Permanent eye makeup and plastic surgery

With age, changes in the bone structure of the orbit of the eye occur, more precisely, expansion of the orbit in the upper lateral and lower medial directions and redistribution (biodegradation) of subcutaneous fat. Therefore, for sure, all masters faced cases when permanent makeup changed its “location” not for the better.

Deformities that occur after plastic surgery

The main problem of permanent make-up of the eye area is various deformations that occur after plastic surgery. Upper blepharoplasty is designed to restore the fold (duplicature of excess skin) of the eyelid, hidden due to sagging tissues. When removing excess skin of the upper eyelid, the lateral edge of the excised area ends with its slight upward bend, without going beyond the edge of the orbit. This leads to a change in the direction, thickness and length of the drawn arrow, despite the fact that during plastic surgery the incision is usually made at a distance of 9-11 mm from the edge of the eyelid along the pupillary line.
Previously made permanent arrows are not always preserved during plastic surgeries; quite often they have to be partially and unevenly excised.

With lower blepharoplasty, when the arrow goes under the ciliary edge, it is easier to evenly excise permanent makeup (if the arrow does not go laterally far enough from the canthal corner of the eye): there is usually less distortion in this area than in the upper eyelid.

It must be taken into account that there are significant differences in the position of the eyelids and a pronounced asymmetric lateral ptosis of the eyelids. In this case, there is no need to achieve visual symmetry with the help of permanent makeup, since after blepharoplasty this will lead to a pronounced asymmetry of the work already done. It is better to dwell on staining the intercontour space in order to eliminate errors after plastic surgery.

It is important to remember that in the area of the lateral canthal angle, which connects the medial and lateral commissures of the eyelids, it is not recommended to connect the upper and lower arrows, as this will also lead to asymmetry after plastic surgery. Due to the fact that laser removal of permanent make-up of the eyelids is not always possible, the work on correction after plastic surgery is sometimes difficult. And this applies not only to classic arrows, but also to colored shadings.

It is necessary to remind everyone of the well-known fact: a bright, clear arrow on the lower eyelid rarely leads to visual facial rejuvenation. But in the presence of a scleral lumen (occurs at any, even a young age, or as a complication after lower blepharoplasty performed with excessive excision of the skin of the lower eyelid), a clear permanent makeup is justified, since it visually reduces the drooping of the lower eyelid edge.

The use of various invasive techniques in the periorbital region usually does not lead to pronounced changes in permanent makeup. Unsatisfactory results after invasive procedures include ptosis of the upper eyelid, pronounced excess skin of the lower eyelids, ectropion (eversion of the eyelid), the effect of the "round eye", the formation of pseudohernias, which in general can negatively affect the permanent make-up of the periorbital area. When correcting "crow's feet" with BTA, a slight asymmetry of the arrows can be noted if they are drawn laterally far from the canthal corner of the eye.

When correcting dark circles under the eyes, it must be remembered that work in the periorbital zone requires mandatory training and a certain level of skill, since unprofessional actions can lead to sad consequences, since it is impossible to remove titanium dioxide introduced into the skin with a laser later.