г. Санкт-Петербург, ул. Ярослава Гашека, 21. Телефон: +7 (812) 324-66-66
Ophthalmoplasty is a part of plastic surgery which aim is reconstruction of anatomic and functional disorders in eye and its appendage. Modern interpretation of the word “plastic surgery” unites surgical methods for restoration of form and functions of different parts of the body or anatomical structures by translocating, transplanting, and implanting substitutional materials.
At present time it is almost impossible to draw a line between plastic and esthetic ocular surgery for they fill each other up in many ways. Normal functions of many anatomic parts of the eye depend on their certain shape.
Using laser and radio wave equipment in ophthalmology and ophthalmic plastic surgery, in particular, gives an opportunity to perform operation without knife incisions providing a perfect cosmetic effect, minimizing the risk of additional traumatization of external integuments, drastically cuts down the post-operative rehabilitation period for patients.
Quick bloodless removal of formation on the eyelid surface in periocular area with a good cosmetic effect is achieved if using radio wave and laser equipment, as well as cryo destruction and electrosurgical excision.
Modern anesthetics, most up-to-date machinery, and medicine by the best pharmaceutical companies raises the quality of operations and reduces post-operative rehabilitation period for patients.
To be mentioned, most of plastic surgeons perform ophthalmoplastic surgery. In our opinion, such specific operations must be performed in a specialized ophthalmic clinic, which has at its disposal special certified in this field surgeons and unique microsurgical equipment. St. Petersburg Branch of S. Fyodorov “Eye microsurgery” has everything that is necessary and for many years practice has a vast clinical and surgical experience and our diagnostic and surgical equipment is constantly updated.
1. Posttraumatic operations
Our clinic performs many various reconstructive surgeries in case of mechanical injuries, burns, consequences of concomitant injury, damages of orbit, appendage, lacrimal passages, posttraumatic ptosis of upper and lower eyelids, posttraumatic deformations of eyelids and orbit.
2. Surgery for entropion and ectropion of different genesis
Entropion – change in eyelid position when its costal margin is turned inside and lashes touch the eyeball surface damaging it. Entropion happens to the lower eyelid mostly
Ectropion - change in one or both eyelid position when costal margin is turned outside the eyeball surface and as a consequence the mucosa is turned inside out. Mostly happens with lower eyelid.
Surgical method of treatment is chosen by the surgeon, depending on mechanism and entropion or ectropion degree. It is important to remember that apart from a cosmetic defect, ectropion or entropion may cause secondary changes in cornea, eyelids and mucous membranes. In some cases, acute corneal inflammations (keratitis) may lead to a corneal ulcer, often with the threat of perforation. Therefore, timely visit to a doctor and properly prescribed treatment are the best prevention for serious complications.
3. Surgical treatment of lagophthalmos
Lagophthalmos is an ophthalmological disorder when eyes do not close fully (eyelids do not close completely therefore occurs cornea inflammation) when facial nerve is paralyzed or there is some congenital eyelid pathology, or eyelids have cicatrical ectropion, different tumors or it may occur as a result of surgical interferences concerning tumor removal.
4. Esthetic blepharoplasty
Many ageing people complain their eyebrows and tissues around eyes go shifting down under the gravity force forming “fat hernias” in periocular area. Eyeballs move down and inwards the orbits, and fat tissues move to the front forming “eyebags” in the lower eyelids area.
Different surgeries are performed depending on situation. It is possible to remove the excessive amount of skin, fat tissue, orbicular muscle of the eye. Operations are performed on upper as well as on lower eyelids, and very often on both eyes. It is very important for a patient to understand the purpose of his/her visit to a doctor. A right strategy for cosmetic operation can be developed only through communication with doctor. Surgeon would certainly explain what things can be improved and what is impossible to change or should be better left untouched.
5. Anophthalmos surgery and plastic surgery before ocular prosthetics
In some cases, eyeball has to be removed. This kind of operation is performed only in certain cases and decision on its performance is made by medical experts consilium.
Mostly performed operations are enucleation, which is the entire eyeball removal, or evisceration, when the scleral-muscular ring of the eyeball is maintained. Due to preservation of the outer shell and eye muscles, the latter operation has the advantage in the smallest cosmetic defect achieved with subsequent prosthetic eyeball, ensuring the maximum possible mobility of the supporting stump.
It is clear that the choice of an operation is determined by the presence of indications or their absence, as well as contraindications. In our clinic, most of operations concerning eyeball removal go along with following implantation in order to replenish the orbital volume loss and amplify the cosmetic effect of the operation.
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