Eyelid Surgery (Blepharoplasty)

Eyelid surgery or Blepharoplasty – the medical term for this procedure – is an operation to remove excess skin around the eye area. Excess skin and bags can not only make you look tired and drained but can also make you look much older then you are – or want to look.

Why have Eyelid Surgery?

Eyelid surgery or Blepharoplasty is a specialized surgery, which can help take years off your face. Some people notice over time, that their skin has become saggy with large ‘hoods’ found above their eyes. In addition they may also notice strange pockets of fat stored under the eyes. It is at this stage that individuals then seek the advice of a plastic surgeon.

Blepharoplasty does not only refer to the eyelids, but includes the area around the eyes as well. This procedure helps to remove the excess sagging skin from around the eyes as well as the fatty tissue. This surgery can also be used to smooth out fine lines and wrinkles which are often known as ‘Crows Feet’ which can be found in the corners of the eyes.

There are many benefits to having eyelid surgery. Having a small procedure like this can boost an individual’s confidence and helps to increase their self esteem. This procedure can also help the individual to apply make up in a quick and efficient fashion as well as improve the overall look and ‘freshness’ of the face.

When considering having eyelid surgery, your plastic surgeon will go through the two areas – upper and lower eyelids. The surgeon will then help you to make the decision to have either one of the two surgeries or both at the same time.

Upper eyelid surgery for some can be extremely simple and can consist of just a local anaesthetic and a light sedation. The surgeon will use a light sedation as this means that the recovery time for the procedure will be much quicker than that of a general anaesthetic.

The eyelid surgery begins with a small incision that will be made along the crease of the upper eyelid. As this is a natural crease, it will be invisible to others and just seem like the natural line you have there already.

The next step of this procedure is similar to facelift surgery, where by the surgeon will peel the skin away from the underlying tissue and will then remove any excess fat, tighten up the muscle, then remove any excess skin and seal up the area. Usually, just before the surgeon seals up the area, the skin will be stretched over the area, smoothing out all fine lines and wrinkles.

The surgeon can use two kinds of techniques to seal up the wound. The first technique would be the usual stitches that will be soluble meaning that they will not have to be removed from the area; the other technique is gluing the wound with surgical glue. Surgical glue is an adhesive, which can be used on skin to hold it together before the natural healing process takes over.

The lower eyelid surgery is almost always completed under general anaesthetic. The surgeon will make a simple incision along the lower lash line and remove any excess fatty tissue from underneath the eye, which is commonly known as ‘bags’. The surgeon will then stretch the skin out to remove the lines and wrinkles and the wound will be stitched up.

Risks and Complications

Generally, modern day surgery is considered safe.

There are no procedures which are completely risk free. Complications are rare, however anyone who is thinking about having this surgery must be aware of the risks and complications which may arise.

Undergoing a general anaesthetic can have many risks, which include; slowed heart rate and blood pressure, blood clot in the lungs, blood clot in the legs, heart failure and even death.

Approximately one-third of patients who receive an anaesthetic during surgery will experience “anaesthesia sickness” or post-operative nausea and vomiting (POVN).

The complications that can arise with the procedure itself include:
Possible blurred vision is a complication however this is usually temporary, difficulty moving in opening and closing the eyes, scarring, red eyes, infection, bleeding, dry eyes and asymmetry when healing. Swelling and bruising of the eyelids can also happen as they have been damaged. Occasionally this swelling is due to an infection, which could result in the individual having to go on a short course of antibiotics. If the infection becomes worse and an abscess forms on the eyelid, then you must seek out professional help to either have the abscess removed surgically.

Q. How long will I have to take off work if I am having eyelid surgery?

A. You will only have to take off a matter of days and can get back to normal relatively quickly. Some choose to go back to work a day or so after having the operation and wear dark glasses so no one can see what they have had done. With some individuals, your eyes may appear as if you have been punched as they will be swollen and bruised, so it is suggested to take it easy for at least a few days and avoid strenuous exercise for at least a week.

Q. Is eyelid surgery safe?

A. Yes, eyelid surgery is safe. There have only been minimal reports on cases that have not had a positive outcome.

What does Blepharoplasty cost? What does eyelid surgery cost?

