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Blepharoplasty

Blepharoplasty (eyelid surgery) in Sydney for eyelid skin and functional concerns

Overview

Blepharoplasty (eyelid surgery) is performed to address excess upper or lower eyelid skin and, in selected cases, fatty tissue that may contribute to eyelid heaviness or under‑eye fullness.

In some patients, upper eyelid skin can contribute to visual field obstruction.

A consultation is required to confirm suitability, discuss scarring, risks, and alternatives.

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Before & After

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

About This Procedure

Eyelid surgery involves planned incisions to remove or reposition tissue.

Upper eyelid scars are usually placed in the natural eyelid crease; lower eyelid approaches vary depending on anatomy.

Scarring is permanent, and the visibility of scars varies.

Outcomes depend on anatomy, tissue quality, and healing.

Key Benefits

The aim of blepharoplasty is to address specific eyelid features identified at assessment. Potential physical changes may include:

Reduction of upper eyelid skin redundancy (where present).
Repositioning or removal of lower‑lid fat pads in selected cases.

Change in eyelid contour and crease definition (individual variation applies).

Outcomes vary with anatomy, skin quality, healing, and surgical technique. Symmetry cannot be guaranteed.

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Ideal Candidate

A suitable candidate is generally a healthy adult with eyelid changes that may be addressed surgically, who understands that outcomes and scarring vary and that revision surgery can be required in some cases. Your surgeon will discuss whether an eye specialist assessment is recommended for your circumstances.

You May Be a Good Candidate If

You may be a good candidate if you:

  • You have eyelid heaviness or excess skin that does not improve with non‑surgical measures.
  • You have upper eyelid skin redundancy and/or lower‑lid changes that you would like assessed.
  • You are willing to accept scars and recovery time.
  • You have realistic expectations about achievable change.

Who Should Not Undergo This Procedure

This procedure/treatment may not be appropriate if you:
  • Uncontrolled medical conditions increasing surgical risk.
  • Active eye infection or certain untreated eye surface conditions (as determined by assessment).
  • Expectation of a scar‑free or guaranteed outcome.

Surgical Techniques & Approaches

Technique selection is individual and based on your anatomy, goals and safety considerations. Options may include:
Your clinician/surgeon will explain the recommended approach and expected trade‑offs during consultation.

Anesthesia

Often performed under local anaesthesia with sedation or general anaesthesia depending on extent and patient factors. Options are discussed during consultation.

Pre-Operative Preparation

You will receive individual instructions. Common requirements may include:

Recovery Process

Recovery varies. Swelling, bruising, temporary dryness/watery eyes, and tightness are common early. Vision may be temporarily blurry. Follow‑up is required to monitor healing.

Timeline

Activity & Expectations

Immediately Post‑Op

Swelling/bruising and mild discomfort are expected. Cold compresses may be recommended.

First 48 Hours

Rest, head elevation, and prescribed eye care. Avoid heavy lifting and bending.

Week 1

Follow‑up for wound checks and suture management (if applicable). Bruising often most visible.

Weeks 2–4

Gradual improvement in swelling and bruising. Many return to normal activities as advised.

3–6+ Months

Ongoing tissue settling and scar maturation.

6–12+ Months

Longer‑term scar and contour changes continue to evolve.

Recovery Milestones

Swelling and bruising are common early and generally reduce over 1–2 weeks, but timelines vary. Dryness, tightness, or temporary changes in sensation can occur. Scars continue to mature over months and may remain visible. Risks can include bleeding, infection, scarring, asymmetry, eyelid malposition, dry eye symptoms, vision changes (rare), and the possibility of revision surgery. Your surgeon will provide written aftercare instructions and review you during follow‑up.

Return to Work: often around 1–2 weeks depending on bruising and comfort.
Return to Exercise: usually restricted for ~2–4 weeks; timing varies and is surgeon‑directed.

Assessing outcome: swelling can take weeks to months; scars mature over many months.

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Frequently Asked Questions

Procedure & Results

Will I have scars?

Yes. Incisions are required. Scar location and visibility vary by technique and individual healing.

Changes can be long‑lasting, but ageing and tissue changes continue over time.

Risks can include bleeding, infection, asymmetry, dry eye symptoms, lid position changes, scarring concerns, and anaesthetic risks. Your surgeon will discuss risks relevant to you.

Pain & Recovery

Is recovery painful?

Discomfort is usually manageable and varies. Pain relief is individualised.

Timing varies; follow your surgeon’s instructions to reduce infection/irritation risk.

Your team will advise based on dressings and wound status.

Safety & Credentials

Where is surgery performed?

In an appropriately licensed facility or hospital setting. Details are confirmed during consultation.

Check the AHPRA public register and ask about specific eyelid surgery experience.

Important Safety Information

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

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