Eye surgery. What are the options?

April 22, 2020

Many good things come with age. We can also start to notice the skin around the eyes begin to droop and sag.

After years of sun exposure and the gradual loss of elasticity in the skin, it’s a common experience for the delicate skin on the eyelids to lengthen and create a hooded look which can dramatically age the face. It is also common for the skin underneath the eye to sag and wrinkle or appear puffy as the underlying fat pads become swollen.

The good news is, if you’re unhappy with the skin around the eyes, cosmetic eye surgery (or blepharoplasty) can help.

What is blepharoplasty?

Blepharoplasty is a cosmetic surgical procedure which can dramatically improve the appearance of the upper or lower eyelids to produce a more youthful appearance.

Blepharoplasty can be performed on the upper eyelids (an upper blepharoplasty), the lower eyelids (a lower blepharoplasty), or on both the upper and lower eyelids (a combined blepharoplasty).

Upper blepharoplasty

During an upper blepharoplasty, the hood of excess skin from the upper eyelid is removed along with any underlying fat, and the eyelid is tightened to open and refresh the eye area.

In cases of excessive upper eyelid sagging, the procedure can help by improving vision which was obscured by a drooping eyelid. The smoother surface of the eyelid can also make for much easier application of eye makeup.

An upper blepharoplasty can be performed using either laser or conventional surgery—the benefit of using laser to perform the procedure is that it cuts and seals the blood vessles at the same time. The scar would be buried in the crease of the eyelid making it invisible.  

Lower blepharoplasty

To perform a lower blepharoplasty, an incision is made from the inside of the eyelid, and the underlying fat pads are removed or repositioned deeper below the skin. As the incision is made from inside the lower eyelid, you can achieve a totally scar-free result.

In cases where there is significant sagging on the skin on the lower lid, some skin can also be removed to produce a more youthful eye area, however a fine scar may remain just below the lower lash line. For this reason, many patients with excess skin on the lower lids instead opt for laser cosmetic surgery or laser skin rejuvenation to tighten loose skin.

Combined blepharoplasty

Where appropriate, blepharoplasty can be performed on both the upper and lower eyelids in a single procedure to achieve the optimal result.

Combining both treatments into a single procedure can be a more cost-effective alternative to undergoing two individual procedures, while also offering the added benefit of a single recovery.

Your surgeon can advise if a combined blepharoplasty is a suitable option for you.

How effective is blepharoplasty?

Few things can be as effective at demonstrating the type of results you can achieve through blepharoplasty than the results we’ve been able to produce for other patients.

Here are some blepharoplasty before and after examples from Me Clinic:

 before after blepharoplasty

We produced a fresher, more youthful look for this patient by performing an upper blepharoplasty.

 blepharoplasty before and after

We performed an upper blepharoplasty for this patient to treat her heavy eyelids. The result was a significantly more youthful and refreshed eye area.

 blepharoplasty close up

This 68-year-old man had extremely droopy and puffy eyes. We performed a combined blepharoplasty with Erbium laser treatment to improve the skin around the eye area.

You can view more blepharoplasty before and after example here.

What are the alternative treatment options?

If you would prefer a non-surgical alternative to cosmetic eye surgery, there are other alternative treatment options available.

Anti-ageing injections

Anti-ageing injections are commonly used to treat lines and wrinkles, however, they can also be used to perform a non-surgical eyebrow lift to produce a similar result to eye surgery.

By targeting the orbicularis oculi muscle which is responsible for closing the eyelids with anti-ageing injections, we can allow the forehead muscles to lift the brow and relieve the downward pressure which is causing the eyelid to sag. The treatment can cause the eyebrow to lift several millimetres, pulling eyelid skin tauter in the process.

Each treatment only takes around 10–20 minutes, with the results noticeable in as little as three days. The results usually last from 3 to 6 months, however this can increase up to 12 months after several treatments.

Find out more about anti-ageing injections here.

Dermal fillers

Dermal fillers are another popular treatment option. When injected underneath the eyebrow, dermal fillers can provide more volume and support to elevate the brow and pull loose or sagging skin around the eyes taut.

Dermal fillers typically last longer than anti-wrinkle treatments, with the results usually lasting between 6 and 12 months. Like anti-wrinkle injections, it’s likely the results will last longer (often up to 12 months) after several treatments.

Find out more about dermal fillers here.

Find out more from the professionals

If you would like to find out more about cosmetic eye surgery or the alternative treatment options, simply contact us to arrange a private consultation with a Me Clinic surgeon or aesthetician for your personalised assessment.

Posted In Eyelid Surgery

Online Consult?

Register Here


Contact Us

stay informed with our updates

Stay up to date with
Me Clinic Blog

Subscribe to the Me Clinic via RSS and be the first to know about new articles and discussions on the subject of cosmetic surgery and related subjects

Contact Us

need to contact the me clinic? choose from any of the options below:

online consultationwant more information?want us to call you?want a brochure?make an appointment
Online Consultation

A personalised one on one video or phone consultation with one of our experienced surgeons or cosmetic physicians.

stay informed with our updates
stay informed with our updates
stay informed with our updates
stay informed with our updates

sign up for our newsletter

Welcome to Me Clinic

Please leave a message and we'll get back to you.