Blepharoplasty

Blepharoplasty, or eyelid surgery is used to remove surplus skin which appears on the top eyelid with age, or remove fatty deposits which create ‘bags under the eyes.’  The first procedure is known as upper Blepharoplasty, the second, lower Blepharoplasty.  This procedure is a relatively common cosmetic procedure and usually does not need to be re-done for a considerable period of time, if at all. Both procedures are often undertaken together, however upper Blepharoplasty is the more common procedure of the two.

Upper Eyelid

Over time, heredity, age and sun can increase the laxity of thin eyelid skin.  As a result, the eyelid lengthens so when the eye is open, the skin folds over the crease of the eye, resulting in a droopy, hooded appearance.  In some instances, this can impair peripheral vision, however the majority of people undergoing this procedure, do so for cosmetic reasons – to make their eyes appear more open and awake.

To undertake the procedure, the surgeon will usually apply a local anesthetic, then, usually within the creases of the lid, make incisions either with a scalpel or laser, then separate and remove the excess skin.  The area is then closed with sutures.  Note, this procedure does not remove wrinkles or crows feet around the eye area.

Lower Eyelid 

Significant bags under the eyes are caused not by fluid, but by fat.  This tends to occur when the septum, which surrounds the eyeball, weakens (usually due to age or heredity) resulting in the outer layer of the fat within the socket to sink forward.  While this does not usually impact on the way in which the area functions, it is often considered unattractive. 

To reduce these fatty pockets, the surgeon will usually apply a local anaesthetic, then either make an incision directly under the eyelashes, or just inside the lid.  The excess skin, muscle and fatty deposits are then removed.  The opening is then closed with sutures.  

Recovery 

Following the Blepharoplasty procedure, if non-dissolving sutures are used, these are usually removed 3-7 days after surgery.  Initial swelling and bruising takes approximately 1-2 weeks to disappear, however it can take several months for the area to completely recover.  You will need to take a course of antibiotics to prevent infection and eye drops or ointment is usually prescribed to assist with swelling.  While pain is usually minimal, it can be reduced with ice-packs and paracatomol. 

Risks 

Blepharoplasty is considered low-risk, however as with all surgery, there are some risks involved.  The main risks associated with the procedure are asymmetrical results and scarring – both relatively rare.  Blindness caused by bleeding behind the eyeball is extremely rare.  Your surgeon should explain the blephroplasty procedure with you fully, including outlining the risks in an initial consultation