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Eyelid Lift Surgery in Brisbane

Specialist plastic surgeon Dr David Sharp performs blepharoplasty surgery (eyelid lift or reduction) under either general and local anaesthetic. Read on to find out about its functional and aesthetic benefits, risks and recovery – and to view our extensive before and after gallery.

Specialist plastic surgeon Dr David Sharp performs blepharoplasty surgery (eyelid lift or reduction) under either general and local anaesthetic. Read on to find out about its functional and aesthetic benefits, risks and recovery – and to view our extensive before and after gallery.

What is an eyelid reduction?

Blepharoplasty surgery – often referred to as an ‘eyelid reduction’ or ‘eyelid lift’ – is a surgical procedure that alters the appearance of the eyelid by removing loose skin and reducing the upper eyelid.

Surgery is most commonly performed on the upper eyelids. It can also be performed alongside facelift surgery.

In addition to altering your appearance – reducing the heavy-lidded presentation that some people notice as they age – blepharoplasty surgery can also provide functional improvements, in cases where the eyelids hang down and impair the eyes’ field of vision.

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Am I a candidate for blepharoplasty surgery?

In general, good candidates for eyelid surgery are healthy individuals who have:

  • obstructed vision due to excess upper eyelid skin
  • ptosis: excess upper lid skin
  • a tired or heavy feeling in the upper eyelid area
  • realistic expectations about their surgical outcome
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Feel confident in your choices, supported by gold standard procedure care

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What does blepharoplasty surgery treat?

Eyelid surgery specifically addresses:

  • loose skin that creates folds or sits over the natural contour of the upper eyelid
  • impaired vision due to excess upper eyelid skin
  • reduces thin skin and fine wrinkles on the upper eyelid
  • headaches, forehead strain and wrinkles caused by overuse of forehead muscles, to raise the eyebrows and elevate eyelid skin out of the line of sight

I want to improve my vision

If your vision is impaired by excess upper eyelid skin, blepharoplasty surgery may improve your vision – and the sore eyes and headaches that often come along with obstructed sight.

I want my eyes to look more open

Blepharoplasty surgery can reduce the heavy lidded appearance the comes with loose upper eyelid skin hanging over the lid fold.

I want to feel less upper face strain

Blepharoplasty reduces the skin on the upper eyelid, opening the eyes reducing the need for adjacent muscle recruitment when reading, concentrating or driving, which can cause strain.

Depending on your anatomy, blepharoplasty surgery may be classified as either a ‘medical’ procedure (with a Medicare item number) or a ‘cosmetic’ procedure, which is not eligible for a Medicare item number or private health fund coverage. If your eyesight is impacted by eyelid skin resting on your eyelashes, we recommend obtaining a referral from your GP to see Dr Sharp to identify if you meet the MBS criteria for a medically required blepharoplasty. If you think this might apply to you, please tell us when you book your consultation.

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Why have an eyelid reduction?

The aims of blepharoplasty surgery are unique to every patient, and can include:

  • To alter their facial appearance
  • Removal of excess skin or fat
  • Improvement in vision
  • Revision of existing scars

Like any surgery, the decision to undergo blepharoplasty surgery should be made firstly for yourself – and not to meet the aesthetic expectations of anyone else. While it carries low morbidity and mortality rates, it nonetheless carries risks and is not right for everyone. Although eyelid reduction makes changes to your appearance, it alone should not be used as a tool to address poor self esteem.

What does an eyelid reduction involve?

An eyelid surgery procedure includes the following steps:

eyelid reduction surgery in Brisbane and Ipswich

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include local anaesthetic or general anaesthesia.

Step 2 – The incision

The incision lines for blepharoplasty surgery are designed to position the resultant scars within the natural structures of the eyelid. The upper eyelid can be adjusted through an incision within the crease on the eyelid, allowing for removal or repositioning of fat deposits, tightening of muscles and removal of excess skin.

The surgical technique most suitable to you will be discussed with Dr Sharp during your pre operative consultations.

Step 3 – Closing the incisions

Eyelid incisions typically are closed with removable sutures

Step 4 – See the results

The results of eyelid surgery will appear gradually as swelling and bruising subside.

After surgery, Dr Sharp may suggest the use of Fraxel Dual resurfacing laser to remove sun damage and stimulate collagen and elastin production, firming and tightening the skin around the eyes and reducing age spots and sun damage. If you have poor skin condition or excessive sun damage, he may also refer you to our dermal clinician, to discuss a skincare regime that can reduce scarring and support your surgical results with optimal concentrations of active ingredients. Cosmetic wrinkle injections can also be used periodically to gently relax muscles that cause crows feet, lines and wrinkles around the eyes – while slightly lifting the brow to accentuate its arch.

