The history of blepharoplasty dates back to the 10th century. century. Nowadays, it is one of the most common procedures in facial aesthetic surgery.

The main aim of the surgery is to remove loose or sagging skin – a change that is usually associated with ageing but can occur at any age. A sagging upper eyelid is usually only a cosmetic problem, but in some cases it can also limit the patient’s field of vision. Often an associated problem is the accumulation of excess fatty tissue in the hips. In the lower eyelids, the most common problem is excess fat accumulation, which causes swelling and gives the face a tired look.

Most of the time, hernia corrective surgeries are performed on patients aged 35 and older.

Operation and recovery

Upper eyelid surgery removes excess skin, including some of the eye’s ring muscle and fat tissue through an incision hidden in the forehead so that the scar is only visible in the outer corner of the eye. A lower eyelid correction involves hiding the incision near the lower eyelashes, removing excess fat, skin and some of the flesh. The operation is usually performed under local anaesthesia and takes 1-3 hours.

The patient is allowed to go home 2-4 hours after the operation. During the first 24 hours, it is recommended to use cold packs to cool the surgical area and reduce swelling. You should wear sunglasses on the first days to protect your eyes. The wounds are removed 5-7 days after the operation. The swelling and bruising generally disappear within 2 weeks, but rarely mild to moderate swelling may persist for longer (up to 6 weeks). After 2-3 weeks, the patient can return to their usual physical activity.

Performance and risks

The final result of the operation can be seen after 6 months. The results are mostly long-lasting, lasting up to 10 years.

Serious complications of blepharoplasty are rare. Bruising (accumulation of blood in the subcutaneous tissues), wound inflammation, reactions to anaesthetics are possible. Temporary blurring of vision, dry eyes and irritation are possible – and may also require treatment. A temporary change in the sensitivity of the forehead skin and a functional disturbance of the forehead are also possible.

The surgeries are performed by Dr Indrek Mikomägi.

Protruding ears are one of the most common concerns in the cervical region, and the causes are often hereditary. Otoplasty aims to change the position of the ears so that the ears that hold them back are closer together, or to change the shape of the ears.

Plastic surgery of the ears is also performed in childhood, typically after the age of 5 or 6. years of age.

Operation and recovery

There are different surgical techniques, depending on the problem. The incision is placed on the back of the flank so that the scar is as unnoticeable as possible afterwards. The surgery removes excess skin from the back of the ear and reshapes the ear canal. The operation is usually performed under local anaesthesia and lasts 1.5-2 hours.

The patient is allowed to go home a few hours after the operation. After the operation, a pressure bandage is placed around the head to help fix the ears in the new position and remains in place for one week. The stitches are removed after 7 days. Wear a headband (especially at night) and avoid possible trauma to the ears for 1 month after suture removal. It is advisable to avoid contact sports for another 2-3 months.

Performance and risks

Final recovery after surgery takes up to 6 months. The results are usually permanent.

Side effects may include temporary tingling, soreness, numbness, swelling and redness of the surgical site. It is also possible to develop a haematoma, wound infection or a reaction to anaesthetic agents.

The surgeries are performed by Dr Indrek Mikomägi.

Scars that form after various traumas can be an aesthetic problem, particularly if the scar is keloid or hypertrophic (overgrown, often darker than the skin) or hypotrophic (shrunken, often lighter than the skin) as a result of impaired healing. Different methods are used to treat the scar, depending on its age, size, depth, location, etc. Simpler options for the correction of overgrown scars include corticosteroid injections and laser treatment, and for hypothyroid scars, filling injections and lipofilling. If simpler methods would be inadequate, consideration may be given to cutting out the old scar and supporting the formation of a new scar after the cut so that it is minimally prominent.

Operation and recovery

Scar plasty involves cutting out the old scar, displacing and tightening the surrounding tissues and closing the wound in layers. The operation is usually performed under local anaesthesia and lasts 1-2 hours.

Patients are discharged home a few hours after surgery under local anaesthesia, or the morning after surgery for general anaesthesia. It is advisable to limit heavy exercise for 2-6 weeks, and the scar area should be protected from the sun for at least 3 months.

Performance

The final result will take 6 to 12 months to develop and may depend to a large extent on the care of the scar during the period of its development. The result is permanent.

The surgeries are performed by Dr Indrek Mikomägi.