What is Blepharoplasty?
Blepharoplasty (BLEF-uh-roe-plas-tee), also known as eyelid skin reduction, is a surgical procedure designed to improve the appearance and/or function of the eyelids. As we age, the skin of our eyelids lose their elasticity, causing them to stretch and gather around the eyes. This results in bags under eyes, drooping eyelids, or sagging eyebrows, and can sometimes obstruct vision. Eyelid blepharoplasty is most commonly performed on the upper eyelids but can also be done on the and lower eyelids as a cosmetic procedure.
Why is Blepharoplasty Done
Blepharoplasty aims to remove excess skin either for functional or cosmetic purposes.
Functional Reasons
- Remove excess skin that droops over the eyelashes and impairs peripheral vision.
- Repair issues from previous surgeries or congenital defects.
Cosmetic Reasons
- Rejuvenate the appearance of the eyes, making them look more youthful and alert.
- Eliminate puffiness or bags that create a tired or aged appearance.
- Smooth out wrinkles and fine lines around the eyes.
Please note: QERS does not offer Cosmetic Lower Eyelid Blepharoplasty.
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What to Expect from Eyelid Surgery
Preoperative
You will have a consultation with one of our consulting eye specialists, where you will discuss your goals, expectations, and medical history. This is followed by a thorough examination of the eyes and surrounding structures. Preoperative planning may include taking photographs, measurements, a visual field test and discussing anaesthesia options, which can be either local or general.
Procedure
During the procedure, local anaesthesia with sedation or general anaesthesia will be administered to ensure your comfort. Incisions are then made along the natural creases of the eyelids to minimise visible scarring. For the upper blepharoplasty, the incision is made along the crease to remove excess skin and sometimes fat. Once the necessary adjustments are made, the incisions are closed with sutures, surgical tape, or skin adhesives.
Postoperative
In the immediate postoperative period, antibiotic ointments and cold compresses are applied to reduce swelling and discomfort. You will also have scheduled follow-up visits to monitor the healing process and remove stitches if necessary. Following these visits and adhering to postoperative care instructions are essential for a smooth recovery and optimal results.
Recovery from Blepharoplasty
Postoperative
Within the first few days, you may experience swelling, bruising, and mild discomfort. You can relieve some of these symptoms with prescribed medications, ice packs, and other cold compresses. Ensure you keep your head elevated above your chest while sleeping during these initial recovery days. By the end of the first week, most swelling and bruising should have subsided, and any sutures (if not dissolvable) are removed.
You will most likely be able to return to normal activities and work within 1 week post-surgery, although strenuous activities and swimming should be avoided for at least the first 2 weeks. Final results of the procedure should be seen 1 month post-surgery, however keep in mind that the tissues around your eyes may continue to heal and settle during this period.
Continue to have regular follow-up appointments so your ophthalmologist can track your progress and assess when you can return to normal activities without issue.
Risks and Complications
Postoperative
All surgery has risks, potential risks and complications can include:
- Infection: Rare but possible, requiring prompt medical attention.
- Bleeding: Hematoma formation which may require intervention.
- Scarring: Generally minimal and well-concealed, but some scarring can occur.
- Dry Eyes: Temporary, or (rarely) chronic dry eyes.
- Difficulty Closing Eyes: Especially during sleep, usually temporary but may require further treatment.
- Vision Changes: Temporary blurred vision or, very rarely, permanent changes.
- Asymmetry: Uneven healing or differences in appearance between eyes.
- Anaesthesia Risks: As with any surgical procedure involving anaesthesia, such as allergic reactions.
Your ophthalmologist will discuss these potential risks with you in detail prior to the blepharoplasty procedure.
How Long Does Blepharoplasty Last?
The results of eyelid surgery are long-lasting, but not permanent. While the surgery can significantly improve the appearance of the eyes and sometimes vision, the natural ageing process continues. Many patients find that the results last for 5-10 years, and sometimes longer. Maintaining a healthy lifestyle and protecting the eyes from excessive sun exposure can help prolong results.
How Much Does Blepharoplasty Cost?
Queensland Eye & Retina Specialists is a private clinic. We will discuss fees at the time of consultation once we know the specifics about the service you require.