Face

Blepharoplasty (Eyelid Surgery)

eyelid surgery with sydney plastic surgeon dr ellis choy

There are a range of external influences that can alter your facial appearance. Ageing, genetics and lifestyle choices all play their part, for better or worse. Blepharoplasty is a plastic surgery procedure that corrects irregularities of the eyelids, resulting in aesthetic and functional improvement around the eye region. The operation can include the removal or reconfiguration of excess skin and fat tissue, while also reinforcing muscles and tendons around the eyes. As is often quoted, ‘the face is the mirror of the mind and the eyes are the window to the soul.’ Blepharoplasty provides an opportunity to present the real you to the world.

Eyes are arguably the most captivating and expressive feature we possess. They transmit the full gamut of emotions to the outside world. They are also one of the first noticeable signs of ageing, especially when they become droopy or puffy. Even though you may feel young and vibrant, another person might misunderstand you solely based on external appearances, and think that you are tired and worn-out. Blepharoplasty is the answer.

The surgery can be performed on people of all ages to correct irregularities, but is most often associated with patients who are noticing unwanted changes around their eyes over time. In some people, the upper eyelid has drooped down over the upper eyelid fold, and simple tasks such as driving and reading can be negatively affected. Disfigurations can also affect the lower eyelid function. Specialist plastic surgeon Dr Ellis Choy can work with you to achieve results that don’t just refresh your appearance, but also improve your quality of life. Book your in-person consultation with Dr Choy today.

BLEPHAROPLASTY SURGERY GOALS

Blepharoplasty, sometimes called eyelid surgery or an eyelid lift, aims to re-establish correct functioning of both upper and lower eyelids, while simultaneously improving eye-region aesthetics. Surrounding tissues connected to the eyebrows, cheeks and nasal-bridge can also be modified to provide long-lasting or permanent results. Blepharoplasty will tighten facial structure, improve muscle tone and eliminate unwanted skin.

Based on your desired results, blepharoplasty can be done either for cosmetic or functional purposes.

Excess eyelid tissue that is puffy or droopy may make you look and feel older than your actual years. The goal of cosmetic eyelid surgery is to accentuate the appearance of your eyes and restore youthfulness to the orbital and periorbital regions of your face. It is not done to improve vision. This type of blepharoplasty can be performed on either the upper eyelids or the lower eyelids, or both eyelids during the same operation. Cosmetic blepharoplasty can give you a more alert, rested, healthy and generally younger-looking upper facial appearance.

Heavy, ‘baggy’ eyelid tissue can also have a functional impact. If your upper eyelid tissues sag down too much, they can obstruct your vision, causing difficulty with daily tasks such as reading or driving. Excess upper eyelid skin may also lead to skin irritation or chronic pain in your forehead from straining your brow muscles to elevate your upper lids. Functional blepharoplasty provides an improved field of view, along with greater comfort and the same aesthetic benefits as cosmetic blepharoplasty.

Eyelid surgery is not undertaken to remove fine lines, wrinkles or dark circles under the eyes. There are alternative surgical and non-surgical procedures to accomplish those goals. All this and more can be fully appreciated in a consultation with Dr Ellis Choy.

THE BENEFITS OF EYELID SURGERY

Your eyes are one of the first things people notice in you. This makes them one of the most important components of an appealing facial expression and attractive aesthetic appearance. Any visible changes in the eye region can dramatically alter the look of your face.

As you age, your eyelids begin to droop and sag as your muscles weaken, your skin loses elasticity and subcutaneous fat shifts position. Blepharoplasty’s purpose is to remove excess skin and reposition facial fat to create a fresh, youthful expression.

