolerance.
Consequences
After the procedure, swelling, characteristic hematomas, and painful sensitivity of the eyelid area appear. Symptoms go away on their own if you follow the rules of the recovery period for 3-5 days.
Important point! In patients who smoke, the healing process takes longer; bruises can last up to 2-3 weeks.
If the drug does not rise, it means that the cosmetologist incorrectly calculated the dosage or determined the injection points. Before carrying out the procedure, it is important to check not only the clinic’s license and doctor’s diploma, but also certificates, as well as the expiration dates of the solutions used.
Side effects:
- inflammation at injection sites;
- exacerbation of herpes;
- facial asymmetry;
- compactions, bumps, granulomas;
- vascular injury;
- allergic reaction;
- gel migration.
Side effects can be avoided. To do this, you should choose only a trusted clinic and a certified doctor with experience in performing contour plastic surgery. Preparations also matter; modern biodegradable fillers from well-known brands are considered the best.
Side effects, warnings and aftercare
Immediately after the procedure, visiting the pool and solarium for two weeks, as well as active physical activity, is not recommended. It is necessary to limit any mechanical impact on the treated skin, including ultraviolet rays. This is a recovery time, so you need to endure.
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There may be slight swelling, redness or blue discoloration of some areas of the skin, which will soon disappear.
For normal rehabilitation, it is also not recommended to drink a lot of liquid, use a hot shower, or use creams with a moisturizing effect. It is advisable to wear sunglasses when going outside.
If these measures are followed, rehabilitation will be quick and easy, without visible long-term complications.
Contour plastic surgery is best done in cold weather to avoid exposure to ultraviolet radiation on the face.
Comparison with other anti-aging procedures
Innovative methods for restoring the firmness and elasticity of the eyelid area make it possible to delay age-related changes. Modern methods painlessly and quickly help get rid of aesthetic imperfections. A cosmetologist will help you choose the optimal procedure.
During the examination, the doctor pays attention to such indicators as the severity of the nasolacrimal groove, changes in pigmentation, dry skin, swelling, bags under the eyes, crow's feet, and the presence of rosacea under the eyes.
Mesotherapy. It differs from contour plastic surgery in the composition of the preparations. The active ingredients include enzymes, amino acids, vitamins, and antioxidants. Thanks to the procedure, tissue elasticity increases, microcirculation is restored, and swelling goes away. The program includes 5 to 10 sessions, the effect lasts up to six months.
Chemical peeling. A low concentration of acids is used for the eye area. As a result, it is possible to get rid of dark circles under the eyes, restore relief, and increase skin elasticity. The effect lasts up to 6 months, then the procedure can be repeated again.
Plasmolifting. An invasive method that uses injections of patient plasma. Used in cases of allergies to fillers and vitamin cocktails, for rejuvenation, as well as for general improvement of skin condition. The number of required sessions is determined individually, the result lasts for several months.
RF lifting. The hardware procedure improves lymphatic drainage, helps get rid of puffiness and bags under the eyes, and increases the elasticity of the skin in the eyelid area. It is carried out in courses and is effective in combination with other rejuvenating techniques.
Botulinum therapy. It is an injection of a toxin that relaxes muscle fibers and smoothes out wrinkles. It is effective for unexpressed age-related changes; usually one procedure is enough, but additional correction is also possible. The result depends on the chosen drug and lasts from 4 months to a year.
Oxygen-ozone therapy. It is carried out to increase vascular tone, correct wrinkles, restore skin elasticity, and eliminate dark circles. The effect and number of sessions depends on the chosen method of enriching the skin with oxygen, as well as the individual characteristics of the patient’s skin.
Photorejuvenation. It is a hardware technique of exposure to radio waves and light rays. There is no recovery period, but the skin requires special protection to prevent hyperpigmentation.
Microneedling. It involves the formation of microcuts using a special device to activate the synthesis of collagen and elastin. Thanks to the procedure, it is possible to improve the penetration of cosmetics, increase skin elasticity, and reduce the number of wrinkles.
Laser rejuvenation. It involves the painless removal of microscopic areas of old skin, which makes it possible to speed up the renewal process. Thanks to the hardware procedure, you can get rid of pigmentation, swelling, and reduce the number and depth of wrinkles.
How to neutralize the effect
This is not a new direction in aesthetic medicine; not only the procedure technique has been developed, but also ways to minimize side effects and correct unsatisfactory results.
