DR JACK ZOUMARAS (Principal)
DR PUVESH PUNJ
Adult Content. Plastic Surgery is invasive and has risks.
Eyelid Surgery (Blepharoplasty)
If you want to remove rhytids (wrinkles) then a blepharoplasty could be the solution.
As we age our eyelid region becomes smaller and we begin to get wrinkles/rhytids and show hollowing (atrophy) or fat bags (ptotic fat). A blepharoplasty will open and remove rhtyids and re-distrubute fat in the eyelid region. Risks are involved with any procedure and these will be discussed with you at your consultation.
Youthful eyes have a seamless transition between the lower eyelid region and the cheeks. As we age the eyelids lose volume, rhtyids develop and the eyelid and cheeck become separated and more obvious. This increases the vertical eyelid cheek junction. Eyelid surgery (blepharoplasty) can address this area to remove rhtyids in the lower eyelids and remove any ptotic fat (bags/puffiness) or dark circles or loose skin (rhytids).
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Upper Eyelid Surgery and Brow Surgery
Lower Eyelid Surgery
EYELID SURGERY PROCEDURES:
Dr Zoumaras has over 10 years of experience in eyelid or blepharoplasty surgery.
The aim is to remove excess skin/rhtyids and redistribute the fat to blend the eyelid and cheek junction, address excess wrinkling, and correct volume atrophy so that your eyelid area blends with the cheek anatomically.
At Artiste Plastic Surgery we offer the following procedures to for your eye region.
Open Eyes (Upper Eyelid Blepharoplasty)
Our Upper Eyelid Blepharoplasty is where excess skin is removed and fat is re-positioned to open your eyes.
Eyelid Cheek Junction (Lower Eyelid Blepharoplasty)
Lower Eyelid Blepharoplasty procedure removes excess skin, re-positions fat and tightens the eye to minimise wrinkles and remove hollowness to the eyelid region. This is done through a trans-conjunctival approach.
Bilateral Upper and Lower Eyelid Blepharoplasty
A combination of Upper and Lower Eyelid Blepharoplasty to remove skin from the upper eyelids and re distribute volume and lift the lower eyelid.
Office Eyelid Surgery
Our Office Upper Eyelid Pinch Blepharoplasty where excess skin is removed under local anaesthetic. Suitable in select patients only.
68 Year Old Upper and Lower Blepharoplasty (Eyelid Surgery)
49 Year Old Upper Blepharoplasty (Eyelid Surgery)
53 Year Old Lower Blepharoplasty (Eyelid Surgery)
What can be achieved?
Firmer Eyelid Tissues
With time, the upper eyelid skin loses elasticity. This leads to wrinkling (rhyids), dark shadows and sometimes puffiness. Dr Zoumaras will carefully assess your eyelids.
Surgery can tighten or remove the excess skin, lifting the tissues. The ligamentous support of the lower eyelid can be supported to shorten the eyelid cheek junction.
Skin With Fewer Wrinkles (Rhytids)
The loss of elasticity and shifting of fat pads around the eyes typically leads to rhytids/wrinkles around the corners of the eyes and eventual fat under the eyes. Removing excess skin and tightening the tissues can address these anatomical changes.
Volumised Lower Eyelids
The eyelids naturally have a small amount of fat in them, which is why younger eyes tend to look soft and round.
One of the first signs of ageing is fat bags (fat ptosis) under the eyes that form because the fat has become displaced from the orbit.
A lower eyelid blepharoplasty will volumise the lower eyelid region and remove any excess ptotic fat bags.
An Upper Eyelid Sulcus (Asian Eyelid Surgery)
While Caucasians and even some Asians have a lid fold or additional crease in the upper eyelid, many Asians do not. An upper eyelid surgery technique to create the upper eyelid sulcus, or “double eyelid,” in Asian eyelids that lack it can be perfromed.
PROCEdURE SNAPSHOT
1-2 hr Procedure
Day
surgery
2 weeks unsociable
Qualified facelift plastic surgeon:
- World-trained Dr Jack Zoumaras
- Qualified Anaesthetist, Accredited hospital
Results: Address excess rhtyids, skin, ptotic fat (bags)
Investment in yourself
Blepharoplasty has risks that include bleeding, asymmetry, lower eyelid malposition and more
You will feel:
*Level V Evidence: How you will feel after plastic surgery varies between individuals depending on psychological and physical factors, our internal research is based on how patients in our practice feel after surgery. This research is pending publication-details to follow.
