The skin around the eyes is one of the areas we see most visible signs of ageing. Some may notice the lines or wrinkles creeping in as early as in their 30s, while others may not be concerned until their 40s or 50s when it is common for the delicate skin of the eyelid becomes inelastic, causing a fold of skin which can hang down to the eyelashes, creating a hooded effect to the eyes.
In some cases the sagging loose skin can rest upon the upper eyelashes and obscure or make vision uncomfortable or difficult. In this case the blepharoplasty procedure may be classified as ‘medical’ and not as ‘cosmetic’ surgery.
The lower eyelid can also show signs of ageing with the appearance of ‘puffiness’ or ‘bags’, causing a tired look, despite good sleep or rest. In both of these cases a surgical procedure called blepharoplasty procedure can be performed to treat the problem.
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We can use the Portrait laser, anti-wrinkle injections or blepharoplasty (eyelid surgery) to rejuvenate the eye area. The blepharoplasty is a very common procedure, though it may be used differently by different ethnic populations & age groups.
There is a form of blepharoplasty that is often used by those with a full upper eyelid that doesn’t have a crease in it. This is often dubbed the ‘Asian blepharoplasty’, because most of those seeking this variation on the blepharoplasty are Asians wishing to have an eyelid with a crease in it. The other population choosing blepharoplasty for eye rejuvenation are older people who have an upper eyelid that has started to droop over the eyelash. This can impact vision or simply be out of the range of what they consider to be aesthetically appealing.
Eye treatments that tighten this upper eyelid skin can be done without actually undergoing surgery, with various skin tightening treatments available. These include lasers and radiofrequency devices that are aimed specifically at encouraging skin to produce more collagen, therefore triggering a tightening effect.
One of our favourite blepharoplasty-type tools is the Portrait laser, which works well to tighten skin by addressing both deeper layers and superficial layers. New collagen is generated on the inside tissue, while fine lines and wrinkles can be reduced on the outside. Any pigmentation can also be removed.
Visible tightening and lifting, particularly around the eye area, is one of the Portrait’s greatest advantages. We use the Portrait for treating the upper eyelids, nasolabial folds and skin on the jawline. The beauty of the Portrait for blepharoplasty treatments is that treatments continue to improve the area over a six to twelve month period.
A series of Portrait treatments can provide solutions for non-surgical blepharoplasty options.
We may also utilise the special muscle relaxant powers of anti-wrinkle injections to improve the appearance of the eye area and prevent further creasing of the skin. This can help in an overall strategy to improve the look of the eye area, including the upper eyelids.
Muscle relaxants are a proven, reliable treatment for the face, and may be used as a weapon in the fight against upper-eyelid-related signs of ageing.
Anti-wrinkle injections work to relax the muscles that cause scrunching or squinting, and thus contribute to skin losing elasticity faster than it might otherwise. For example, our cheeks – which do not scrunch – do not get fine lines and wrinkles anywhere near as easily as the area around our mouths and eyes, which do a lot of scrunching with daily activities.
The action of anti-wrinkle injections is reasonably short, between three and five months, in ‘high action’ areas like around the eyes, so repeat treatments are necessary.
The actual blepharoplasty surgery that may be either aesthetically or medically necessary is a technique that was developed in the 1980s, and can have a profound difference on the appearance of the eye area. A blepharoplasty can help create a more youthful look, with the sagging and drooping of the upper eyelid removed. Puffy eyes can also be eliminated.
The lower eyelid contains a pocket of fat that normally sits behind the eye, however as we age, the tissue that holds this in place can be weakened, allowing this fat pocket to protrude forward. This is typically genetic, so there wasn’t anything you could have done differently; if you look at your parents and grandparents, you’ll notice the tendency on at least one side of the family.
This lower eyelid state can make you look tired all the time, despite you not feeling tired. This may result in some unwanted comments; looking as if you are perpetually tired draws comments from concerned friends and co-workers, which is not necessarily what we want to hear when we feel energised and healthy.
A blepharoplasty is done under sedation Enrich’s day surgery clinic in Melbourne. Your treatment may include lasers, since we can use lasers now for surgical procedures as they offer us a very precise cutting tool and can remove very thin or fine layers of tissue better than a scalpel. Laser blepharoplasty has a few key pros over scalpel-based blepharoplasty, for example:
The method your surgeon chooses will depend on what is required for your particular case, but it’s good to know if your surgeon is not using laser blepharoplasty techniques for a reason.
An upper eyelid blepharoplasty is performed by making an incision in the natural crease of the upper eyelid, with excess skin then being removed along with any excess fat. Dissolving stitches are then applied to close the skin edge, leaving a very fine scar that usually fades and is disguised by the actual eyelid crease.
The lower eyelid blepharoplasty is naturally different to the upper eyelid blepharoplasty, but it is also different when performed with the laser or with the scalpel. The scalpel method means an incision along the lower eyelid margin, with fat and skin removed, then stitches applied. The laser method means no stitches or incisions, with excess fat being removed via the inside surface of the lower eyelid. This leaves no scarring at all, since no incisions are made. Any loose skin, fine lines and wrinkles can be improved after treatment with a laser.
There are several blepharoplasty options, with your cosmetic dermatologist finding the right collection of treatments that will suit your skin type, severity of the eyelid condition, and your desired outcomes.
The blepharoplasty, especially a blepharoplasty performed with a scalpel, is considered invasive surgery, and as a result of incisions, has a longer recovery time as the tissue heals. You may have swollen and bruised eyes for up to four weeks, but this will depend entirely on how extensive your surgery was and how quickly you heal.
You can resume normal activities once your surgeon determines you are on the road to recovery. Any stitches that are not designed to dissolve over time are removed usually five to seven days after the procedure. Once the skin heals, eye make-up can be applied which may be up to three weeks after the procedure.
As with any surgery, there are risks. The risks that typically accompany a blepharoplasty rarely come to fruition, but it’s important to know what you are getting yourself in for, and what could possibly go wrong. The major risks come from infection or disruption to the healing process in some way, for example slow wound healing.
Want us to take a look at your eyes and see what we can do? Contact us
for a consultation on eye rejuvenation.
*Results may vary from person to person