Plastic Surgery Guide: Eyelid Surgery

Want to look younger without having a facelift? If your main issue is wrinkles and bags around your eyes, you could be a good candidate for eyelid surgery. This cosmetic procedure, called blepharoplasty, can make you look years younger. We take a look at eyelid surgery, the cost and how long the results last.

What is blepharoplasty?

Eyelid surgery can give a fresher, rejuvenated look to the entire eye area by correcting any or all of several problems. One is excess fatty deposits that make the upper eyelids appear puffy. These can be removed, giving the eyelids a smoother, more youthful look.

This surgery can eliminate the loose, sagging skin that makes creases and folds in the upper eyelid, sometimes interfering with vision. Excess skin of the lower eyelid can be tightened, smoothing out wrinkles. Surgery on the lower eyelids can correct bags under the eyes as well as droopiness of the lids.

Who should have eyelid surgery?

The ideal candidate for eyelid surgery is an adult in good health that has realistic expectations about the results. The patient should be free of medical conditions that can interfere with healing as well as problems like cardiovascular disease, diabetes, high blood pressure or circulatory disorders. Candidates for this surgery should also not suffer from serious eye conditions like glaucoma.

How is the surgery performed?

Blepharoplasty may be done under general anaesthesia or intravenous sedation. Incisions are placed so that the scars will be hidden inside the natural creases of the eyelids. Problems of the upper eyelids like droopy lids and fat deposits are corrected by repositioning the fat, then the muscles, tissue and skin are tightened.

Excess skin in the lower eyelids is removed through an incision just beneath the lower lash line. At end of the surgery, incisions are closed by sutures, skin adhesives or surgical tape. Until the surgery is fully healed, the patient must use sun protection and wear darkly tinted glasses.

How much does blepharoplasty cost?

In Australia, the cost of either and an upper lid or lower lid blepharoplasty can range from $2,500 to $4,500. The cost of having both done at once can range from $4,500 to $8,000. The price is dependent on how long the surgery takes and should include surgeon’s fees, fees for the assistant surgeon and anaesthetist, hospital costs and follow-up visits.

How long do the results of blepharoplasty last?

The results of eyelid surgery should last a lifetime, but the patient will continue to age naturally. Proper sun care can prolong the positive effects of the surgery. The ideal outcome is that your friends will say, “You look so rested”, not “Did you have something done?”

Would you ever consider eyelid surgery?


August 20, 2013

5 Things To Consider Before Having A Facelift

A facelift, or rhytidectomy, is a surgical procedure that smoothes out some of the signs of ageing on the face and neck, including sagging, creases, loose skin, fatty deposits and slack muscle tone. This procedure is often combined with eyelid surgery and a brow lift.

Here are five things you need to know before committing to a facelift.

A facelift is major surgery

This procedure is done under general anaesthesia and takes several hours. In a traditional facelift, an incision is made inside the hairline allowing fat to be excised from the face, neck and jowls. Muscle and deeper layers are repositioned, then the skin is re-draped and the excess cut away.

A facelift requires after care

You don’t get to run into the doctor’s office, get a facelift and go home. Following a facelift, the patient needs to spend time in an aftercare facility where they can be monitored for complications and receive pain medications. The stitches must be removed and time is needed for the patient to resume normal activities.

It’s expensive

In Australia, the simplest procedure addresses only the layers of skin and is called endoscopic facelift. This lift ranges from $6,500 to $12,000. The standard lift, or SMAS (superficial musculo aponeurotic system ) facelift and neck lift generally costs $17,000–$25,000. The most complicated lift is the deep plane facelift, which is priced at $20,000–$30,000.

These costs include fees for the surgeon, assistant surgeon and anaesthetist, hospital costs and follow-up visits. Facelifts are usually considered to be cosmetic procedures and are not covered by insurance.

There are serious risks

Post-surgery problems can include numbness, excessive bleeding and infections. Unfortunately, there are even more serious problems that can be fatal, like respiratory failure due to toxic levels of anaesthetics.  Minimsze the chances of complications by choosing your plastic surgeon carefully and thoroughly investigating the risks before deciding to have a facelift.

There are less drastic solutions available

While a facelift is the best solution for major sagging, there are alternatives to a complete lift. One is a chemical peel that burns off the damaged outer layers of skin to reveal the baby-soft new skin underneath. Another is laser treatment that can remove outer layers of skin and tighten muscles.

Still another is Botox, which is popular in Hollywood for both men and women. Botox weakens or paralyses some muscles and nerves, making for fewer lines and wrinkles. Although there are non-medical sources offering Botox injections, these injections should really only be done by a doctor.

If you have small problem areas and don’t want to go for the complete facelift, there are minor surgeries available targeting certain conditions. Consider a cheek lift, upper brow lift or neck lift to refresh your appearance without resorting to a complete facelift.

What do you think of facelifts?

August 12, 2013