Eyelid Surgery (Blepharoplasty)
If you want to open your eyes and look less tired than a blepharoplasty could be the solution for you. As we age our eyelid region becomes smaller and we begin to get wrinkles and show hollowing or fat bags. At Artiste Plastic Surgery a blepharoplasty will open and smooth the eyelids to restore a freshness to your eye region and will have people wondering what you did. Risks are involved with any procedure and these will be discussed with you at your consultation.
Youthful eyes have an elegant transition between the lower eyelid region and the cheeks. The fullness that is found their in youth empties with ageing, detracting from this aspect of the eyelid region. Eyelid surgery (blepharoplasty) can soften this area to correct age-related changes, smooth the lower eyelids and remove any puffiness or dark circles.
EYELID SURGERY PROCEDURES:
Dr Zoumaras will restore an anatomical youthful eyelid area. His careful attention to detail is high and allows him to remove excess skin and redistribute the fat to blend the eyelid and cheek junction, address excess wrinkling, and correct volume atrophy so that your eyes look natural and as smooth as possible.
At Artiste Plastic Surgery we are excited to offer the following procedures to Open your eyes.
Open Eyes (Upper Eyelid Blepharoplasty)
Our Office Upper Eyelid Pinch Blepharoplasty where excess skin is removed under local anaesthetic to open your eyes.
Bright Eyes (Lower Eyelid Blepharoplasty)
Our Lower Eyelid Blepharoplasty procedure that removes excess skin, re-positions fat and tightens the eye to smooth wrinkles and remove hollowness to smooth your eyelid region. This is done through a trans-conjunctival approach.
No Touch Eye: Trans-Conjunctival Blepharoplasty
Our Trans-Conjunctival Lower Eyelid Blepharoplasty procedure involves a surgical approach behind the eyelid and not through the skin. This approach aims to smooth dark circles, remove fat bags and lifts the lower eyelids.
Bilateral Upper and Lower Eyelid Blepharoplasty
A combination of Upper and Lower Eyelid Blepharoplasty to smooth and open up your lower and upper eyelids.
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?
Tighter and More Lifted Eyelid Tissues
With time, the upper eyelid skin loses elasticity. This leads to wrinkling, hooding, sagging, and a tired appearance. Dr Zoumaras will carefully assess your eyelids and tighten or remove the excess skin, lifting the tissues to improve your appearance. He will also intervene where the ligamentous support of the lower eyelid has attenuated with age to provide a tighter and more smoother look to the eyelid and cheek junction.
Smoother Skin With Fewer Wrinkles
The loss of elasticity and shifting of fat pads around the eyes typically leads to crow’s feet wrinkles and eventual “bags” under the eyes. Removing excess skin and tightening the tissues helps smooth out the eyelid area, eliminating wrinkles and creating a smoother and more even appearance.
Softer and Fuller Lower Eyelids
The eyelids naturally have a small amount of fat in them, which is why youthful eyes tend to look soft and round. One of the first signs of ageing is bags under the eyes that form because the fat has become displaced from the orbit. Dr Zoumaras will offer the appropriate intervention to address volume atrophy and blend the eyelid and cheek junction using surgical and non-surgical treatments.
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. Dr Zoumaras uses an increasingly popular eyelid surgery technique to create the upper eyelid sulcus, or “double eyelid,” in Asian eyelids that lack it. This helps the eyes look bigger and makes it easier to apply eye makeup.
You will feel:
- Dr Zoumaras corrects signs of ageing in the upper eyelids
- An inconspicuous incision in the creases of the upper eyelids makes it possible to remove excess skin
- Removal of excess skin improves the shape of the upper eyelids
- Can correct upper eyelid impediments to fully open the eyes
- Manipulation of underlying fat provides a youthful eyelid region
- Removal of the muscle creates a seamless scar with the tarsal fold
- May also include non-surgical techniques to reduce wrinkles and improve skin fullness
- The goals of upper eyelid blepharoplasty are to open the eyes and restore eyelid skin for a fresh look
Dr Zoumaras’ preferred facelift technique is the Full Facelift/High SMAS facelift, but he will offer and perform a short-scar facelift in the younger patient with mild facial aging changes and wrinkles.
A Blepharoplasty shapes the eyelids. The word “blephara” is derived from the Greek word eyelid and “plasty” is to sculpt.
A blepharoplasty is a great anti ageing procedure to the upper face. In fact, upper eyelid blepharoplasty is one of the quickest and simplest procedures of the face, with the fastest recovery to get you looking fresh and less tired. 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. Many of our patients opt for Upper Eyelid surgery before a family event like a wedding or prior to going on an overseas holiday. All procedures do carry risks and these will be discussed with you.
Combining upper and lower eyelid surgery is a great way to improve your look without undergoing a Facelift, and it will take away that “tired look”, and leave you looking as fresh and less tired as possible.
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 to Artiste 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.
