Blepharoplasty

The eyes are considered the gateway to the soul. The eyes form a central element of beauty that we focus upon during normal face-to-face conversation. Unfortunately, they also become an unwanted area of focus as age related changes start to affect the eye region. Even early age related changes can become most apparent around the eyes.

Blepharoplasty refers to eyelid reduction surgery. Dr Chaithan Reddy performs blepharoplasty at the  North Shore and NorwestNSW Plastic Surgery Clinic and Medispa offices not only to address the excess baggy skin and fat, but also the lax muscle that should normally suspend the eyelid in a youthful position. By addressing these key factors, a more youthful appearing eyelid can be restored.

If  the prospect of a blepharoplasty operation interests you, we invite you to book in for a consultation with Dr Chaithan Reddyy, our highly experienced facial plastic surgeon. Our practices are ideally positioned to serve Sydney’s Upper and Lower North Shore, Newcastle and Norwest areas.

Is blepharoplasty a good option for me?

Blepharoplasty (eyelid surgery) patientIn general, anyone who has signs of ageing as a result of excess skin or droopy eyelids will present as a good candidate for blepharoplasty surgery. With ageing, various changes occur within the periorbital (eye) region. The skin of the eyelids becomes loose and baggy.  This can present as hooded upper eyelids or “bags” under the lower eyelids.  In the upper eyelid region, the changes can be so severe as to obscure our normal field of vision. For the lower eyelids, loss of normal contour and also excess deposits of fat may contribute to an aged appearance, manifesting as a ‘tear trough’ deformity. It is this tear trough deformity that can contribute to the formation of dark circles under the eyes.

It is important to note that eyelid reduction surgery should be assessed with the brow position in mind. In individuals with very heavy eyelids, the forehead muscles can become overactive and try to lift the brow to help keep the excess eyelid skin out of the person’s field of view. In this instance it is not uncommon for individual’s to present with many forehead wrinkles. If the overactive brows are not identified, then an eyelid reduction procedure alone may result in a lower brow line after your surgery. Therefore, in select cases, a combination brow lift and eyelid reduction procedure may be required to address the forehead muscles.

Blepharoplasty can also be combined with other facial plastic surgery procedures, such as face lift and neck lift, for patients who wish to achieve more comprehensive facial rejuvenation.

What does the eyelid reduction procedure entail?

An eyelid reduction procedure can be performed under local or general anaesthetic, and you will be able to choose which option is right for you. Dr Reddy will educate you on the specifics of each option and help you to make the right decision for your unique case. Before anaesthesia is applied, the planned incisions will be marked out on your face using an extremely precise measurement device to ensure optimal symmetry of the results.

Once anaesthetic has been applied, Dr Reddy will remove the excess skin and then excess fat deposits from around your eyes. This process will be very carefully planned to ensure that the right amount of fat is removed to give you your desired results without causing a ‘hollow’ effect which can give the appearance of ageing.

In certain individuals, rejuvenation of the lower eyelid region may also require replacement of lost volume in order to restore a youthful contour. Tear trough deformities can often be well corrected with fat transposition techniques and the addition of ‘fat grafting’. This can have dramatic results in achieving a beautiful and youthful lower eyelid contour. Please see our before-and-after fat grafting photos for examples of the results that can be achieved.

Following the removal of skin and fat, the incisions will be closed with fine gauge sutures designed specifically for such delicate work. Then we will apply customised dressings and cool packs to your eyes.

How long will I have to stay in the hospital?

This will depend partly on your choice of using general or local anaesthetic. Procedures done using localised anaesthetic may be performed in one of our practises in our fully-equipped procedure room.

For upper eyelid blepharoplasty requiring more advanced techniques, or when combined upper and lower eyelid blepharoplasty is undertaken, we recommend that you opt for general anaesthetic and the procedure will be performed in the hospital.  In these circumstances, a one-night hospital stay is also recommended. Some patients tend to underestimate their own recovery or are advised by their clinician that they may go home the same day despite it not being in the patient’s best interest.

What will my aftercare consist of?

On the day of surgery, (in the case that the procedure was performed under general anaesthetic) Dr Reddy will speak to you once you have woken up after the procedure to ensure that you are comfortable, informed and fully prepared to embark on the process of recovery. In the case that you are staying overnight in the hospital, Dr Reddy will visit again in the morning before you are discharged. You will also be provided with detailed instructions for your recovery period at home, along with contact details that are accessible 24 hours a day, to ensure you can begin your recovery with peace of mind and support.

Over the course of your recovery, Dr Reddy will meet with you at regular intervals to oversee your healing. Around 5-7 days after the operation you will have your first check up and all of your sutures and dressings will be removed. You will be advised on how best to care for the operation site to minimise scarring. Your post-operative visits will continue regularly at our Norwest or North Shore location until both you and Dr Reddy are pleased with your results and healing.

How much down time will I need after the operation?

Blepharoplasty surgery is usually associated with only mild post-operative discomfort, with the majority of patients not needing pain medication stronger than that which is available over the counter without a prescription.

Generally patients are able to continue with their normal daily activities the day after the operation. However, we do recommend that you refrain from driving for a week post-surgery. Your eyes may feel gritty, dry and extra sensitive to bright light during this time.

While bleeding is very uncommon after a blepharoplasty operation, it is quite common that patients experience bruising around the eyes. In general, the bruising is most visible during your first week of recovery, but it may continue up to two weeks. Because the appearance of the bruising can be undesirable in social or work situations, we do recommend that you take the two weeks after your surgery off of work, although after one week you can return to work with the help of camouflage make-up, if you would like. We advise you to refrain from physical exertion for a month after your operation to cut down on swelling, bleeding and bruising.

When will I be able to see the results of my blepharoplasty?

By the time you come in for your first post-surgery check-up around 5-7 days after the procedure, your results will be quite evident. You will immediately notice a difference in your eyelids by this time. However, slight swelling and bruising may still be affecting the appearance of your final results at this time. Generally, most to all of the bruising will have subsided by two weeks after your operation. One month to six weeks post operation your final results should be evident. The scarring associated with blepharoplasty is very minimal, as the scars are located in the natural eyelid crease, making them very inconspicuous.

Blepharoplasty Sydney NSW

If your eyelids are drooping, sagging, or have excess skin that is making you unhappy with your appearance, blepharoplasty might be ideal for you! Please don’t hesitate to contact The Plastic Surgery Clinic & Medispa and book an initial consultation with Dr Reddy. We proudly offer superior-quality blepharoplasty to patients from throughout the Upper North Shore and the Lower North Shore, as well as the entire Metropolitan Sydney region.