Eyelid Blepharoplasty
A Blepharoplasty shapes the eyelids as the Greek word describes. The word “blephara” is derived from the Greek word eyelid and “plasty” is to sculpt and shape.
A blepharoplasty is an anti ageing procedure to the upper face. The procedure can be performed under Local Anaesthetic in the office or with day surgery. All procedures do carry risks and these will be discussed with you.
Eyelid surgery is an option when you do not have the investment of time for a Facelift, but want a solution that is going to reverse some ageing changes. All procedures do carry risks and these will be discussed with you.
Combining upper and lower eyelid surgery is an alternative to a Facelift where patients want anti ageing treatment on the upper face only.
The Anatomy of the Ageing Eyelid
The Eyelid like the Face consists of 5 concentric layers.
- Layer 1 is Skin which is thin on the eyelids.
- Layer 2 is Fat which is negligible in the eyelids (the fatty “bags” that we see under the eyelids comes from a deeper layer (deeper even than Layer 5).
- Layer 3 is the Superficial Musculoaponeurotic System (SMAS), in the eyelids this muscle is the orbicularis oculi which opens and closes the eye.
- Layer 4 is a space that contains Ligaments. This ligament is the orbital retaining ligament of the lower eyelid (tear trough) and cheek bone and becomes a condensation for the upper eyelid. The ligament holds the skin and muscle.
- Layer 5 is bone the orbital roof, rim and cheek bone (zygoma) Directly under the lower eyelid is the Septum (continuous with Layer 5) this is suspended above the orbital bone. Behind the septum exists the eyelid fat that causes fat bags.
As we age, the skin around the eye loses elasticity, partly because of the millions of blinks per year and sun exposure. The underlying bone shrinks by 1mm per decade after the age of 30, and this combined with ligament laxity, results in; loose skin, loss in muscle tone and changes to the eyelid/cheek junction.
Deep to the ligament directly under the eyelid (above the bone) is the septum, and as this falls due to the ligament falling (see diagram below) fat bulges into the lower eyelid area to create fat bags or festoons in some patients.
Therefore the lower eyelid presents with loose skin, dark shadows, hollowness and/or fat bags.
The upper eyelid, as it ages, demonstrates loose skin called dermatochalasis that interferes with eyelid opening and fat bulges which give the appearance of heaviness.
It is almost impossible to apply eye makeup, and most patients present for an Upper eyelid blepharoplasty due to their eyelid skin touching their lashes.
In the younger patient, due to anatomical variance and genetics, some patients in their 20s and 30s have heavy eyelids that can benefit from upper eyelid surgery.
Common Concerns
Patients remain in hospital for under 24 hours and are allowed to go home with oral pain medications. Some bruising and swelling as well as blurred vision are common. Swelling should begin to decrease after the first week. You will be fit to return to work after one week to 10 days.
Taping and regular massage of the lower eyelid structures is encouraged in the immediate postoperative period, extending through the two to three weeks following your surgery. This will soften scarring and maintain the lower eyelids in the desired position. At times, the eyelids may temporarily be partially closed (tarsorrhaphy) to help with swelling and healing.
Incisions for upper and lower blepharoplasty are placed in crease lines. They may be hidden inside the eyelids, or they may be placed below the lashes or inside the natural eyelid creases. Any noticeable scarring is likely to fade over time.
The exact cost of your eyelid surgery will be determined during your consultation. Prices vary according to the extent of surgery needed and the techniques that will be applied. Combining your eyelid surgery with a facelift, brow lift, or other related procedure will also affect the cost. Other factors (location, hospital fees, surgical fees, and anaesthesia fees) are all accounted for in the final cost.
Minor discomfort can occur after eyelid surgery. Oral pain medications are used to control any associated pain during recovery. Eye drops are also used.
FAQs
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Disclaimer: At Artiste Plastic Surgery our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are real and we cannot guarantee any result. All images in the gallery of before and afters are patients of Artiste Plastic Surgery. Other images represent stock images unless stated. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons. Learn more here.
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