Ageing changes around the eyes
As the face ages, some of the earliest signs start showing around the eyes. We see common patterns of change, including a change in the position of the brow, lines across the forehead and excess skin developing on the upper eyelid that starts to lean forward and rest on the eyelashes. Many women notice that this prevents them from wearing normal eye makeup and as the problem gets worse, the skin fold starts to interfere with vision – this is a problem that affects both men and women.
When evaluating patients with these concerns, we need to determine how much the eyebrow and eyelid are independently contributing to the problem. While most patients can have these concerns addressed with eyelid surgery alone (aka blepharoplasty), some patients will need a combination of eyelid and brow lift surgery.
Blepharoplasty is the most common facial aesthetic surgical procedure. It is used to address excess skin on the upper eyelid which falls onto the eyelashes and starts to interfere with vision over time. At the same time, we can address bulging fat pads in the upper or lower eyelids. In some instances, the eyelid itself starts drooping, a condition called eyelid ptosis. During a blepharoplasty procedure, the eyelid position can also be corrected.
Blepharoplasty surgery can be performed on the upper or lower eyelids together or separately.
The benefits of blepharoplasty include:
- Restoring youthful definition to your eyelid
- Removing excess skin and fat
- Reducing lines and wrinkles under and around the eyes
- Correcting a droopy upper eyelid position (eyelid ptosis)
A brow lift procedure is used to correct a low brow position which exacerbates the lax skin in the upper eyelid. Frequently, the brow appears to be sitting in a normal location because the muscle of the forehead elevates the brow to assist with vision, creating the horizontal lines across the forehead that we are all familiar with.
Individual requirements including a direct brow left with skin excision above the brow which is particularly useful for patients with fine skin and dark brows. It is the commonest technique considered for older patients considering this surgery to improve vision. For other patients, the idea of a scar on the upper border of the brow is not appealing and the scars are concealed in the hairline using an open brow lift approach.
The eyelid and brow lift procedures
Blepharoplasty can be performed on upper eyelids, lower eyelids or both at the same time. This can be combined with brow lift surgery to optimise the whole area. If performed under local anaesthetic alone, the surgery can be undertaken in A/Prof Magnusson’s operating suite in Toowoomba or alternatively with the assistance of a specialist anaesthetist as a day case in Toowoomba or on the Gold Coast. During the procedure, incisions are made in the natural folds of the eyelid, in the crease of the upper eyelid and on the inside of the lower eyelid or just beneath the lashes. This way, incisions are practically unnoticeable after they have had time to heal.
While you are lying down during surgery, A/Prof Magnusson will make precise markings to indicate where excess fat pads and skin need to be excised. Some underlying tissue may also be removed. An eye shield will be introduced to the inside your eyelids to protect the eye during surgery.
These tissues are excised with surgical instruments such as surgical scissors, scalpels and cautery to stop bleeding. Tissue adhesives (glue) or sutures are carefully applied to smooth and reshape areas around the eyelids and eyebrows.
During surgery, A/Prof Magnusson will determine how much muscle, skin and/or fat need to be removed based on a preoperative evaluation of factors including your bone structure, the symmetry of your eyebrows and underlying facial muscle structure.
Eyelid surgery takes about 2 hours to complete unless it’s paired with a brow lift, in which case, more time will be required.
Suitable candidates for eyelid & browlift surgery
To determine if you are a suitable candidate for Blepharoplasty, a consultation with A/Prof Magnusson is required. During the consultation he will:
- Evaluate your general health and any pre-existing health conditions or risk factors
- Discuss your eyelid surgery and brow lift options
- Recommend a course of treatment
- Take photographs
- Discuss likely outcomes and any potential risks
- Discuss the type of anaesthesia that will be used
If you suffer from any of the following issues, you may be a suitable candidate for eyelid surgery:
- Droopy eyelids or visible eye bags that make you look older than you are
- Fatty facial deposits that cause puffy eyelids and make you look tired
- Excess saggy skin and fine wrinkles below the eyes that make it difficult to apply makeup
- Difficulty seeing clearly due to sagging upper eyelids
- A general ageing appearance around the eye area
Following the recovery period, patients can expect to achieve a more youthful and “awake” appearance. If excess skin was causing vision problems, this will clear up after a blepharoplasty procedure. It’s very unlikely for patients to ever need a second surgery unless the eye area is damaged due to trauma.
Eyelid surgery before and after gallery
blepharoplasty – frequently asked questions
How much does blepharoplasty cost?
What can I expect during blepharoplasty recovery?
Will there be scarring after blepharoplasty?
Book an appointment for blepharoplasty in Brisbane, Toowoomba or the Gold Coast
You can request a consultation with A/Prof Magnusson by contacting his reception at either his Toowoomba or Gold Coast clinics. He has assisted patients with this procedure in Brisbane and surrounding areas and can provide you with information on additional procedures, such as face and neck lifts.