Remove Eye Bags with Eyelid Surgery at Perth’s Absolute Cosmetic

Procedure Name:Blepharoplasty
Also known as:Surgical repair of saggy eyelids, removing eye bags
Used for:Reducing loose skin and bags around the eyelids

Please read all of below before attending your consultation and to assist you in understanding the procedure:

What is Blepharoplasty?

There are two main methods of reducing lower eyelid bagginess and loose skin. The first method is via the inside of the eyelids and for use in those with baggy eyes, but not a lot of loose skin. Some patients may have minimal loose skin and laser can be employed to reduce the wrinkles and tighten the loose skin to some degree.

For those with excessive loose skin an outside the eyelid procedure is employed. This can be a full incisional blepharoplasty, or a pinch blepharoplasty. The latter is preferred in most cases because tightening the outer eyelid excessively can pull the eyelid margin outwards, causing irritation and tearing to the eye. Adjunctive procedures are then needed which are better avoided.

For the upper eyelid, the procedure can include excision of skin, muscle and fat, or just the main component that is causing the loose skin. As mentioned previously, a brow lift or forehead thread lift is sometimes needed to elevate the eyebrows.

The important point of this procedure is not to take excessive skin or tissue out, causing the eyelid to not close. The patient at the one year mark post surgery should be reviewed to see if any extra tissue should be removed, as the aim here is to get the correct amount out, not an excessive amount.

Many patients think the upper eyelid is the problem when it can, in fact be the brow and fore lid that is actually sagging down. Unfortunately for some patients, they not only have heavy eyelids, but a heavy brow. This is seen quite frequently. Some patients wish to only address one area, and they must be realistic as this is not addressing the whole problem. During the consultation this will be explained as it is an extremely important concept to understand.

The lower eyelid also has some peculiarities that need to be understood. Many patients think they have eye bags, when in fact they have troughs or tear troughs. This hollowness below the eyelid makes the actual eyelid look baggier. When these troughs are filled by fat or injectable filler often the eye bag looks much improved. Once again in most patients, a combination is needed. The tear trough needs to be filled and the bag needs to be reduced in size. Simple problems can actually be more complex than they seem.

Who is a Suitable Candidate for Eyelid Surgery?

Firstly, the patient must be realistic and in good health. Anti-inflammatories, aspirin and blood thinning medications must be avoided. A history of thyroid disease or glaucoma can limit the options in some circumstances.

Other inflammatory conditions can also interfere with the procedure. A full eye examination is conducted. Laxity of the lower eyelid is an especially important feature to be aware of.

The Day of Your Eyelid Surgery

The patient must arrive on time to be fully admitted by the medical team. Smoking and illicit drug use must be avoided before the procedure. Blood pressure must be under good control and all other medical conditions must be stable. Blood thinners must be avoided if possible as mentioned.

The procedure is performed under light sedation with local anaesthetic to make the area numb. This procedure is usually completed within 1-2 hours. Many patients will have the upper and lower eyelid surgery at the same time, with adjunctive procedures such as fat transfer and forehead thread lift. The patient will be drowsy after the procedure and in no pain.

They must be picked up by a competent supervising adult and observed the first night. Any severe pain or swelling must be immediately reported. The following day the patient is reviewed and all aftercare reinforced.

After the Procedure

The patient should rest for at least five days and avoid any strenuous activity. Smoking must be avoided. The sutures are removed at day five and many patients can return to work by approximately day eight. This may be longer depending on bruising and swelling.

Exercise should be avoided for two weeks. A gradual return cautiously to exercise should be employed. The scars from the upper eyelid should fade over 1-3 months although very infrequently laser resurfacing is needed to improve these. This scar is purposely placed in the crease of the eyelid so that it cannot be observed.

The lower eyelid often will require no suturing whatsoever. Bruising in this region can last longer and be more severe in some cases. Thread lift to the forehead will require small sutures, which are usually removed between five and seven days also. Fat transfer to the cheeks to decrease the tear troughs can cause some swelling and bruising, although this usually settles within one week.

Why Choose Absolute Cosmetic for your Eyelid Surgery?

  • We work with a team of FRACS and non-FRACS doctors for eyelid surgery and related cosmetic conditions.
  • We are a full time cosmetic clinic, dedicated to the aesthetic field
  • We are a WA Health Department licensed day surgery
  • Our aim is for subtle, natural results

If you’ve got bags around your eyes, book a consultation with Absolute Cosmetic Medicine to see if eyelid surgery is the right solution for you.

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

How Can we Help You?

We look forward to discussing solutions that best suit you.

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