Blepharoplasty Surgery
Treatment for upper eyelid concerns
Cosmetic Eyelid Surgery in Perth (Blepharoplasty)
About Blepharoplasty in Perth
Blepharoplasty, also known as eyelid surgery, is a procedure that involves the removal of excess skin and very rarely fat from the upper or lower eyelids. This can help address changes in the eyelid region that may be associated with age, genetics, or medical conditions. In some cases, the procedure may assist in improving vision by reducing overhanging upper eyelid skin. The aim is to highlight the natural features and appearance of the eyes.
The appearance of puffiness or descent around the eyes may be related to weakening of surrounding muscles and fascia resulting in fat protrusion, and loss of skin elasticity. While these changes are commonly associated with ageing, they may also occur in younger individuals or be hereditary.
Blepharoplasty is not designed to eliminate fine lines around the eyes, dark circles, or lift the eyebrows or forehead. Other procedures, such as wrinkle treatments or forehead lift or brow lift, may be considered in appropriate cases and will be discussed during consultation if relevant.
An eyelid lift, also known as blepharoplasty, involves the removal of lax eyelid tissues to lift the lids. This procedure can be performed on the upper eyelids. The aim of the procedure is to remove excess skin and very rarely fat, which can alter the shape of the eyes. This has the effect of opening the eyes if obscured by skin and bulging fatty tissue.
It’s important to note that the darkness under the lower eyes is often caused by a shadow effect from fat bulging beneath the eyes. An eyelid lift alone does not address fine lines or wrinkles around the eyes. To potentially achieve satisfactory outcomes, blepharoplasty is often combined with other addressing visible signs of ageing procedures such as brow lifts or skin treatments like laser skin resurfacing. Additionally, an eyelid lift will not correct dark circles under the eyes if they are caused by muscle or other tissues showing through the thin skin. These factors will be thoroughly discussed and clarified during your consultation.
Upper Eyelid Lift (Upper Blepharoplasty)
For an upper eyelid lift, also known as upper blepharoplasty, the incision is typically made within the natural crease of the upper eyelid, which remains hidden when the eyes are open. Through this incision, excess skin and fat may be removed or repositioned to help restore the eyelid’s natural shape and contour. The goal of this procedure is not to “open” the eyes, but rather to recreate a more defined eyelid crease. For individuals seeking a more open or elevated eye appearance, a brow lift may be considered in conjunction with an upper eyelid procedure.
In many cases, particularly for individuals over the age of 45, upper eyelid surgery is combined with other facial procedures aiming such as brow lifts or laser skin resurfacing to aim for a balanced and natural appearance. Dr Imani will provide a personalised assessment to determine the most appropriate combination of treatments for your facial features and goals.
Lower Eyelid Lift (Lower Blepharoplasty)
Lower eyelid lift surgery can be performed using one of two main techniques. The transcutaneous (or subciliary) approach involves an incision just beneath the lower lashes. This allows for removal or repositioning of excess skin and fat. While this technique can also tighten skin, it may increase the risk of altering the natural shape of the eye or causing dry eye symptoms in some individuals.
The alternative approach is the transconjunctival technique, where the incision is made inside the lower eyelid. This approach is commonly preferred, especially in patients who do not require significant skin tightening. It avoids an external scar and reduces the risk of affecting the eyelid’s supporting muscle. This technique allows for access to the fat pads beneath the eye to reduce puffiness and smooth the under-eye contour.
Dr Imani will carefully assess your anatomy, concerns, and goals during your consultation to determine the most suitable technique for your needs.
What the Procedure Involves
Upper and/or lower eyelid surgery involves incisions that are typically placed within the natural creases of the eyelids or inside the lower eyelid. This approach aims to reduce visible scarring. The procedure may involve removal or repositioning of excess skin or fat. Sutures used are often absorbable and do not require removal.
The operation is tailored to individual anatomical needs and goals discussed during consultation. Dr Imani will evaluate factors such as skin condition, eye function, and overall health to determine the appropriateness of this procedure.
Is Blepharoplasty Right for Me?
This procedure may be suitable for adults with eyelid concerns related to skin redundancy, bulging fat pads, or functional visual obstruction. Suitability depends on overall health, realistic expectations, and specific anatomical features. A full medical and ocular history will be reviewed during consultation to assess any eye-related conditions that could impact the outcome or safety of surgery.
