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Eyelid Surgery - Blepharoplasty, Eyelift, Eyelid Rejuvenation
The eyes are thought of as the "mirror of the soul" and arguably are one of the most expressive features of the face. Eyelid surgery can dramatically improve one's appearance by restoring a youthful and less fatigued look. The procedure can correct drooping upper eyelids that tend to sag with age and time and impair vision, and reduce puffy bags that may develop below the eyes. Whether eyelid surgery is performed for medical or cosmetic reasons the aim is to improve the aesthetic appearance while retaining natural shape and maintaining or improving function. The result can be a refreshed appearance with a firmer eye area. Blepharoplasty does not alter dark circles, sagging eyebrows or fine lines and wrinkles around the eyes but it does improve drooping eyelids. The surgery can be performed as a single procedure or in conjunction with a browlift / forehead lift, facelift / mini facelift, skin resurfacing, wrinkle relaxer (Botox / Dysport) and wrinkle fillers (Hyaluronic Acid, Restylane, Juvéderm, Esthélis, Collagen, Aquamid) so that any other problem areas may be addressed simultaneously.
Blepharoplasty can be performed to:
- Remove excess droopy skin from the upper or lower eyelids
- Tighten the underlying muscles and soft tissues
- Remove excess fat "bags" from under the lower eyelids or in the upper eyelids
Understanding the Procedure
Eyelid Surgery involves the removal of excess skin and fat from the upper and/or lower eyelids and is one of the most common cosmetic procedures. The procedure usually takes 45 to 90 minutes and can be performed in our day surgery or in hospital using local anesthesia with or without sedation or general anaesthetic. Stitches can be removed after four or five days.
In upper eyelid surgery incisions are made in the natural skin folds so that fine scars are less visible. Excess and loose skin can then be removed. In lower eyelid surgery the incision is normally made along the lashline or smile creases of the lower lid so that excess skin and fat (bags) can then be removed. Fine sutures are used to close the incisions minimizing the visibility of any scarring. The sutures are removed 4-5 days later and most patients return to work 1 to 2 weeks after surgery.
Occasionally the incision can be made inside the lower eyelid. This is called a transconjunctival blepharoplasty. Sutures in this area are normally self dissolving and leave no visible scars. Not every patient can have this type of procedure so you need to ask Dr Pham whether you are a candidate for this.
Revision eyelid surgery is surgery on an area that has already been operated on. Corrections normally take longer because the surgery is more complex. Also it should be noted that reduction in swelling and healing times can take a little longer with revision surgery.
Double Eyelid Surgery
People from East Asian background commonly have no or limited upper lid creases. Double eyelid is a normal variant and is considered to be aesthetically pleasing. People who would like to double eyelid surgery do not want Westernisation (high eyelid crease) but enhancement of their ethnic feature. Options are suture technique or surgical incision in the upper lid. While suture technique is less invasive the result is more variable and has higher recurrence in the long term. Surgery to form a permanent crease is more involve but provide the best long term result. It is performed as a day procedure under local anaesthetic with sedation.

Patients from East Asian background commonly request double eyelid surgery blepharoplasty and nasal augmentation / augmentation rhinoplasty together.
Please contact us for your consultation on Rhinoplasty / Nasal Reshaping or other cosmetic surgery and non surgical cosmetic procedures
Gallery - Before and After Photographs
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