What is blepharoplasty surgery?
Blepharoplasty, often referred to as eyelid surgery, is a surgical procedure that involves removing or reshaping excess skin, fat, or muscle from the eyelids. It may be performed on the upper eyelids, lower eyelids, or both, depending on a patient’s needs.
Eyelid surgery is commonly sought by individuals experiencing excess skin or laxness of the skin around the eyes to alter the eyes’ appearance. Blepharoplasty can be carried out for functional reasons (for example, when excess eyelid skin interferes with sight) or for aesthetic reasons. Whether patients are seeking to alter their appearance or to improve their vision, the surgeons at BPCS will customise procedures using advanced techniques and a personalised approach.
Patients may consider blepharoplasty if they experience:
- Laxity in the upper eyelids that may affect vision
- Excess volume under the eyes
- Excess fat deposits around the eyes
As with any surgical procedure, eyelid surgery (blepharoplasty) carries potential risks and complications that need to be considered. It is important to consult with an experienced specialist plastic surgeon to discuss the best treatment options, expected outcomes, what to expect during recovery and cover any potential risks associated with surgery, including how these will be managed in the case that complications do arise.
Our experienced Specialist Plastic Surgeons provide personalised consultations to create a tailored plan that is suited to the patient’s goals.
Blepharoplasty, Also known as:
- Eyelid Surgery
- Eyelid Reduction
- Upper Eyelid Surgery
- Lower Eyelid Surgery
Blepharoplasty surgery | what to expect
| Results | Typically long-lasting, although natural aging will continue |
|---|---|
| Surgery Time | 1 to 2 hours |
| Hospital Stay | Day Surgery |
| Off-Work | 10 to 14 days |
| Exercise | Limited for 6 weeks |
| Full Recovery | 3 to 12 months |
Why do patients consider blepharoplasty surgery
The choice to undergo blepharoplasty is a highly personal decision that can be driven by medical, aesthetic or lifestyle factors, and the decision to proceed should be a well informed and considered process.
Patients may consider blepharoplasty surgery (eyelid surgery) for both functional and aesthetic reasons.
Functional reasons patients may consider eyelid surgery include:
- Excess skin on the upper eyelids that sits over the lash line and can interfere with vision
- Heaviness or discomfort in the eyelid area
Aesthetic reasons patients may consider eyelid surgery include:
- Excess volume or fat tissue under the eyes
- Dissatisfaction with signs of ageing around the eyes
- Desire for an altered eyelid contour
It is important to remember that natural variation exists in eyelid shape and appearance, and these changes are often part of the ageing process. Choosing to undergo blepharoplasty is a personal decision, and the motivations will differ for each individual.
At Brisbane Plastic & Cosmetic Surgery, we encourage patients considering eyelid surgery to consult with an appropriately qualified plastic surgeon, such as Dr. Milap Rughani or Dr. Richardson, to discuss their reasons for considering eyelid surgery, what the procedure involves, possible risks, and the expected recovery process. Every person’s anatomy and goals are unique, and results will differ between individuals.
Types of blepharoplasty
Blepharoplasty surgery (eyelid surgery) can be performed on the upper eyelids, lower eyelids, or both, depending on a patient’s concerns and goals.
1. Upper Blepharoplasty
- Involves removing or reshaping excess skin, muscle, or fat from the upper eyelids
- Often considered when upper eyelid skin affects vision or contributes to an undesired appearance
2. Lower Blepharoplasty
- Focuses on the lower eyelids to address fat, volume, or loose skin
- May involve removal or repositioning of fat and tightening of skin or muscle to recontour the under-eye area
3. Combined Upper and Lower Blepharoplasty
- Performed when both the upper and lower eyelids are a concern
- May be completed in one procedure, depending on the patient’s suitability
The choice of procedure depends on your anatomy, the concerns being addressed, and the recommendations of your surgeon.
Am i a suitable candidate for blepharoplasty surgery?
You may be a suitable candidate for blepharoplasty if you are experiencing concerns related to your eyelids and the associated skin laxity around the eyes, either relating to functional or aesthetic reasons, such as:
Functional issues – for example, excess upper eyelid skin that sits over the eyelashes and may interfere with vision.
Appearance-related concerns – such as excess volume under the eyes, or skin laxity that affects appearance.
A good candidate for blepharoplasty is generally someone who:
- Is seeking to remove excess skin from their eye and/or eyelid region
- Is in good overall health
- Is a non-smoker/vaper or willing to abstain from smoking/vaping for at least six weeks before surgery and six weeks post-surgery
- Has realistic expectations about the outcomes and limitations of surgery
- Understands the potential risks, benefits, and recovery involved
- Is considering surgery for their own reasons, rather than external pressure
It is important to have a consultation with a qualified plastic surgeon to determine if this procedure is appropriate for you. During this appointment, your surgeon will assess your anatomy, discuss your goals, and explain the surgical options, recovery, and potential risks.
What does blepharoplasty surgery involve?
Blepharoplasty surgery (eyelid surgery) is a procedure designed to address concerns with the upper or lower eyelids. The steps of the surgery depend on whether the focus is on the upper eyelids, lower eyelids, or both.
Upper Eyelid Surgery
- An incision is typically made along the natural crease of the upper eyelid
- Excess skin, muscle, or fat may be removed or repositioned
- The incision is then closed with fine sutures, which usually blend into the natural eyelid fold once healed (although scars may be visible). You may discuss the visibility of scars during your consultation
Lower Eyelid Surgery
- An incision may be made just below the lash line, or in some cases inside the lower eyelid (transconjunctival approach)
- Fat may be removed or repositioned, and loose skin may be tightened
- The incision is then carefully closed to support healing
Combined Eyelid Surgery
- Some patients may undergo both upper and lower blepharoplasty procedures at the same time, depending on their concerns and the surgeon’s recommendations
Following blepharoplasty surgery, patients will be provided with specific post-operative aftercare instructions to support healing and recovery. Our nursing team will be in touch the day after your surgery to check in on your recovery and answer any questions or concerns you may have following your procedure. Our patient care team will organise your follow-up care and complimentary review appointments to monitor recovery and address any concerns.
It is important for patients to follow post-operative care instructions to help aid recovery.
Dr Philip Richardson
Dr Milap Rughani