Face Surgery

Blepharoplasty (Eyelid Surgery) Melbourne

What is Blepharoplasty?

The eyelids change over time, often resulting in increasing skin laxity. If the excess skin at the upper lid is interfering with your line of sight or is a cosmetic concern, our surgeons at Niche Plastic Surgery can help you alter the eyelid appearance and improve your field of vision.

Upper eyelid surgery, also known as upper blepharoplasty, is a surgical procedure that removes excess skin, muscle and sometimes small pockets of fat, from the top lid. The goal of this procedure is to open the eye and provide more space on the lid.

Lower eyelid surgery (lower blepharoplasty) encompasses a range of surgical procedures that can address skin laxity concerns of the lower eyelid and midface. The surgery will typically involve an incision inside the lower eyelid and also on the outside, just beneath the eyelash. Orbital fat can be removed and/or moved to change the contour of the lower eyelid to a more smooth appearance.

Problems Addressed through Blepharoplasty

Blepharoplasty can correct a range of concerns, including:

  • Loose skin that causes the upper lid to sit low over the eye
  • Severe skin excess that interferes with the line of vision
  • Puffiness above and below the eye
  • Loss of the natural crease above the eye

Starting the Process

You will have at least two consultations with your surgeon before your procedure takes place. Multiple meetings allow our team to gain a complete understanding of what you want to achieve through your surgery. It also provides you ample opportunities to ask questions and prepare for your operation. We will take pre- and post-surgery photographs, so you can fully appreciate the changes in your appearance, and we have an accurate record of what was performed. Occasionally we will recommend a pre-surgical review with an optometrist or ophthalmologist.

The technique suitable for your surgery will vary depending on the concerns you have, your goals and how best to achieve them. It is not uncommon to perform upper and lower blepharoplasty in conjunction with other procedures, such as eyelid ptosis correction (tightening of the muscle that opens the eyelid), brow lift and midface lift.  Upper and lower blepharoplasty can also be done with a face and neck lift.

About Blepharoplasty

Upper and lower blepharoplasty will typically take place in an accredited hospital with a specialist anaesthetist. While most patients will have a general anaesthetic for the procedure, you may be able to undergo surgery with local anaesthetic, with or without sedation. An overnight hospital stay is usually not required.

Upper blepharoplasty surgery involves an incision in the natural crease of the upper lid so that visible scarring after surgery will be minimal. Excess skin and muscle are removed to re-create a sharp and smooth upper lid crease. Once the skin is removed, and a smoother contour is created, your surgeon will close the incisions with fine sutures.

Adding a Brow Lift to the Surgery

At the time of your initial consultation, your surgeon will determine what type of procedure is best suited to you. It is not uncommon to combine upper blepharoplasty with ptosis correction. This is a tightening of the muscle that opens the upper lid. This muscle and its attachments can lengthen and stretch out with age causing the upper lid to drop lower over your eye. Upper blepharoplasty skin and muscle excision provide access and an opportunity to correct this lengthening and allow you to open the eyelid wider.

A brow lift is another procedure that is frequently combined with upper blepharoplasty. The position and appearance of the eyebrow is closely related to the upper eyelid and for some patients, a combined procedure will produce a more dramatic result. If a brow lift is recommended at the time of upper blepharoplasty it will typically be performed under a general anaesthetic.

Recovery Basics

It is vital during the postoperative period that you allow sufficient time for your body to rest and recover. Your surgeon will advise you to refrain from heavy exercise, excessive work or sports involving physical contact. You should plan to spend a week to 10 days at home away from work and other activities to give your body ample recovery time. You may not be able to drive until you are fully recovered and off all pain medications.

You will be given instructions to help keep you comfortable during recovery. We will also provide you with prescription pain medication you can take during the first few days after surgery. You will also have the contact details of your surgeon and are encouraged to call after hours should you have any concerns about your post-operative care or the healing process. During the day, you will be able to get in touch with your surgeon and nurse at Niche Plastic Surgery consulting rooms.

Setting Expectations for Your Results

Because we want all our patients to be fully satisfied with the results of their procedures, your surgeon will discuss your particular scenario and the methods that will be most appropriate for you. It may be that you require just one surgery – either upper eyelid blepharoplasty or a brow lift – or you may need a combination of the two. Your surgeon will be able to give you a realistic assessment as to whether the aesthetic goals you have set can be achieved and the best techniques to produce the results you want.

What are the Risks of Blepharoplasty Surgery?

All surgery will involve the risk of complications and undesirable outcomes. Those specific to blepharoplasty procedures include but are not limited to; transient or permanent injury to the facial nerve causing an asymmetry in forehead movement, post-operative bleeding, changes in forehead skin sensation, poor wound healing including infection and wound breakdown, and poor scarring. There is a small percentage of patients that will have an unsatisfactory outcome following surgery and require a revision procedure.

Call us to Discuss Your Blepharoplasty Options

Scheduling a one-on-one consultation with a specialist plastic surgeon is the best way to find out if blepharoplasty surgery is right for you. If you need more information or wish to schedule a consultation with one of our FRACS-qualified surgeons, call Niche Plastic Surgery on 9853 9705.

Eyelid surgery FAQs

What is blepharoplasty and who is a candidate?

Blepharoplasty, commonly known as eyelid surgery, is a procedure that corrects excess skin of the upper eyelids. It is ideal for individuals experiencing excess skin affecting vision. The procedure removes excess skin, muscle and in some situations fat, for both cosmetic and functional vision.

What issues can blepharoplasty address?

Blepharoplasty can effectively treat several issues, including:

  • Loose skin that creates folds or disturbs the natural shape of the upper eyelid, sometimes impairing vision.
  • Excess fatty deposits that appear as puffiness in the upper or lower eyelids.
  • Excess skin and fine wrinkles of the lower eyelid.

What is the recovery process like after blepharoplasty?

Recovery from blepharoplasty typically involves some swelling and bruising for the first week or two. Most patients return to normal activities within 10 days. You will receive specific post-operative care instructions from your surgeon, which may include medications for pain and instructions for applying cold compresses to reduce swelling.