How do I choose my blepharoplasty surgeon?

Blepharoplasty surgery is performed frequently by plastic surgeons in Brisbane. However, it is nonetheless a surgical procedure – and should, therefore, be performed by a qualified surgeon.

Choosing the right person to operate on your face is of upmost importance. Eyelid reduction surgery should be performed by a qualified specialist plastic surgeon who is registered as a Fellow of the Royal Australasian College of Surgeons. You can confirm your surgeon’s credentials here.

Dr David Sharp is a qualified plastic surgeon with a special interest in reconstructive and cosmetic plastic surgery, including facial surgery. His personalised approach means that you receive plenty of pre operative time with him to discuss your specific concerns and any questions – and post operative support that goes above and beyond to ensure you are assisted through the recovery phase of your surgery.

It’s normal to feel both nervous – and an excited sense of anticipation – when planning your blepharoplasty surgery. Making a decision based upon how quickly you can get it done – or getting the cheapest ‘deal’ on your surgery – is not the best criteria to use when choosing your surgeon. Investigate your surgeon’s credentials, consult at least two surgeons and make a decision based on the doctor that you feel most comfortable moving forward with.

Your surgeon should take the time to ensure your concerns are understood and addressed, that you have all the information you need to make an educated decision – and create a customised solution to suit your face and expectations.

Does Dr Sharp perform 'Asian' blepharoplasty surgery?

Patients of Asian heritage often refer to ‘Asian eyelid’ surgery as describing the surgical adjustment of the hooded eyelid that is a common physical trait. The surgical approach for this specific type of procedure can differ from how eyelid surgery is performed for other races, and hence some surgeons specialise in this type of surgery as they perform it often and have been extensively trained in its variances. Dr Sharp does not have expertise in ‘Asian eyelid’ surgery and therefore usually on-refers patient who request this procedure to more experienced plastic surgery colleagues.

What kind of anaesthetic will I have for a blepharoplasty?

Eyelid reduction surgery can be performed under local anaesthetic or local anaesthetic.

How long will I have to stay in the hospital after blepharoplasty surgery?

Blepharoplasty is usually performed as a day procedure, meaning you can go home on the day of surgery – if you have the required support during the first 24 hours postoperatively. Dr Sharp will discuss the considerations and preparations that need to be made to ensure you are suitable for day surgery. Our care includes access to our 24/7 practice nurse to support you after day surgery, so you can call her anytime you have questions or concerns after your procedure.

Eyelid lift recovery: what to expect

You will have some swelling and bruising; the products we provide in your post operative care bag will assist with your healing. The area will be tender and pain relief will be prescribed to keep you comfortable.

Tenderness and unusual sensations can be experienced for weeks or even months after the procedure as your nerves regenerate and swelling subsides.

You might be required to wear compression or support garments for 6 weeks after procedure and avoid any pressing or sitting on the fat grafted area.

Avoid strenuous activity for 6 weeks; this includes spa baths and submerging the operative sites in spas, baths or pools etc to reduce your risk of infection.

How much time should I take off work?

You will be very swollen for the first week after surgery and may find your vision is impeded. You may also have a very bruised appearance in the eye and upper face area. Most patients find they can comfortably return to work within 2 weeks of surgery, however, your job requirements, physical activity and exposure to potential irritants or injury should be taken into consideration, and should be discussed with Dr Sharp. Keep in mind that you will appear swollen for several weeks after surgery, and may find signs of swelling continue to abate over several months following surgery.

It will be at least 6 weeks before you can participate in physical exertion or exercise.

Where are blepharoplasty scars located?

 

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above: before and five months after blepharoplasty surgery with Dr Sharp

Blepharoplasty scars

The scar is strategically placed by Dr Sharp to sit into the natural folds of your eyes, as can be seen in the above image at 3 month post op.

How much do eyelid lifts cost in Brisbane?

Potential costs include:

  • Dr Sharp’s surgeon’s
  • Anaesthetist’s fee
  • Assistant’s fee
  • Theatre costs

Blepharoplasty for cosmetic reasons is not covered by most private health insurers. However, in some cases, your surgery might be classified as medically required, and therefore be eligible for coverage under a Medicare item number. If so, you might be eligible to claim a rebate from Medicare, as well as your private health fund.

