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Eyelid Surgery (Blepharoplasty)

Youthful eyes have an elegant transition between the lower eyelid region and the cheeks. The fullness that is found there 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.

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.

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Facelift

Achieved With Eyelid Surgery

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.

Blepharoplasty Techniques

Through his extensive experience and training around the world by leaders in facial aesthetics, Dr Jack Zoumaras has learned that when it comes to the eyelid region, a conservative approach of “less is more” is most appropriate.

Upper Blepharoplasty

  • 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

Tarsal Fixation

  • 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

Skin-Only Upper Blepharoplasty

  • 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

Lower Blepharoplasty

  • 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

Skin-Muscle Flap

  • 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

Pinch Blepharoplasty With Transconjunctival Fat Removal

  • 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

Pinch Blepharoplasty Alone

  • 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

Ancillary Eyelid Procedures

Canthoplasty

  • 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.

Brow Lift

  • 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.

Addressing Any Concerns You May Have

Recovery

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.

Specific Instructions

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.

Scars

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.

Cost

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.

Pain

Minor discomfort can occur after eyelid surgery. Oral pain medications are used to control any associated pain during recovery. Eye drops are also used.

Faq

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.

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.

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.

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.

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.

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.

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