Dr. Alexandra Turner Plastic Surgeon MBBS BSc FRACS MED00001125632

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Eyelid Surgery (Blepharoplasty)

Blepharoplasty, also referred to as an eyelid lift, is a surgical procedure that involves the removal of superfluous skin and/or fat from the upper and/or lower eyelids. This procedure may be considered for individuals experiencing changes in the eyelid area, such as drooping or puffiness. It can be performed on its own or alongside other facial procedures.

Reasons to Consider Eyelid surgery

The effects of ageing can cause the eyelids to stretch, reducing skin laxity as the supporting structures around them weaken. Excess fat may consequently herniate above and below the eyes, making eyebrows sag lower and bagginess to become more prominent. Eyelid surgery removes the superfluous skin, and fat from the eyelids, and tightens the supporting structures which can improve peripheral vision.

Eyelid Lift Surgical Procedure

Lifts to the upper eyelids are usually performed under sedation or local anaesthetic as a day procedure. Surgery to the lower eyelids is slightly more complex requiring a general anaesthetic in hospital, but it is still managed as a day case. 

If surgery is to be performed on the upper and lower eyelids (double eyelid surgery), the upper eyelids are typically operated on first. The fold of the eyelid is incised, then excess skin, fat and muscle is removed, and the cut is closed. In the lower lid, the incision is made just below the lashes in the eye’s natural crease, or inside the lid.

The crease of the upper eyelid will be stitched. The end of the stitch may protrude a little from each end of the wound. A piece of tape is usually applied to secure the thread to the skin. Care must be taken if the tape comes loose or falls off so as not to accidentally detach the stitch prematurely. The sutures are removed around a week post-surgery. 

Potential Risks and Complications

Modern eyelid surgery (blepharoplasty) is generally safe, but it does have the potential for risks and complications to occur. Specific risks and complications associated with eyelid surgery may include inchiness, watering or dryness of the eyes, and temporary changes in vision. For more general and specific risks and complications of blepharoplasty, please click here to download.

Eyelid Surgery Recovery

Post-surgery there will be swelling and bruising around the eyes that may last for about two weeks. Patients may feel some tightness, blurriness, and possible irritation around the eyes for several days. Wearing dark tinted sunglasses when outside during this recovery phase helps the eyes to readjust to sensitivities to light and protects the delicate eyelid skin. Contact lens wearers are asked to abstain from putting them into the eyes for about two weeks after surgery.

Using ice packs on the eyes the night after surgery and the following day can alleviate some of the pain or discomfort and reduce swelling around the eyes. Eyedrops or ointments may be prescribed to keep the surgical site clean and to assist healing. 

Heavy lifting, swimming and strenuous exercise needs to be avoided for at least a week while recovering. Most patients can return to work after a fortnight of recuperation. It is usually safe to apply cosmetics to the eyes after this time. Many patients enjoy the results of the surgery for the rest of their life.

Our Plastic Surgeon

When you come into our practice, Dr Turner will sit down with you to talk about the procedure. It is important to be clear about your intended outcomes from the operation to make plans to perform the eye lift surgery safely and accurately. 

During our discussion, we will share with you our recommendations to achieve your optimal outcome. We will ensure you fully understand the procedure that will be conducted during your surgery, as well as your steps for recovery, any risks and possible complications.

Contact Dr Turner’s office to make an appointment to talk with our team about the blepharoplasty procedure and how eyelid surgery can be of benefit to you.

 

Read further information about eyelid surgery on the Australian Society of Plastic Surgeons' website here

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