Blepharoplasty

Everything you always wanted to ask your plastic surgeon before having eyelid surgery
The best cosmetic surgery results are those that you don’t see
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Plastic Surgery Queensland
Suite 2.01
Mater Private Clinic
550 Stanley Street
South Brisbane QLD 4101

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Plastic Surgery Queensland
Suite 5G
John Flynn Medical Centre
42 Inland Dr
Tugun QLD 4224

Have your eyelids sagged and your expression changed? Do your eyes give you a tired or sad expression and make you look older? Blepharoplasty or eyelid surgery can correct drooping skin over the upper or lower eyelids so your eyes look wider and you look younger. 

Blepharoplasty Brisbane

What is blepharoplasty?

Your eyes are one of the most prominent features of your face. They are the most honest part of your face as they can express emotion without words. The skin around your eyes is very thin and is usually one of the first places to show ageing. Sagging tissue of the upper eyelids and puffy bags below your eyes can make you look tired or sad. For some of you, droopy eyelids interfere with your vision. 

Eyelid surgery or blepharoplasty can correct this. It’s the surgical excision of excess or drooping skin over the upper or lower eyelids to restore a youthful, more alert gaze. It is also useful to restore the tone of the eyelids.

The most common reasons for eyelid surgery are:

  • Men and women who feel aged or have a tired look in their facial appearance.
  • Obscured vision because of droopy eyelids.
Shape

Prior to surgery, we will talk about your concerns and goals. It is important to have realistic expectations of what you can achieve and this will be discussed during your consultation. We will also discuss if you have any visual problems: whether you are wearing glasses or not and recent eye tests. Then we talk about your medical and surgical history, medications (blood-thinning drugs should always be mentioned), allergies, the risk of eye surgery, potential complications and expected recovery after eyelid surgery.

Dr Andrew Hadj - Plastic Surgeon Brisbane
Dr Andrew Hadj

Plastic surgeon Brisbane

Types of eyelid surgery

Blepharoplasty is also known as an ‘eyelid lift’ and there are two main options:

  • Upper blepharoplasty.
  • Lower blepharoplasty.

These two types have different approaches and we will discuss this during consultation.

Healthy men and women who have excess eyelid skin would be suitable for this procedure. 

Where do you operate?

I consult from my private rooms at Mater Private Clinic and I operate as a plastic surgeon at many private hospitals in Brisbane, Queensland.

I can see Gold Coast patients from my private rooms at John Flynn Medical Centre and I operate at John Flynn Private Hospital, Tugun, QLD. 

Eyelid surgery procedure

Blepharoplasty: step by step

Step 1

Anaesthetic

You will be given a general anaesthetic and once you’re asleep we’ll start the procedure by making a tiny incision. The procedure is day surgery only and performed under general anaesthesia. 

Step 2

Incisions

We use a small curved incision in the upper or lower eyelid to excise an appropriate amount of skin (usually between 8-15mm) to restore the tension of your eyelid. 

Step 3

Removing excess fat and bulges

Sometimes, only fat and bulges need to be removed with minimal skin. Scars are hidden as much as possible in the natural crease lines of your eyelid. Scars on your upper eyelid are usually only visible when you close your eyes. The lower eyelid scars are placed below the lash line to minimise the scar however this scar is more present. 

Step 4

Closing the incisions

After the excess fat and skin are removed, I will close the small incision. 

Step 5

Result

You will see final results 4 to 6 weeks following surgery. 

Avoid blood-thinning medication (however discuss this with me during your consultation), avoid smoking, remove contact lenses if worn routinely, and maintain a fit and healthy lifestyle. 

The results are long-lasting however some degree of relapse is common over 3-5 years. The degree to which this occurs is variable. 

Blepharoplasty treats wrinkles of the upper eyelid. Wrinkles of the lateral canthus (crows’ feet) will not be removed by this surgery. However, there are non-surgical options for this condition. 

I use very small dissolving sutures. 

blepharoplasty Brisbane
blepharoplasty Brisbane
blepharoplasty Brisbane

Eyelid surgery recovery

Recovery after blepharoplasty

Eyelid surgery is not painful. After eyelid surgery, avoid sport and any form of exercise for 2 weeks, don’t smoke, rest in a cool, dark and quiet environment, and take occasional pain relief and anti-inflammatories if you’re able to. 

Day 1
After leaving theatre, you will wake up in recovery. Our nurses will apply a cold compress to your eyelids for 30 to 60 minutes to decrease swelling. Expect some blurred vision. A friend or relative will need to drive you home following your eyelid surgery.
Day 1-14

After your surgery, the eyes will bruise and swell for up to 2 weeks. This is very normal given the excellent blood supply around the eyelids. Around day 4, the swelling will settle and bruises will migrate down the cheek. By day 8, most swelling will be settled. Puffy eyelids can persist until day 14. 

Soft face wash is suitable for cleaning after 36 hours. A topical antibiotic ointment will be given to you to use 3x per day for 7 days. 

Simple pain relief will suffice. 

Working, bathing, exercising and driving?

Eyelid surgery risks

Risks and complications

The following risks are associated with eyelid surgery:

  • Bleeding.
  • Bruising.
  • Scar.
  • Swelling.
  • Infection.
  • Asymmetry of skin.
  • Itchiness.
  • Changes in vision are often temporary. There is a 1:40,000 risk of blindness however this is associated with high-risk eye disease, smoking and excessive straining post-surgery.

Upper eyelid scars are only visible when your eyes are closed. These will fade to a small faint white line over time. Lower eyelid scars are more visible and will fade over time. Often both eyelids do not need treatment at one time; this surgery is far more commonly used to treat upper eyelid skin excess. 

Blepharoplasty cost Brisbane

What does the procedure cost?

I’m all about making eyelid surgery affordable and accessible to patients who opt for this procedure. It’s important to know that you’ll get a medicare rebate if there is visual obstruction confirmed (ptosis) by an optometrist. 

There are many low-cost options both in Australia and overseas and great care should be taken when dealing with a surgeon who is not an ASPS / AHPRA / FRACS recognised plastic surgeon.

Unfortunately, many patients confuse plastic surgeons with cosmetic surgeons (as mentioned in the ABC Four Corners report) and the training differs significantly.

Shape

A plastic surgeon has undertaken over 12 years of post-medical specialist training. That’s an important indicator when it comes to choosing a specialist for eyelid surgery.

Dr Andrew Hadj - Plastic Surgeon Brisbane
Dr Andrew Hadj

Plastic surgeon Brisbane

It’s also recommended to always seek second opinions if you have concerns. Ultimately you should feel comfortable with the plastic surgeon you are seeing. 

Dr Andrew Hadj - The plastic surgeon blog

About Dr Andrew Hadj, Plastic surgeon Brisbane

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