Eyelid Surgery Blepharoplasty Options
At Artiste we call our Upper Eyelid Blepharoplasty Open Eyes because it exactly does that, it’s a procedure that opens the eyes.
Through an incision placed in the eyelid crease or where the crease should be, excess skin and fat are carefully removed to open your eyes. The eyes will look more open and there will be increased eyelid show and many of our patients find they can apply eye makeup with ease.
At Artiste the Lower Eyelid blepharoplasty is aims to smooth the lower eyelid by removing fat bags and filling dark circles. This ensures a shorter eyelid cheek junction that is anti ageing. Through a small incision under the lower eyelid, the deep structures that have aged are addressed. Any excess fat is removed and re-distributed to create a smooth lower eyelid. The ligament and muscle are lifted, and excess skin removed. This results in a smooth lower eyelid cheek junction, lifted eye and softer eyelid region.
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 inconspicuous. 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 correction 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.
Cat eye surgery is possible and involves re-creating the corner of your eye through an advanced canthoplasty. This procedure needs a lot of consideration from both the Surgeon and patient because it will permanently change the shape of the eye.
The shape of your eyes will not change. In the early recovery phase, the canthoplasty is used to support your eye in a higher position so may appear tighter and higher. This will settle after 6 weeks.
You may return to work after one week for an upper eyelid blepharoplasty or after 2 weeks for a lower eyelid blepharoplasty.
You can apply eye make up after 10 days, once we give you clearance
It is expected to have bruising that can last up to 7 days for the upper eye and 14 days for the lower eye.
Yes doing it together will Open and brighten your eyes. You can even combine it with a Facelift, for ultimate overall results.
A canthoplasty is part of a blepharoplasty whereby the lateral ligament that supports the eyelids shape is tightened or changed. All patients at Artiste undergoing a blepharoplasty have a canthoplasty.
A Lower eyelid blepharoplasty smoothes the eyelid cheek junction and lifts the lower eye region.
An Upper Eyelid blepharoplasty is removing excess skin and fat from the upper eyelid to open up the eyes.
An upper eyelid blepharoplasty can be done under Local Anaesthetic.
You can drive after one week when the sutures are removed and the bruising and swelling begin to subside.
Your eyes will be blurry for the first 1-2 days because of an ointment used in surgery, to moisten your eye. Your eyes dry out during surgery due to the surgical lighting.
You can go for walks after 5 days and then jog after 10 days. Light exercise and running can commence after 4 weeks.
Eyelid surgery recovery is two weeks in general. For the upper eyelid recovery can be expected after 7 days. For the lower eyelid this can vary between 14-21 days.
Lower Eyelid blepharoplasty is day surgery and it is expected that you have 7-10 days of downtime.
Upper Eyelid blepharoplasty is day surgery, it is expected that you have 7 days of downtime.
A Blepharoplasty, Eyelid lift or eye surgery can be performed for the upper or the lower eye. Ptosis which is where the upper eyelid droops past the iris (coloured part of the eye) can be addressed at the same time, as can the brow which can contribute to a tired look. You can see with this many variables it is difficult to give you an accurate estimate of how much a blepharoplasty or eyelid surgery will cost in Sydney.
Medicare rebates may be possible if you have what is called dermatochalasis which is excess eyelid skin that affects vision.
Eyelid surgery in Sydney by Dr Jack Zoumaras will cost between $6-11K for the surgical fee alone. There are some in rooms options for select patients.
At Artiste Plastic Surgery we call eyelid surgery Open eyes or Bright eyes as this is the end result for our lovely patients.
Blepharoplasty is surgery, and all surgery has the risk of short-term or long-term complications. A full list of potential complications and the response plan of action will be outlined during your consultation.
Many Asian upper eyelids lack a natural lid fold (sulcus). Part of the blepharoplasty procedure is the creation of this eyelid crease. At Artiste Plastic Surgery, we believe it is important to create this lid fold, but not to overly westernise the Asian eyelid. Dr Zoumaras can give you more information about this technique during your consultation.
With any assessment of the eyelid region, the position of the brow is important. Sometimes with brow ptosis (descent), the effect on the upper eyelid is dramatic. For some patients, a simple brow elevation will correct the deformity, and no eyelid surgery will be needed. Dr Zoumaras carefully assesses the brow and eyelid region to determine the best approach.
Having had refractive or another eye surgery does not necessarily disqualify you from eyelid surgery, but you should inform Dr Zoumaras so that the appropriate precautions can be taken. With consultation with and approval from your ophthalmologist, a very conservative operation will be undertaken to your eyelid region.
You will be required to remove your contact lenses before the surgery and use eye drops to help moisturise your eyes. You will also be required to avoid wearing contact lenses for the first two weeks after surgery.
Non-surgical treatments such as anti-wrinkle injections or dermal fillers may be used to reduce wrinkles or improve fullness around the eyes. These are sometimes combined with eyelid surgery to more fully rejuvenate the eyes.