Medical Aesthetics
Non-Surgical Medical Aesthetic Treatments
These treatments may help improve the appearance of certain skin or facial features.
What is Blepharoplasty?
Blepharoplasty is a surgical procedure performed to address changes in the upper and/or lower eyelids. These may include excess skin, changes in fat distribution, or alterations in eyelid function. The procedure may involve the removal or repositioning of skin and orbital fat to modify the structure and appearance of the eyelid.
The surgical approach depends on the individual’s anatomy and clinical needs. Techniques may include removal of excess skin, repositioning of orbital fat, and support of eyelid structures such as the orbicularis oculi muscle or lateral canthal tendon. In some cases, additional procedures — such as brow surgery — may be considered to address related anatomical factors.
Indications for Blepharoplasty
Blepharoplasty may be considered for individuals who present with one or more of the following:
- Excess upper eyelid skin (dermatochalasis)
- Visual field interference related to upper eyelid tissue
- Prominent orbital fat pads causing eyelid fullness
- Lower eyelid laxity or malposition (e.g., ectropion)
- Impaired eyelid closure (lagophthalmos)
Surgical Technique
Blepharoplasty may be performed under local anaesthesia with sedation or under general anaesthesia, depending on the complexity of the procedure and individual clinical factors. Incisions are typically placed along natural eyelid creases or inside the lower eyelid to help minimise visible scarring where possible.
The duration of surgery can range from 30 minutes to two hours, depending on the complexity of the procedure and whether additional surgeries are performed at the same time.
Disclaimer
Blepharoplasty is suitable only for people aged 18 years and over. All surgical procedures carry risks, which may include infection, haematoma, scarring, asymmetry, changes in eyelid function, dry eyes, or outcomes that may differ from expectations. Individual suitability, along with specific risks and considerations, should be discussed during a consultation with a registered specialist plastic surgeon. A second opinion from an appropriately qualified health practitioner is also recommended prior to proceeding.
Post Operative Care After Blepharoplasty
Recovery After Blepharoplasty
Following blepharoplasty, it is common to experience swelling around the eyes (periorbital oedema) and mild to moderate discomfort. These symptoms often peak between the third and fifth day after surgery and typically improve over one to two weeks, depending on individual healing responses.
Your recovery will be monitored through scheduled follow-up appointments. In most cases, sutures are removed between five and seven days after surgery, depending on the technique used and your healing progress.
Post-Operative Care Recommendations
- Head elevation: Keep your head elevated when resting in the early days to help manage swelling.
- Cold compresses: Cold compresses may be recommended intermittently to help manage swelling and bruising.
- Wound care: Maintain cleanliness of the surgical area and keep any dressings in place until reviewed by your surgeon.
- Activity: Avoid strenuous activity, exercise, or heavy lifting for at least two to three weeks, or until you receive clearance from your surgeon.
- Follow-up: Raise any concerns or questions with Specialist Plastic Surgeons Dr Steven Liew (FRACS, MED0001151298) and Dr Ania Smialkowski (FRACS, MED0001668109) during your review appointments.
Disclaimer
Blepharoplasty is suitable only for people aged 18 years and over. All surgical procedures at Shape Clinic are performed by Specialist Plastic Surgeons, Dr Steven Liew (FRACS, MED0001151298), Dr Ania Smialkowski (FRACS, MED0001668109) and and Dr Henry Shepherd (MED0001860545, FRACS) who are all registered with the Medical Board of Australia. Individual outcomes, recovery times, and healing responses vary. All surgical procedures carry risks, including infection, bleeding, scarring, asymmetry, and delayed healing. Patients are encouraged to seek a second opinion from an appropriately qualified health practitioner before proceeding.
Frequently Asked Questions
Preparation for blepharoplasty includes steps to help reduce risks and support the recovery process. These may involve:
- Smoking cessation: Stopping smoking at least two weeks before surgery, as smoking can affect healing and increase the risk of complications.
- Medication review: Certain medications or supplements — such as aspirin, anti-inflammatories, and other blood-thinning agents — may need to be paused before surgery. This will be discussed during your pre-operative consultation.
- Support planning: Arranging for transport after surgery and assistance at home during the initial recovery period is recommended.
Your surgeon will provide preparation guidelines tailored to your health history and the planned procedure.
Recovery experiences vary depending on the extent of the procedure and individual healing responses. Common post-operative effects include swelling, bruising, and mild discomfort around the eyes, which often peak in the first few days and gradually improve over several weeks.
Most people can resume light activities or return to work within 1–3 weeks, while full recovery — including scar maturation and the settling of swelling — may take several months.
Disclaimer
Blepharoplasty procedures are suitable only for people aged 18 years and over. Recovery experiences and outcomes vary between individuals. Factors such as age, skin type, overall health, and adherence to post-operative instructions can influence healing. All surgical procedures carry risks, which may include bleeding, infection, scarring, asymmetry, or dry eyes. A consultation with a registered specialist plastic surgeon is required to assess suitability and discuss potential risks, benefits, and alternative options. A second opinion from an appropriately qualified health practitioner is recommended before proceeding.
