Upper Eyelid Surgery (Blepharoplasty) Melbourne

UPPER EYELID SURGERY (UPPER BLEPHAROPLASTY) MELBOURNE

Excess skin, or droopy, upper eyelid is a common problem that is traditionally thought to occur with aging and loss of elasticity of the skin. However, many factors contribute to the appearance of upper eyelid drooping and skin excess, and it is a condition that can sometimes occur in young people.

In most cases it leads to:

  • Droopy eyelid skin that rests on the eyelashes
  • Looking tired or unhappy
  • A feeling of heaviness on the upper eyelid
  • Hooding, shadowing or in severe cases obstruction of vision

In some patients this may be associated with ptosis, which is a medical condition where the mechanism for retracting the upper eyelid is faulty. This requires special testing and treatment which can often take place at the same time as upper eyelid surgery.

What is the treatment for upper eyelid skin excess?

Treatment is dependent on the contributing factors to the eyelid problem in each individual patient. At Eastern Plastic Surgery, we understand each individual’s case is unique. In general, treatment options may include:

  • Improvement of brow position (in patients with a droopy brow, leading to the appearance of eyelid droop);
  • Sub-brow skin reduction;
  • Direct eyelid skin / muscle reduction; or
  • Tarsal fixation skin reduction.

As with all facial surgery, a thorough assessment will be undertaken leading to an individualized plan to naturally enhance your features through eyelid surgery.

What is involved in upper eyelid reduction surgery?

Upper eyelid surgery can usually be performed under local anaesthetic. The operation involves carefully measuring and removing excess skin and recreating a crisp upper eyelid (supratarsal) fold. Sometimes a small sliver of redundant muscle and fat is also removed. The wound is usually closed with a suture that is removed in 5 to 7 days.

It is common to have:

  • Some mild discomfort following the procedure, which is usually well controlled with oral medications; or
  • Swelling and bruising which persists for 1 to 2 weeks. Overall, in 80% of our patients, the majority of swelling will be resolved by 2 weeks.

After undergoing upper eyelid surgery, most patients usually return to office work after 1 week. Light exercise and physical activities can usually resume after 2 weeks and heavy sporting activity usually require 3 to 4 weeks of recovery.

LOWER EYELID SURGERY (LOWER BLEPHAROSPLASTY) MELBOURNE

Aging changes in the lower eyelid plays a central role in the overall changes of midface aging. These changes are often multifactorial and often several treatment modalities may be combined to give the best possible result. These changes often lead to:

  • Excess skin or “bags” under the lower lid;
  • A deep groove near the inner part of the lower eyelid, sometimes known as the “tear trough”;
  • Out turning and loosening of the lower lid exposing the inner lining of the lower lid (ectropion); or
  • Drooping of the midface leading to heavy naso-labial folds; the folds on either sides of the nose.

What treatment options are available for lower eyelid rejuvenation or eyebags?

For many patients, lower eyelid rejuvenation can be performed through non-surgical methods such as dermal filler and anti-wrinkle injection in combination with skin resurfacing techniques. These non-surgical methods have the advantage of being quick to administer, result in minimal swelling or downtime and the results are noticeable immediately after treatment. In more severe cases, especially where there is skin excess or significant midface descent, lower eyelid surgery, which is also referred to as lower blepharoplasty, may be required. Eyelid Surgery has the advantage of being able to correct the underlying problems at an anatomical level. There is also the option of fat grafting (fat transfer) which is often performed at the same time to restore volume in the mid cheek area. In most cases, surgery will require a longer recovery, but in most cases surgical results last longer than non-surgical methods.

If I need eyelid surgery, will it leave a visible scar?

This would depend on exactly what you require. In some patients, a “trans-conjunctival” approach may be used which leaves a scar on the inside of the lower eyelid which is not generally a visible area. In other patients a “sub-ciliary approach” may be required which will leave a very faint line on the outside of the lower eyelid immediately below your eyelashes. Even though this is a visible scar, in the vast majority of patients this scar will mature over time to become almost invisible.

Where is eyelid surgery performed?

Your operation may be performed at our fully equipped procedure room in our main facility in Box Hill. If a deeper level of sedation is preferred, eyelid surgery can be performed at a number of fully accredited private hospitals. In a private hospital, one of our fully accredited specialist anaesthetists will administer the anaesthetic and care for you for the duration of the operation.

What can I expect in terms of recovery after eyelid surgery?

Eyelid surgery is generally performed as a day case in one of our rooms or in a hospital. It is common to have:

  • Some mild discomfort following the procedure, which is usually well controlled with oral medications; and
  • Swelling and bruising which persists for several days (in suture methods), or 1 to 2 weeks following incision method. Overall, in 80% of our patients, the majority of swelling will be resolved by 2 weeks.

After undergoing lower eyelid surgery, most patients usually return to office work after one week. Light exercise and physical activities can usually resume after 2 weeks and heavy sporting activity usually need 3 to 4 weeks of recovery.

Can I see some photos of results?

Yes, but as a member of the RACS and ASPS, Dr Lin adheres to strict practicing and ethical guidelines which prohibit before & after photos on our own website. Representative photos will be available in our rooms and will be shown to you during your consultation with Dr Lin. At Eastern Plastic Surgery, our Eyelid Surgery Melbourne services also include Asian Double Eyelid Surgery and Epicanthoplasty.

 

Contact us to speak to one of our friendly staff members and organise an obligation free consultation at one of our many convenient locations.