How to fix a failed eye surgery:
- the introduction of additional portions of the gel is used when slight asymmetry appears, the procedure gives only a temporary effect and masks the aesthetic problem;
- injections of drugs that accelerate the excretion of hyaluronic acid are used for inflammation, excessive formation of connective tissue, injury to blood vessels, hyaluronidase enzymes, steroids, and anti-scarring substances are introduced;
- good results are shown by the use of hardware procedures - ultrasonic massage, darsonval, also manual lymphatic drainage massage, the advantage is the absence of side effects;
- in extreme cases, when lumps and lumps do not respond to conservative methods, surgical intervention is prescribed.
Location of blood vessels in dangerous areas
The most dangerous complication associated with dermal filler injections is venous or arterial occlusion, which can lead to ischemia and subsequent skin necrosis and/or vision loss. All these phenomena are extremely undesirable and require immediate medical intervention. Arterial occlusion can lead to the formation of ulcers and scars, and occlusion of the ophthalmic artery can lead to loss of vision.
The causes of arterial or venous occlusion can be the injection of filler directly into the vein/artery, damage to the blood vessel, or external pressure exerted on it by the injected filler or the formation of edema. In general, blood vessel occlusion and necrosis are considered rare complications.
Rice. 4. Danger zones when injecting fillers
Figure 4 shows the main danger zones of the face, which should be avoided when injecting fillers. In the cheek area it is:
- facial artery;
- transverse artery of the face;
- buccal branch of the maxillary artery;
- infraorbital artery;
- zygomatic branch of the buccal artery.
In the area of the glabella, due to the small diameter of the vessels and insufficient collateral circulation, the injection of fillers should be done with extreme caution. Here the areas of increased danger are:
- frontal artery;
- supraorbital artery.
Dangerous areas in the nose area include:
- external nasal artery;
- angular artery.
In the perioral zone it is:
- superior labial artery;
- inferior labial artery.
In the temple area, fillers are injected with caution, avoiding the superficial temporal artery, its posterior parietal and anterior frontal branches.
Advantages and disadvantages
Before you sign up for eye contouring, it is important to weigh the pros and cons of the procedure. A consultation with a cosmetologist will help you make a decision, assess the condition of the skin, and help you choose the optimal methods of correction.
Advantages:
- modern drugs are safe, the risks of developing an allergic reaction are minimal;
- suitable for all skin types, prescribed to correct age-related changes;
- injections are painless, the procedure rarely causes discomfort;
- has no seasonal restrictions;
- short recovery period;
- one procedure allows you to achieve a noticeable rejuvenation effect;
- the result lasts quite a long time, up to six months;
- the use of ultra-thin needles significantly reduces the rehabilitation period;
- The method helps not only smooth out wrinkles, but also make the look more expressive.
Flaws:
- allows you to refresh and rejuvenate the skin of the eyelids, but does not stop the aging process;
- if administered incorrectly, there is a high risk of side effects;
- If the rules of the recovery period are not followed, complications such as tissue infection and inflammation are possible.
Complications
Immediately after contouring, redness, swelling, hematomas and pain when touching the eyelids may appear. Such symptoms are considered normal for this type of correction and go away on their own within a few days.
It is worth immediately noting that if a person smokes, healing may take much longer, and bruises can last up to three weeks.
Among later side effects, experts identify:
- development of the inflammatory process at the sites of injection of hyaluronic acid;
- exacerbation of herpetic rashes;
- the appearance of asymmetry ;
- vascular damage ;
- development an allergic reaction to the components used;
- migration .
To avoid such consequences, you need to be more careful when choosing a cosmetology clinic and contact only trusted salons where experienced specialists work. No less attention should be paid to the quality of the drugs used, since the final result also depends on this.
Opinion of cosmetologists
On forums, cosmetologists share the secrets of how contouring works.
The user indicates that only a doctor can perform the procedure, otherwise it is difficult to avoid complications.
The review describes the features of the drug and ways to minimize negative consequences.
The review describes how to carry out treatment after infection during the procedure.
A member writes about the benefits of lighter fillers.
Patient reviews
Mostly positive experiences with eye contour surgery are described on forums.
The user writes about the disappearance of wrinkles and gratitude to his doctor.
A participant writes about a positive result, but incomplete smoothing of wrinkles.
The review states that the consequences in the form of a ball remain after the biopolymers, and hyaluronic acid is naturally excreted from the body.
The participant shares his experience about injections of various drugs and maintaining results.
Other reviews can be found on the forum.
