What is Eye Lid Surgery
Eyelid Surgery or Blepharoplasty can help make you look fresher and awake. You may need an Upper Eyelid Lift, Lower Eyelid Lift or a combination of the two.
Your eyes are what people notice and focus on when they first meet you. The appearance of your eyes plays a large role in your appearance. Unfortunately, over time, the skin around the eyes begin to crease, the muscles weaken and then folds and bags develop. These changes occur for a number of reasons;
- Genetics are an important factor
- Young or middle-aged men and women with certain genes often notice these changes occurring well before advanced ageing.
- Even slightly under-developed malar and upper jaw bones will offer insufficient support to the lower lids.
- This can lead to bags and a low position of the lids, even in younger patients.
Sunlight and ultraviolet rays
- These directly affect the area around the eye because the cause us to squint.
- This in turn builds up muscle thickness below the eyelashes.
- A natural process that causes the eyelid skin to stretch, leading to excess folds, wrinkles, and sagging of the fat around the eye.
- This appears as bulges in both the upper and lower lids.
What can a Blepharoplasty Help Improve?
Eyelid surgery can improve many of these problems, however, it cannot eradicate all eyelid creases. Doing so would create tension on the eyelids resulting in over-correction.
Furthermore, surgery cannot remove laugh lines at the sides of the eyes, or malar bags (bulges high on the cheekbones). Upper and lower eyelid Blepharoplasty has evolved significantly in the last 15 years with surgery moving forward in leaps and bounds, and new discoveries are constantly being made:
- On the upper eyelid, attempts to clear heavy fatty tissue excess has produced a hollow appearance (doll’s eyes), that can make the patient look more tired, and is objectionable to most women and men.
- On the lower eyelids; there is a better understanding of the relationship between the cheek, the rim of the orbit and the eyelid bags.
- These discoveries have led surgeons to understand that a youthful appearance does not come from purely removing the bags, but rather from a more complex procedure to reduce volume and re-drape the tissues over the bony edge.
- The aim is to restore a smoother contour between the lower eyelid and the cheek, reducing the appearance of the circles under the eyes as much as possible.
Your Eyelid Surgery Consultation with Dr Briggs
During your consultation for eye surgery, Dr Briggs will ask you about your general medical history and any previous surgeries. Dr Briggs will also enquire about any possible thyroid or kidney disease, which can produce swelling of the eyelids, as well as any history of eyelid conditions or dryness of the eyes.
Dr Briggs will also point out normal differences in facial symmetry that may not be noticeable to you. He will describe the results you can expect from surgery, such as the positioning of the scars.
It is very important to highlight to Dr Briggs what you want to avoid in terms of the appearance of your eyelids, and define what you would like to see.
Frequently, heavy upper lids can be significantly corrected using a forehead lift.
Your surgeon will make you aware of the kinds of changes you can expect, as well as the inherent limitations of the surgical procedure.
New surgical techniques allow for elevation and support of the lateral part of the eyebrow through the upper eyelid surgery. This can combine the benefits of a forehead lift and upper lid blepharoplasty in a smaller procedure. By directly accessing the muscles that produce the lines and weaken them, your surgeon can reduce the frown lines between the eyebrows, during upper eye surgery.
Your Eyelid Surgery Operation – What to Expect
Your surgeon may choose to carry out your Eyelid cosmetic surgery under either general anaesthesia or local anaesthetic and sedation. This decision depends on the procedure.
During the procedure, your surgeon will;
- Make an incision in the natural crease line approximately one centimetre above your eyelashes. It extends a little into the ‘crow’s foot’ area at the side of the eye.
- Then they will trim away excess skin and remove any fat in the area on the side of the nose.
- In instances where significant fullness is present in the lateral part of the eyelid, they will also remove a small amount of fatty tissue.
- Subsequently, the lid is sutured using, most commonly, one continuous stitch.
- The incision for the lower lid is made just below the eyelashes, and runs out to the natural ‘laugh line’ area.
- Tissues are then elevated and hinged forward, and excess fat is partly removed and re-draped.
- During this operation, a light uplift of the cheek fullness contributes to a more attractive appearance of the cheek and eyelid complex.
- Finally, the skin is lifted upwards and outwards, with no tension.
