Eye Lids

Blepharoplasty (Eye Lid Surgery)

Blepharoplasty is commonly performed as a cosmetic procedure, although the eyelid surgery can also be used to aid reconstructive treatments or to restore vision to individuals who’s skin or facial features obstruct their line of sight. Any surgical modification of the eyelid can fall under this label, with many instances of eyelid surgery occurring alongside other cosmetic treatments, such as a face lift.

Eyelid surgery has been in existence for almost two hundred years, being originally developed as a means of restoring facial abnormalities emerging following the contraction of cancer.

Surgery of the eyes may involve both the upper and lower eyelids, or just one of the areas of the eyes, such as the upper only or the lower eyelids only.

Who is eligible for Blepharoplasty?

Whilst blepharoplasty surgery is most commonly performed in the aim of aesthetics, birth abnormalities and disease can cause minor to significant detriment to a person’s peripheral vision. In these unfortunate cases, almost any individual is considered a viable candidate for surgery. If the procedure is being undertaken purely for cosmetic reasons, however, it is recommended the patient be considered an adult in their country of residence.

What does eyelid surgery involve?

The term eyelid surgery encompasses any surgical modification of the eyelids and surrounding tissue. What the procedure actually entails will vary depending on the desired outcome of the patient. Some common goals of eyelid surgery include:

  • To reduce crows feet and wrinkles surrounding the eyes.
  • To change a patient’s eye from appearing single-lidded to appearing double-lidded, or vice versa.
  • To change the appearance of “bags” under the eyes and their “puffy” appearance.

The eyelid surgery process.

Following sedation, blepharoplasty requires the surgeon to make incisions to the eye area, which is typically performed upon existing creases to make them harder to see. In transconjunctival blepharoplasty this risk is further reduced by beginning incisions on the inside of the skin rather than the outside.

This process typically takes less than three hours to complete, although may be lengthened should a surgeon choose to incorporate the use of laser treatments or a chemical peel alongside eyelid surgery in order to minimise the appearance of scarring.

Self care following blepharoplasty.

In severe cases, those who have undergone upper eye skin removal and other forms of eyelid surgery can take up to a month to completely recover. Most patients heal within two weeks, and this process can be further streamlined by correctly following the unique, specific instructions that will be provided by the attending physician.

Some common recommendations throughout this recovery period include ointments, eye drops and the systematic application of ice to minimise the appearance of bruising and swelling. Stitches will typically be removed within two days of completing eyelid surgery, with medication being prescribed for about two weeks to assist in pain management.