Blepharoplasty is a surgical procedure performed on the eyelids to correct defects and disfigurations or to improve the aesthetic look of the eye region. Many people pursue surgery to address issues such as visual obstruction due to excess eyelid skin, lower eyelid laxity and bulging of the fatty tissue under the skin.
There are two distinct kinds of blepharoplasty, and each addresses different issues.
1. Upper Blepharoplasty
Upper blepharoplasty refers to surgery performed on the upper eyelid, usually to address excessive skin. The presence of excess skin of the upper eyelid can lead to eyes that appear puffy or drooping and give the appearance of being sad or tired.
In addition to impacting the overall definition of the eyelid area, in some severe cases, excess upper eyelid skin can even affect a person’s vision. In these cases, surgery can improve a patient’s vision significantly.
The procedure involves removing excess skin and fat from the upper eyelid and increasing the definition of the eyelid crease, as well as improving the visibility of skin below the crease. The rejuvenating procedure addresses any ‘droopiness’ and enhances the appearance of eye makeup.
In some cases, a forehead or brow lift procedure may also be required to address issues such as a descended eyebrow complex. By repositioning the eyebrow, the effects of surgery are enhanced and a more satisfying result is achieved.
2. Lower Blepharoplasty
When the skin of the lower eyelid begins to stretch due to bulging of fatty tissue, a person will develop what is commonly referred to as ‘eye bags’. This laxity of the bottom eyelid can also cause hollow or “tear through” deformities.
A lower blepharoplasty is relatively more complex and involves the rejuvenation of a patient’s lower eyelid by removing a small amount of excess skin and fatty tissue, whilst creating an overall improved aesthetic for the lower eyelid by addressing fatty tissue bulge and lower eyelid support structures.
As with any surgery, it’s important to understand the reasonable outcomes and potential limitations. Key to this is a thorough consultation with your surgeon, who will be able to discuss what you can expect from your surgery both in terms of results and recovery.
Your surgeon will make a number of considerations when assessing your eyelids, which include:
• Management of eyebrow ptosis (descent). As previously mentioned, the position of the eyebrow is key to achieving an optimal aesthetic result when undergoing upper blepharoplasty. As part of your consultation, your surgeon will assess the position of your eyebrow and how it may potentially impact your surgery.
• Management of the upper eyelid.No two patients are alike and so it follows that no two eyelids will be the same. Thus, different degrees of skin and fat reduction will need to be performed to achieve a patient’s desired outcome.
As part of your consultation, your surgeon will aim to ascertain the level of surgery which can be performed safely whilst achieving your desired ‘look’, including the degree of excess skin removal, fatty tissue removal and reconstruction of the supra tarsal crease (upper eyelid crease).
• Management of the lower eyelid. Your surgeon will examine your eyelid to make note of the quantity and quality of your lower eyelid skin, the degree, if any, of fatty tissue herniation, the presence of any deformities, and the overall structure and support of your lower eyelid.
Your surgeon will also need to manage the potential risk of ectropion (lower eyelid droop). In such cases, surgery in the form of an ancillary canthoplasty or canthopexy may need to be performed.
Though complications are unlikely, every surgical procedure comes with risks such as infection, bleeding, scarring, and wound breakdown. Corrective surgery to address these complications may be required.
Our doctors will explain the details of your surgery and all of the information about the procedure you have selected.
You will also have an opportunity to review before and after photographs of their patients’ results in their areas of expertise.
Your Surgeon will provide general information on treatments, hospital costs and incidental fees. Pre and post-operative information and a written quote will be provided to you in your consultation.