Eyelid Lift or Eyelid Surgery, also known as Blepharoplasty, corrects the effect of ageing around the eyes and eyelids. Aging, drooping eyelids hamper the most expressive part of our body. Some patients complain that their eyelids also affect their ability to see.
Sun damage, natural aging, and the effects of gravity over time cause drooping eyelids. Your heritage also impacts your development of dropping eyelids. Some patients seek blepharoplasty early to prevent premature aging caused by hooded and drooping eyelids.
Blepharoplasty and Aging
Aging leads to skin laxity and bone atrophy (the underlying structures that support your skin change, such as muscles and bones, which leads to sagging skin). This eventually leads to visible sagging around your eyes, cheeks, neckline or jowls.
Some reasons patients seek Eyelid Surgery include feeling they look old or tired even when they’re rested.
Vision range impairment occurs due to sagging eyelid skin obscuring the iris. This leads to patients constantly raising their eyebrows to see better.
- Many pre-surgery patients report difficulty applying eye-shadow or mascara to their eyes, or that they cannot see their upper lashes due to sagging upper eyelid skin.
- Still others have functional eyelid difficulties such as inward-turned eyelashes or a lower eyelid that doesn’t fully come up to the eye.
Reducing upper eyelid skin (called a Blepharoplasty or Eyelid Lift) helps restore a more youthful, rested and alert appearance.
Removing fatty pouches beneath the eyes (eye bags) also restores a brighter, youthful look. A smoother-looking area under or around your eyelids restores a brighter or more alert look, or a more rested appearance, which many report is more youthful in appearance.
Eyelid Lift Surgery requires expertise in planning and surgical execution.
- Old techniques simply remove excess skin and fat.
- This leave a hollow or sunken appearance to the eyes creating an unattractive, gaunt face.
Plastic Surgeons like Dr. Sackelariou, with extensive facial surgery and eyelid rejuvenation expertise, take into account the individual patient’s eyelid area and the exact volume changes that need to be made. As a result, patients achieve natural looking, aesthetically pleasing surgery result.
Upper Eyelid Surgery (Upper Blepharoplasty or Lower Eyelid Surgery) needs to be performed with precision and appropriate planning.
Eyelid Surgery techniques include fat grafting or redistribution of the fat where necessary ensuring you have the best possible outcome for your face and features.
Frequently Asked Questions
How is the operation performed?
Excess skin of the eyelids is removed through incisions or cuts in the upper and lower eyelids as well as adjustments made to the underlying tissue of the upper and lower eyelids. In some cases excess fatty tissue might be removed from your eyelids and the fat of the lower eyelids may be re-draped down onto your cheek. This is done to smooth the eyelid contours, correct bulging of the lower lid which often causes a noticable groove between eyelid and cheek.
How long does the operation take?
The length of time the operation takes depends on exactly what you’re having done. Typically, the procedure takes between one and two hours.
Do I have to stay in hospital
You are not required to stay overnight in hospital.
What happens after surgery?
After the blepharoplasty procedure your eyes will be covered by a padded dressing for several hours. You may experience pain along the incision lines and your eyes might feel strange and a little tight. Your surgeon will prescribe you simple medication to help alleviate these symptoms.
Are there any risks?
All surgical procedures carry some small risk of complications. Today’s anaesthesia and surgical procedures are safe, and while it is unlikely that you will experience any difficulty, there is a small chance bleeding or infection may occur.
In 2-3% of cases Bleeding can occur, and if it does it will most likely happen immediately following surgery or that night. If the bleeding is persistent you may need to return to the operating theatre.
Because of the superior healing qualities of the face, infection after blepharoplasty is uncommon. However, if infection does happen it will become evident within one week of treatment. Infection after blepharoplasty can be treated with antibiotics. The results of surgery may be negatively affected in the unlikely event infection happens.
When blepharoplasty is performed the incisions are placed where they will blend with the natural lines of the upper and lower eyelids. During the first 2 or 3 weeks the scars might be slightly thickened and pink. Once scars have matured—which can take up to 2 years—you can expect them to be minimal.
However, it should be noted that while we take great care to make the neatest incision closure possible, wound healing can be unpredictable, and some patients have been unhappy with some aspect of the incision lines.
While it is rare, hypertrophic (widened or thick) and keloid (overgrown) scars can happen. It is also possible for scarring around your eyelids to result in tightness and tethering. If tightness does occur in the early stages of healing this can result in a widening of the eye or slight turning out of the eyelid, known as ectropion. If this does occur, it should resolve by six weeks after surgery and can be helped by regular massage. In cases where the eyelid is turned in, known as entropion, is even less likely to occur than ectropion.
Post-surgery swelling can affect the contour of your eyes for some months and during this time improvement in eyelid contour can be expected.
During the early post-operative phase of treatment it isn’t uncommon for some blurring of vision to occur.
For this treatment you will have general anaesthetic. Prior to having the anaesthetic your anaesthetist will let you know what to expect with general anaesthetic and what to expect when you wake you. If you have any questions regarding general anaesthetic, it is best to ask your anaesthetist.
Before and Afters
General Information for Blepharoplasty
Eyelid surgery healing and recovery continues for some time after surgery. Your eyelids may also heal slightly differently. No person’s eyelids are perfectly symmetrical before or after eyelid surgery; as all faces have differences from side to side. However some asymmetry can be corrected for during surgery. A revision procedure corrects any minor irregularities after eyelid surgery.
Blepharoplasty and Healing
Your surgeon recommends no smoking for at LEAST three weeks before surgery. Further, you should not begin smoking again for a minimum of three weeks or more after surgery.
Dr Sackelariou advises that you do not take aspirin, or medication containing aspirin, at least two weeks before surgery. Ask us about your other medications and supplements and how they may impact your healing and recovery, during your consultation.
If you have any questions about Blepharoplasty, be sure to raise them with your surgeon. Always ask all questions regarding the procedure and voice any concerns you might have during a consultation. Only proceed with surgery once you understand the procedure, costs, potential complications or side effects, and the necessary healing and recovery times and protocols.