Blepharoplasty

Our eyelids are one of the most delicate features of our face. As we get older, the skin becomes less elastic which can create the effect of loose eyelids. The appearance of the eyelids is also influenced by genetic factors as well as the environment and our skin care routine.

In recent years, the eyelid surgery procedure has advanced significantly. Blepharoplasty is a very complex procedure that must be done right, and that’s why it’s important to ensure that your surgeon is an expert in eyelid surgery procedures. Blepharoplasty can also be combined with either a browplasty (brow lift) for upper eyelid surgery, or a midface or meloplasty (facelift) for lower eyelid surgery depending on the patient’s goals.

QUICK FACTS

Anaesthesia

General Anaesthesia

In/Outpatient

Outpatient day surgery

Length of surgery

60-90 minutes

Recovery

Bruising lasts 1 week and swelling lasts 2 weeks. Most patients are back to work in approximately 2 weeks when swelling and bruising resolves. We advise our patients to avoid strenuous activity for 6 weeks.

Results

Final results are seen within 3 months and the duration of those results vary from one person to another due to the quality of their skin, ageing and weight changes, but typically expect results to last 10 years.

What Can Blepharoplasty Do For You?

A lot of factors like make-up, working long hours, everyday life stress and genetics can contribute to the appearance of the eyelids, and that’s why blepharoplasty may be a right choice for many people.

Depending on your individual needs and your goals, you might want to discuss with your doctor these blepharoplasty procedures:

  • Upper eyelid surgery: If you wish to get rid of redundant orbital fat on your upper eye area or adjust the look of your eyelids, upper eyelid surgery can be an option. Over the years, this procedure has become less invasive with less chance for post-operative complications. Before the procedure, your surgeon will mark out your eyelids to ensure the incisions follow the natural eyelid crease and the right amount of skin is removed. Eyelids can be adjusted by shortening the levator muscle of your eye that raises your upper eyelid.
  • Lower eyelid surgery: There are many ways to perform a lower eyelid adjustment procedure, including the non-surgical treatment options, such as dermal fillers and laser resurfacing, or surgical fat grafting and ‘no touch’ blepharoplasty procedures. Younger patients with good skin quality can opt for a less invasive transconjunctival blepharoplasty. It only involves the incision being made on the inner aspect of the lower eyelid, so that there are no visible incision lines in the end result. Older patients that have excess lower eyelid skin or malar bags may require a more traditional eyelid procedure. In this case, an incision is made below the eyelash line and extends into one of the eyelid crow’s feet areas. Then, the excess skin is removed, and the muscle is elevated and tightened to support the lower eyelid. Meanwhile, the excess fat is removed and repositioned into the tear trough area.
  • Double eyelid surgery: This type of surgery is undertaken in many Asian countries and communities. Those who choose to do a double eyelid surgery normally want to create a more defined look for their eyelids or enhance their monolid appearance, making their eyes appear bigger. We offer different methods of double eyelid surgery, such as limited incision and full eyelid incision. It’s important to discuss first with your surgeon about your options for this procedure.

Are You An Ideal Candidate?

Candidates over 18 years’ of age can choose to do an eyelid surgery. The ideal candidates for this procedure would be men and women who are healthy. Most patients that choose to do this procedure are often in their 40s – 60s as well as, young people who have loose eyelids because of their genetics.

Try Our Eyelid Surgery Assessment Tool

Risks Associated With Blepharoplasty

Any surgery procedure involves risks, so it’s important for you to familiarise yourself with all the necessary information and know what to expect. Always consult your doctor before going ahead with the surgery whether it is right for you considering your medical history and your own individual health circumstances.

Some of the risks that may result from blepharoplasty surgery include:

  • Swelling
  • Poor scarring
  • Infection
  • Bruising/haematoma
  • Revision surgery to correct or improve the outcome
  • Pigmentation changes
  • Dry eyes
  • Ectropion or Entropion
  • Inability to close eyes
  • Eyelash loss
  • Ptosis
  • Asymmetry
  • Altered vision/blindness

Patients with some medical conditions may be at a higher risk of these complications. Those who have thyroid issues, such as hypothyroidism and Grave’s Disease, dry eyes or lack of sufficient tears, high blood pressure and other circulatory disorders, or a history of a detached retina or glaucoma must consult their surgeon and inform them about their medical condition. It is possible that those patients may need external medical advice before considering the procedure.

