- What is a blepharoplasty?
It is one of the most common cosmetic procedures performed in facial plastic surgery. It is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both.
Our eyes usually give away our age and a rejuvenated ocular region goes along way in making you look refreshed and alert. As a result of aging the retaining ligaments all over the body, especially around the eyes, get lax and we end up with redundant skin, which unfortunately makes us look tired.
Blepharoplasty is a simple outpatient procedure with minimal downtime that can reverse these changes and restore a more youthful and rested appearance.
2. What can a blepharoplasty achieve?
The eyes will appear more rested and vibrant after cosmetic eyelid surgery. Commonly friends will notice a change but won’t know why as the incisions are hidden in natural creases around the eyelids and heal extremely well.
3. Will there be a scar?
The incision in the upper eyelid is hidden in the crease, so not only is it inconspicuous but it heals very well.
The lower eyelid incision varies depending on the needs of the individual patient. In younger patients that just have a puffy eye with no redundant skin, the incisions are inside the eyelid (transconjuctival) so there will be no external scarring. In slightly older patients, should there be puffiness and redundant skin, then the incision is just below the eyelashes (subciliary) and this too is very well hidden.
4. What is a customised blepharoplasty?
The art of any cosmetic plastic surgical operation is tailoring the procedure to the individual patient. No patient is the same, so no operation is the same. If you only have puffy eyelids and don’t have redundant skin, then I refine the blepharoplasty technique so that the incisions are inside the eyelid and no skin is removed. However, if you have redundant skin then a different approach is necessary to give you a perfect outcome.
5. Does my health insurance cover eyelid rejuvenation.
There is a medicare item number for upper eyelid surgery (45617), however to qualify for the procedure you need excess upper eyelid skin that obstructs your vision or have evidence of the redundant skin resting on your lashes in forward gaze.
There are no item numbers for lower eyelid surgery for cosmetic purposes.
6. How long does the procedure take?
Bilateral upper eyelid surgery takes around 45minutes. Bilateral lower eyelid surgery takes around 2 hours. The surgery is usually performed as a day case and you are home within 4 hours of completion of the procedure.
7. What type of anaesthestia is used?
If you are only interested in upper eyelid surgery, then the operation is performed with local anaesthetic and mild sedation.
Should there be any lower eyelid surgery performed I prefer a general anaesthetic because I feel this is the safest way to perform the operation. Modern anaesthetic techniques allow for a quick recovery with minimal nausea and no need for a breathing tubes to be inserted.
8. What is the recovery like?
Everyone gets bruising and swelling after the operation but this usually subsides after 1 week with most patients going back to work then.
Immediately after the procedure you will have ice packs placed around the eyes to minimise the amount of swelling and I encourage you use these for the first 48hours.
9. What is the cost?
Costs associated with a eyelid rejuventation surgery varies between: $5000-$8000 depending on a number of factors:
▪ Anaesthetist’s fee
▪ Whether you need both upper and lower eyelids operated on at the same time
▪ Private hospital or day surgical facility fees
▪ Surgical assistant’s fee
After our consultation my staff will give you an itemised account of the total cost.
10. I am interested, how should I proceed?
If you are considering this procedure then feel free to make an appointment to see me at a location that is convenient to you. During this visit I will listen to your concerns and after a comprehensive evaluation, including 3D photography, I will discuss the best management for you.
If you are a suitable candidate I will go through the risks of the operation and a step-by-step customized operation plan to achieve your desired outcomes.
You will also meet with my aesthetic nurse who will discuss your pre- and post-op care. This usually is a 1 hour session focused on optimising your medications and arranging lymphatic massage post-op.