Sydney plastic surgeon Dr Darryl Hodgkinson explains how eyelid surgery can rejuvenate and refresh an aged appearance. The ageing eyelid With age, the skin around the eyes becomes wrinkled, and certain racia...Continue Reading
Upper and Lower Eyelid/Blepharoplasty Surgery
Before & After Gallery Upper and Lower Eyelid/Blepharoplasty Surgery
About The Procedure
Dr. Hodgkinson has helped many patients over the years with excessive skin folds in the upper eyelids, which can cause hooding. The fat surrounding the eye globe can sometimes experience a herniation or protuberance which creates a bulge in the eyelids, resulting in a tired or ‘worn out’ appearance.
Upper lid blepharoplasty is an eyelid surgical procedure that removes excess skin and muscle and redefines the supratarsal crease. Lower lid blepharoplasty smooths out wrinkles of the lower lid. Bulging fat is rectified by removing excess skin and muscle which also restores it to the orbit. Lower lid wrinkling, if not too severe, can be smoothed out using a resurfacing techniques.
Eyelid surgery and brow-lifts
When it comes to positioning of the eyebrow, the ideal spot is arched above the bony orbit. The brow descends with age and can result in a stern or unhappy facial expression.
A brow lift now commonly uses the endoscopic approach and is often considered complementary to the blepharoplasty procedure. It is, however, essential to identify the cause of the problems first. For example, drooping brows may cause a fold of loose skin which can hang beyond the lid margin. We also need to consider gravity’s effect on the forehead and eyebrows. This can at times cause fullness in the upper lid and requires brow-lift surgery as opposed to eyelid surgery.
The results of eyelid surgery are often longer lasting when done in conjunction with a brow lift. It is important to note, however, that blepharoplasty may not wholly remove crows feet and other wrinkles around the eyes; with injectable fillers also possibly being needed. In the case of an aged appearance to the face, additional treatments such as anti-wrinkle injections can be used. This procedure will help to relax the muscles of the face causing wrinkles to disappear while also preventing them from forming.
Concerns about blepharoplasty
Often patients seeking eyelid surgery or brow-lift are worried that they may end up with an over-operated appearance. This is a fair concern if the surgeon removes too much skin and fat from the upper and lower eyelids, which can result in a gaunt, even sickly look.
A high lateral arch is a desirable feature of a youthful face, but if the brow is lifted too much, the patient can end up with a startled, ‘rabbit in the spotlight’ appearance.
The procedure should never be overdone and balance is key. Tissues should be restored to where they were when the patient was in his or her early 30s. For this reason, Dr. Hodgkinson will request past photographs of the patient. Taking out too much fat to achieve the deep ‘star eye’ appearance of the glamourous stars of the 1940s and 1950s is not for everyone and can look strange. Nor is it necessarily ethnically appropriate or suitable within the patient’s family group
Oriental Blepharoplasty (Double Eyelid Operation)
Oriental blepharoplasty is a particularly cautious area for the surgeon. It is necessary to ascertain the exact height where the patient wants the double eyelid fold to sit – low, medium, or high.
The white of the eye can be overexposed with even the slightest pulling down of the lower eyelid tissues. This creates a ‘round eye’ or severe, ‘hound dog’ appearance. During the initial consultation, Dr. Hodgkinson will determine who is at risk of developing this problem. With the use of surgical procedures such as canthoplasty or canthopexy and temporary tarsorrhaphy, Dr. Hodgkinson can prevent any dragging down of the eyelid.
In cases of a lazy eye (ptosis of the eyelid), which is caused by the weakening of the lid-opening mechanism, Dr. Hodgkinson can offer a solution at the same time as blepharoplasty.
The endoscopic brow-lift
An endoscopic brow-lift is much less invasive than the traditional procedure. Dr Hodgkinson introduced the procedure to AustraliaI 25 years ago. It does, however, require a high level of skill and technology. The procedure is performed via keyhole incisions that are made behind the hairline. From here, the endoscope is inserted which projects an image onto a screen. This guides the surgeon in the procedure to tighten tissue and muscle, something like nintedo surgery.
The operation can involve minor discomfort for some depending on their pain threshold however, the incidence of complications is very small. The swelling and bruising which is very normal, takes about a week to ten days to dissipate. Luckily, the eyelids are very forgiving, meaning scars become indiscernible with time. Brow-lift incision scars are hidden behind the hairline.
Dr. Hodgkinson’s experience with blepharoplasty
Dr. Hodgkinson is a cosmetic surgery expert with over thirty years of experience across a range of procedures including various eye surgeries, nose surgery and more for patients who visit his clinic.
As a member of the faculty at the Oriental Society of Aesthetic Plastic Surgery (OSAPS), Dr. Hodgkinson has a great deal of first-hand experience with various issues that can cause problems for people around the eyes, both aesthetically and in a practical sense.Dr Hodgkinson has visited many prominent surgeons in Asia and has been a guest lecturer at Asian meetings over the last 20 years.
Dr. Hodgkinson is an expert in customising eyelids and other facial surgeries to create a natural look. By using a range of advanced techniques, Dr. Hodgkinson creates permanent results that restores the patient’s look to that of their younger years.
Dr. Darryl Hodgkinson works to create an attractive and pleasing aesthetic, customised to the physical features of the individual to ensure complete satisfaction no matter the procedure. He places significant importance on getting to know his patients and establishing a positive relationship to create a comfortable environment and achieve the best possible results. His skills are sought-after by people from all over the world and he has many repeat patients who know and trust the high quality of his work, and the positive experience provided by his whole team.