Common reasons to consider eyelid surgery include:

  • Your upper eyelids look or feel heavy or puffy
  • Your upper eyelids droop over your eyes, possibly all the way to the lash line
  • The appearance of your upper eyelids makes you look tired, aged, angry or stressed
  • You have puffy bags below your eyes
  • You have dry eyes due to malposition of the lower eyelids
  • Your vision (particularly peripheral vision) is impaired
  • You have chronic forehead discomfort from brow straining
  • Your eyelid skin is irritated due to excessive friction
  • You have limited surface area for eye makeup application

Eyelid surgery is a popular procedure that has helped women and men alike enhance their appearance, but it is not for everyone. Good candidates for this operation are usually in good overall health, do not smoke and do not have an underlying eye condition that should be treated before considering blepharoplasty. If you believe eyelid surgery is the right choice for you, it is imperative to visit an experienced plastic surgeon who can confirm your candidacy after an evaluation.

BLEPHAROPLASTY VS BROW LIFT SURGERY

In some cases, drooping of the upper eyelid is due not to loosening eyelid muscles and skin, but to the descent of the eyebrow, which can shrink the upper lid space. Patients in this scenario may achieve better results with a brow lift than a blepharoplasty. Brow lift surgery elevates the brows and smooths the forehead to achieve a younger appearance, and may improve upper eyelid hooding if it was caused by sagging brows. If excess skin and fat is the cause of the hooding, then a blepharoplasty is a more appropriate procedure.

Some people are candidates for both eyelid surgery and brow elevation. Many patients opt for this combination in order to achieve comprehensive upper facial rejuvenation.

EYELID SURGERY CONSULTATION

Dr Ellis Choy is considered one of Australia’s finest plastic and cosmetic surgeons. His reputation is the result of the highest attainments during intensive study and fellowships, plus his unrivalled dedication to perfecting surgical procedures during the past two decades. Dr Choy will spend the time with you to inform you of your options and his professional yet gentle attitude will ease any concerns you may have.

A consultation will provide greater understanding of your eye function and also determine the influence of previous operations or underlying conditions on blepharoplasty outcomes. Other factors taken into consideration include skin type, age and ethnic background. As with any plastic surgery, it’s important to apply healthy lifestyle habits for the best ongoing results, and to keep expectations and aspirations realistic.

The physical examination will determine the best means of resolving aesthetic and functional deficiencies, including eye-muscle slackness, excess eyelid skin or malposition. For those considering eyelid surgery for functional reasons, a visual field test will be conducted. Preoperative photos are performed prior to both functional and cosmetic blepharoplasty.

BLEPHAROPLASTY PROCEDURE

Blepharoplasty is an outpatient operation that may be performed under local anaesthesia or general anaesthesia. The choice of anaesthesia will be tailored to your comfort level and the specific procedure(s) being performed.

UPPER EYELID SURGERY

Appropriate lines and creases are marked in order to keep any scarring invisible along your natural skin folds. An incision is made, and loose skin, excess fat and unwanted tissue are removed. Using local anaesthesia for upper eyelid surgery can be advantageous because it allows for immediate biofeedback, which helps with achieving overall harmony for the aesthetics of the face.

LOWER EYELID SURGERY

Two techniques are used for lower eyelid surgery. With the transcutaneous approach, an incision is made near the lash line or smile creases under the lower eyelid. Skin, muscle and fat are removed, and the incision is closed with very fine sutures. For patients who only require fat removal, the incision may be placed inside the lower eyelid, leaving no visible scarring behind. The scarless or ‘conjunctival’ approach is not suitable for patients with significant skin redundancy.

Blepharoplasty surgery cost will vary depending on individual requirements, the amount of surgery needed and the time taken to perform the operation. Dr Choy will outline these details during your initial consultation.

The operation is usually over in two hours, and recovery and improvement will begin immediately.

COMPLEMENTARY PROCEDURES FOR BLEPHAROPLASTY

Eyelid surgery can be a standalone operation, but many patients elect to combine it with other procedures for total facial rejuvenation. Combination procedures are convenient, cost-effective and useful for maintaining facial harmony.

BROW LIFT

Excess eyelid skin often leads to compensating by constantly lifting the brow. Many people incorrectly think they should fix their forehead lines with muscle-relaxing injections when the root cause of the issue is actually heavy eyelid skin. Blepharoplasty can relax the forehead by removing the weight of the eyelid tissue, while a brow lift elevates the brow line and smoothes forehead wrinkles. The combination of a blepharoplasty and a brow lift offers the most comprehensive rejuvenation of the upper face.

