Eye Lid Rejuvenation (Blepharoplasty)

Eye Rejuvenation Surgery 

Upper and Lower Eyelid Reduction Surgery (Superior and inferior blepharoplasties)

Blepharoplasty is also referred to as eyelid reduction surgery or an eyelid lift. The procedure involves removal of excess skin and, if required, removal or repositioning of the fat and/ or removal of muscle in the eyelid. The aim is to produce a more youthful looking and less tired area around the gateway to the soul. 

The incisions are carefully placed, either in the natural crease of the eyelid or in the inner surface of the lower eye lid, resulting in an almost invisible scar once healed.

Key Facts about Upper and Lower Blepharoplasties

  • Usually performed under local anaesthetic.
  • Upper and lower blepharoplasties typically take between 1 and 2 hours depending on if done separately or together.
  • The procedure shall take place in Ignite Medispa’s procedure room, unless deep sedation or general anaesthesia is requested (in which case, the procedure shall be performed in a licensed hospital’s operating room).

Preparing for Upper and Lower Blepharoplasties

  • During the initial consultation you need to inform Dr. Niroshan Sivathasan about all medications you take, especially any medications that thin the blood, such as aspirin or warfarin.
  • Do not drink alcohol for 48 hours prior to the procedure. Avoid herbal medications/ remedies during the days leading up to the procedure. Also avoid any anti-inflammatory medications (such as ibuprofen) for a few days prior to the procedure, if possible.
  • Stop eating a couple of hours prior to the procedure.
  • Arrive with clean face, free of makeup and well-cleansed. Tie your hair back in a low ponytail.

After the Procedure

  • There is no need to stay overnight and most patients return home within a couple of hours following the procedure.
  • Recovery is fast, the majority of individuals return to work between 3 to 5 days following the procedure.
  • The results of the procedure shall be evident within a month.

Risks and Complications – Anaesthesia

Minor, temporary effects of local anaesthetics, include:
  • Blurred vision;
  • Twitching muscles in the area around where the local anaesthetic was administered;
  • Muscle weakness, tingling and continuing numbness in the area around where the local anaesthetic was administered.
Rare and serious risks of local anaesthetics, include:
  • Hives, skin irritation, and in very rare cases of allergic reaction, breathing difficulties;
  • Depressed central nervous system, decreased breathing rate and reduced heart rate, in extremely rare cases this could cause a heart attack (cardiac arrest). However, this is extremely rare and extremely unlikely given the amount of local anaesthetic used.
Issues following sedation (IV/ twilight) or general anaesthesia, include:
  • Disorientation and drowsiness;
  • Feelings of heaviness and slow reflexes;
  • Nausea and low blood pressure;
  • Short term memory problems or amnesia.

Risks and Complications – Surgery

Minor risks and complications of upper and lower blepharoplasty procedures, include:
  • Swelling and bruising;
  • Vision may be blurred due to the lubricating ointment;
  • Eyes may water and be sensitive to light;
  • Double vision.
Rare and serious surgical risks, include:
  • Haematoma (blood pooling) normally dissipates within 14 days, but might be an emergency depending on the location;
  • Significant scarring;
  • Grossly asymmetrical (uneven) results;
  • Eyelid retraction (ectopion);
  • Loss of eyelid hairs (usually temporary) and damage to the eyeball.
Please seek immediate medical attention if you suffer with any of the below symptoms:
  • Shortness of breath or difficulty breathing;
  • Chest pain;
  • Excessive bleeding or fluid from incision sites;
  • Vision problems that persist after 24 hours;
  • Sudden increase in pain.

Recovery Journey for Upper and Lower Blepharoplasties

Immediately following the procedure

There will be swelling and bruising around the eye area. The eyes shall feel sore and may itch. Cold compresses can be placed gently over the eyes to ease any discomfort.

First 48 hours:  Swelling and bruising shall increase. For optimum results do not tilt your head downwards, and keep your head elevated on a few pillows when sleeping. Do not rub or pick at the eye area, and any crusting that may accumulate may be gently and carefully dabbed at with damp gauze.

7 days: The majority of people will return to work if they have not already done so. Swelling and bruising should be reducing.

14 days: The review appointment shall have taken place. Dr Niroshan Sivathasan shall have removed any non-dissolvable sutures and have checked that the incision sites are healing.

1 month: Bruising shall have gone, and you may commence gentle massage around the eye areas. You can start wearing eye makeup, it is still very important to be gentle when touching the eye area, especially when removing makeup

3 months: Noticeable swelling shall have gone and your scars should have significantly faded. You will probably start getting comments about how fresh and rested you appear. You may wish to consider other rejuvenation procedures, such as gentle resurfacing.

6 months: Your scars should be barely visible and will continue to fade and any residual swelling shall have gone.