Upper Blepharoplasty (Eyelid Lift) Sydney

What is Upper Blepharoplasty (Eyelid Lift Surgery)?

Upper blepharoplasty, also known as upper eyelid lift surgery, is a surgical procedure performed at Shape Clinic in Sydney to address changes in the upper 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 upper eyelid.

The surgical approach depends on the individual's anatomy and clinical needs. Techniques may include removal of excess upper eyelid skin, repositioning of orbital fat, and adjustment of underlying structures such as the orbicularis oculi muscle. In some cases, additional procedures — such as brow surgery — may be considered to address related anatomical factors, including brow position that contributes to upper eyelid heaviness.

Indications for Upper Blepharoplasty

Upper 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 upper eyelid fullness
• Upper eyelid hooding or heaviness
• Upper eyelid asymmetry

Surgical Technique

Upper 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 the natural upper eyelid crease 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.

Post Operative Care After Upper Blepharoplasty

Recovery After Upper Blepharoplasty

Following upper 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 at our Sydney clinic. 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.