About Cosmetic Eyelid Surgery
Eyelid surgery (blepharoplasty) is a procedure cosmetic surgeons use to address issues related to the upper and lower eyelids and restore the youthful qualities lost through aging or genetics.
Many eyelid surgeries are cosmetic and used to improve the appearance of the eyes. Eyelid lift surgery however, is also used to correct functional medical issues. These can include sagging eyelids, monolids, hooded eyes and loose skin at the corner of the eyes.
Both cosmetic and corrective blepharoplasty procedures can also be performed at the same time if required.
Before & After Photos
Eye Lift Surgery Explained
Cosmetic Eyelid Surgery
Cosmetic blepharoplasty concentrates solely on improving the appearance of the eyes. This may be to remove that constant look of exhaustion and create a more youthful and refreshed look.
Functional (Corrective) Eyelid Surgery
A functional blepharoplasty addresses issues that negatively affect an individual's vision (e.g., a droopy upper eyelid) or overall eye health.
Upper eyelid lift surgery is used to reduce the eye characteristics that make an individual appear tired and aged. We do this by enhancing the appearance of the upper eyelids. The procedure helps to:
- Remove loose or sagging skin that creates folds in the eyelids.
- Remove upper eyelid skin that drapes down over their pupil, negatively affecting their peripheral vision.
- Reduce the monolid (epicanthic fold) or lack of a crease in the upper lid.
- Reduce crêpey, sagging skin on the upper lid.
- Create a lid crease that looks firmer.
- Reduce puffiness above the eyes.
- Provide greater visibility of the upper eyelashes and eyelids, which allows for a more comfortable application of eye makeup, including mascara.
- Can deepen the patient's lid crease by removing a strip of the muscle surrounding the eyelid (i.e., orbicularis oculi muscle)
- Lift a droopy upper eyelid to improve the patient's field of vision.
During the upper eyelid surgery, incisions are carefully made along the upper eyelid's natural crease. They are strategically placed to minimize visible scarring after the healing process. The surgeon will reposition and remove excess skin, fat, and sometimes muscle tissue through small incisions.
As the lower eyelid skin stretches, often caused by the fat behind it, bags can form. That can cause an individual to appear tired and aged, regardless of the amount and quality of sleep. Lower blepharoplasty surgery fixes issues with the lower eye, such as:
- A lower lid that sags making the white portion of their eye (i.e., sclera) visible.
- Bags causing puffiness beneath their eyes.
- Excess fat beneath the lower lid.
- Excess skin on the lower lid
- Bulges and shadows underneath the eye.
- Skin that causes a droop to the lower lid.
In most cases, the surgeon will create an incision directly beneath the lower eyelid's lashes or internally on the pink surface inside the lid. The location depends on which eyelid issues the surgeon is to address. Many patients choose to have additional treatments at this stage. They might include skin rejuvenation treatments, such as laser skin resurfacing. These procedures can tighten loose skin further, smooth out wrinkles, remove white spots, mole removal or more.
Entropion is a condition where the lower eyelid turns inward towards the eye, and its skin and lashes rub on the eye. This may cause damage to the cornea, redness, eye irritation and watery eyes. Issues that can contribute to entropion include infection, age and scarring on the inside of the lower lid. Left untreated, entropion can cause a corneal abrasion, an ulcer on the cornea, an infection, scarring and even perforation.
If an individual's lower lid sags and turns outward, they have a condition called ectropion. Ectropion can result from trauma, age, a burn on the eyelid, a tumour or a skin disease. This condition is uncomfortable, like entropion. It may cause the individual to experience a dry globe and watery eyes. In addition, the affected eye is sensitive to both wind and light.
Lower eyelid blepharoplasty to address entropion and ectropion issues, restores the normal position of the eyelid. After surgery, the lid protects the eye, thus eliminating the irritating and painful symptoms associated with these two eyelid conditions.
Transconjunctival Blepharoplasty (Internal-Incision Eyelid Surgery)
For someone who only needs to remove excess fat beneath the lower lid. The incisions are well-hidden inside the eyelid; therefore, most patients cannot even see them.
A Subciliary Lower Blepharoplasty (aka External-Incision Lower eyelid Surgery)
With an external incision, the cosmetic surgeon can access all the tissues of the eye to reduce or reposition the fat, lift and tighten the muscle and remove loose, excess skin. Since the surgeon creates them beneath the eyelashes, it is difficult to see; as time passes, they will fade.
Other Eyelid Procedures
A Pinch Blepharoplasty
Used to reduce the number of wrinkles next to the eye. Removal of excess skin located just outside the corner of the eye is gently pinched to indicate the amount to be removed. Once removed, the incision is hidden beneath the lower eyelashes.
