As eyelid skin is the thinnest skin on the face, it is often the first to show deterioration. Over the course of aging, the thin skin of the upper lid stretches and sags, forming skin folds that gravity pulls downwards. That produces a "hooded" eyelid effect and can also impede vision. Blepharoplasty refers to a surgical procedure that improves the shape of the eyelids and reduces sagging eyelid skin. An Upper Blepharoplasty removes the excess or stretched skin of the upper eye/eyelid to reduce a puffy, "hooded" eyelid appearance.
Lower Eyelid Lift
Puffy under-eye skin and eye area wrinkles can leave you looking tired, exhausted, or prematurely aged. A Lower Blepharoplasty can help surgically reduce under-eye "bags" and provide improvements to under-eye wrinkles, lines, and puffiness. During a Lower Blepharoplasty, an incision is made under the lower lash area of the eye. Excess skin and fat are then carefully removed, repositioned, or lifted to create a fresher, smoother, and more youthful appearance.
Upper + Lower Eyelid Lift
Patients may choose to have a combined Upper and Lower Blepharoplasty, sometimes known as a "Double Bleph". A Double Bleph can help to reduce the traces of aging by helping candidates to restore a toned, healthy-looking skin area above and below the eye.
Do you have droopy eyelids that leave you looking tired or drained?
Do you have puffy under-eye "bags" or fat deposits under your eyes?
Is your vision impaired due to sagging upper eyelid skin?
Do you have excess skin or fine wrinkles around your lower eyelids that cause you to look older than you actually are?
Do you have difficulty putting on your eye makeup or seeing your eyelashes?
To reduce puffy under-eye bags (fat deposits under the eye area) that leave you appearing tired or older than you really are.
To improve vision that is being impacted by droopy upper eyelids.
To remove excess skin and fine wrinkles around the lower eyelid for a younger, refreshed eye appearance.
To cosmetically reshape the eye area to create a natural crease in the eyelid that appears when the eyes are open. That is mostly favored by Asian patients and is known as “Double Eyelid Surgery”.
Refreshed, more youthful eye appearance
Your eyes are a focal part of your face and are often the first area to reveal aging. Eyelid Surgery can often help the entire face to look more refreshed or youthful.
Eyelid Surgery can also minimize a "tired" appearance by removing saggy skin that appears to "weigh down" your upper eyelids or which covers part of your iris.
No more under-eye bags
Baggy, puffy skin below your eyes can give you a tired, fatigued appearance.
Reducing sagging skin and reducing or repositioning excess fat under your eyes can reveal a more refreshed, rejuvenated eye area, benefiting your facial appearance.
Fewer visible fine lines
Reducing wrinkles and lines around the eye area is not a primary aim of eyelid surgery and will not completely eliminate wrinkles or lines around your eye area.
However, some patients do notice an improvement in these early telltale signs of aging.
Lifting or reducing both the upper and lower eyelids can often help reduce the visibility of lines around the eye area for selected patients. If wrinkles around your eyes or brow area are a primary area of concern, additional non-surgical treatments such as cosmetic injections or laser treatments may be options to consider.
Sagging eyelids or low-hanging brows can not only be a cosmetic concern but can sometimes cover part of your eyes and encumber your vision.
By removing these deposits and subtly lifting the upper lid, your line of sight may be expanded.
Recovery times from Eyelid Surgery can vary significantly from person to person.
The length of your healing period will depend on your specific procedure and be influenced by other health and lifestyle factors.
In general, however, allow 4-6 weeks for initial recovery following your surgery. Scar maturation often takes longer, up to a year or more.
Good results depend on a collaborative approach and a healthy lifestyle. Therefore, be sure you follow the specific instructions given to you by your surgeon and attend all post-operative appointments, and have a low adequate and proper healing time.
What to expect?
Swelling around the eye and cheek area is common in patients following a Blepharoplasty procedure.
Typically, swelling will begin to lessen within the first weeks of your healing period, although some swelling may persist for 3-6 months after surgery.
Bruising and initial redness around the eye and upper cheek area is a common occurrence following Eyelid Surgery. Those will often fade within the 4-6 weeks of your healing period.
You may experience numbness and/or itchiness around your eyelid area following surgery.
Itchiness can be soothed by applying a cold compress to your eye area.
Post-Surgery Healing & Recovery
Above are some common symptoms you may experience throughout your healing process. However, the healing experiences of patients often vary, and you may encounter other side effects that are not listed. Your surgeon will be able to provide more in-depth information about what to expect following your Blepharoplasty surgery.
The exact surgical procedure for an Eyelid Lift (Blepharoplasty) will vary from patient to patient.
Your surgeon will customize your procedure depending on your concerns and the condition of your eyelid area.
