FREQUENTLY ASKED QUESTIONS ABOUT
EYELID REDUCTION
Why have an eyelid reduction?
The goals of blepharoplastysurgery are unique to every patient, and can include:
- To create a more refreshed facial appearance
- Removal of excess skin or fat
- Improvementin vision
- Revision of existing scars
Like any surgery, the decision to undergo blepharoplasty surgery should be made firstly for yourself – and not to meet the aesthetic expectations of anyone else. While it is a very safe procedure, it nonetheless carries risks and is not right for everyone. Having an eyelid reduction will improve your appearance, and you may experience a confidence-boost as part of this, but it alone should not be used as a tool to address self esteem.
What does an eyelid reduction involve?
An eyelid surgery procedure includes the following steps:
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
The incision lines for blepharoplasty surgery are designed to conceal the resultant scars within the natural structures of the eyelid. The upper eyelid can be corrected through an incision within the crease on the eyelid, allowing for removal or repositioning of fat deposits, tightening of muscles and removal of excess skin.
The surgical technique most suitable to achieve your desired results will be discussed with Dr Sharp during your pre operative consultations.
Step 3 – Closing the incisions
Eyelid incisions typically are closed with:
- Removable sutures
- Skin adhesives
- Surgical tape
Step 4 – See the results
The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.
After surgery, Dr Sharp may suggest the use of Fraxel Dual resurfacing laser to remove sun damage and stimulate collagen and elastin production, firming and tightening the skin around the eyes and removing age spots and sun damage. If you have poor skin condition or excessive sun damage, he may also refer you to our dermal clinician, to discuss a skincare regime that canreduce scarring and support your surgical results with optimal concentrations of active ingredients.Cosmetic wrinkle injections can also be used periodically to gently relax muscles that cause crows feet, lines and wrinkles – while naturally lifting the brow to create a beautiful, subtle arch that opens the appearance of the eye.
above: before and three months after blepharoplasty surgery with Dr Sharp
Blepharoplasty scars
The scar is strategically placed by Dr Sharp to blend into the natural folds of your eyes.
How do I choose my blepharoplasty surgeon?
Blepharoplasty surgery is very safe and performed frequently by plastic surgeons in Brisbane. However, it is nonetheless a surgical procedure – and should, therefore, be performed by a qualified surgeon.
Choosing the right person to operate on your face is of upmost importance. Eyelid reduction surgery should be performed by a qualified plastic surgeon who is registered as a Fellow of the Royal Australasian College of Surgeons. You can confirm your surgeon’s credentials here
Dr David Sharp is a qualified plastic surgeon with a special interest in reconstructive and cosmetic plastic surgery, including facial surgery. His personalised approach means that you receive plenty of pre operative time with him to discuss your specific body goals and any questions – and post operative support that goes above and beyond to ensure you are assisted through the recovery phase of your surgery.
It’s normal to feel both nervous – and an excited sense of anticipation – when planning your blepharoplasty surgery. Making a decision based upon how quickly you can get it done – or getting the cheapest ‘deal’ on your surgery – is not the best criteria to use when choosing your surgeon. Investigate your surgeon’s credentials, consult at least two surgeons and make a decision based on the doctor that you feel most comfortable moving forward with.
Your surgeon should take the time to ensure your concerns are understood and addressed, that you have all the information you need to make an educated decision – and create a customised solution to suit your face and expectations.
Does Dr Sharp perform 'Asian' blepharoplasty surgery?
Patients of Asian heritage often refer to ‘Asian eyelid’ surgery as describing the surgical adjustment of the hooded eyelid that is a common physical trait. The surgical approach for this specific type of procedure can differ from how eyelid surgery is performed for other races, and hence some surgeons specialise in this type of surgery as they perform it often and have been extensively trained in its variances. Dr Sharp does not have expertise in ‘Asian eyelid’ surgery and therefore usually on-refers patient who request this procedure to more experienced plastic surgery colleagues.
What kind of anaesthetic will I have for a blepharoplasty?
Eyelid reduction surgery can be performed under local anaesthetic or sedation, however, for patient comfort, Dr Sharp usually recommends general anaesthesia.
How long will I have to stay in the hospital after blepharoplasty surgery?
