Eyelid Surgery

With patient consent, images are displayed for the purposes of patient education. Some of the following images contain graphic content and viewer discretion is advised. They are intended to be used as a guide as Individual results can vary due to various factors such as individual skin type, anatomy and patient factors.

When excess skin, fat and lax muscles start affecting the appearance of one or both eyes, Dr Chaithan Reddy helps patients restore a more pleasing appearance by performing blepharoplasty at his practices in Sydney’s North Shore, Norwest, Westmead, or Central Coast regions.

Dr Reddy is a Fellow of the Royal Australasian College of Surgeons (FRACS) and is an internationally recognised surgeon who specialises in procedures that address some of the most common signs associated with ageing as well as the effects of genetics. His tailored techniques and personalised post-operative treatment plans are just some of the reasons why he is one of Sydney’s preferred surgeons.

To date, Dr Reddy has performed hundreds of blepharoplasty procedures on patients who want to rejuvenate their eye area. During eyelid surgery, just the right amount of fat will be removed so as to not create a hollow effect that will enhance the signs of ageing. Depending on the specific needs of the patient, either the lower or upper eyelids can be addressed, or both.

The duration of the procedure will depend upon whether you are having your upper and or lower eyelids corrected.

Upper eyelid surgery can be readily performed in our clinic and takes approximately 1 hr. Patients can return home the same day, shortly following the procedure. Some patients may choose to have this performed in hospital, but again, may return home the same day.

Typical upper eyelid incisions are positioned in the naturally occurring eyelid crease. This is depicted below. The pattern of skin excision is also shown below.

Once the incisions heal and mature, upper eyelid incisions can be almost imperceptible. Please refer to our image gallery to see my results.

Lower eyelid surgery varies in duration based on what is required to achieve adequate correction. If excess loose skin is the only issue, then a “pinch blepharoplasty” can be performed in our clinic, and again, patients may comfortably return home the same day.
If your lower eyelid surgery requires correction of lower eyelid “eyebags” (prominent fatty bags situated under the eyes), then this is a more involved procedure, entailing surgery in hospital.

Dr Reddy has extensive experience in the correction of lower eyelid bags. This is a relatively tricky operation requiring a good understanding of intricate lower eyelid anatomy. By having a good understanding of the anatomy and cause for lower eyelid bags, one can adequately correct the problem.

Lower eyelid bags typically arise as a result of fat protrusion, rather than loose skin. The lower eyelid differs from the upper eyelid, in that there are three distinct fat compartments that sit within the lower eyelid, and this I depicted in the below image.

Eyelid fat compartments requiring correction to achieve smooth contour

These fat compartments are unrelated to body fat and individuals have varying amounts of fat based on genetics. These fat compartments are usually held in place by a thin ligament known as the septum.

In some individuals, this septum can be lax allowing the fat pad(s) to bulge forward. In others, the ligament may be normal, but the fat pad may be relatively large, again leading to the appearance of prominent ‘eyebags’.

To correct lower eyelid bags, an incision is placed just under the lash line (or on the inside of the eyelid in some cases) and the skin and eyelid muscle are elevated so that the fat compartments can be accessed.

Lower eyelid incision, hidden under the lash line

The fat may be trimmed, and whilst this is a relatively simple solution, I do not believe this is always the most appropriate approach to achieving long lasting aesthetic results. Whilst this can achieve good results in the short term, it often leads to a ‘hollowed out’ look in the long term; And hollowing around the eyes leads to a prematurely aged look. My preference is therefore to reposition this prominent fat (using well described techniques) and fill the ‘tear trough’ region to achieve an aesthetically pleasing smooth lower eyelid contour. This has to be done in a very controlled manner so that undue tension is not placed on the lower eyelid. The lower eyelid ligament is also routinely tightened and suspended to ensure adequate support is maintained in the lower eyelid. When done in this manner, excellent results are achieved with not only correction of the eyelid bag(s), but a smooth and youthful lid-cheek junction is achieved.

Lower eyelid bags
Smooth contour once corrected

If you would like to find out more about what you can expect before, during and after eyelid surgery, schedule a consultation with Dr Reddy. Based on his extensive experience, he will evaluate your eye area and take a detailed look at your medical history to ensure you’re a viable candidate for this procedure.