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.
What is eyelid surgery?
Blepharoplasty also known as eyelid surgery, addresses the excess baggy skin and fat, as well as the lax muscle that should normally suspend the eyelid in a youthful position. Dr Chaithan Reddy performs blepharoplasty at our North Shore, Norwest and Westmead practices to alleviate heavy eyelids and restore a more pleasing appearance.
Who is a candidate for blepharoplasty?
Generally, anyone who has signs of ageing as a result of excess skin or droopy eyelids are considered 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, excess skin can be so severe it can obscure the normal field of vision. For the lower eyelids, loss of skin elasticity and build up of fat deposits may contribute to an aged appearance, forming as a ‘tear trough’ deformity. This concern can contribute to the formation of dark circles under the eyes.
How is eyelid surgery done?
An eyelid reduction procedure can be performed under local or general anaesthetic. Dr Chaithan 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 a precise measurement device, Dr Reddy can ensure optimal symmetry.
During the procedure, Dr Reddy will remove the excess skin and fat deposits from around your eyes. This process will have been carefully planned to ensure that the right amount of fat is removed to achieve the desired results, without causing a ‘hollow’ effect. Following the removal of skin and fat, the incisions will be closed with fine gauge sutures designed specifically for such delicate work. Finally, Dr Reddy will apply customised dressings and cool packs to your eyes.
What is the recovery time for eyelid surgery?
Recovery time is a minimum of two weeks and stitches are removed within the first week after surgery. Immediately after surgery there may be swelling and redness that will go down after time and rest.
Lower eyelid blepharoplasty
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 corrected with a combination of fat transposition techniques and fat grafting. This will help to achieve a more youthful lower eyelid contour.
Lower eyelid surgery photos
Hospital stay will depend on your choice of anaesthetic. Procedures performed using localised anaesthetic may be completed in one of our fully-equipped procedure rooms.
For a combined upper and lower eyelid blepharoplasty, or upper blepharoplasty alone, general anaesthetic will be required. In these circumstances, a one-night hospital stay is recommended.
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 recovery process. If you’re 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 until both you and Dr Reddy are pleased with your results and healing.
All surgeries carry potential risks, rare eyelid surgery may be complicated by infections or medical difficulties during the surgery. In very rare cases there may still be excess skin left after surgery or an outward roll of the eyelid, these can be corrected with subsequent surgery.
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. Bruising is most visible during your first week of recovery, and will subside in 2 weeks. Patients often return to work 2 weeks post surgery, while others feel comfortable returning after 1 week. We advise you to refrain from physical exertion for 1 month after your operation to help the healing process.
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 affect the appearance of your final results at this time. Generally, most of the bruising will have subsided by 2 weeks after your operation. Your final results should become evident 4-6 weeks post operation.
Each case is different depending on how much sagging and puffiness there is to begin with. Results are more dramatic if there is more skin to remove, however if you are a candidate for eyelid surgery you will notice a marked improvement after surgery.
The scarring associated with blepharoplasty is very minimal, as the scars are located in the natural eyelid crease, making them very inconspicuous.
In upper eyelid surgery the incision is hidden in the crease of the eyelid and overtime blends in so that it is not distinguishable from the crease itself. The lower eyelid surgery incision is hidden on the inside of the lower eyelid making it invisible even as it heals.
Results may last a long time, the actual amount of time is different for each individual. The skin will continue to age and may over time create extra folds of skin over the eyes.
Eyelid reduction and brow lift
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 vision. In this instance, it is not uncommon for individual’s to present with 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.
As all patients provide varied circumstances and situations, the cost blepharoplasty surgery varies across the board. To discuss the cost for blepharoplasty details and pricing, book in a consultation with Dr Reddy and explore this further.
If your eyelids are drooping, sagging, or have excess skin that is making you unhappy with your appearance, blepharoplasty may be the right treatment for you. We proudly offer eyelid surgery to patients throughout the Upper North Shore and the Lower North Shore region, as well as the entire Metropolitan Sydney area.