Eyelid Surgery (Blepharoplasty)
If you want to open and brighten your eyes and look more fresh and less tired than a blepharoplasty is 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 brighten the eyes to restore a freshness to your eye region and will have people wondering what you did.
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 the majestic beauty of the eyes. Eyelid surgery (blepharoplasty) can soften this area to correct age-related changes, restore a fresher-looking eye region, and rejuvenate the appearance.
EYELID SURGERY PROCEDURES:
Dr Zoumaras will restore a youthful and aesthetically pleasing appearance to the eye area. His careful attention to detail is unmatched 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 naturally and youthfully stunning.
At Artiste we are excited to offer the following procedures to Brighten and Open your eyes.
Our Office Upper Eyelid Pinch Blepharoplasty where excess skin is removed under local anaesthetic to open your eyes.
Our Lower Eyelid Blepharoplasty procedure that removes excess skin, re-positions fat and tightens the eye to smooth wrinkles and remove hollowness to brighten your eyelid region.
Bright Eyes No Touch
Our Trans-Conjunctival Pinch Skin Lower Eyelid Blepharoplasty procedure is for the younger eyelid to smooth dark circles and remove some skin to brighten the eyelid region.
A combination of Upper and Lower Eyelid Blepharoplasty to brighten and open up your eyes.
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 revitalise your appearance. He will also intervene where the ligamentous support of the lower eyelid has attenuated with age to provide a tighter and more naturally youthful 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. Dr Zoumaras will offer the appropriate intervention to address volume atrophy and blend the eyelid and cheek junction using surgical and non-surgical rejuvenation 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 corrects signs of ageing in the lower eyelids
- Uses either the skin-muscle flap approach or pinch blepharoplasty with transconjunctival fat removal
- May be accompanied by canthoplasty (canthopexy), which supports and reinforces the lower eyelids to avoid laxity during and after recovery
- May also include non-surgical techniques to reduce wrinkles and improve skin fullness
- When operating on the lower eyelids, the tone and laxity of the lower eyelids may require tightening as part of the rejuvenation procedure.
- As a wound heals, it tends to lay down scar tissue, and scars around the eye tend to pull the lower eyelid away from the globe. A canthopexy or canthoplasty aims to support and reinforce the eyelid through the placement of accurate internal sutures in the lateral eyelid.
- Where necessary, the tarsus (fibrous tissue in the upper eyelid) can be fixated to the orbicularis muscle and skin
- This recreates or enhances the natural tarsal fold to show a desirable amount of upper eyelid skin
- An inconspicuous incision is placed beneath the lower eyelashes
- A skin-muscle flap is raised to the orbital rim
- The orbital-malar and tear trough ligaments are released
- Fat is removed or repositioned
- Excess skin is removed
- Results in a smoother lower eyelid region with improvements in dark shadows, eye bags, and a more harmonious eye-cheek junction
- Best in revision eye surgery, where significant skin laxity exists, and where additional support is needed
- The position of the eyebrows is paramount to the assessment of the upper eyelid region. Dr Zoumaras is a highly trained plastic surgeon in facial aesthetics and will accurately assess your brow position and its influence on your upper eyelid region.
- In some circumstances, a lower brow position is the cause of upper eyelid excess skin and a tired appearance to the eye. In these cases, a brow lift is indicated. A brow lift can be done in conjunction with a blepharoplasty. Learn more.
- For some patients who qualify, this lunchtime procedure can remove excess upper eyelid skin only to rejuvenate the upper eyelids and open up the eyes
- This is performed under a local anaesthetic
- Removes skin up to 1 cm beneath the eyes
- The transconjunctival incision is made inside the eyelids to access fat
- Fat is removed or repositioned
- This approach preserves the orbicularis muscle
- Best for those with only a moderate amount of excess skin or who prefer less downtime
- May be combined with a chemical peel of the lower eyelids
- Lower eyelid skin can be removed under a local anaesthetic as a lunchtime procedure
- Suitable for those with mild to moderate skin excess
- May be combined with a chemical peel of the lower eyelid
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.
The eyelid region has a distinct transition from lower eyelid to cheek. This is blended with a lower eyelid blepharoplasty.
A Blepharoplasty sculpts the eyelids. The word “blephara” is derived from the Greek word eyelid and “plasty” is to sculpt.
A blepharoplasty is a great procedure to rejuvenate 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 rejuvenated. The procedure can be performed under Local Anaesthetic in the office or with day surgery.
Eyelid surgery is a great option when you do not have the investment for a Facelift, but want a solution that is going to rejuvenate your look and make you feel confident. Many of our patients opt for Upper Eyelid surgery before a family event like a wedding or prior to going on an overseas holiday.
Combining upper and lower eyelid surgery is a great way to refresh your look without undergoing a Facelift, and it will take away that “tired look”, and leave you looking rejuvenated and refreshed.
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
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. You will look instantly rejuvenated and fresh, and you will be able to apply eye makeup with ease.
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.