Article medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)
Templestowe Lower and Berwick Clinics
Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
What is Blepharoplasty?
This refers to the procedure that improves the shape of the eyelids. The eyelid skin is the thinnest skin of the face and may be significantly affected by the ageing process. There are various surgical options;
With the passage of time the skin stretches and the excess, under the influence of gravity, produces hooding. The excess skin is removed under local anaesthesia and sedation.
The lower eyelid skin becomes stretched by the fat behind it, causing the appearance of bags. The bags respond to removing the fat behind them under local anaesthesia and sedation.
Laser eyelid surgery
Laser can be used instead of a scalpel to make the incisions required for eyelid surgery. Laser causes less bleeding, and enhances recovery.
What causes hooding of the upper eyelids and bagginess of the lower ones?
The skin of the face tends to lose elasticity with ageing, especially the facial skin, since it is continually exposed to the environmental elements. This is especially so of the eyelid skin since, being the thinnest skin of the face, it is the first to show deterioration.
In the upper lid, the thinned skin stretches. This excess skin forms folds which gravity pulls downwards to produce the effect of hooding. Sometimes this extra skin actually comes to rest on the bases of the eyelashes at the margin of the eyelid.
The removal of the excess skin produces a long term improvement: in most cases for a lifetime.
In the lower eyelid, the thinning skin is unable to hold back the fat behind it, even though the fat is not excessive in amount. However, the treatment is to reduce the pressure con the lower eyelid skin by removing some of it to flatten the bag.
If with removal of the bag (bulge) the skin is finely wrinkled, laser skin resurfacing can tighten the skin.
Who is suitable for blepharoplasty?
Anyone who has unsightly hooding of the upper eyelids or has baggy lower eyelids.
Both of these unaesthetic features can make a person look perpetually tired and such people frequently comment how annoying it is for others to suggest that they need more rest when they don’t!
Who is not suitable?
There are some uncommon eye disorders that would be a contraindication to having a blepharoplasty . For this reason, an eye check by an ophthalmologist may be performed beforehand as a routine part of the preoperative preparation.
Following the consultation, what needs to be done before the procedure?
You have a pre-operative consultation a week or two before the procedure. This involves a screening blood test before photographs and an examination by an ophthalmologist together with answering any last-minute questions.
Where is it performed and when can I return to work?
It is performed as a day procedure under local anaesthesia and sedation.
Cold compresses are used in the first 24 hours after in order to minimize any swelling, which is usually quite minimal.
There is usually little or no bruising.
How soon can I return to work or mix socially?
One week after an upper blepharoplasty, you will have a suture removed from the upper eyelid. Prior to that, dark glasses provide an adequate disguise. There are no sutures with a lower blepharoplasty, since it is performed from the inner aspect of the eyelid.
In both cases, 7 to 8 days is usually sufficient before going back to work or mixing socially.
What are the potential risks or problems?
As with any operation bleeding and infection are potential problems.
Bleeding to the extent of causing a real problem is uncommon and infection is exceedingly uncommon.
Loss of vision has been reported, but is absolutely rare.
Allergic reactions to the sedation are uncommon and are rare to the local anaesthetic.
Any surgical or invasive procedure carries risks. You should discuss these with your surgeon.
Why choose The Victorian Cosmetic Institute as your provider of blepharoplasty?
At Victorian Cosmetic Institute, we are constantly up-to-date with the latest techniques in blepharoplasty to provide you with the safest, most effective, and comfortable treatment.
We provide the highest level of patient care through our doctors and nurses, as well as by maintaining our facilities to the highest of standards.
As each person is differently shaped, we tailor each treatment to specifically suit the needs of each patient, and we are very thorough in our assessments prior to the procedure.
Overall, our goal is to provide the best experience possible for you when you come to see us.
The first step is simply contacting us for your initial consultation, where we will discuss with you what is a realistic and achievable outcome, and what to expect from your treatment.