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Blepharoplasty, also known as eyelid surgery is a procedure to address aged eyelids characterised by excess drooping skin, wrinkles and puffy bags. It may involve the upper or lower eyelids, or both sets.

In some racial groups, such as Asians, blepharoplasty can also create a double upper eyelid fold and restore the fat distribution in the eyelids to correct the sleepy, tired look.

Aging around the eyes is often more pronounced than the rest of the face and as such, blepharoplasty is often performed as an independent procedure or in combination with a facelift.

Blepharoplasty surgery usually involves removal or redistribution of the bulging fat and importantly, resetting or tightening the septum (curtain) that holds back the fat pads to where it was in youth. This technique of resetting the septum is important to prevent removal of too much fat. Removal of too much fat gives a ‘hollowed-out’ look to the eyes and ages a person markedly.

The final part of the operation is to then remove the excess skin once the underlying structures (fat, septum, muscle) have been restored. This allows for tension-free closure and incisions hidden in the eyelid fold (upper eyelid) and eyelash line (lower eyelid). Commonly the lower eyelid will also be supported with an internal suture (canthopexy) that counters gravity pulling down the eyelid during the healing process.

Younger patients undergo blepharoplasty where they have annoying bulging fat pads under their eyes despite how much sleep and rest they may have had. In these cases, where the skin is of good elasticity, the operation is performed from internally behind the lower eyelid eyelashes thus avoiding an external incision.

For more information regarding this procedure, please refer to our blepharoplasty functional or cosmetic? blog post.

 


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Time

The operation usually takes on average 1 hour for each set of eyelids or 2 hours for both upper and lower eyelids.

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Hospitalisation

Eyelid surgery is generally a day only procedure without need to stay overnight in hospital.

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Risks

Risks are general to any procedure and specific to blepharoplasty. I will go through these with you in detail based on your individual risk profile. This will also be included in your surgery pack that will be provided after your initial consultation.

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Recovery

This procedure usually causes some minor bruising and swelling which can be covered by makeup after the first week. This is resolved by 2-3 weeks.

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Cost

Initial consultation is $350. If a second face to face consultation is required, there is a cost of $150.

A referral is required for your appointment.

The total cost of the procedure (surgeon, anaesthetist, hospital fees) and any rebates you may be entitled will be calculated for you after your initial consultation. Post-operative consultations are not charged.

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