Blepharoplasty is usually performed as a day procedure, meaning you can go home on the day of surgery – if you have the required support during the first 24 hours postoperatively. Dr Sharp will discuss the considerations and preparations that need to be made to ensure you are suitable for day surgery. Our care includes access to our 24/7 practice nurse to support you after day surgery, so you can call her anytime you have questions or concerns after your procedure.
Eyelid reduction recovery
During your eyelid surgery recovery, our scar optimising gel and cold compresses may be applied.
You will be given specific instructions that may include how to care for your eyes, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your overall health, and the dates of your post-operative appointments.Initial healing may include some swelling, bruising, irritation or dry eyes. Most discomfort can becontrolled with medication, cold compresses, and the postoperative scar reduction product you are provided with after surgery; you may also experience irritation at the incision sites.
Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
- When will I be able to go home after my surgery?
- What can I do when I go home – what activities should I avoid?
- What medication will I be prescribed after surgery?
- Will I have dressings after surgery?
- Are stitches removed, and if so, when?
- When can I resume normal activity and exercise?
- When do I return for my post operative appointments?
Eyelid surgery recovery & sun protection
Diligent sun protection and use of sunglasses is important during – and after – the healing period.
How much time should I take off work?
You will be very swollen for the first week after surgery and may find your vision is impeded. You may also have a very bruised appearance in the eye and upper face area. Most patients find they can comfortably return to work within 2 weeks of surgery, however, your job requirements, physical activity and exposure to potential irritants or injury should be taken into consideration, and should be discussed with Dr Sharp. Keep in mind that you will appear swollen for several weeks after surgery, and may find signs of swelling continue to abate over several months following surgery.
How much do eyelid reductions cost?
Potential costs include:
- DrSharp’s surgeon’s
- Anaesthetist’s fee
- Assistant’s fee
- Theatre costs
Blepharoplasty for cosmetic reasons is not covered by most private health insurers. However, in some cases, your surgery might be classified as medically required, and therefore be eligible for coverage under a Medicare item number. If so, you might be eligible to claim a rebate from Medicare, as well as your private health fund.
After your consultation with Dr Sharp, if there’s a possibility that your surgery meets Medicare’s criteria, you will be provided with an item number. We recommend you contact your health insurance provider and ask them if you are covered for plastic surgery, particularly siting the item number provided.
It is important to understand that, in the case of complications or revision surgery, the cost of your blepharoplasty will extend to future surgical procedures and hospitalisations. We encourage patients to think about how they would fund further treatment beyond the immediate costs expected.
How long do blepharoplasty results last?
Your result will turn back the clock – but they will not halt the ageing process, and therefore you may find that in 5 to 10 years you notice loose skin forming on your upper eyelids again, requiring further blepharoplasty surgery.
Maintaining a consistent weight, healthy lifestyle and effectiveskincareregime will assist you in getting the most longevity out of your results.
How Do I maintain my blepharoplasty results?
As with all surgery, optimal healing is dependent upon healthy nutrition, an active lifestyle and good attitude towards your body.
Dr Sharp and his team can also medically support your results after blepharoplasty surgery through the non surgical treatments available at his Greenslopes Private Hospital and Ipswich clinics, including:
- Fraxel Dual resurfacing laser to remove sun damage and stimulate collagen and elastin production, firming and tightening the skin around the eyes and removing age spots and sun damage
- Dr David Sharp skincare: specially formulated to reduce scarring and support your surgical results with optimal concentrations of active ingredients.
- Cosmetic wrinkle injections to gently relax muscles that cause crows feet, lines and wrinkles – while naturally lifting the brow to create a beautiful, subtle arch that opens the appearance of the eye.
Contact our experienced clinicians on 07 3202 4744 to find out more.
Can I combined eyelid reduction + facelift?
Facelift surgery is often performed in conjunction with blepharoplasty surgery. When surgically appropriate, these two procedures combined can create a significantly improved appearance to the face, where excess, thinning skin, jowls and loose upper eyelids create a tired, stressed or hollowed appearance. Subtle changes to the eyes, mid face and lower face can harmonise your appearance and create a naturally rejuvenated aesthetic.
What are the risks and complications of eyelid surgery?
