Introduction

Blepharoplasty, also known as eyelid surgery, is a surgical procedure that addresses the signs of aging around the eyes. It is commonly performed to remove excess skin and fat from the upper and lower eyelids. Sometimes this excess upper eyelid skin can rest on the eyelashes and partially obstruct vision. Blepharoplasty surgery can result in a more alert and well-rested appearance.

What is Blepharoplasty Surgery?

Blepharoplasty surgery is surgery on the eyelids. It is usually performed as “day only” or outpatient surgery. It typically takes one to two hours to complete, depending on the extent of work being done. There are different types of blepharoplasty, involving either the upper eyelid, the lower eyelid or both.

Types of Blepharoplasty

There are two main types of blepharoplasty:

• Upper blepharoplasty: This procedure addresses excess skin and fat on the upper eyelids, which can cause drooping or a hooded appearance.This excess skin may also interfere with vision. This involves incisions in the upper eyelid crease.
• Lower blepharoplasty: This procedure addresses bags and puffiness under the eyes.A/Prof Marucci most commonly approaches the fat of the lower eyelid by making an incision on the inside of the lower eyelid. If excess skin needs to be removed as well, then an incision is made just under the eyelashes on the outside of the lower eyelid.

Benefits of Blepharoplasty

Blepharoplasty can offer a number of benefits, including:

• Reduced puffiness and bags under the eyes
• A more alert and well-rested appearance
• Improved vision in some cases (if an optometrist determines that the upper eyelid skin is obstructing vision, part of the surgery is covered by medicare and your health fund).

Who is a Good Candidate for Blepharoplasty?

Blepharoplasty is a good candidate for people who are:

• In good overall health
• Have realistic expectations about the outcome of the procedure
• Are bothered by the appearance of their eyelids

What to Expect Before, During, and After Blepharoplasty

Before Blepharoplasty

During the consultation with A/Prof Damian Marucci, you will discuss your goals for the procedure, as well as the risks and benefits of blepharoplasty. He will also perform a physical examination to assess your eyelids and determine the best course of treatment.

During Blepharoplasty

Upper eyelid surgery (Upper Blepharoplasty) is typically performed under general anaesthesia, although it can be performed under local anaesthesia in selected cases. A/Prof Marucci will make incisions in the natural creases of your upper eyelids for an upper blepharoplasty. Excess skin and fat will then be removed or repositioned, and the incisions will be closed with sutures. A/Prof Marucci has prepared a specific handout for upper blepharoplasty surgery, which you can access here. (Hyperlink to PDF of upper blepharoplasty handout)

Lower eyelid surgery (“lower blepharoplasty”) is a little more complicated. It usually involves redistributing the fat of the lower eyelid in order to smooth the transition between the lower eyelid and upper cheek. Sometimes a bit of fat needs to be removed, but it’s important not to overdo the fat removal; otherwise a “hollowed out” look can occur. Surgery on the lower eyelids usually involves removing a small amount of skin just below the eyelashes, as well as “tightening” the lower eyelid. This lower eyelid tightening not only improves the overall shape of the lower eyelid, it also prevents the position of the lower eyelid being dragged down by scar tissue. The incisions for lower blepharoplasty are typically created below the lower lash line or on the inside of the eye.

After Blepharoplasty

You may experience some bruising, swelling, and discomfort after blepharoplasty. These symptoms typically subside within a week or two. To minimize discomfort, you will be given ice packs and pain medication. Patients should refrain from strenuous activity or exercise for the first few weeks after surgery. The sutures are removed at one week and patients are normally back to work and the rest of their regular activities after 2 to 3 weeks.

Risks and Complications of Blepharoplasty

All surgery involves an element of risk. There are some specific risks and potential complications associated with blepharoplasty surgery including:

• Bleeding
• Infection
• Scarring
• Dry eyes
• Vision problems
• Changes in eyelid shape

A more detailed list of the potential complications of cosmetic surgery can be found here.

Recovery from Blepharoplasty

Most people are able to return to work within a week of blepharoplasty. However, it may take several weeks for your eyelids to fully heal. During this time, it is important to avoid strenuous activity and protect your eyes from the sun.

Finding a Qualified Blepharoplasty Surgeon

It is important to choose a qualified and experienced surgeon for your blepharoplasty procedure. A/Prof Marucci is a registered specialist plastic surgeon with AHPRA. A/Prof Marucci is an Associate Professor of Surgery at the University of Sydney. A/Prof Marucci is a board member of the Australasian Society of Aesthetic Plastic Surgeons and is on the Education Committee of the Australian Society of Plastic Surgeons. He has been performing blepharoplasty surgery for the past 16 years. You can read more about A/Prof Marucci here.

Before and After Photos

Here is an example before and after photos of one of A/Prof Marucci’s patients.

You can find other before and after photos by clicking here.

Conclusion

If your eyelids are obstructing your visual fields,blepharoplasty is a surgical procedure that can improve your vision. It can also change the appearance of your eyelids, potentially resulting in a more alert and well-rested appearance. If you are considering blepharoplasty, be sure to consult with a qualified surgeon like A/Prof Marucci to discuss your goals and expectations.