Surgery to improve the appearance of your eyelids
Are your eyes telling the story you want them to? As we age, the upper and lower eyelids can ‘droop’, leaving you with a permanently sad, tired, or aged appearance.
Blepharoplasty, or eyelid surgery, addresses these issues, returning your eyes to a more youthful and relaxed aesthetic . This surgery can be completed on the upper eyelid, the lower eyelid, or both, and is suitable for both males and females.
“A journey of a thousand miles begins with a single step” Lao Tzu
The results you deserve
You may be considering eyelid surgery for a number of reasons including sagging of the upper eyelids or puffiness under the eyes. Blepharoplasty provides excellent and natural looking results which can make you look and feel years younger.
C02 laser skin resurfacing is a very useful adjunct to eyelid surgery and a treatment commonly used by Dr Gerarchi to improve blepharoplasty outcomes.
Excessive skin on the upper eyelids is a common complaint amongst both males and females as they age. In some cases, this excess skin can fold over the eyelashes and impair vision, or to cause the eyes to have a ‘heavy’ or tired, particularly later in the day.
Upper eyelid surgery removes the excess skin and fat which cause this, and is performed through an incision hidden in the crease of the upper eyelid. Most patients experience little to no discomfort following this procedures, and post-surgical dressing are not required. Following the healing period, the incisions made to restore the contour of the eyelids are almost entirely hidden from view.
‘Heaviness’ in the upper eyelids can also caused by the eyebrows descending, as opposed to excessive upper eyelid skin. In these cases, a browlift may be recommended with, or in place of, eyelid surgery.
Pouching or puffiness can develop under the eyes when the supporting structures under the eyelids are weakened. This can be addressed in several ways; by removing or redistributing the underlying fat, or through tightening the skin to create a smoother look, or both. Incisions for lower eyelid surgery will be placed either just below the eyelids, or on the inside of the lower lid. This is known as the transconjunctival approach.
While this procedure is more complex than upper eyelid surgery, in some cases it may still be able to be completed in a minimally invasive manner by a highly skilled surgeon.
Whilst some patients may only require upper eyelid surgery, a ‘double blepharoplasty’ can address and correct aesthetic issues in both the upper and lower eyelids, providing total rejuvenation.
Blepharoplasty generally takes between one and two hours to complete, depending on your unique circumstances. It may be completed under either local or general anaesthesia; this will be dependent on the technique required to achieve the outcome you desire.
Meeting your surgeon
At your blepharoplasty consultation, Dr Paul Gerarchi will assess your eyelids and facial structure at length to ascertain the definite cause of your eyelid concern. He will advise you as to the ideal techniques to achieve the very personal goals you have for this surgery.
Dr Gerarchi is a highly experienced facial plastic surgeon who has achieved excellent results for his patients using his highly advanced techniques.
Your blepharoplasty recovery
Following eyelid surgery, most patients experience some bruising, but this will generally subside within one to two weeks. It is recommended you apply a hirudoid cream to help resolve any bruising; this is available from our office.
Swelling is also common following this procedure, and can be uneven. Any swelling you experience will generally peak about two days after your surgery, and should then begin to ease. You will be provided with comprehensive instructions on caring for the surgical site following your surgery, including gentle massage and exercises.
Immediately following the surgery, you will likely experience pink scarring; this should fade to thin, nearly invisible white lines with time. Dermatix gel can help reduce and improve the appearance of these scars; this is available from our office.
Blurred or double vision and sensitivity to light is commonly experienced following this procedure, and as such it is advised to avoid watching too much television, reading too much, or staring at a computer screen. Lubricating eye drops can help to alleviate any drying of the eyes which you experience.
We recommend you plan to take one to two weeks break from your regular routine to allow yourself to properly heal. During this time, the eyes should be kept well protected; avoid rubbing or touching them, and wear dark glasses outside if you feel sensitive.
It is strongly advised that you avoid smoking and drinking alcohol, as these may interfere with the healing process. You should also avoid driving within the first 24 hours after your surgery.
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Managing your pain and recovery
While most patients report only mild discomfort following eyelid surgery, Dr Gerarchi may prescribe an oral pain medication to help make your recovery as comfortable as possible. During this time you should avoid taking any medications which contain asprin or ibuprofen, as these may increase your risk of bruising, and other complications.
For the first week following surgery, your eyes should be kept dry. Dr Gerarchi will also prescribe an antibiotic ointment to apply around the incision site to improve the healing process.
Your post-eyelid surgery journey
Prior to your eyelid surgery, Dr Gerarchi’s team will schedule a follow-up appointment approximately one week after your surgery. During this appointment, Dr Gerarchi will check on the healing process, and any non-absorbable sutures will be removed.
Should you experience any bleeding, excessive pain, abnormal swelling, or a fever, please contact our office immediately.
Further follow-up consultations are then generally scheduled to take place six weeks, three months, and six months after your surgery.