Blepharoplasty (Eyelid Rejuvenation)
Blepharoplasty Sydney
As the eyes are central key features of the face, changes to the eyelids and the skin around the eyes can greatly influence your overall appearance.
Sagging upper eyelids often give the appearance of fatigue, even though you may not feel tired, and the combination with puffy eye bags beneath the eyes can compound this effect, making you look even more tired and older.
Dr Kwei offers upper blepharoplasty, lower blepharoplasty and Asian blepharoplasty (double eyelid surgery).
Upper Blepharoplasty
The signs of ageing can often first appear with changes to the eye, with the elastic septum around the eye stretching loose, forming ‘bags’ and tissue losing elasticity. Drooping eyelids can be contributed by numerous factors, general ageing, prolonged sun exposure, individual genetics, and some cases can become so severe that vision is affected.
Dermatochalasis is the medical term used to describe baggy skin excess on the upper eyelids, that causes visual obstruction to the upper visual field. Upper blepharoplasty can be done for this reason and MBS provide some health rebate for this indication.
You would need to have a discussion and be assessed by Dr Kwei to see if you are eligible for this.
The position of your eyebrow will also contribute to how your upper eyelid appears, and in many individuals, correction of the brow descent would significantly improve your upper eyelid appearance. This assessment is done at the same time as your upper eyelid consultation.
The surgery removes excess skin in the upper eyelid, removes or redistributes bulging fat pads and accentuates the upper eyelid crease. It can be done as a stand-alone procedure, or sometimes, in combination with a brow lift or a facelift.
Lower Blepharoplasty
Wrinkles and lines in the lower eyelid region, puffy eye bags and a deep tear trough area can be addressed with this surgery.
The surgery removes and smooths out the excess skin of the lower eyelid region, with resection or redistribution of bulging fat pads to camouflage the tear trough and, if necessary, further fat grafting to the area to blend the lid-cheek junction.
A combination of both upper and lower blepharoplasty is a combination we offer to patients that aim of creating a more aesthetically pleasing eyelid region.
Double Eyelid Surgery
The Asian eyelids have certain distinct features due to the anatomical variance which differs between individuals. Lacking or weak double eyelids, epicanthal folds, and heavy central and lateral hooding are not uncommonly seen.
Therefore, the goal is generally to have aesthetic proportions between the eyebrow to the crease and the crease to the eyelashes, a subtle, enhanced eyelid crease, and a smooth tapering off to the lateral eyelid. This will not only make the eyes look more distinct, but also look bigger and brighter, accentuating the beauty of the overall appearance.
There are 3 main methods of double eyelid surgery, (1) suture method, (2) partial incision method and (3) blepharoplasty (full incision method). Each has its advantages, and the best method to achieve the optimal result would depend on your age, the amount of excess skin and fat and the result you like to achieve. The procedure can be combined with lower eyelid rejuvenation (lower blepharoplasty) and other facial rejuvenation surgery.
The most suitable candidates for eyelid surgery are individuals who are psychologically healthy but dissatisfied with the appearance of drooping eyelids, bagginess under the eyes or the lack of lid crease definition.
Your consultation is an important part of your journey toward eyelid surgery, and Dr Kwei will establish during this time what your concerns are and your goals, and would then recommend the most suitable procedures to achieve this.
Dr Kwei will also review your complete medical history at the consultation. Some medical conditions that can increase the risk of complications with eyelid surgery such as hypothyroidism, Grave’s disease, dry eyes, high blood pressure, cardiovascular disease and diabetes will be established during this time.
At your consultation, risks for blepharoplasty surgery will also be discussed and time allowed for questions. You will have a minimum of 2 consultations with Dr Kwei before surgery, so all your queries can be properly addressed.
Your surgery will be done at a fully accredited Day Surgery or Hospital, depending on if you are having just the eyelid surgery or in combination with other procedures. The surgery is usually done under a general anaesthetic.
A specialist anaesthetic consultant will be involved in your care if your procedure is under general anaesthetic, to make sure you feel fully informed and comfortable throughout the procedure.
All the anaesthetists in Dr Kwei’s team are affiliated with the Australian and New Zealand College of Anaesthetists.
Certain eyelid procedures can be done in the practice under local anaesthesia, and this depends on the length of the procedure, what the deformity is and what we are trying to achieve. Dr Kwei will discuss this with you if appropriate at your consultation.
