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.

There are two main types of 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.
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.
Reduced puffiness and bags under the eyes
A more alert and well-rested appearance
Improved vision in some cases. (Part of the surgery is covered by medicare and your health fund.)
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
It’s crucial for individuals considering facelift and necklift surgeries to thoroughly discuss their medical history, expectations, and concerns with their surgeon. Choosing an experienced plastic surgeon like A/Prof Marucci, who is a member of both the Australian Society of Plastic Surgeons and the Australasian Society of Aesthetic Plastic Surgery means you have the reassurance that your surgeon is well trained and knowledgable. As with any elective cosmetic procedure, potential candidates should weigh the benefits against the risks and make an informed decision based on their individual circumstances.
You can read more about A/Prof Marucci’s face lift and neck lift techniques by downloading this PDF.
Upper eyelid surgery (Upper Blepharoplasty) is typically performed under general anesthesia, although it can be performed under local anesthesia 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.
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.
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.
Changes in eyelid shape
Infection
Scarring
Dry eyes
Vision problems
Bleeding
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.
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.

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

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.

A/Prof Damian Marucci is an Australian specialist plastic surgeon with experience in blepharoplasty (eyelid surgery) and facial plastic surgery. He combines specialist surgical training with a detailed understanding of eyelid anatomy to assess each patient’s individual concerns and discuss treatment options appropriate for their needs. During consultation, A/Prof Marucci provides a comprehensive assessment, explains the potential benefits, limitations, risks, and recovery considerations associated with blepharoplasty, helping patients make informed decisions about their care.
This website contains adult content. You must be 18 years or older to read. All surgery carries risks. You should seek a second opinion before proceeding. Results vary from patient to patient.