Double eyelid surgery (An Asian Blepharoplasty or Ethnic Blepharoplasty)
With double eyelid surgery the surgeon creates an upper-eyelid crease which decreases the epicanthic fold (the fold in the upper, inner corner of the eye) to widen and enhance the shape of the eye, making it appear more open and brighter.
Laser Eyelid Surgery
Sometimes, the surgeon can use a laser instead of a scalpel to create incisions in the upper and lower eyelids. Using the laser results in less bleeding and a quicker recovery time. During the initial consultation, the surgeon will determine if an individual is a good candidate for laser eyelid surgery.
Eyelift without surgery
We also offer a non surgical eyelift treatment where we use heat from a device to improve the skin around the eyes without any cutting, needles or holes being made.
The right procedure for you will be determined at your first consultation.
Directly After Surgery
Once the anaesthesia wears off, patients can expect to experience mild pain and discomfort. The surgeon may apply a cream to the patient's eyelids before covering them with a thin, sterile bandage.
After surgery, the eyes are extremely light sensitive and may feel wet, dry or irritated. Depending on the degree of the patient's surgery, their eyes may suffer from swelling and bruising for several weeks.
If fine non-dissolving sutures were used, they would be removed within a few days after surgery.
Before heading home, the patient is provided with specific instructions to follow. These instructions include using cold compresses to reduce inflammation and possibly eye drops. However, these drops prevent them from becoming dry and reduce the risk of infection.
What to Expect During Recovery
Dry, burning and itchy eyes are somewhat common following eyelid surgery; nonetheless, it's important to avoid touching, rubbing or scratching the eyes. Eye drops can help alleviate these symptoms; however, the eye drops used must be approved or prescribed by the surgeon.
Following the plastic surgeon's wound care directions will help the patient feel more comfortable as they recover. Proper care also reduces the likelihood of developing an infection.
Although patients can resume reading, working on their computer and watching TV, they may find that their eyes tire more easily.
To keep their eyes safe as they heal, it is recommended to wear a pair of dark sunglasses while outside in the sun and in brightly lit areas. Furthermore, sunglasses can protect eyes from wind and airborne irritants.
Patients who wear contacts must avoid wearing them for at least a week, possibly two. Some discomfort may initially be felt but will ease within a few days.
Refraining from alcoholic drinks is recommended as alcohol dries out the eyes and contributes to fluid retention, prolonging recovery.
Do not wear any eye makeup until the wounds have healed completely.
Avoid excessive blinking, as it can increase inflammation.
For the initial 14 days following surgery, patients must avoid activities that increase blood flow to the eyes (e.g., lifting, exercising, crying and bending).
Eyelid lift Surgery Results
Blepharoplasty results are permanent and become evident several weeks after surgery. However, it can take up to 12 months for the incisions to heal completely and scars to fade. Patients must avoid exposing their eyelids to UV light before they completely heal.
Although the results are permanent, the body's natural ageing process continues; therefore, the patient's eyes will change as time passes and potentially require further procedures.
Potential Complications Associated With Eyelid Surgery
Complications are rare as long as an experienced surgeon performs the eyelid blepharoplasty procedure. Nonetheless, it is important to understand the potential complications before having the surgery, which are:
- The development of a granuloma, which is a small nodule resulting from inflammation.
- An infection.
- Vision changes.
- Blood clot development.
- A negative reaction to the anaesthesia or other products used during surgery.
- Bleeding behind the eye.
- Difficulty closing the eyes all the way.
- Eyes that look sunken in.
- Inflamed, itchy scars.
- Bleeding in the eye.
- Excessively dry or watery eyes.
- Numbness, which may be temporary or permanent.
- The need for additional surgery to address complications.
- Vision loss.
To decrease the likelihood of experiencing these kinds of complications, individuals should choose an experienced plastic surgeon to perform their eyelid correction surgery.
Eyelid Surgery FAQs
Take Your First Step
The experienced, highly skilled surgeons and professionally trained staff at Chelsea Cosmetics dedicate themselves to providing each patient with the exceptional care they deserve. To learn more about the eyelid surgery options available, take the first step and contact our clinic at +61 3 8822 3472 to schedule a complimentary appointment.
*All cosmetic surgery is invasive and carries risk
**Individual results vary as the outcomes experienced by one person do not necessarily reflect the outcomes that other people may experience, due to many factors, including the individual’s genetics, diet and exercise.
Get in Touch
Speak to one of our experts and get personal advice on the best eyelid surgery options we have for you. Contact us and you can book a free consultation at a time that suits you.