Eyelid Lift (Blepharoplasty)
“Blepharoplasty” or eyelid “lift” is a cosmetic plastic surgery operation to improve the appearance of the eyes. Blepharoplasty improves loose skin, reduces fatty bulges and “bags” and tightens the muscles around the eye, making your eyes look fresher and less tired or angry.
Most of us age differently, depending on our genetics, sun exposure and lifestyles. Signs of ageing around the eyes are a common concern, most commonly as we enter our 40s and 50s. Some of us have family traits that are expressed around the eyes, and desire to delay “starting to look like my mother”.
Most commonly, the earliest concern is loose, thinning skin in the upper eyelids, which is made worse as the forehead also loosens and lowers. Upper eyelid surgery is one of the most commonly performed plastic surgery procedures, and is usually done as “day surgery” under light anaesthetic. An incision is made in the natural crease in the upper eyelid, giving an imperceptible scar as it heals. Recovery from upper eyelid surgery is usually rapid, with bruising and swelling passing over a few weeks.
Lower eyelid surgery is also commonly done at the same time as upper eyelid surgery. There are several different variations of lower eyelid lift, and the choice depends on your individual concern and physical characteristics. Some patients, especially younger, may have bulging excess “fat bags”, without loose skin, and then Dr Merten may recommend doing the surgery by the “transconjunctival” method. This makes an incision on the inside of your lower eyelid, removes excess fat and leaves no scar. If there is also loose and excess skin, then usually Dr Merten will recommend an “open” method, which makes an incision along the lower eyelid lashes, and removes and tightens the skin and muscle of the lower eyelid. The scar from this technique usually heals rapidly and is virtually invisible. This surgery may require an overnight hospital stay.
If you are considering eyelid lift surgery, then another consideration should be the condition of the remainder of your face. Part of your eyelid concerns may be that your forehead has dropped. As the eyebrows descend, the skin in the upper eyelids becomes crowded. If this is the case, then a brow lift may be a more suitable or additional procedure you should consider as part of your eye rejuvenation.
You may also have concerns with your cheeks, jowls and neck. Correction of these areas may require a facelift, which is often done at the same time as eyelid surgery. If you have these concerns, you should discuss them with Dr Merten at your consultation.
As with all surgical procedures, there are potential risks and complications with eyelid lift surgery. At your consultations, Dr Merten will explain these in detail.