In some cases, other procedures such as forehead lift, brow lift or skin resurfacing may be performed at the same time. This will be discussed with you based on your individual needs.
Risks and Considerations
As with any surgery, there are potential risks involved. These include, but are not limited to:
All risks, benefits, and potential complications will be discussed with you in detail during your consultation. You will also be provided with written procedure-specific information to review at home.
Recovery After Surgery
Recovery time varies depending on the individual and the extent of surgery. Some common aspects of the postoperative period include:
General surgical risks: bleeding, infection, scarring, asymmetry, delayed healing
Eye-related risks: dry eyes, irritation, difficulty closing eyes, blurred vision (usually temporary), and rarely, damage to deeper eye structures
Cosmetic or functional concerns: under- or over-correction, skin discolouration, or contour irregularities
Rare but serious risks: ectropion (outward turning of the eyelid), retrobulbar haematoma (bleeding behind the eye), or very rarely, vision loss
Preparation and Next Steps
Pre-operative and post-operative instructions will be provided prior to your surgery. You will also have an opportunity to ask questions and review consent documentation.
To determine whether eyelid surgery is appropriate for you, a consultation with Dr Imani is required. This will involve a comprehensive assessment of your goals, health, and expectations.
Mild to moderate swelling and bruising around the eyes, typically resolving within 7–10 days
Use of cold compresses and protective eyewear (e.g., sunglasses) is often recommended
Discomfort or pain is managed with cold compresses and analgesic medication. Please follow the instructions from Dr Imani and your anaesthetist who will prescribe analgesic medication for you.
Patients are generally advised to avoid strenuous activity and heavy lifting for two weeks.
Most people can resume light daily activities after a few days, but driving should only be resumed when vision is clear and no sedative medications are being taken
Important Information and Disclaimers:
• Any surgical or non-surgical procedure carries risks.
• Individual outcomes, results, experience and recovery times vary based on individual’s genetics, environmental factors, diet, exercise, sun protection, smoking and general health. Individual’s outcomes are only relevant for that individual and they do not necessarily reflect or guarantee the same outcome for another individual given the same treatment.
• The information provided is general and educational in nature.
• It does not constitute medical advice nor replace consultation with a qualified health professional.
• We encourage all patients to seek a second opinion and consult their general practitioner for a referral before engaging in a surgical and non-surgical consultation with us.
Still have questions?
Contact us to arrange your consultation with Dr Imani.
Anaesthesia
Local anaesthetic with sedation or general anaesthesia may be used.
In/Outpatient
Blepharoplasty is typically performed on an outpatient basis.
Length of Surgery
The procedure usually lasts between 1 to 1.5 hours.
Pain Score
Most patients experience minimal discomfort, some patient may experience higher levels of pain or irritation . Mild oral pain relief may be required as needed. Note that the experience of pain is highly individual. Extreme pain is uncommon and must be reported to the nursing staff or Dr Imani immediately after surgery.
Recovery and Return to Work
Temporary swelling and bruising around the eyelids can occur following the procedure.
Activity restrictions are generally minimal during the first week. Many individuals resume normal activities in the second week.
Eye makeup can often be worn after the first 10 days, following your surgeon's advice.
Return to work is typically possible within 5 to 7 days for many individuals, depending on the nature of their work.
Strenuous activities and contact sports should be avoided for up to 6 weeks.
Duration of Results
Results are generally considered long-lasting.
Important Considerations
Any surgical or non-invasive procedure carries inherent risks. The decision to undergo surgery, or to opt for non-surgical procedures, should not be taken lightly. Individual recovery experiences and outcomes can vary depending on factors such as genetics, diet, anatomy, and physiology. Results may differ from those depicted or described.
The images and content presented are for informational and educational purposes only and are not intended to endorse a specific treatment or procedure.
Before proceeding with any treatment, it is recommended that you seek a second opinion from a suitably qualified surgeon. You should consult your general practitioner for a referral before seeing a specialist surgeon. The information on this website does not replace the need for personalised medical advice.