After your consultation with Dr Sharp, if there’s a possibility that your surgery meets Medicare’s criteria, you will be provided with an item number. We recommend you contact your health insurance provider and ask them if you are covered for plastic surgery, particularly siting the item number provided.

It is important to understand that, in the case of complications or revision surgery, the cost of your blepharoplasty will extend to future surgical procedures and hospitalisations. We encourage patients to think about how they would fund further treatment beyond the immediate costs expected.

How long do blepharoplasty results last?

This surgery does not halt the ageing process, and therefore you may find that in the future you notice loose skin forming on your upper eyelids again, requiring further blepharoplasty surgery. How far into the future that is, will depend on your body, genetics, health and lifestyle. 

Maintaining a consistent weight, healthy lifestyle and effective skincare regime will assist you in getting the most longevity out of your results.

How do I maintain my blepharoplasty results?

As with all surgery, optimal healing is dependent upon healthy nutrition, an active lifestyle and good attitude towards your body.

Dr Sharp and his team can also medically support your results after blepharoplasty surgery through the non surgical treatments available at his Brisbane and Ipswich clinics, including:

  • Fraxel Dual resurfacing laser to remove sun damage and stimulate collagen and elastin production, firming and tightening the skin around the eyes and removing age spots and sun damage
  • Dr David Sharp skincare: specially formulated to reduce scarring and support your surgical results..
  • Cosmetic wrinkle injections to relax muscles that cause lines and wrinkles – while subtly lifting the brow arch. 

Contact our experienced clinicians on 07 3202 4744 to find out more.

Can I combined eyelid reduction + facelift?

Yes, facelift surgery is often performed by Dr Sharp in conjunction with blepharoplasty surgery. When surgically appropriate, these two procedures combined can create significant changes to the face.

What are the risks and complications of eyelid surgery?

Risks and complications of eyelid surgery

Like any surgery, it is important to weigh the benefits against the inherent risks. While blepharoplasty surgery is frequently performed, it also carries the potential of complications. Your pre-operative consultations with Dr Sharp will enable him to discuss potential complications with you, and help you determine whether the surgery is right for you.

Postoperative complications of blepharoplasty range from cutaneous changes to vision-threatening emergencies. Some of these risks can be reduced with careful preoperative evaluation and surgical technique. When complications arise, they should be promptly addressed by appropriate management.

Possible complications of surgery in general include:

  • Acute medical event such as stoke, heart attack, pneumonia
  • The need for revision or further surgery
  • Pain which does not respond to pain relief
  • Nerve damage, causing altered sensation or loss of sensation – temporary or permanent
  • Haematoma (collection of blood), oedema (collection of fluid) and abscess
  • Deep vein thrombosis (DVT) or pulmonary embolisms (PE)
  • Damage or or loss of loose teeth during placement of anaesthetic apparatus
  • Sore throat, swelling or discomfort following placement of breathing tubes during anaesthetic
  • Breathing difficulties following anaesthetic
  • Allergic reaction to medication
  • Allergic reaction to sutures, dressings, tapes or intraoperative solutions
  • Heavy bleeding from the wound, which may require further surgery
  • Poor or slow skin healing, wound infection, breakdown or necrosis (skin death)
  • Wound dehiscence (incision separation)
  • Adverse scarring
  • Psychological impact of surgery, recovery or altered appearance
  • Death

Other possible complications of blepharoplasty surgery include:

  • Excessive swelling and bruising
  • Dryness to the eyes
  • Difficulty closing your eyes
  • Rolling out (or ‘ectropian’) of the eyelid
  • Asymmetry (lopsided) appearance
  • Swelling or accumulated fluid
  • Skin looseness (especially if significant weight loss occurs)

Complications are rare, and Dr Sharp and his team manage each of these risks with the upmost care to further reduce the likelihood of them occurring. In the event they do occur, most can be treated effectively, with prompt intervention.

Everyone’s body responds differently to surgery. In some cases, post operative revision surgery might be required.

Some factors, such as weight, lifestyle or health problems can increase the chance of a complication occurring. Dr Sharp will take time to learn about your potential risk factors during your pre operative consultations, and will determine if they are relevant to your surgery.

If you have any concerns regarding your blepharoplasty and the associated risks, feel free to book additional pre operative consultations with Dr Sharp.

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Our clinics are safe, respectful and inclusive spaces for people of all genders and cultures. We take time to understand our patients’ motivations, expectations and lifestyles, while empowering them to make educated decisions about their bodies. We would love to welcome you to our practice, when the time is right for you to take the next step in your procedure journey.

