Eylid Lifts Surgery

Eyelid surgery can be performed on both the upper and lower eyelids. The reasons for cosmetic eyelid surgery are to address the redundant and saggy upper and lower eyelids, to produce a defined eyelid crease, tighten the tissues and sometimes to correct structural abnormalities caused by ageing and sun damage.

Click on pictures for Before & After Images

These images are not intended to indicate or reflect likely results or outcomes for any other patient other than those displayed here. Every patient will have before and after results consistent with their individual and unique anatomy and physique.Therefore patients should not make decisions to have Cosmetic Surgery based solely on before and after images.

Blepharoplasty addresses the skin, muscle, fat and cartilage of the eyelids and the extent of the technique may vary with each patient and the ethnicity of patients.

Your Most Important Facial Feature

Your Eyes are the central feature of your face and is what most people notice first when they meet you. So it is not surprising to find that friends and relatives may comment that you look “tired” or “aged” based on the appearance of your eyes.

Various factors impact this most important facial feature, typically genetics, environmental factors and underlying medical illnesses or conditions. With time the skin develops creases, the eyelid muscle weakens, and folds of skin and “bags” develop.

By removing excess skin and bags, eyelid surgery (Blepharoplasty) can improve many of these problems. It cannot, however, totally eradicate all eyelid creases. Doing so would create excess tension on the eyelids and result in an overcorrection and an abnormal appearance of the eyes.

Previously Blepharoplasty of the upper eyelid may have involved removal of excess fatty tissue, however, conservative management of the upper eyelid fat pads is now preferable as excessive removal of these fat pads may produce a hollowed appearance which is ageing and makes the patient appear tired, an appearance objectionable to men and women.

Blepharoplasty of the lower eyelids and better understanding of the anatomic relationship between the cheek, the rim of the orbit and the eyelid bags, has led cosmetic facial surgeons to understand that a youthful appearance does not come from purely removing the bags, but rather from a more complex attempt to reduce volume as well as redrape the tissues over the bony edge. The aim is to restore a smoother contour between the lower eyelids than the cheek, reducing as much as possible the appearance of the circles under the eyes. This also allows us to avoid a hollow appearance of the lower eyelids.

Blepharoplasty Consultation

Dr. Bobby A. Kumar will ask about your general medical history and any previous eyelid surgery. A history of thyroid or kidney disease can produce swelling of the eyelids; also a history of eyelid conditions and dryness of the eyes will be reviewed. During the consultation differences in facial symmetry you may never have noticed will be identified, your surgical procedure will be described and the results you can expect from your surgery and the positioning of the scars are demonstrated.

During the consultation it is very important to highlight the elements that you find most unflattering objectionable about the appearance of your eyelids and to try to define what you would like to see as an end result.

Brief Description of the Blepharoplasty Procedure

The Upper eyelid surgery involves an Incision in the natural crease line approximately one centimetre above the eyelashes and extending into the “crow’s feet” area of the eyelid. Excess skin is removed and some fat from the fat pads may be excised and removed. The incisions are sutured with a single suture, which will need to be removed at 5-7 days.

Upper Blepharoplasty Procedure

For the lower eyelids, removal of fat pads is via an internal eyelid approach called the Transconjunctival Blepharoplasty. Excess skin is removed by an incision that is made just below the eyelash line and extending out to the “crow’s feet”.

Lower Blepharoplasty Procedure

The excess skin is trimmed and the skin is redraped and sutured with a single suture with minimal tension. The resultant rejuvenation of the lower eyelid and a mild lifting of the upper cheek will dramatically improve your tired aged appearance. Occasionally adjunctive therapies may be required to improve the quality of the skin such as a chemical peel or laser resurfacing.

Blepharoplasty is performed under anaesthesia with an anaesthetist in an accredited day surgery unit.

Scarring will occur with any surgical procedure, however, every endeavour is made to minimise scarring and generally blepharoplasty scars heal exceedingly well and they are hidden.

Complications of eyelid surgery are tearing of the eyes, redness and scratchy sensation to the cornea. These symptoms can be improved with appropriate eye drops and symptom relief medications. The most feared complication is bleeding and worsening pain which should be brought to the attention of the Cosmetic Surgeon for immediate treatment.

Patients should expect normal function of the eyelids with enough eyelid skin to close the lids normally. If there is any underlying visual impairment, loss or deficit prior to surgery this should be discussed with the surgeon prior to any surgery and potentially an opinion from an ophthalmologist will be required.

Some patients expecting to have a blepharoplasty will instead require a Brow lift as well as a blepharoplasty.

Often the Upper eyelids can appear to be “heavy” or “sagging”, at the time of consultation this instead is demonstrated to be a heavy brow causing descent of the upper eyelids and prominent furrows of the forehead. Typically many of these patients will have had anti-wrinkle injections to help with the “sad eyelids” and the forehead creases.

Brow lift surgery is performed by endoscopic techniques, direct surgical excision of the brow tissue or threads. The choice of surgical approach is determined at the time of consultation.