Risks and complications of eyelid surgery
Like any surgery, it is important to weigh the benefits against the inherent risks. While blepharoplasty surgery is very common, it also carries the potential of complications. Your pre-operative consultations with Dr Sharp will enable him to discuss potential complications with you, and help you determine whether the surgery is right for you. Possible complications of blepharoplasty surgery include:
- Excessive swelling and bruising
- Dryness to the eyes
- Post operative infection
- Discoloured or keloid scars
- Infection
- Slow or poor wound healing
- Skin or fat necrosis
- Numbness or sensory changes
- Difficulty closing your eyes
- Rolling out (or ‘ectropian’) of the eyelid
- Wound separation (dehiscence)
- Asymmetry (lopsided) appearance
- Persistent pain
- General anaesthesia risks
- Swelling or accumulated fluid
- Skin looseness (especially if significant weight loss occurs)
Complications are rare, and Dr Sharp and his team manage each of these risks with the upmost care to further reduce the likelihood of them occurring. In the event they do occur, most can be treated quickly and easily with prompt intervention.
Everyone’s body responds differently to surgery. In some cases, post operative revision surgery might be required.
Some factors, such as weight, lifestyle or health problems can increase the chance of a complication occurring. Dr Sharp will take time to learn about your potential risk factors during your pre operative consultations, and will determine if they are relevant to your surgery.
If you have any concerns regarding your blepharoplasty and the associated risks, feel free to book additional pre operative consultations with Dr Sharp.
FAQs
How much does eyelid surgery cost? ›
How much does eyelid surgery cost? The average cost of cosmetic eyelid surgery is $4,120, according to the most recent statistics from the American Society of Plastic Surgeons.
Is there really anything to help droopy eyelids besides surgery? ›Thermage treatments are rapidly becoming a popular alternative to traditional blepharoplasty. This treatment method utilizes radiofrequency energy to tighten the skin of the eyelids. No surgery is involved, and recovery is quite rapid.
Who is the best eyelid surgery? ›Blepharoplasty – Knowing Who to Call
Taking any risks with your eyes is never advised, so seeing an ophthalmologist who has the additional training as an oculoplastic surgeon is your best move. These specialists are trained to perform reconstructive surgery on the following conditions: Aging eyelids or ptosis.
An oculoplastic surgeon (also known as ophthalmic plastic surgeon) is a doctor who has dedicated their practice solely to care for the structures around the eyes, including the eyelids. Because of their specialized attention to the detailed anatomy around the eyes, oculoplastic surgeons can provide meticulous care.
What is the best age to have eyelid surgery? ›You can have a blepharoplasty at any time. But if you're seeking one due to aging, you'll usually get the best results after age 40. People who are advanced in age should generally avoid the procedure because of the risks of surgical complications.
How painful is eyelid lift surgery? ›Generally, an upper lid blepharoplasty is a non painful procedure that patients can usually have performed, and enjoy a minimal amount of post-operative pain medicine, because the procedure is very mild. It's almost like a skin excision, and the eyelid itself is not particularly painful.
What is the best thing for saggy eyelids? ›The best and most satisfying treatment for this problem is an upper eye lift, or upper blepharoplasty, which reduces the amount of skin on the upper eyelid."
How can I tighten my eyelids naturally? ›Cucumbers are also an excellent remedy for drooping eyelids. Simply place chilled cucumber slices over your eyes and leave them on for 15 to 20 minutes. Throw the slices away (or add them to a compost pile) when you're done. Ice water can be surprisingly effective for some mild cases (depending on the root cause).
How much does it cost to lift droopy eyelids? ›The typical blepharoplasty costs around $2,000 to $5,000, depending on how many eyelids you treat. If your eyelid surgery qualifies as a functional procedure, private insurance or Medicare may cover a portion or all of the costs.
Is eyelid surgery worth the money? ›The surgery is worth it for people who want to look younger and better rested in and around the eyes. The results are subtle but dramatic, and recovery is minor with little pain reported.
Are most people happy with eyelid surgery? ›
The vast majority of people who have had a blepharoplasty are fully satisfied with their results. Eyelid surgery can make you look years younger after a single procedure, boosting your self-esteem.
What is the difference between blepharoplasty and eyelid surgery? ›Eyelid Surgery (Blepharoplasty)
Eyelid surgery, or blepharoplasty, removes the excess fat, skin and muscle from the upper and lower eyelids to give you a more youthful, energetic appearance. If drooping eyelids interfere with your vision, your insurance may cover the procedure.
