TREATMENT OF UNDESIRABLE CONSEQUENCES AFTER AESTHETIC BLEPHAROPLASTY

Abstract

The purpose of the work is to improve the results of postoperative complications of the lower eyelid after blepharoplasty.
 Materials and methods. A retrospective study of 14 patients in the postoperative period after blepharoplasty was conducted. All patients had a diagnosis: Age-related changes in the skin of the upper and lower eyelids (ptosis of the skin of the eyelids) before surgery and after surgery, patients had complications with the diagnosis: Dislocation of the lower eyelid, in the postoperative period. In the early postoperative period (up to 6 months), all patients with complications underwent non-surgical correction. Patients were divided into two groups: 1 group - traditional conservative therapy was used, including massage and administration of a glucocorticosteroid solution, 2 group - author's treatment scheme using an erbium laser (Er: YAG, 20940 nm).
 Results. A retrospective study was conducted and it was proved that the author's scheme using an erbium laser (Er: YAG, 20940 nm) gives positive treatment results. Errors in the diagnosis and planning of the volume of surgery, surgical errors, in our opinion, are the main causes of formidable complications that affect the function of the vision organ. Despite the fact that aesthetic blepharoplasty by many surgeons is considered as the simplest surgical intervention and mastered by novice surgeons in the first place, one should not forget about "pitfalls" and possible dramatic consequences, which are caused by neglect of the nuances and precision of surgical equipment, as well as errors in the diagnosis and planning of the volume of surgery.
 Conclusion. Aesthetic blepharoplasty is an operation that requires the individual approach of highly qualified specialists. To avoid the development of complications, not only the degree of atrophy of the skin of the eyelids, but also the peculiarities of the structure of the eyelids and the periorbital region should be taken into account.