Blepharoplasty can take up to 1-3 hours, depending on the extent of the procedure and the specific surgical goals. If you are having both upper and lower blepharoplasty, as well as other facial rejuvenation procedures such as facelift, the whole surgery may take longer.
The procedure involves incisions made in the natural lines and creases of the eyelid, and through this exposure, excess skin and puffy fat pads are excised. The incisions are closed meticulously, enhancing the eyelid crease, with very fine sutures. Having the incision in the natural lines, hides the scars and minimises its appearance. Some approaches to the blepharoplasty, these incision lines are completely hidden behind the eyelid, Dr Kwei will discuss these details with you at the consultation.
What To Expect After Eyelid Surgery
After the surgery, you will be given an antiseptic ointment to lubricate and protect your eyes. Your eyelids might feel tight as the anaesthesia wears off and some minor discomfort. You will be given pain medication to manage this.
If you feel any severe pain, call your surgeon immediately.
You should keep your head elevated for 24-48 hours, and use a cold compress during this period to reduce swelling and bruising. A guide for cold press application is to have it on your forehead/over your eyes gently for 5-10 minutes every 30 minutes. Bruising will vary between individuals, but will last anywhere from 2-4 weeks. Have your favourite pair of sunglasses on standby.
Your eyes may feel dry during the first week after surgery. Eye drops can be used during the day and ointment applied before bed.
Healing is a gradual process over approximately 6 weeks. It is important to take things easy and rest at home as much as you can for the first 4-5 days. It is important to avoid activities that raise your blood pressure during this time, including bending, lifting and rigorous activities.
During the first few weeks, you can experience some tearing, minor light sensitivity and temporary blurry vision. Your progress will be watched closely by Dr Kwei in the first 2 weeks. Over the subsequent weeks, swelling and bruising will subside and you will start to look and feel much better.
The procedure alone is usually done as Day Surgery, and you will be allowed to go home after on oral pain medication. You should expect some bruising around the eye, which takes a few weeks to resolve. Dr Kwei suggests taking 7-10 days off work, and depending on the intensity of activities, to slowly ease back into your regular exercise routines over 3-4 weeks.
As discussed previously, the scars are hidden in the natural lines and creases, and so they usually heal very well. Some are completely hidden. In the first 6 months, your scars may remain slightly pink, but over time most eyelid surgery patients find their scars barely noticeable and their eyes appear rejuvenated.
Contact lenses are best avoided for the first 2 weeks after surgery as the eyes recover from surgery. So it is best to make sure you have your prescription spectacles if you require them to drive or work.
It is very important to be sure that your surgeon is qualified not only to perform the procedure but to deal with all aspects of the surgery and its results and the procedure is done in a fully accredited facility.
Dr Johnny Kwei is a Cosmetic Plastic Surgeon affiliated with the Australian Society of Plastic Surgeons, the International Society of Aesthetic Plastic Surgeons and the Royal Australasian College of Surgeons. He has undergone extensive education and training, both in Australia and abroad, to earn the designation.
Dr Kwei takes pride in providing the highest quality care to his patients and ensuring they are always fully informed and receiving the best treatment.
Know more about choosing a suitable, reputable plastic surgeon for you.
At Johnny Kwei Plastic Surgery, your well-being and satisfaction are our top priorities. Blepharoplasty, also known as eyelid reduction surgery, is a commonly performed procedure that can provide significant rejuvenation to the eyes and improve your overall facial appearance. Here are some specific risks and complications associated with blepharoplasty:
- Bruising and Swelling: Bruising and swelling around the eyes are common after blepharoplasty.
- Pain and Discomfort: Some discomfort and mild pain can be expected after the surgery.
- Over-Resection of Skin: In rare cases, the removal of excessive skin during blepharoplasty may result in the cornea being exposed to injury.
- Asymmetry of the Eyelids: While every effort is made to achieve symmetry, subtle differences in the appearance of the eyelids may occur.
- Noticeable Scarring: Incisions are carefully placed along the natural creases of the eyelids to minimize scarring. However, in rare cases, noticeable scarring may occur.
- Eye-related Symptoms: Following blepharoplasty, you may experience temporary symptoms such as itchiness, watering, or dryness of the eyes. These symptoms typically subside as the healing process progresses.
- Drooping of the Lower Eyelid: In rare instances, the lower eyelid may exhibit temporary drooping. Most cases resolve spontaneously during the healing process, but occasionally further surgery may be required to correct the issue.