People who are not ideal candidates for eyelid surgery are those who suffer from chronic dry-eye, hypertension, circulation disorders, thyroid disorders, diabetes or heart disease. Individuals who have glaucoma are advised to speak with their doctor before considering the surgery to find out if it is safe for them.
How many years does a blepharoplasty last? ›If you opt for lower eyelid surgery (lower blepharoplasty), you can expect your results to last for a lifetime. If you opt for upper eyelid correction, you can expect your results to last for roughly five to seven years.
How many years does a blepharoplasty take off? ›The results will typically last from anywhere between 5-7 years. Lower lid blepharoplasty rarely needs to be repeated. If you notice your eyelids begin to sag again over time, you may benefit from a brow lift rather than another eyelid surgery.
Is 70 too old for eyelid surgery? ›There is no upper age window for blepharoplasty. Patients in good health can get eyelid surgery even in their 60s, 70s, or 80s.
Do you look younger after eyelid surgery? ›An eyelid lift can produce significant results by tightening the skin around the eyes, removing wrinkles or puffiness, and providing a younger appearance.
How long does eyelid surgery take to perform? ›How Much Time Does an Eyelid Lift Take? Blepharoplasty surgery takes between one and two hours. If you're opting for surgery on just the upper lid or just the lower lid, the procedure takes around an hour. If you're treating both the upper and lower lids, the surgery will last about two hours.
What do you look like right after eyelid surgery? ›Your eyelids will probably look puffy after surgery. The incisions will probably look red, too. The swelling and bruising involved with blepharoplasty recovery tend to resemble a black eye. That is all normal.
Are you awake during eyelid surgery? ›To keep you comfortable during your procedure, you will be given local or general anesthesia. Local anesthesia numbs the eyelid and surrounding area, while keeping you sedated but awake during surgery.
How long do you have to sleep on your back after eyelid surgery? ›
Sleep in a correct position
After blepharoplasty, we recommend that you sleep on your back with your head elevated for at least 3-4 weeks. This helps reduce eyelid swelling and speeds up recovery.
Vaseline is a safe moisture barrier that can help with many minor dry skin conditions, including the eyelids. People using Vaseline on their eyelids must be careful not to let any enter the eye. A person should avoid using it if they have a history of allergic reactions to petroleum jelly or Vaseline.
Does Medicare pay for hooded eyelids? ›Medicare will only cover your surgery if you have: Physical signs of upper eyelid skin excess. Proof of a minimum of 12 degrees (or 30 percent) of visual field obstruction as demonstrated on a visual field test (performed by an ophthalmologist)
How to qualify for eyelid surgery Medicare? ›When does Medicare cover blepharoplasty? Typically, for eyelid surgery to be considered medically necessary, it must be for reconstructive purposes, such as: You have drooping eyelids (ptosis) that causes visual impairment. A trauma or another eye surgery caused defects to your eyelid.
Do droopy eyelids come back after surgery? ›Luckily for surgeons and patients, lid drooping after cataract surgery is often short-lived. “Most transient ptosis resolves by 6 months, but there has been one reported case of spontaneous resolution 11 months post-operatively,” she said.
Do eyes look smaller after eyelid surgery? ›Please don't panic yet; eyes are often smaller after surgery due to temporary swelling. Hopefully as the swelling abates, your eyes will look beautiful!
What is better a brow lift or an eye lift? ›If you raise up your eyebrows and that doesn't improve your vision or how your eyes look, then you'll likely benefit from a blepharoplasty more than you would from a brow lift. On the other hand, if raising your eyebrows improves your vision and appearance, then eyelid surgery might not be the best option for you.
What is the complication rate of blepharoplasty? ›CONCLUSIONS: The results from this study provide insight into the national complication rate for blepharoplasty to be up to 4%, with hematoma and return to the OR as the most common.
Why can't you bend over after eyelid surgery? ›Answer: Upper Blepharoplasty Pot-Operatively
Bending over or straining can promote increased bruising and swelling.
Because of the delicacy of eyelid skin, it tends to heal faster and better than other areas of your body. Once your incisions fully heal, your scars from upper blepharoplasty surgery will likely only be visible to people who know what to look for, and even then, only when you have your eyes closed.
Does eyelid surgery look natural? ›
While results do vary, you should expect to see brighter, tighter, and more open eyes after cosmetic upper eyelid blepharoplasty. The results can be subtle but impactful. You should look natural, yet more alert and rested, more youthful, and more vibrant.
