Blepharoplasty rejuvenates the eyes, which are our most significant feature, leaving them looking younger and more rested. Blepharoplasty involves the removal of skin folds and fat bulges from the eyelids and is a commonly performed procedure with a very high degree of patient satisfaction and low risk of complications.
The surgery removes excess skin and bulging fat from the eyelids through incisions in natural lines extending into the crows feet at the outer edge of the eye. The scars fade with time, and are usually not noticeable.
It is sometimes possible for Dr Cope to remove fine lines on the lower eyelid with the medical grade Fraxel re:store DUAL laser resurfacing and remove fat using an incision on the back of the eyelid, leaving no scars at all.
Depending on what is required eyelid surgery can be performed under local or general anaesthetic as a day surgery procedure or over-night stay in our surgery in Sydney. There is some temporary bruising and swelling, lasting about two weeks, with some patients experiencing temporary blurring or tearing. *Most patients return to work in 7-14 days.
If you are not ready for surgery then some improvement of the eyelid area can be obtained from Thermage skin tightening, with no downtime.
Frequently Asked Questions
Anyone who has loose skin or bulging fat in the upper or lower eyelids
This depends on the way you are ageing, as people age at different rates – the right time is when the skin laxity and bulging fat are bothering you. Most people have blepharoplasty between 40-60 years old, although ages vary from people in their 30s to 70s
Blepharoplasty removes excess skin folds and bulging fat bags. It rejuvenates the upper part of the face, making the patient look fresher and more relaxed, and feel more self confident.
Upper eyelid incisions are hidden in natural creases, while lower eyelid incisions usually run just under the eyelash line. Both incisions may extend into the crows feet (smile lines) at the outer edge of the eye. Facial scars fade well and are rarely obvious long-term.
Blepharoplasty ‘’turns back the clock’’ 10-15 years, but you continue to age and develop more loose skin with time. Many people have a second blepharoplasty 10-20 years later, and occasionally a third time, depending on your age when you first have surgery.
There is a Medicare rebate in specific circumstances in upper eyelid blepharoplasty (where excess upper eyelid skin affects your vision). In order to qualify for this, you need to have a visual test performed by an optometrist which confirms this. If you qualify for the item number and are insured your health fund may cover the hospital bed fee and theatre fee costs (depending on your level of insurance).
Most upper blepharoplasty can be performed under local anaesthetic in the office, minimizing the cost. Loose skin can be removed from the lower eyelid under local anaesthetic in the office, but removal of excess fat from the lower eyelids requires a general anaesthetic in hospital.
Many people have other procedures performed at the same time as blepharoplasty (eyelid surgery), the commonest being a lateral or full browlift, facelift surgery, facial fat transfer and perioral dermabrasion to improve lines around the mouth.
There are good skin-tightening devices such as SkinTyteTM and Ultraformer IIITM, which lifts and tightens by heating collagen causing immediate collagen contraction, followed by progressive collagen remodelling and tightening over the 6 months following the treatment. These are simple office treatments with no downtime. However, these treatments do not remove all skin laxity (are not as good as surgery) and need multiple treatments, but are options if you are not ready for surgery.
During the first 5-7 days after surgery you need to rest and take things quietly at home. The first 2 days you need to apply cool compresses to your eyelids, which minimise the bruising and swelling. Most people drive to the postoperative visit, which is 5-7 days later, and are back to work at this time after suture removal after blepharoplasty.
For most people it is 10-14 days until they are ready to return to sport and full activities