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Risks and Complications

Every procedure comes with the risk of complications, and specific risks may accompany certain procedures. The general risks of procedure may include:

Scarring

When the body goes through a healing phase after a procedure incision, scarring is a common outcome. The way scars appear and their level of severity depends on various factors, including the type of skin, genetic factors, as well as the size and location of the cut. Certain individuals might notice their scars becoming raised or enlarged, resulting in hypertrophic or keloid scars. In cases where a patient does not like the visual outcome of their scars, treatment options are available, but these should only be considered following advice from a surgeon.

Infection

Any procedure, plastic procedure included, carries the risk of infection. This occurs when harmful microbes invade the procedure site, leading to symptoms such as swelling, heightened pain, formation of pus, and wounds that don’t seem to heal. Surgeons follow rigorous cleanliness procedures to minimise this risk, but it is crucial for patients to follow all post-surgical care directions meticulously. Quick recognition of symptoms and immediate intervention with antibiotics are key in addressing and eliminating infections.

Pain

It is normal to experience pain following procedure procedures, with the intensity and length of pain differing based on the procedure method and the individual’s tolerance to pain. A certain level of discomfort is to be expected, but if the pain becomes severe or lasts for an extended period, it may be indicative of a complication and should be looked into without delay. Pain management strategies, including prescribed medications and guidelines for rest and recovery, will be provided by the surgeon.

Bleeding

Surgical procedures can sometimes result in bleeding, which can be external at the site of procedure or internal, leading to a condition known as hematoma. Signs of internal bleeding may include pain, pressure, and swelling in the area affected. It is critical to seek immediate medical help if you notice unusual bleeding or swelling after procedure.

Seroma

A seroma is an accumulation of clear lymph fluid under the skin, which can happen after procedure. This is due to the procedure disruption of lymph vessels, causing fluid to build up. Symptoms to look out for include pain, a sensation of pressure, and a noticeable swelling or clear fluid drainage at the procedure site. Generally, seromas are minor complications, but they may necessitate drainage or further treatment to ensure proper healing.

Anesthesia Complications

Although anesthesia is crucial for managing pain during procedure, it does come with its own set of risks. These risks include allergic reactions, damage during intubation, malignant hyperthermia, as well as blood pressure or respiratory problems. Continuous monitoring during the procedure allows the procedure team to detect and deal with these complications quickly.

Undesirable Cosmetic Outcome

Despite the use of tried-and-tested medical procedures and the experience of a qualified surgeon, there’s always a risk of not achieving the desired aesthetic result after plastic procedure. This could manifest as unevenness, skin puckering, or outcomes that don’t align with the patient’s expectations. It’s imperative to maintain realistic expectations and to discuss potential results during consultation sessions thoroughly. While revision procedure may be an option, it doesn’t guarantee correction of the issue.

Nerve Damage

Although it’s a rare occurrence, nerve damage is a possible complication of plastic procedure, potentially resulting from the manipulation of tissues or accidental nerve injury during the operation. Signs of nerve damage can include numbness, a tingling sensation, or a loss of feeling in the affected area. While nerve function typically restores over a period of weeks to months, there are instances where changes could be permanent. Prompt reporting of any unusual sensations after procedure is crucial.

Bruising and Swelling

Bruising and swelling are typical responses of the body to procedure intervention. While these are normal parts of the healing process, excessive or extended periods of bruising and swelling require attention. Adhering to post-surgical care instructions, such as keeping the affected area elevated, applying cold packs, and refraining from intense activities, is essential. However, should you notice prolonged swelling or deep, extensive bruising, it’s vital to get in touch for a thorough evaluation.

Death

Death is an extremely rare but real risk in any procedure. Causes could range from severe complications, adverse reactions to anesthesia, or pre-existing health conditions. Patient safety is paramount for surgeons and their teams, ensuring thorough pre-surgical screening and adherence to the latest procedure procedures and safety protocols. Being completely open about your medical history during consultations and following all given pre- and post-surgical instructions closely is of utmost importance.

© Dr David Sharp 2024

Dr David Sharp FRACS Plast is a qualified specialist plastic surgeon in Brisbane. He is a Fellow of the Royal Australasian College of Surgeons (RACS), Australian Society of Plastic Surgeons (ASPS) and the Australian Society of Aesthetic Plastic Surgeons (ASAPS). AHPRA registration number MED0000962857 | * All treatments carry benefits, risks and a recovery period. To learn more, visit the procedure page on our website. Results vary and cannot be guaranteed. Book a consultation to determine whether a procedure or treatment is suitable for you and seek at least two opinions before proceeding.

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