Blepharoplasty refers to eyelid surgery in general, but there are two different procedures – Upper Eyelid Surgery or Lower Eyelid Surgery. You can have one of these procedures done on its own, or you can have them both performed at the same time. Each surgery takes approximately the same time and costs about the same too. Most of the surgeries/clinics we spoke to just added up both of the costs for each of the surgeries if you wanted both done, but some gave a slightly reduced figure if you had both done at the same time.

Upper or Lower (done on its own without the other)
Approximately $1,800 – $5,000

Upper And Lower (performed at the same time)
Approximately $5,000 – $11,000

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Tania's Pinched Bleph Tania talks about her Pinched Bleph (eye surgery) November 21, 2017 - At the recent 40th ASAPS conference in Melbourne I met Tania, who had a really interesting eye surgery called the Pinched Bleph with Dr Jack Zoumaras. It’s like a normal blepharoplasty only less invasive. Tania got some great results. Check out my video interview with her or read her story below. Who did you have your surgery with and what did you have done? Tania: Yes, I recently had a pinch, upper and lower bleph with Dr. Jack Zoumaras in Darling Point from Artiste Plastic Surgery. What is the Pinch Bleph? Basically, well, like it’s just pinching up so basically, it’s not actually going in so your recovery’s quicker and your risk of complications are lower. He doesn’t go as deep so therefore, the risks of bleeding is low, all of that. What was the recovery process like? The recovery was awesome. I had no bruising initially. Obviously, a bit of bruising came up into the surface a couple of days later but at a week post-op, I was back in clinic consulting, seeing patients. What differences have you noticed due to the procedure? Well, I don’t look as tired. I’m able to put on eyeshadow now and you can […]
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Blepharoplasty & Medicare rebates Blepharoplasty & Medicare rebates with Dr Naveen Somia July 3, 2016 - Trish Hammond: I’m here today with Dr Naveen Somia, who’s a specialist plastic surgeon practicing out of Bella Vista New South Wales in Sydney. Naveen: And Bondi Junction. Trish Hammond: And Bondi Junction as well. And Bondi Junction. We’re going to have a bit of a chat about blepharoplasty. It’s one of the procedures that he’s renowned for, and we’re going to sift through a bit of the Medicare information for you as well. Thank you so much for taking the time today. Naveen: Thank you, Trish. Trish Hammond: Tell us a little bit about the blepharoplasty and Medicare. I have a lot of people who contact me. They’ve been to the doctor. They’ve got to go and see someone to get their eyes fixed, and they’re like, who do I go to and what am I going to be covered for? Shed a bit of light for us, would you? Naveen: Yeah. Blepharoplasty, or upper eyelid surgery is viewed as functional if it meets certain stringent criteria. The stringent criteria are such that if the eyelid is malpositioned or there’s an abnormality of the eyelid, or there’s an abnormality of the excess eyelid skin that actually covers some of […]
Blepharoplasty Blepharoplasty – Is Less More? March 17, 2015 - Historically, eyelid surgery (Blepharoplasty) targeted the fat pads and the skin excess around the eyes. It was almost a contest to see how much fat could be reduced and how much the skin could be tightened. Whilst this certainly flattened the bulges and tightened the skin there it didn’t necessarily make things look better. Ageing of the upper eyelid can be as much characterised by recession and hollowing as by skin excess and fat bulges. Modern upper blepharoplasty entails a much more conservative excision of skin with accentuation of the eyelid crease and preservation (even a restoration) of the fullness between the upper lid crease and the eyebrow. Young eyes are full eyes. The robust young soft tissues below the eyebrow frame the eye beautifully and provide an attractive appearance. Whilst these fat pads can certainly bulge to excess, only a very conservative reduction is usually required to provide an attractive contour there. Aggressive excision of fat or skin from the upper lid can create a hollow empty look that tends to make the face look more aged and unwell. With the advent of soft tissue injections, experienced injectors can help rejuvenate the upper lid by restoring some of the […]