Do eyes look bigger after blepharoplasty? ›Can Eyelid Surgery Make Your Eyes Look Bigger? Yes. Double eyelid surgery (upper and lower blepharoplasty) can make your eyes look bigger by excising excess skin around the eyes and lifting sagging skin.
Should I see an ophthalmologist or plastic surgeon for blepharoplasty? ›A blepharoplasty is performed by facial surgeons, plastic surgeons, ophthalmologists and sometimes by dermatologists. Surgeons at Clinique O, Montreal, are ophthalmologists (eye surgeons) who have completed additional subspecialty training in plastic surgery of the eyelids, Oculoplastics.
Does vision change after blepharoplasty? ›Immediately after blepharoplasty, patients may notice changes to their vision during recovery. As the tissues of the eyes begin to heal, it's not uncommon for one's vision to become blurry or disoriented. Double vision may also occur from time to time during the healing process.
What is the success rate of upper eyelid surgery? ›Success was noted in 35% after the second surgery and 44% after the third.
What can go wrong with blepharoplasty? ›- Infection and bleeding.
- Dry, irritated eyes.
- Difficulty closing the eyes or other eyelid problems.
- Noticeable scarring.
- Injury to eye muscles.
- Skin discoloration.
- Temporarily blurred vision or, rarely, loss of eyesight.
- The need for follow-up surgery.
- Pro: You Will Achieve a More Youthful Look. One of the main reasons why people get eyelid surgery is to achieve a more youthful look. ...
- Pro: The Road to Recovery Is Easy. ...
- Con: Seeing the Final Results Takes Time. ...
- Con: You May Require Additional Surgery.
Do not drive until you have stopped taking pain medication and no longer have blurry vision. Make sure that you can safely and comfortably drive a car. This is usually about 5 to 10 days after surgery. It's important to get quiet, peaceful rest during the first 3 to 4 days after your surgery.
Will blepharoplasty change my face? ›Cosmetic eyelid surgery and your appearance
Getting a blepharoplasty definitely changes the appearance of your face.
All blepharoplasty procedures involve incisions into the skin around the eyes. This means that a scar will be left where the incision has been made.
How long does an eyelid lift last? ›
If you opt for lower eyelid surgery (lower blepharoplasty), you can expect your results to last for a lifetime. If you opt for upper eyelid correction, you can expect your results to last for roughly five to seven years.
Is eyelid lift covered by insurance? ›In general, insurance companies will cover blepharoplasty or ptosis repair if the eyelids cause a “visually significant” obstruction of the upper visual field that “affects activities of daily living”.
How long should a eyelid surgery last? ›The results of blepharoplasty (eyelid surgery) are generally long lasting. It's not uncommon for the longevity of results to vary slightly between patients, but you can expect the results of upper eyelid surgery to last about 5 to 7 years, and lower eyelid surgery results are essentially permanent.
Is 75 too old for eyelid surgery? ›There is no upper age window for blepharoplasty. Patients in good health can get eyelid surgery even in their 60s, 70s, or 80s.
Do you lose eyelashes after eyelid surgery? ›Although a rare occurrence, one of the possible side effects of this popular procedure is reduced eyelash growth. Currently, there is no way to predict whether an individual will experience eyelash growth issues as a result of eyelid surgery.
Do eyelashes grow back after eyelid surgery? ›Answer: Eyelash regrowth following eyelid surgery
Patients are often concerned about their cut lashes or burned lashes following eyelid surgery. The good news is that the lashes grow back normal within 2 months and usually even sooner.
How Much Time Does an Eyelid Lift Take? Blepharoplasty surgery takes between one and two hours. If you're opting for surgery on just the upper lid or just the lower lid, the procedure takes around an hour. If you're treating both the upper and lower lids, the surgery will last about two hours.
What is the criteria for eyelid surgery? ›What Deems a Blepharoplasty Surgery Medically Necessary? Typically, an upper-eyelid blepharoplasty can be considered medically necessary when the upper-eyelid skin is drooping down to the extent that it is blocking vision, usually within the superior visual fields.
Do Eyebags come back after blepharoplasty? ›The results of your blepharoplasty become more visible as side effects, like swelling and bruising, subside. Most patients love their outcomes and do not seek repeat treatments. While future aging may cause your eye bags to return, this ultimately depends on your age, skin condition, and lifestyle choices.