In general, the following steps may be involved during Eyelid Surgery:
Anesthesia. A Local Anesthetic and/or General Anaesthetic will be administered for your comfort during surgery. The specific type of Anaesthesia selected for your eyelid surgery will depend on the type of procedure you have selected, surgical facility, and recommendations of your surgeon.
The incision. Incisions for Eyelid Surgery are often strategically placed so that scarring is likely to be concealed within the natural structures of the eyelids. Incision placement often varies from patient to patient and will depend on which procedure you have selected. For example, the upper eyelid area may be corrected through an incision along the natural crease of the eyelid. That allows for reduction, or repositioning of fat deposits, tightening of muscles, and removal of the excess eyelid skin. The lower eyelid may be corrected with an incision located just below the lower lash line. Through this incision, excess skin is reduced and excess fat can be reduced or repositioned for a more youthful appearance.
Incisions are closed. Eyelid incisions are usually closed with sutures (a row of stitches). These sutures are generally removed within 5-8 days following your surgery. Please note that suture removal can vary from patient to patient depending on your particular procedure.
See your results as you recover and heal. The results of your Eyelid Surgery will appear gradually as swelling and bruising subside to reveal a more defined and rejuvenated eyelid area. You must follow your surgeon’s advice during your recovery.
What steps can be taken to minimize the pain? Our surgeon’s approach to recovery is to do whatever they can to get you back to your normal life as soon as possible. Our Specialist Plastic Surgeons are dedicated to keeping you as comfortable as possible during your pre-operative sessions, your surgical procedure, and your healing and recovery time following surgery. A Post-Surgery Rapid Recovery Pack is provided to patients which includes products proven to accelerate your healing. Getting good sleep can also help.
Does eyelid surgery hurt? Most surgery does involve discomfort and pain during the initial post-surgery healing periods. It can be difficult to predict discomfort levels for each individual patient. However, as there are many variables to consider. Discomfort after surgery is subjective to each patient based on their perception and sensitivity to pain. Fortunately, most pain experienced during your healing period, particularly in the days just following your surgery, can be manageable by following your surgeon’s recommendations and post-surgery instructions precisely.
TIP: Be sure you fully understand the healing time and surgery risks associated with Eyelid Surgery before you proceed.
What can be done to minimize any post-surgery scarring? Blepharoplasty scarring is often minimal as a qualified and experienced surgeon will complete the necessary incisions in the natural crease of the eyelid, or just under the lower lash line where it is least likely to be clearly noticeable. Scar Minimisation suggestions may be made by your surgeon. Be sure to follow all surgeon advice while you are preparing for surgery and healing from the procedure. You may also be offered Low-Level Light Therapy (Healite II) before or after your eyelid surgery. Ask your surgeon for details about how to minimize your incision lines as you heal.
Will I need to stay in hospital overnight after surgery? An overnight stay is often not required after Blepharoplasty Surgery. The procedure can usually be done in-clinic with a Local Anaesthetic, and no hospital stay is required. Your surgeon will be able to advise if an overnight stay is recommended for you.
When can I return to work after blepharoplasty surgery? The time taken to recover before returning to work or other daily activities, such as driving, often varies from patient to patient and will be dependent on the type of Blepharoplasty procedure you have, as well as the type of work undertaken. Typically, most patients report that they can return to work 1-2 weeks following surgery. However, that can vary significantly and is only a general guide. Your chosen Plastic Surgeon will be able to give you personalized advice on when you can return to work and other activities.
Will a blepharoplasty be able to get rid of all my eye wrinkles? Although a Blepharoplasty may help to reduce some wrinkles under your eye area. This procedure is not designed to remove the wrinkles at the outer corners of your eyes (crow’s feet) or to fix sagging brows. If wrinkles around the eye area or sagging brows are a problem for you, there may be alternate surgical or non-surgical treatments available.
When will my sutures (stitches) be removed? Your stitches will usually be removed 5-8 days after your surgery. That may vary from patient to patient and is a general guideline only.
At what age can I get blepharoplasty surgery? Although it is usually common for fat and loose skin to appear around the eyes as we age, it can also occur genetically in some younger patients. There is no set age for when you can have Blepharoplasty Surgery. If sagging or droopy skin around your upper eyelid or fat deposits and puffiness under your eyes is a cause for concern, Eyelid Surgery may be suitable for you no matter your age.
How much does it cost for a blepharoplasty procedure? Your selected Specialist Plastic Surgeon can offer you a price range for your surgery depending on the type of procedure and other contributing factors. At your initial consultation, you will be given a detailed quote for your chosen procedure. That will include a surgeon’s fee, an anesthetist's fee, a surgical assistant fee, and hospital fees.
What can I expect at my initial consultation? At your initial appointment with your surgeon, you will typically:
Have your photos taken.
Have a physical examination.
See before and after photos from past patients.
Find out more about your recommended surgical options.
Receive detailed information about your surgery.
Go through the possible risks and complications associated with your surgery.
Find out about surgery pricing and available dates.