- Your surgeon will remove overlapping skin before closing the incision.
If excess skin is minimal, it is sometimes possible to perform the lower lid surgery without external scars, a procedure known as ‘Transconjuctival Blepharoplasty’. This allows for contouring of the lower eyelids and circles under the eyes, without leaving external scars. It can be accompanied by resurfacing of the lower eyelid by using either a chemical peel or laser.
You may opt for a day case surgical procedure, or if you also choose a facelift to enhance the results, chat to Dr Briggs about recovery time.
Eyelid Surgery / Blepharoplasty Before and After Photos
Visit the clinic to see more real patient photo galleries of before and after Blepharoplasty photographs representing typical results our patients get. *Results depend on individual patient circumstances and can vary significantly.
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If you’d like more information about a particular surgery, please call our surgical support team on 1300 264 811 between 9 am – 5 pm weekdays.
Recovery After Eyelid Surgery
After your surgery you will receive a list detailing all the precautions and steps to follow to ensure a quick and smooth recovery, this list will include the following;
- To avoid bleeding, you should not stoop or carry out vigorous activities for five days after your surgery.
- You can gently splash your eyelids with water but do not rub them in any way.
- You should apply antibiotic eye ointment for three or four days. Furthermore you should not use eye makeup for at least the first week or two.
- It is important to avoid aspirin after your surgery. You can control any discomfort around the eyelids with mild analgesics such as Paracetamol. Artificial tears may be helpful in the first few days.
- You will not be able to wear contact lenses for some time after your surgery. If you need contacts to see you will want to arrange for glasses during this time.
- It is essential that you have large sunglasses to wear after your surgery.
- Removal of stitches typically occurs three to seven days after your eyelid procedure.
- Scars will be pink for some weeks, occasionally months. However they easy to hide with a little make-up.
- Scars in the ‘crow’s feet’ area may become lumpy for a while but will invariably flatten in time. You can often help this with gentle massage, which you may begin two weeks after eyelid surgery.
How to find the best Eyelid / Blepharoplasty surgeon in Melbourne
Your surgical results will depend on the surgeon you choose. Since Eye Lid Surgery is a complex procedure, you’ll need a top plastic surgeon. A reputable Blepharoplasty surgeon has the following qualities:
- A Specialist Plastic Surgeon who is a Member of ASPS – the Australian Society of plastic surgeons
- Many 5 star online reviews from patients.
- Extensive experience in different types of Blepharoplasty.
- Patient Before and After Photos.
- Empathy and caring with recovery and aftercare.
- A great support team with long term follow up.
Risks and Complications of Eyelid Surgery
Complications after eyelid surgery are rare and most, including excess tears or abnormal pigmentation of the eyelid skin, are temporary.
As with any surgery, bleeding and infection can occur. Bleeding might require a return to the operating theatre to avoid damage to the eye. Infection is usually readily treated with antibiotics, extending the course of treatment that you will have received after your surgery.
Occasionally, what appears to be a transparent sack of fluid develops and covers part of the white of the eye mostly in the outer corner. People who suffer from hay fever may be familiar with this problem as they sometimes notice it during a bad season.
While this looks distressing, you should not be alarmed as it will settle on its own. During the period when it is settling you need to use eyelid lubricants regularly.
Dr Patrick Briggs Melbourne Plastic Surgeon – FRCS (Plas)
Specialist Plastic and Cosmetic Surgery Clinic in Melbourne
Dr Patrick Briggs is a Specialist Plastic and Cosmetic Surgeon. Both he and his team are dedicated to excellence in patient care and are committed to treating each and every patient with respect and privacy.
Not only does he offer high-quality results he also offers natural-looking plastic and cosmetic surgery results. Furthermore, he is experienced in Breast, Body and Face Surgery having performed over 4500 Surgeries in private practice.
How can we help?
Dr Briggs’ Patient Coordinators take pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the Hawthorn East clinic in Melbourne between 8 am – 6 pm on Weekdays.
Want more information about your Procedure?
What to Bring to Your Consultation
- If you like, please bring a friend or relative to help discuss the information and your choices.
- Take a lot of notes and thoroughly examine the documents your surgeon provides.
- You may need to undress so it’s a good idea to wear simple clothes.