FACELIFT & NECK LIFT

Patients receiving a facelift and a neck lift almost always benefit from eyelid surgery. Though its name may suggest complete facial transformation, a facelift focuses only on the lower region of the face. The results of an isolated facelift can look odd because the lower half of the face does not match the upper half of the face. Combining a facelift with eyelid surgery ensures the face remains congruent.

FACIAL FAT GRAFTING

Fat grafting can address a variety of concerns related to facial ageing, including sunken eyes, tear troughs, temporal hollowing and deflation of the midface. In this procedure, tiny amounts of fat are taken from other areas of the body, then injected into desired facial areas with a micro droplet technique to add volume and improve shape. The procedure is minimally invasive and requires no facial incisions. Fat grafting is an appealing option for younger patients who do not yet need the degree of correction provided by a facelift.

EYELID SURGERY RECOVERY

In some cases, sterile bandages are applied post-surgery. Ointment or drops for preventing dry eyes may also be prescribed. Some swelling and bruising is a perfectly normal reaction to any invasive operation; this should subside within a couple of weeks.

Discomfort is often greatly alleviated by elevating the head slightly or applying a cold compress. Any additional medications required can be prescribed by Dr Choy. Environments that aggravate symptoms (sticky, dry or itchy eyes) or inhibit recovery should be avoided for a time. Contact lens wear should also be avoided during the initial stages of healing.

Patients should expect to spend approximately a week after the surgery recovering at home. Those with occupations requiring minimal physical activity may return to work sooner than those who perform heavy lifting or require strong visual acuity in the workplace.

BLEPHAROPLASTY RESULTS

Blepharoplasty’s purpose is to remove excess skin and reposition facial fat for an alert, appealing and youthful expression. The procedure may also include functional restoration of affected eyelids. Dr Choy takes great care to avoid removing too much skin and fat for a natural appearance and beautiful results.

Your improvements should be long-lasting. For many patients, eyelid surgery is performed only once. Ageing will continue, however — your eyelid tissues may loosen again and your brow may descend, but you should continue to have pleasing results. What you choose to do in the future to maintain your appearance will depend on the look you wish to achieve and the problem areas you want to fix.

Have a look at our gallery for some before and after pictures that show the dramatic improvements that can be attained by blepharoplasty.

EYELID SURGERY PATIENT STORY

“I am 67 years old and over the last few years, I had noticed that both my upper eyelids had continued to droop significantly over my eyes,” an eyelid surgery patient recounts. “This had been a gradual process and it wasn’t until I realised that my ability to see clearly was compromised and that I had developed a habit of continually wrinkling and lifting my brow up to try and clear my vision — which was causing headaches — did I finally decide to do something about it.”

Eyelid surgery, when performed properly, can have truly transformative results. After first consulting with an optometrist to rule out other problems, the patient began discussing her concerns with a specialist plastic surgeon. Her surgeon “clearly explained the process of upper eyelid surgery and welcomed any questions I had regarding the process. He showed me photos of previous surgeries he had conducted, and I felt I was able to make an informed decision to go ahead and plan the surgery.”

Few features are as crucial to a patient’s appearance as are the eyes. Eyelid surgery patients need to understand their surgery and options clearly to obtain the results they want. Most critically, patients must select a knowledgeable, skilled specialist plastic surgeon, one who makes great efforts to understand their needs and who have the abilities to fulfill them. Patients in Sydney have a renowned and respected surgeon to contact to begin their eyelid surgery journey with Dr Ellis Choy. Dr Choy combines significant experience and keen, patient-focused care to achieve consistent and exceptional results for all his patients.

*This information about blepharoplasty was reviewed by Dr Ellis Choy. If you have any questions, please don’t hesitate to contact us here.

Blepharoplasty (Eyelid Surgery) 3D Animation