Frequently Asked Questions

What Causes Eyelid Puffiness?

Puffiness or swelling about the eyelids is produced by any one or more of three possible factors:

  • Weakened eyelid muscles (the orbicularis muscles) allow the orbital fat to billow forward under the influence of gravity. This produces puffiness of the eyelids which is constantly present, but can be made to disappear by standing in front of a mirror and contracting your eyelid muscles such as in squinting. Surgery can be used to tighten the muscle sling with resuspension in the outer aspect of the lower eyelid (a procedure known as canthoplasty).
  • Excessive fatty deposits about the eyeball produce bulges or bagginess. These fatty deposits are compartmentalised and when present in excess, the fat pushes the overlying thin eyelid muscle and skin forward producing the baggy contour defect. Removing the excessive fat or strengthening the retaining membranes (skin and muscle) corrects this issue.
  • Excessive fluid accumulation about the eyes. This occurs commonly as a result of allergy and is usually worse on getting up in the mornings and improves as the day goes on – with the redistribution of body fluids on rising from the recumbent to the erect posture. Fluid accumulation is not corrected by surgery and if present may lead to a more protracted post-surgery recovery. Some morning swelling can be expected in all patients for some variable time after eyelid surgery.

How Long Does It Take To Recover From Eyelid Plastic Surgery?

Recovery from Blepharoplasty takes between one and three weeks. In the second week scar massage will commence to promote healing and reduce swelling. There may be a feeling of eyelid tightness or eye dryness and or sensitivity to bright light immediately after the procedure. For best long-term results, for the 7 – 10 days after surgery normal activities should be reduced. The eyelids will be sensitive for six weeks or so following surgery and should be handled according to your own level of comfort. Returning to work depends on your job demands, our surgeons will advise you regarding this. You may be able to return to light work within one to two weeks. You should avoid any strenuous exercise for the first 6 weeks.

What Scarring Can I Expect From Blepharoplasty Plastic Surgery?

The surgical incision for upper eyelid reduction will usually almost completely fade within six weeks. What generally remains is a faint scar that is barely visible because of its position, blending into the eyelids’ normal creases. The incision for lower eyelid correction is either made inside the eyelid and so it is not noticeable, or just beneath the eyelashes on the outside, which heal quickly and are rarely visible after the first few weeks.

Is Blepharoplasty Painful?

We all fear pain and have very different thresholds at which we perceive pain. Your eyelids may feel tight and sore as the anaesthesia wears off, but any associated pain is usually mild and should easily be relieved by mild analgesics. Our surgeons will ensure that you have prescriptions for post-operative pain relief before leaving the clinic or hospital.

How Long Will Eyelid Surgery Results Last?

Cosmetic blepharoplasty surgery will not stop the biological clock but will reset it. Although there are many factors determining the overall individual result, on average you can expect from 6 – 10 years of improvement. Unfortunately, the ageing process is progressive and after a period of years you will again develop ageing facial features including a recurrence of inelastic skin around the eyelids and perhaps weakened eyelid muscles. Usually further improvement can be obtained by a redo of your eyelid surgery which often needs to be less extensive than the original procedure, or alternatively a forehead repositioning or browlift may be indicated.

Is The Surgery Covered By Medicare And Do I Need A Referral?

A General Practitioner referral is required for all consultations with our specialist plastic surgeons. There are now strict criteria by Medicare to be eligible for eyelid surgery, so your procedure is classified as medical and not cosmetic. If your vision is impaired by the excess skin in the upper eyelid or if you suffer with eyelid ptosis (droopy eyelids). Our surgeons will discuss these with you and determine if you qualify for the Medicare rebate.

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