- Temporary Changes in Vision: Temporary changes in vision can occur after blepharoplasty. These changes are usually minor and resolve as the healing progresses. In extremely rare cases, long-lasting or permanent changes in vision may occur.
- Risk of Blindness: Although extremely rare, there is a risk, albeit minimal, of eyelid reduction surgery leading to blindness. Factors such as smoking, pre-existing eye diseases, and activities that increase eye pressure (e.g., straining, lifting, and coughing) can contribute to this risk.
During your comprehensive consultation, Dr Kwei will assess your specific needs and discuss these potential risks and complications in detail. He will answer any questions you may have, address your concerns, and develop a personalized surgical plan to achieve your desired results. With his expertise and commitment to your well-being, Dr Kwei aims to provide you with outstanding outcomes and a smooth recovery journey.
After your eyelid reduction surgery, you can usually resume drinking fluids and eating a light meal within two or three hours. It is common to experience some pain and discomfort, especially around the incisions. Dr Kwei will prescribe pain medication as necessary to alleviate any discomfort you may have.
Bruising and swelling are normal following eyelid reduction surgery and may take a few weeks to fully subside. Sleeping with your head elevated by using extra pillows can help reduce swelling and promote a smoother recovery.
You may be required to clean your eyes regularly as they can become crusty and itchy during the healing process. Dr Kwei may recommend using lubricating drops to keep your eyes moist. It is not uncommon to experience sensitivity to light for a few days after the surgery, so wearing sunglasses can provide relief. It is important to refrain from wearing contact lenses for at least two weeks following the procedure.
The duration of your recovery will depend on the extent of your eyelid reduction surgery. It may be necessary to take a few days off work to allow your body to rest and heal. During this time, it is important to avoid heavy lifting, strenuous exercise, swimming, and engaging in strenuous sports activities until you receive clearance from Dr Kwei. Following their guidance will help minimize the risk of complications and promote a successful recovery.
Remember, individual recovery experiences may vary, so it is crucial to follow your surgeon’s specific post-operative instructions. By adhering to these guidelines and giving yourself adequate time to heal, you can expect to achieve optimal results from your eyelid reduction surgery.
Frequently Asked Questions
Blepharoplasty is a surgical procedure to improve the appearance of the eyelids. It involves removing excess skin, fat, and muscle from the upper and/or lower eyelids to create a more refreshed look.
Determining whether you are a good candidate for blepharoplasty is best done through a consultation with a qualified plastic surgeon. However, there are certain factors that are typically considered when assessing candidacy for blepharoplasty:
● Excess skin or sagging eyelids: If you have drooping or sagging eyelids that impair your vision or make you appear tired or older, blepharoplasty may be suitable.
● Puffy bags under the eyes: If you have under-eye bags or puffiness that doesn’t improve with non-surgical treatments, blepharoplasty may be an option.
● Good general health: Candidates for surgery should generally be in good overall health, without any underlying medical conditions that could interfere with the procedure or recovery.
● Realistic expectations: It is important to have realistic expectations about the outcomes of blepharoplasty. A consultation with a surgeon can help you understand what the procedure can and cannot achieve.
● Non-smoker: Smoking can increase the risk of complications during surgery and impede the healing process. Surgeons typically recommend quitting smoking prior to the procedure.
● No eye conditions: Certain eye conditions, such as dry eyes, glaucoma, or a detached retina, may affect your suitability for blepharoplasty. An eye examination may be necessary to assess any pre-existing conditions.
It is crucial to have a thorough discussion with a qualified surgeon who can evaluate your specific circumstances, examine your eyelids, and provide personalised recommendations based on your individual needs and goals. They will consider your medical history, current health, and desired outcomes to determine if blepharoplasty is a suitable option for you.
After blepharoplasty, you can expect to experience swelling and bruising around the eyes for about one to two weeks. You may have some discomfort or tightness, which can be managed with prescribed pain medication or over-the-counter pain relievers. Stitches or sutures, if used, are typically removed within a week. The incisions will gradually heal and fade over time, and it’s important to follow your surgeon’s instructions for wound care. You should avoid strenuous activities and heavy lifting for a few weeks, and eye drops or ointments may be prescribed for eye care. Most people can return to work and normal activities within one to two weeks, with complete healing taking a few months. It’s crucial to follow your surgeon’s post-operative instructions and attend follow-up appointments for optimal recovery.