What is Blepharoplasty (Eyelid Surgery)?
Blepharoplasty is also commonly referred to as eyelid surgery, eyelid lift or an eyelift.
The blepharoplasty procedure involves removing excess skin and redistributing or removing fat from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes; features that make you look older and more tired than you feel and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.
What are the risks of undergoing blepharoplasty?
There are few complications with upper lid surgery. However, with lower lid surgery, ectropion (droopy lower lid) is a recognised complication. This is often only temporary, but further surgery may be required if this persists. Some medical conditions make blepharoplasty riskier. They include thyroid problems such as hypothyroidism and Graves’ disease, dry eyes and other ocular conditions.
Your eyelid surgery consultation
You and your surgeon should carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate, such as brow lifting or canthopexy (lower lid lifting). Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.
To make an appointment for an eyelid surgery in Perth, feel free to contact us at any time.
The blepharoplasty surgery
The procedure for blepharoplasty is performed in hospital, usually as a day case, under general anaesthetic, or local anaesthetic with sedation. The procedure can take up to an hour, depending on the extent of the surgery. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids: in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon then separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine dissolvable sutures.
If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, your surgeon may perform a trans conjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin. It may be combined with laser resurfacing of the lower lid skin if fine wrinkles are present.
For more information regarding our procedure for blepharoplasty in Perth, feel free to contact us at any time.
After your eyelid surgery
After blepharoplasty surgery, your eyelids may feel tight and sore, but you can control any discomfort with pain medication. Your vision may be blurred for the first 24 hours. Your surgeon will instruct you to keep your head elevated for the first day, and to use cold compresses to reduce swelling and bruising. You’ll be shown how to clean your eyes, which may be gummy for a week or so. For the first few weeks you may also experience excessive tearing and sensitivity to light. It will be about 2 weeks before your eyelids feel and look normal.
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Generally, it’s best to recuperate at home where things are familiar and you can access help. Some people elect to go away for their recuperation and that’s fine as long as you have adequate access to wound care and help with daily chores.
Following your surgery, you will be prescribed pain medication which may be an analgesic or an anti-inflammatory or sometimes a combination and this prescription is given to you by your anaesthetist. Should you have concerns about post-operative pain relief then you need to address these with your anaesthetist.
Plastic surgeons undergo extended rigorous training which involves at least 7 years post graduate study. As part of that program, they learn about cosmetic surgery. Under current legislation anyone can call themselves a cosmetic surgeon provided they are a doctor. However, unless you have a higher specialist qualification in plastic surgery you are not allowed to call yourself a Plastic Surgeon. Dr Cooper is a qualified Plastic and Reconstructive Surgeon who performs cosmetic surgery.