What is an upper blepharoplasty?

As we age, the skin of the upper eyelid is prone to stretch and becomes ‘crepey.’ As it worsens the skin rests on the eyelashes and hides the normal fold that exists along the upper lid. This can reduce what you are able to see in your peripheral vision, darken your eyes and make you appear tired. It becomes habitual to raise your eyebrows to lift the skin up. This creates unwanted forehead wrinkles and causes headaches. Upper eyelid surgery, also known as a blepharoplasty, is a procedure that removes this excess, loose skin and/or fatty tissue surrounding the eyes to give the area a more rejuvenated fresher appearance.


What will it do?


The aim of eyelid reduction surgery is to improve facial appearance and reduce the signs of ageing by treating:

  • Remove loose skin that hides the natural fold of the upper eyelid

  • Recreate the natural contour of the upper eyelid.

  • Improve peripheral vision

  • Excess fatty deposits that appear as puffiness in the upper eyelids

Is it right for me?


Upper eyelid reduction surgery is a highly individualised procedure and may not be suitable for everyone. Always talk to Dr Brooks or another Specialist Plastic Surgeon before deciding. Dr Brooks will assess your condition and general health and plan the treatment that is best suited to you. Before you decide on eyelid reduction surgery, there are some important issues to keep in mind:

  • Upper eyelid surgery is often carried out separately from lower eyelid surgery

  • Eyelid reduction cannot remove dark circles under the eyes, lift sagging eyebrows or get rid of crow’s feet

  • Smokers are at increased risk of complications. If you are serious about undergoing surgery, you should quit smoking


Eyelid reduction surgery may not be a good option for you if you are:


  • Not able to have an anaesthetic

  • Prone to bleeding tendencies or have poor healing ability

  • Too high risk of having surgical complications


Eyelid reduction surgery may be a good option for you if:


  • You are physically well, and you do not have medical conditions that can impair healing or increase risk of surgery

  • You do not have any serious eye conditions

  • You have realistic expectations of what eyelid reduction surgery can accomplish

  • You are a non-smoker or have stopped smoking for 3 month


Expectations of surgery


This surgery is usually carried out under a general anaesthetic in, a private hospital as a day case. Dr Brooks uses an approach that removes excess skin, fatty tissue and a strip of muscle. The upper eyelid fold is recreated and the whole upper eyelid tightened.


You will not be able to drive for the first week following the surgery. It is advised to use icepacks on your eyes for the first 48 hours. You will be discharged with an ointment to apply four times a day to both suture lines. It is normal to develop bruising or black eyes under both eyes which takes around 10 days to fully resolve. The suture material is removed around 5 days after the surgery. It is advisable to avoid strenuous exercise for the first few weeks following surgery. Most of the swelling will be gone by 2 weeks but allow 3 months for all the swelling to resolve. Most people who don’t know you’ve had surgery will notice a change, usually thinking that you’ve had a holiday or look refreshed, or simply remark that you’re looking well or younger!

Will I have scarring?


Scars are an inevitable part of any invasive surgery. Dr Brooks will endeavour to minimise scarring and to keep your scars as inconspicuous as possible by locating the incisions within an existing skin crease. Scars may fade with time and become barely noticeable. If you are prone to scarring, you should advise your surgeon.

Will I need revisional surgery?


As with all surgical procedures, revisional surgery may be necessary to correct minor irregularities, however this is unlikely. Surgery cannot halt the passage of time, as the younger you are at the time of surgery, the more likely it is that you may wish to have the surgery again later in life.


Depending on the result of surgery and subsequent scar formation, some patients may require one or more additional procedures to attain their desired result.

What are the costs of this procedure?


Cost is a very important consideration in elective surgery. Price is based on individual factors which need to be ascertained at the initial consultation with our highly experienced nurse. The most important factor to clarify is whether you qualify for the Medicare item number for upper blepharoplasty, which is dependent upon the results of a visual fields test, performed by an optometrist. If you qualify, then your private health insurance cover needs to be of a level that covers the MBS item number 45617. That means that most of the hospital fees are covered by your health fund. Please understand that we are unable to quote you before we have met you and been through the above.


Costs associated with the procedure include:

  • Surgeon’s fee

  • Hospital or surgical facility costs

  • Anaesthesia fees

  • Prescriptions for medication

  • Medical tests


We welcome any questions you may have regarding fees.

Blepharoplasty procedure video

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