How eyelid surgery (Blepharoplasty) can influence facial appearance

Blepharoplasty, commonly known as eyelid surgery, is a surgical procedure that removes excess skin and fat around the eyes. It may be performed for medical reasons (if your eyelids are obscuring your vision) or cosmetic reasons.

Understanding Blepharoplasty

Blepharoplasty is a surgical intervention designed to tighten the skin on your eyelids.

Your eyelids are a thin layer of skin, which you can open and close to lubricate, rest and protect your eyes. 

As you get older, your skin changes – and the skin on your eyelids does too. Your eyelids may lose some of their elasticity and begin to seem looser. Some people find that this excess skin falls low enough to interfere with their vision.

Blepharoplasty may be done above or below your eyes. Upper blepharoplasty focuses on removing excess skin or fat from the upper eyelid while lower blepharoplasty removes or repositions the fat under your lower lids. 

Double eyelid blepharoplasty (also known as Asian blepharoplasty)refers to creating or deepening a fold in the upper eyelid for those who don’t have one. Many people of Asian descent don’t have a crease in their eyelids. Those who would like to have one may choose to undergo a double blepharoplasty.

The Blepharoplasty Procedure

Blepharoplasty is performed under local or general anaesthesia. During the procedure, precise incisions are made along the natural folds of the eyelids to minimise visible scarring. Excess skin, fat, and muscle are carefully removed or repositioned, and the incisions are closed with fine sutures.

Every blepharoplasty is tailored to the individual, taking into account skin type, anatomy and desired outcomes.

Blepharoplasty Recovery

Any surgical or invasive procedure involves risks such as bleeding, scarring or infection. There can also be more specific risks associated with a particular procedure. 

Risks of blepharoplasty include: 

• Asymmetrical eyelids

• Noticeable scarring

• Itchy, watery or dry eyes

• Vision changes (usually temporary)

• Removing too much skin, which may cause injury to the cornea (eye). 

After blepharoplasty, you may experience some swelling and bruising, particularly in the first week. We advise you to avoid strenuous activities and to follow all post-operative instructions, including using prescribed ointments and protecting the area from sun exposure. 

You can minimise risks by keeping healthy, well-informed, and prepared for your surgery – and by choosing a highly skilled plastic surgeon.

Eligibility for Blepharoplasty

You may be eligible for blepharoplasty if you: 

• Have excess skin or fat affecting the appearance or function of your eyelids

• Are in good general health

• Have realistic expectations about the outcomes of the procedure.

How Can Dr James Allan Help?

Your eyes are one of the most important parts of your body. If you’re concerned about the appearance or function of your eyelids, then please see your doctor or optometrist. They may refer you to a plastic surgeon like Dr James Allan for a blepharoplasty.

As a specialist plastic surgeon, Dr Allan has completed lengthy and rigorous training to perform cosmetic and reconstruction procedures.

Your initial consultation provides an opportunity to discuss your concerns and learn more about whether blepharoplasty would be right for you.

If you would like to learn more, please contact us today.

Disclaimer

Dr James Allan (MED0001204818), Registered medical practitioner, specialist registration in plastic surgery. Any surgical or invasive procedure carries risks. Results may vary. A second opinion may help you decide if a particular treatment is right for you.

References

• Lions Eye Institute, Ptosis, https://www.lei.org.au/services/eye-health-information/ptosis/, [Accessed 22 January 2025]
  

• Healthdirect, Blepharoplasty, https://www.healthdirect.gov.au/surgery/blepharoplasty,  [Accessed 22 January 2025]
  

• Cleveland Clinic, Eyelids, https://my.clevelandclinic.org/health/body/eyelids, [Accessed 22 January 2025]
  

1. Australian Society of Plastic Surgeons, Eyelid reduction surgery, https://plasticsurgery.org.au/procedures/surgical-procedures/eyelid-reduction-surgery/, [Accessed 22 January 2025]