Eyelid Surgery Blepharoplasty

Re-shape and rejuvenate the eyelid

  • Eyelid Surgery Blepharoplasty
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Eyelid Surgery Blepharoplasty

Reshaping and rejuvenation of the eyelid (blepharoplasty) is generally considered in two types of patient. The first is a person who is wishing to rejuvenate the eyelid region, reduce the size of the fold of extra skin on the upper eyelid, and to reduce bulging caused by fat in the eyelids and fine lines of the lower eyelid. The procedure can be performed on the upper or lower eyelid in isolation or have both the upper and lower eyelids operated on at the same time.

The second type of patient is a person who has the fold of skin on the upper eyelid resting on the eyelashes and interfering with vision. This problem is usually exacerbated at the end of the day and when tired. The problem can be described as though someone is drawing curtains across the visual field at the end of the day. This problem has the name dermatochalasis (dermato meaning skin and chalasis meaning eyelashes and therefore together meaning the skin is resting on the eyelashes). Patients who have this problem will actually receive a benefit from Medicare and their health fund as this is a medical condition.

Eyelid Surgery Blepharoplasty is a common procedure performed in both men and women performed in young adults and also those that are much less young. Often the goals are different at both ends of the age spectrum, younger patients wishing to rejuvenate their eyes and older patients often wishing to remove the curtain that is obscuring vision. The end result for all patients is rejuvenation of this region

I have heard that some patients need to consider a brow lift to correct their eyelids:

This is true. For some people, there is a lowering of the eyebrows (brow ptosis) that may also causes sagging in the upper eyelids. Depending upon how advanced this problem is, to achieve the desired effect on the upper eyelid it is actually necessary to raise the brow. For some people who are only moderately affected a good result can still be achieved by operations on the eyelid alone but they can consider either a combined brow lift and eyelid procedure or a brow lift as an alternative. A brow lift will also help smooth out the wrinkles on the forehead.

Can eyelid operations cause blindness:

Yes. Blindness or a permanent change to vision is a rare complication of this Eyelid Surgery Blepharoplasty which occurs in about 1:40,000. It is not a complication Dr Magnusson has ever seen, and it is not a complication any of his colleagues have seen when he has spoken to them specifically about this. It is however reported in the medical literature as a rare and serious complication.

To put this in context, the likelihood of this problem is probably less likely than having a serious road accident travelling between Brisbane and Sydney.

Can this operation be done under local anaesthetic:

Yes. Many patients would prefer to be asleep when an operation is performed so close to the eye, however, the operation can be performed under local anaesthetic.

How long will it be before I can wear makeup again:

There is a variable amount of bruising from this operation which may last as long as three weeks but has usually resolved by two weeks. Many patients will have almost no bruising. By the end of the first week, wound healing is usually rapidly progressing and makeup can usually be worn by about day 10 following surgery.

Is there any assistance from Medicare or my health fund:

The operation of Eyelid Surgery Blepharoplasty is considered cosmetic except in a few circumstances. These circumstances are:Dermatochalasis: the skin fold of the upper eyelids is resting on the eyelashes in straightahead vision.

An operation has been performed on the opposite eyelid and therefore a blepharoplasty can be performed to recreate symmetry.

It is very uncommon for any assistance to be provided for operations on the lower eyelid. Assistance may apply to recreate symmetry following eyelid operations on the opposite side and also to correct some problems associated with nerve disorders affecting the lower eyelid.

For all patients who do not fit into the above categories, the cost of surgery, anaesthesia and hospital costs are all out-of-pocket expenses.

For those patients fitting into the above categories there is assistance from Medicare and your health fund for medical costs (anaesthetist and Dr Magnusson), and your health fund will assist with the hospital costs.

For further information about your own policy you should contact your health fund.

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