Eyelid Surgery or Blepharoplasty is a surgical procedure designed to remove fat and excess skin and muscle from the upper and lower eyelids.
This can effectively produce a more youthful appearance in the face and is often combined with other cosmetic procedures such as Facelift and Browlift, although it can also be performed alone.
You may choose to have both your upper and lower eyelids corrected, or you may opt for only the upper lids or only the lower lids. Your Surgeon will be able to help you in this decision, depending on the need and the effect of the overall outcome.
Who is the best Candidate?
The best candidates for eyelid surgery are men and women who are physically healthy, emotionally stable and who are realistic in their expectations. Most clients are 35 years of age and older, however this type of surgery may be performed prior to this age, especially if done for a medical reason such as the droopy upper eyelids affecting vision.There are fewer risks of complications with this surgery if you are a non-smoker and have good elasticity in your skin.
What to Expect
If performed for medical reasons, the upper blepharoplasty procedure can attract Medicare rebates and a percentage of your Doctor’s, Anaesthetist and Hospital fees may be claimed from both Medicare and your Private Health Fund, if you have private health cover. You will require a referral from your General Practitioner if you wish to claim these rebates.
At the initial consultation with your surgeon, you will be assessed for suitability for eyelid surgery. Be frank in your discussion with the doctor and remember to mention any relevant medical history and medications that you are taking. In particular, any history of glaucoma, dry eyes, repeated conjunctivitis, rheumatoid arthritis, thyroid disease, facial nerve palsy or muscle disease and myasthenia gravis should be brought to your Surgeon’s attention.
Some eye disorders add risk to this type of surgery and you should make mention of any known eye disease to your doctor in the initial consultation.
Eyelid Surgery can be performed with Carbon Dioxide Laser or by surgical means, or with a combination of both. It can be performed under a Local Anaesthetic with Sedation or with a General Anaesthetic. As a general rule, this surgery can be performed as day surgery procedure in hospital.
For surgical blepharoplasty, excisions are made that follow the natural creases in the eyelids. The excess tissue, fat and muscle are removed to create the desired effect and the incisions are sutured with microscopic sutures leaving a fine line that will fade very quickly.
This surgery takes between one and two hours, depending on whether only the upper or lower lids are corrected or whether it is both upper and lower lids.
When Eyelid Surgery is performed by a qualified Plastic Surgeon, complications are infrequent and usually minor. All surgery however, carries some risk and there is always a possibility of complications. In the short term these may include infection, which is treated with antibiotics, haematoma, or excessive bruising and swelling in the eyes which is treated with ice and blurred or double vision, which usually corrects itself in several days.
Complications in the long term include asymmetry which can be corrected by minor revisionary surgery, thickening of the scar tissue which can be treated with steroid cream or injections and ectropion which is a pulling down of the lower lids requiring further surgery for revision.
After two to three days you should be able to resume watching television. You may resume driving after four to five days, however you should obtain advice on this from our staff or your Surgeon as each individual case varies in this factor. Most people are ready to return to work in seven to ten days, depending on how much swelling is evident. You may be sensitive to sunlight and other irritants for several weeks. You may resume gentle exercise after three to four days, however you should avoid strenuous exercise or activities that raise your blood pressure (such as bending, lifting and straining) for approximately three weeks.
Blepharoplasty can have a dramatic effect on your eyes, reducing the effects of aging and producing a more youthful and brighter appearance thus improving your self-confidence.