Cost of Blepharoplasty (Eyelid Lift) in Perth
Understanding the Costs of Your Surgery
The total cost of your surgery depends on several factors and includes fees from different providers who are involved in your care. Here’s what you need to know:
1. Surgical Fee
• This is the fee for Specialist surgeon’s services and is based on the complexity of your surgery and the surgeon’s expertise and experience.
• You will receive a detailed surgical fee estimate after your consultation outlining the possible inclusion of any Medicare and Private health insurance rebates .
The surgical fee for blepharoplasty with Dr. Imani ranges from $6,000 to $15,000.
2. Hospital Fees
• These include costs for your hospital admission and operating room use, charged on an hourly basis.
• Quotes are provided directly by the accredited hospitals where your surgeon operates at.
• If your procedure meets certain clinical criteria, private health insurance may cover some or all of these fees, especially if the surgery qualifies under the Medicare Benefits Schedule (MBS).
• Our staff will guide you through obtaining this quote.
3. Anaesthetist Fees
• If general anaesthesia is required, a specialist anaesthetist (FRANZCA-accredited) will be involved.
• They charge separately and will provide their own hourly rate quote.
• Again, we’ll assist you in connecting with them to obtain the necessary details.
• You do not have to source an anaesthetist; we have set specialist anaesthetist who work with your surgeon on designated dates.
4. Other Incidental Costs
• These may include:
o Medications
o Post-surgery garments
o Travel or hotel stays (especially if you're coming from outside the Perth metropolitan area)
Important Notes
• We are only able to provide the quote for the surgical fee. Hospital and anaesthetist fees are separate and managed independently.
• Our team is here to support and guide you through obtaining all the necessary quotes.
• Medicare and private health insurance rebates may apply if your surgery is deemed medically necessary and includes an eligible MBS item number.
If you have any questions or need help at any stage, please don’t hesitate to reach out—our friendly staff are here to assist you.
Aftercare Instructions for Blepharoplasty
Immediate Postoperative Care
Your vision may be blurred due to ointment applied inside the eyes. This will typically resolve by the following day.
Elevate your head while sleeping to minimise swelling.
Cold Compresses
Apply cold compresses to your eyes for the first 48 hours to help reduce swelling.
Use gel eye packs or frozen peas in sealed bags, applying for 15–20 minutes at a time with breaks in between.
Medication
Take prescribed pain medication only if needed.
Apply the prescribed ointment to the eyelid sutures four times a day for 10 days.
Follow your surgeon’s instructions regarding eye drops or ointments.
Rest and Avoidance of Strenuous Activities
Rest is essential in the first few days post-surgery.
Avoid strenuous activities, heavy lifting, and bending over to prevent strain on the eyes.
Eye Protection
Protect your eyes from sunlight and wind by wearing sunglasses.
Avoid exposure to harsh environmental conditions during recovery.
Avoidance of Smoking and Alcohol
Refrain from smoking and limit alcohol consumption to aid the healing process.
Follow-Up Appointments
Attend all follow-up appointments with your surgeon. Sutures will typically be removed between 5 to 10 days post-surgery.
Report any unusual symptoms such as increased discomfort, increased swelling, or vision changes.
Makeup and Contact Lenses
Avoid eye makeup until approved by your surgeon.
Do not wear contact lenses until cleared by your surgeon.
Nutrition and Hydration
Maintain a healthy diet and stay hydrated to support healing.
Patience
Swelling and bruising are common and will gradually subside over time.
Final outcomes may take several weeks to fully manifest.
Warning Signs
Contact your surgeon immediately if you experience:
- Excessive bleeding or increased swelling
- Severe discomfort unrelieved by prescribed medication
- Changes in vision
- Signs of potential infection, such as redness, warmth, or discharge
Important Information and Disclaimers:
• Any surgical or non-surgical procedure carries risks.
• Individual outcomes, results, experience and recovery times vary based on individual’s genetics, environmental factors, diet, exercise, sun protection, smoking and general health. Individual’s outcomes are only relevant for that individual and they do not necessarily reflect or guarantee the same outcome for another individual given the same treatment.
• The information provided is general and educational in nature.
• It does not constitute medical advice nor replace consultation with a qualified health professional.
• We encourage all patients to seek a second opinion and consult their general practitioner for a referral before engaging in a surgical and non-surgical consultation with us.
Still have questions?
Contact us to arrange your consultation with Dr Imani.
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