Blepharoplasty - The Latest Trends Blepharoplasty – The Latest Trends September 30, 2014 - Blepharoplasty – The Latest Trends show that in recent years this procedure has been popular within the Asian community where it is the most commonly asked for aesthetic procedure. However, Blepharoplasty is now increasingly being sought after worldwide both for cosmetic and functional purposes. Also known as “eyelid surgery”, it is a surgical procedure that eradicates the excess skin, fat and muscle around the eyelids. Blepharoplasty is also performed to improve the shape and position of the eyelids. When being performed for cosmetic purposes it can assist those wanting more deep set eyes; or for reshaping in order to make them appear wider or more open. It can help to make the eyes appear as they were when the client was younger, including removing: bags under the eyes; puffiness; dark circles; eyes that look tired; wrinkles on lower eyelid. People may also undergo this procedure for functional purposes, such as those with loose skin on the upper eyelids that is impairing vision. Blepharoplasty is becoming more and more popular as celebrities undergo this procedure. To name a few: Harrison Ford Julie Chen Jane Fonda Actor Al Pacino Meryl Streep   The Procedure: Like all plastic surgery procedures, eyelid surgery has […]
Blepharoplasty & Upper Facial Rejuvenation Blepharoplasty & Upper Facial Rejuvenation September 29, 2014 - On the 19th and 20th of September this year the Masters Symposium with an emphasis on Blepharoplasty and Upper Facial Rejuvenation was held in Sydney. This event saw the best of the industries professionals come together to present their expertise knowledge in their specialized fields of work. Dr. Peter Callan a plastic surgeon from Melbourne, Victoria who has over 20 years experience performing blepharoplasty was attending the Masters Symposium to talk about the subcutaneous brow lift and transcutaneous lower blepharoplasty. Blepharoplasty is a surgical procedure that corrects sagging above the eye and bags under the eyes. It may also give a brow lift in the same procedure. Blepharoplasty is usually performed to remove excess skin and fat to improve vision. It can also be performed for cosmetic reasons as well. Considering the Masters Symposium was based on the blepharoplasty procedure we were very interested to hear Dr. Peter Callan’s opinion on the transcutaneous lower blepharoplasty and why this surgery is important. When we caught up with Dr. Peter Callan he reminded us why the eyes are such a significant feature of a persons face and how crucial the eyes are in defining our health as an individual. “The eyelids and […]
3 Plastic Surgery Procedures That Blend Form & Function 3 Plastic Surgery Procedures That Blend Form & Function May 20, 2014 - Although the majority of plastic surgery procedures in Australia are performed solely to enhance a person’s looks, many procedures are also done to improve the function of a certain body part. Read on to learn how plastic surgery can give you more than just a pretty face: Rhinoplasty, or a “nose job,” is an incredibly versatile procedure that can alter the size, shape, projection, and contours of the nose. But many people, explains Dr. Chase Lay, rhinoplasty surgeon in San Jose, pursue the surgery to improve their respiratory function. The nose is a complex part of the face, made up of an intricate network of bones and cartilage. Many common respiratory concerns, such as a deviated septum, are caused by misshapen or misplaced structures. A deviated septum is a relatively common condition that occurs when the nasal septum is tilted or displaced, blocking airflow through one nostril. A deviated septum can contribute to snoring, frequent sinus infections, nosebleeds, facial pain, and other symptoms. And although minor symptoms can often be managed with medication, more severe cases are better served by surgical intervention in the form of rhinoplasty or septoplasty. Rhinoplasty can also be performed to improve the nose’s appearance and […]
Daddy Do Over March 26, 2014 - We have all heard of the Mummy Makeover, helping mums regain their bodies after childbirth, but what about Dad? Of course mum bears the full grunt of childbirth but what happens to Dad? With the stress of parenthood, the lack of sleep, exhaustion and time constraints comes the unwanted physical changes that yes, even dad deals with too. Many would say we are in an age where the gender role is in a flux. With more and more men seeking cosmetic procedures it seems it is no longer just the girls that are taking their physical appearance seriously. Recently we wrote about the statistics of more men seeking Anti-Wrinkle Injections, you can find that article here. But research is also suggesting that dads are in the top 4 types of men seeking cosmetic procedures. Often Dads feeling the physical affects of parenthood are looking for a Daddy-Do-Over, which is generally a number of cosmetic procedures such as liposuction, jawline recontouring and an eyelift performed in a single surgery. Dr. Pouria Moradi from Sydney’s East performs a number of male cosmetic surgeries. Although he doesn’t package Daddy-Do-Overs he does see a number of dads seeking out cosmetic procedures due to the […]

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Dr Ross Farhadieh on Blepharoplasty

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