Blepharoplasty – Eyelid Surgery

Eyelid Surgery At A Glance

  • Best Results1 treatment
  • Treatment Recovery8 days
  • Procedure Time30 - 60 min
  • Skin SpecialistDavin Lim, Dermatologist
  • Duration of ResultsVariable - years
  • AnaestheticSedation
  • Back to Work7 days
  • Cost$$$

Blepharoplasty - Eyelid Surgery

Loose eyelid skin can lead to eyelid surgery. Some patients have variable amounts of excess upper eyelid skin plus droopy brows that contribute to this condition. Treating both the upper & lower eyelids will give the best results. Depending on the amount of excess skin and laxity, together with factors such as the state of your surrounding skin, laser resurfacing, eyelid surgery, injectable or a combination, can make a significant difference.

FactsFacts on Eyelid Surgery

  • Droopy eyelids can range from mild to severe. In severe cases vision can be blocked
  • Excess skin on upper lids can be due to excess upper eyelid skin, an abnormal position of the margin or brow ptosis
  • Excess skin and laxity can be due to a combination of genes, age, sun & smoking
  • Treatment can either be surgical or via laser resurfacing
  • The best method will depend on the degree of skin laxity, your age, & importantly the state of the surrounding skin
  • Surgery can be combined with laser resurfacing

What is the cause of Eyelid Surgery?

Droopy eyelids are inevitable, however some people age prematurely. This can be due to genetics, however, lifestyle factors such as UV exposure, coupled with smoking can accelerate skin laxity.

Genetics plays a significant role in the formation of eyelid skin laxity.

What type of droopy eyelids are there, and why is it important to know?

There are 3 different conditions that can cause loose, lax and droopy eyelids. Some patients may only have one factor, some all 3 contributing to this condition.

  1. Excess laxity – this is termed dermatochalasis, and can present as upper or lower lid laxity. Most people who exhibit upper lid laxity over the age of 40 will also have lower lid laxity. This can result in patients looking tired, and wrinkled, especially under the eyes.
  2. Eyelid margin repositioning – this is known as ptosis. Ptosis most commonly presents in adult life, but can be present at birth. Abnormal eyelid margins can give a heavy and tired look.
  3. Brow positioning. Eyebrows that move downwards with time as gravity can also contribute to droopy eyelids. This is called brow ptosis.

Patients in the 40s upwards will have varying degrees of all 3. Balancing laxity, eyelid margins and the position of the brow will give optimal results.

What treatments are available to treat excess eyelid skin?

Surgery or laser resurfacing will address skin laxity. If you exhibit mild to moderate skin laxity of both upper and lower eyelids, laser resurfacing will address this problem.

For patients that exhibit marked or severe laxity, surgical excision of excess skin gives the best results- this is called surgical blepharoplasty.

How do I know what treatment is best for me?

An examination will give me a guide as to the best treatment for you. Some patients may only require laser resurfacing whilst others surgical. In cases where by upper and lower eyelid laxity is associated with poor skin texture and tone, I may recommend surgery, followed by resurfacing.

It is extremely important to take note of the surrounding skin before advising on what is the best treatment. For example, if laser resurfacing for eyelids is planned, then feathering to the surrounding skin is essential to prevent any sharp ‘cut offs’.

Davin’s Viewpoint on treating eyelids

Treating eyelids and the surrounding areas can give tremendous results & markedly decrease perceived age. Have a look at the before and after photos and you can see why. I believe that the ‘eyes are the window to the soul.’ Eyes are the very first thing people look at when they meet and greet you. Saggy and droopy lids can convey tiredness and sadness as well as age.

My treatments are aimed at opening up the eyes, tightening excess skin, however I look beyond that. Eye rejuvenation goes beyond removing or tightening loose eyelid skin. Reducing wrinkles around the eye can decrease perceived age, whist addressing volume loss around the orbit can support the eye area. Fat transfer or dermal fillers can make a tremendous difference.

Last but not the least, I have a professional brow specialist that works with me- this is icing on the cake, having your brows waxed and shaped professionally can give lifting and complete the process of eye rejuvenation.

Eye rejuvenation is one of my favourite procedures as it involves not only surgical techniques, but injectables & lasers.

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