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Blepharoplasty (eyelid rejuvenation) treatment options

Blepharoplasty (eyelid rejuvenation) treatment options
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Blepharoplasty (eyelid rejuvenation) treatment optionsWe use a  few different treatment strategies for the skin around the eyes.

  1. The Portrait laser
  2. Anti-wrinkle injections
  3. Blepharoplasty – surgery to remove  excess skin

Portrait: plasma energy

The Portrait is a ‘plasma energy’ technology that works both on, and below the surface of the skin to change the skin’s architecture so that new skin and collagen is generated. The Portrait is different from any other laser resurfacing treatment – it is effective in reducing the appearance of fine lines to moderate wrinkles and noticeably improves pigmentation caused by sun-damage.

More importantly however, it dramatically improves the skin’s elasticity, causing visible tightening and lifting in areas such as the upper eyelids, nasolabial folds and jawline. This continues to tighten over a 6-12 month period after treatment.

For some, the Portrait may offer a viable option for upper or lower eyelid skin looseness that does not involve blepharoplasty surgery.

Wrinkle/muscle relaxants

Muscle relaxants have been used for over ten years in a variety of medical conditions such as facial spasms, focal spasticity in adults and foot deformity in juvenile cerebral palsy patients. It has also been successfully used over the past years as a treatment of glabella (frown), ‘crow’s feet’ lines and for severe hyperhidrosis (sweating) of the armpits. It remains a proven and reliable treatment that can both refresh and relax the appearance of a persons face and give confidence when excessive sweating (hyperhidrosis) is a concern for many people.

Wrinkle relaxant injections specifically target the tiny facial muscles that cause the lines or wrinkles. Once the specific muscle is injected it is temporarily weakened, minimizing its ability to ‘scrunch’ or ‘wrinkle’ the skin in that area. The skin becomes smooth and more relaxed, without affecting the facial expression.

Wrinkle relaxant treatments are temporary in their action lasting approximately three to five months. It has been observed that in most people, a benefit of longer lasting affect is produced when treatment is given two to three times per year. See anti-wrinkle solutions in the cosmetic dermatology section for more information.


Blepharoplasty techniques have evolved since the late 80s when it was initially used for those in their 60s and 70s. Today blepharoplasty is being chosen more commonly to rejuvenate an eye area for people in their 40s and 50s. Blepharoplasty is used to surgically rejuvenate the upper or lower eyelids otherwise known as ‘bags’, ‘hooded’ or ‘puffy’ eyes.

In the lower eyelid, the pocket of fat that normally sits behind the eye protrudes forward through a weakened septum (muscle) causing the ‘bags’ under the eyes. This is commonly an inherited tendency and may give an appearance of perpetual tiredness. The upper and lower eyelids may be affected separately or together, however the lower lids are frequently worse. Blepharoplasty is performed under sedation at an Accredited Day Surgery clinic.

The use of lasers in eyelid surgery is now common. A laser is a very powerful light beam that is able to be used as a precise cutting tool, or to remove fine layers of tissue. When used in Blepharoplasty procedures lasers have the following advantages over the scalpel technique.

  • There is no visible scar on the lower eyelid.
  • Ectropion (dragging down of the eyelid) is less common than with other methods.
  • There is virtually no bleeding with the laser, and therefore minimal bruising or swelling.
  • A shorter recovery time is needed, allowing an early return to work and social commitments.

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