Eyelid Surgery: Is It Right for You? Understanding Blepharoplasty

Dr. Gino Vissers • 6 January 2025

Eyelid surgery, or blepharoplasty, is one of the most sought-after cosmetic procedures both worldwide and in our clinic. It is designed to rejuvenate the eye area, addressing concerns like droopy eyelids, under-eye bags, and sagging skin. Whether you want to look more refreshed or improve your vision impaired by excess skin, blepharoplasty can offer amazing results. But how do you know if it’s the right choice for you? This article explains the benefits, process, and how to determine if you’re a good candidate.



What Is Blepharoplasty?


Blepharoplasty is a surgical procedure that enhances the appearance of the eyelids by removing or repositioning excess skin, muscle, and fat. The surgery can be performed on the upper eyelids, lower eyelids, or both, depending on the patient’s needs.

  • Upper Blepharoplasty: Focuses on correcting droopy upper eyelids, which may impair vision or contribute to a tired appearance.
  • Lower Blepharoplasty: Targets under-eye bags, puffiness, and sagging skin below the eyes.
  • Combination Surgery: Often, patients opt for both upper and lower blepharoplasty to achieve a harmonious and balanced look.


Benefits of Eyelid Surgery


Blepharoplasty offers both aesthetic and functional benefits, making it a versatile procedure for a wide range of individuals. Blepharoplasty may result in a more youthful appearance. The eyes are one of the first areas to show signs of ageing. A blepharoplasty can reverse the effects of time, giving you a refreshed look by smoothing wrinkles, tightening sagging skin, and reducing puffiness.  In some cases, excess skin on the upper eyelids can obstruct vision, making everyday tasks like reading or driving more challenging. The weight of the excess skin on the upper eyelids can feel heavy and uncomfortable. Blepharoplasty removes this excess tissue, enhancing both appearance and functionality.

A refreshed eye area can significantly boost self-confidence. Our patients often report feeling more vibrant, alert, and attractive after the procedure. While the natural ageing process continues, the results of blepharoplasty are long-lasting, with many patients enjoying their improved appearance for over a decade. Furthermore, the incisions for blepharoplasty are strategically placed in natural creases or inside the lower eyelid, ensuring scars are virtually invisible.



The Process

Understanding what to expect during the procedure can help you feel more confident about your decision. If you are considering eyelid surgery, we will guide you through the following steps:


1. Consultation

Your journey begins with a consultation with top plastic surgeon Dr. Gino Vissers. During this meeting, Dr. Gino will:

  • Assess your medical history and overall health.
  • Evaluate the condition of your eyelids.
  • Discuss your aesthetic goals and expectations.
  • Determine whether you’re a good candidate for the procedure.
  • Explain the procedure in detail.
  • Discuss your preferred type of anaesthesia.
  • Pre-operative photos will be taken for your medical records.


2. Preparation

Before surgery, Dr. Gino Vissers may provide you with instructions, such as stopping certain medications, quit smoking, and arranging for post-operative care. Following the surgery, your eyelids will be puffy and swollen, and you won't be able to drive the first few days after your surgery.


3. The Surgery

Blepharoplasty is typically performed as an outpatient procedure under local anaesthesia or general anaesthesia.

  • Upper Eyelid Surgery: Dr. Gino Vissers makes an incision along the natural crease of the upper eyelid, removes excess skin, muscle, and fat, and tightens the remaining tissue. If needed, your upper eyelids can be repositioned at the correct level, or a combined brow lift can be performed.
  • Lower Eyelid Surgery: The incision is either just below the lash line (subciliary approach) or inside the lower eyelid (transconjunctival approach). Fat is removed or repositioned to reduce puffiness, and excess skin is trimmed. If needed, you lower eyelids can be repositioned at the correct level.


4. Recovery

Recovery from blepharoplasty is generally straightforward:

  • Swelling and bruising are common for the first week.
  • Most patients return to normal activities within 10-14 days.
  • You can attend important social events with make-up on without people noticing your surgery after 3 weeks.
  • Final results become visible as swelling subsides, usually after 6-12 weeks.



Are You a Good Candidate for Blepharoplasty?


Blepharoplasty is a minor surgery with amazing results. But not everyone is an ideal candidate for eyelid surgery. The following factors should be taken into consideration:


Your Physical Health

Patients should be in good overall health, with no medical conditions that could impair healing. Conditions like uncontrolled diabetes, hyperthyroidism, or severe dry eyes may preclude surgery.


Realistic Expectations

Blepharoplasty can enhance your appearance but won’t fundamentally change your facial structure. Understanding the limitations of the procedure is important for your satisfaction.


Specific Concerns

You may benefit from blepharoplasty if you have:

  • Droopy or sagging skin of upper eyelids.
  • Vision impairment caused by upper eyelid or lower eyelid skin.
  • Fat excess in upper or lower eyelids
  • Puffy under-eye bags.
  • Excess skin or wrinkles around the eyes.
  • Tired look


Age Considerations

While there’s no specific age requirement, most patients are in their 30s or older. Younger patients with hereditary concerns, like under-eye bags, may also be candidates.


Non-Smoker

Smoking can interfere with healing and increase the risk of complications such as infection. Non-smokers generally experience better outcomes. As blepharoplasty is considered a cosmetic procedure, Dr. Gino will only perform this surgery if you have quit smoking.



Consulting with Dr. Gino Vissers

 

While understanding the basics of eyelid surgery is helpful, it’s essential to consult with a qualified and experienced plastic surgeon who can assess your eyelids and recommend the best treatment based on your individual needs. Dr. Gino Vissers is a consultant plastic surgeon specialised in facial and eyelid surgery, and he can guide you throughout your eye surgery journey.



Conclusion


Blepharoplasty is a highly effective procedure for patients looking to refresh their appearance or address functional issues caused by droopy or sagging eyelids. Due to its combination of aesthetic and practical benefits, it’s no wonder eyelid surgery is one of the most popular surgeries in our clinic.

If you’re considering blepharoplasty, consult with a qualified plastic surgeon to discuss your goals and determine if it’s the right option for you. Your journey to brighter, more youthful-looking eyes could be just a consultation away!


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