Upper blepharoplasty / Eyelid Lift Surgery

What is an Upper Blepharoplasty?

Upper blepharoplasty is an operation of the upper eyelid, also known as an eyelift. The aim is to rejuvenate, giving the eyes an open or uplifted look. It involves removing part of the excess skin and sometimes fat. The hooding on the outside of the eyes can also be removed at the same time. A Medicare item number may be applicable if the upper eyelid skin is touching the eyelashes causing obstruction of vision.

The operation results in a greater “eyeshadow surface area.” At the Swan Clinic, we aim for natural results, which give a refreshing look, without the tell-tale signs of surgery. In addition, our technique gives long term natural results

 

How ensure a natural result?

In the 1980’s, the approach was a very reductive one. Lots of skin was excised with over resection of the fat pads around the eyelid. This over-skeletonisation of tissues paradoxically led to an aged hollow look. We now restore the tissues to their rightful place rather than over resecting them. Our improved knowledge of anatomy and long-term study of patients had led to improved outcomes for our patients through modern surgical techniques.

Sometimes this operation is combined with a browpexy, lower eyelid surgery, a browlift or fat grafting to the cheeks. Occasionally, anti-wrinkle injections can complement the result.

How to get the best outcomes?

The key to a successful outcome is to exclude eyebrow ptosis (which is recognised by overactive frontalis muscle keeping the eyebrows up), eyelid ptosis (which needs a separate operation to repair overstretched levator muscle), and any eyelid asymmetry (which can be corrected for in surgery).

 

What is a browpexy?

A browpexy is used to help suspend the brow internally through an upper eyelid skin cut. This can be combined with an upper eyelid lift. Recovery takes longer as the sutures are anchored to the bone. It takes longer than a standard upper blepharoplasty as additional sutures are used to define the upper eyelid crease.

How do I know if I need upper eyelid surgery or a brow lift? Do I need a brow pexy?

Everyone is different. The shape of our eye, our eyelid type, the shape of the eye socket and where the brow sits. What about the eyebrows?

We often notice hooded eyelids when our makeup sticks.

To find out if you have excess eyelid skin or upper blepharoplasty, pinch the skin and close one eye. This tells you how much skin you need to remove.

You can then check if you have hooding. This is excess skin on the outside of the eye. This too can be removed at the same time.

To find out if you might need a brow lift, look at where you eyebrows sit. Then lift them up. If lifting the eyebrows puts them in a good position, then you might need a brow lift.

A brow lift is done through a cut in the hairline (which is an endoscpic brow lift)  or a direct brow lift which involves hiding the scar in the eyebrow line. But this may need feathering on top or covering with a brow pencil.

The operation in between is a browpexy. This is when we put deep sutures to suspend the brow up though an upper eyelid cut.

Finally, you can find out if you have fat around the eye that needs to be removed. You can do this by pushing on the eye and looking for bulging. In the 80’s, we took a very reductive approach and we removed a lot of fat. Now a days, we try not to remove fat as it can result in a hollow or aged look with time. If you need fat removed, this must be done under general anaesthetic at hospital.

At the Swan Clinic, we tailor the operation to you.

Where can Upper Blepharoplasty procedure be performed?

This procedure may be done in the rooms or in theatre as day surgery depending on the extent of the treatment required. In selected cases, excess skin and a strip of muscle can be excised. With appropriate repair, haemostasis and skin closure. This scar is usually very faint and heals well. The procedure takes about 2 hours and can be done in the rooms. Patients may be eligible for a medicare rebate if the upper eyelid skin touches the eyelashes as this can interfere with front forward vision and reading.
When there are bulging fat pockets, this procedure is done in theatre under a general anaesthetic. In these cases, the eye lid structures are protected and these bulging fat pads are redraped with minimal removal. This allows sculpting of the tissues around the eyes while adding definition.

How can I prepare for surgery?
You will need to see Dr Hadi twice. The first consult takes you through the operation as well as expected results. The second consult is at no extra cost to you and runs through things again. All risks and benefits will be discussed with you and treatment will be tailored to your needs and your body shape.

When you decide to proceed, there are a few things you can do to prepare.

  1. Eat healthily by avoid excessively fatty foods and foods high in sugar.
  2.  Stop smoking as this significantly increases complications rates. You cannot smoke for 6 weeks prior and 6 weeks after surgery.
  3. Stop all blood thinners unless previously discussed with Dr Hadi. Please stop any over the counter medications that might thin the blood. A comprehensive list will be provided during your consultation.
  4. Shower the night before or the morning of surgery with a medicated soap. These reduce the bacteria living on the skin and there is evidence it reduces chance of infection.
  5. Fast (do not eat anything) at least 6 hours prior to surgery.
Information about the Sutures
The sutures are kept in place with tape. The tape and sutures need to be removed one week after surgery.
How Soon Can I Drive After Upper Eyelid Surgery
You can drive as soon as your vision is uninterrupted. This generally takes a week.
Plastic surgery before and after photos
Due to the respect and privacy of our patients, we do not publish before and after photos on our website. However, many of our patients have graciously allowed their photos to be viewed by new patients considering the procedure. These photos are available to be viewed during the detailed consultation with Dr Hadi.
When can I shower after Upper Blepharoplasty Procedure?
You can shower from the next dry. The dressings can get wet, please blow dry them if needed after showering.
When can I drive?
You can drive as soon as your vision is uninterrupted. This generally takes a week.
When can I exercise?
Gentle walking is encouraged from the next day. Two weeks for gentle exercise, four weeks before returning to heavy exercise.
When can I go back to work?
Depending on the work you do and how physically demanding it is, you will need 1-2 weeks off before return to work.
Best Plastic Surgical Outcomes
Your part in the operation is essential. You can help achieve the best possible outcome by:

  • Immediately after the procedure, apply the gauze squares we give you dipped into iced water. Change these regularly. You can apply these that night and continue the next day. Cool compresses are beneficial for up to 24 hours.
  • Keep the head elevated after the procedure by sitting up on pillows
  • Sleep on two pillows at night
  • Avoid heavy exercise and lifting for at least 2 weeks.
  • Avoid pain killers which contain antiplatelet. Please check with us prior to taking medication not prescribed by us.
  • Take the antibiotics we prescribe for you. These will last five days and help prevent infection.
  • If you notice your eyes feel dry or are tearing excessively, you can benefit from artificial tears. These are over the counter and available from pharmacies.
  • Come back for regular review as detailed in the next section to ensure your healing is progressing at each stage.
What about post-operative visits?
As a minimum, you will be seen by Dr Hadi after surgery, at one week, at six weeks and twelve months after surgery. This is so that you can have the best possible outcome.

Please call the Swan Clinic on 9526-6885 following your surgery to ensure we have booked all your follow up appointments.

As our patient at the Swan Clinic, you will be well looked after and can always count on our honesty as we always have your wellbeing in mind.

Please feel free to contact us if you have further questions.

Please call the Swan Clinic on 9526-6885 following your surgery to ensure we have booked all your follow up appointments. As our patient at the The Swan Clinic, you will be well looked after and can always count on our honesty as we always have your wellbeing in mind. Please feel free to contact us if you have further questions.