Blepharoplasty (Eyelid Lift)

Blepharoplasty is usually classified as a cosmetic procedure. It is the surgical removal of excessive skin and to either add or reduce fat from either the upper or lower eyelids or both. 

Blepharoplasty surgery is a day procedure, performed with a local anaesthetic. Recovery is quite quick with most patients returning to work or normal activities within a few days.

blepharoplasty showing before and after effect

When is blepharoplasty surgery used?

  • Draping skin that obscures or blocks your vision
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid – this can sometimes affect a person's vision
  • Excess fatty deposits that appear as puffiness beneath the eyelid skin
  • Bags under the eyes
  • Droopiness of the lower eyelids – to avoid showing white below the iris
  • Extra skin and fine wrinkles of the lower eyelid

What should I be aware of with blepharoplasty?

The following people are a good fit for blepharoplasty surgery:

  • Upper eyelid surgery is often carried out separately from lower eyelid surgery. Be prepared for two separate operations.
  • Blepharoplasty is considered cosmetic surgery and does not usually qualify for rebates from Medicare or private health insurance companies. However, your doctor can advise if your condition affects vision which may make surgery eligible for rebates.

Preparing for Surgery

What to expect for your blepharoplasty surgery

Prior to surgery

  • It is important to have a friend or family member accompany you on the day to escort you home after the procedure.
  • Wear comfortable, warm clothes as the laser room is set at a specific temperature and humidity to ensure ideal operating temperatures.
  • You will be given detailed instructions on what you should do at home to prepare for surgery. For example, you may be advised to take a particular medication or alter the dose of an existing medication. Follow all instructions carefully

During the procedure

Exact steps will vary between surgeries but generally the surgery is conducted as follows:

  • An incision is made in the skin fold across the upper eyelid. Alternatively, for the lower eyelid an incision either just below the lashes or on the inside of the lower lid.
  • Excess skin and fat is repositioned or removed.
  • Underlying tissue (such as muscle) is tightened with sutures (stitches), if required
  • Incisions are then closed with stitches, surgical tape or tissue glue.

Post-operative recovery

After surgery you may experience the following:

  • Mild pain or discomfort
  • Numbness
  • Swelling and bruising around the eyes
  • A sensation of wet or dry, irritated eyes
For a diagnosis and to discuss treatment options of any eye condition, please make an appointment.