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Eyelid / Eyebag Surgery

 

Eyelid surgery (blepharoplasty) reshapes the eye area by reducing the appearance of heavy and sagging eyelids, puffiness and bags under the eyes.

It involves removing or redistributing excess fat and skin from the upper and/or lower eyelids. Occasionally, muscle may be repositioned. Eyelid surgery cannot eliminate crow’s feet, dark circles under the eyes or sagging eyebrows. If you have a history of eye disease such as gluacoma or dry eyes you may not be suitable for surgery. You should discuss this with your surgeon.

Can sagging upper eyelids be corrected by a brow lift instead?

In many instances sagging upper eyelids are the result of a drooping brow, in which case your surgeon may recommend a brow lift instead of or in conjunction with eyelid surgery to achieve the desired result.

Will my eyes look sunken or unnatural?

If too much fat is removed from the lower eyelids, this can leave the eyes looking sunken or unnatural. Every case is different, your surgeon will assess whether fat needs to be reduced, redistributed or even grafted.

What are the risks?

Overall, this is a safe procedure with few complications. However, like all cosmetic procedures there are risks involved. There are general risks associated with surgery as well as risks specific to this procedure. Your surgeon should discuss these with you during your consultation. You should then reassess whether the procedure is right for you. Problems include temporary blurred or double vision, dry eyes, asymmetry, difficulty in closing eyes completely (which is rarely permanent) and lower eyelid sagging which may require further surgery. Permanent loss of vision is a risk but this is extremely rare. As with all surgeries problems may arise related to anaesthesia, bleeding, infection or scarring.

 

The Essential Facts
Length of Procedure
1/2 -2 hours
Anaesthesia
General or light sedation (twilight anaesthesia) and local anaesthesia
Inpatient/Outpatient
Day case or 1 night stay
Time off work
10-14 days
Getting back to normal/sport
3-4 weeks (reading: 2 or 3 days; contact lenses: one week or more; strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: 7 to 14 days)
 
Treatment snapshot
The procedure involves making a small incision and then removing (or redistributing) the excess fat and skin. In some cases the surgeon will also reposition the muscle. For upper eyelid surgery the incision will be along the eyelid crease in the natural fold of the skin; for lower eyelid surgery it will be either be inside the eyelid or just below the lower lashes. Incisions will be closed using sutures, surgical tape or adhesives.