Dr Isolde Hertess offers upper blepharoplasty for suitable patients on the Gold Coast. Planning is based on your anatomy, your health, and what can be done safely. This includes discussing where scars may be placed, what recovery can be like, and the risks you should understand before making a decision.
What Is Upper Blepharoplasty?
Upper blepharoplasty is usually performed using an incision placed within the natural upper eyelid crease, with a measured amount of excess skin removed and, where appropriate, small adjustments made to underlying tissue. Eyelid function and eye comfort remain important considerations throughout the procedure and recovery.
Upper eyelid anatomy varies between patients. Some patients mainly have skin excess, while others also have changes in the underlying fat or eyelid support. A careful assessment is important because the surgical plan needs to match your eyelid structure and skin quality.
Who Is Upper Blepharoplasty For?
Upper blepharoplasty may be considered by patients who have:
- Excess upper eyelid skin that appears lower than it previously did
- Upper eyelid skin that changes the natural eyelid crease
- Asymmetry between the upper eyelids
- Upper eyelid skin changes that have progressed gradually over time
Suitability depends on your health, your eye history, and the condition of the eyelids. Some patients may need an eye assessment as part of planning, particularly if there is dry eye, irritation, previous eye surgery, or vision concerns.
More than 30 years of experience, Female support Dr Isolde Hertess – Plastic Surgeon
Offering a female perspective, with more than 30 years of experience in plastic and reconstructive surgery. Dr. Hertess is dedicated to providing patients with information, support, and guidance to help them make informed decisions about their surgical options.
Planning Upper Blepharoplasty With Dr Isolde Hertess
Planning focuses on careful assessment of eyelid anatomy and on setting realistic expectations about what surgery can change. During your consultation on the Gold Coast, Dr Isolde Hertess will examine the amount of eyelid skin, the eyelid crease position, the brow position, and eyelid symmetry.
Key planning points often include:
Skin Assessment And Eyelid Fold
The amount of skin removed needs to be planned carefully. Removing too much skin can affect eyelid closure and eye comfort, so the plan is conservative and tailored to your eyelid function and anatomy.
Brow Position
In some patients, brow position can contribute to changes in the upper eyelid skin. If brow position appears to be an important factor, this is discussed during consultation so you understand what upper blepharoplasty may address, and whether other options may also need to be considered.
Scars
The incision is usually placed within the eyelid crease, which helps keep it in a less noticeable location as healing progresses. Scar appearance varies between patients, and changes in colour and texture can continue over time. In some cases, scars can become thicker or more noticeable.
Eye Comfort And Dry Eye
Dry eye and irritation are important considerations. Upper blepharoplasty can temporarily affect eyelid closure and tear film distribution during healing, so it is important to discuss any current eye symptoms before surgery.
Anaesthetic And Surgical Setting
Upper blepharoplasty may be performed under local anaesthetic with sedation or under general anaesthetic, depending on the plan, your health, and whether other procedures are being performed at the same time. The safest setting is discussed during planning.
Recovery After Upper Blepharoplasty
Recovery after upper blepharoplasty is different for each patient, and swelling and bruising around the eyelids are common in the early stage. It is also normal to notice tightness through the eyelids and mild discomfort while the incision line heals, and you will be given aftercare instructions to follow.
In most cases, recovery involves using cold compresses as advised early on, keeping your head elevated when resting, avoiding heavy lifting and strenuous exercise until you have been advised it is safe to resume, and waiting to use eye makeup until the incisions have healed. Follow-up appointments may be arranged to check healing and to remove stitches if required.
Upper Blepharoplasty Risks
All surgery carries risks. Upper blepharoplasty has risks related to scarring, swelling, eyelid function, and eye comfort.
General surgical risks may include:
- Bleeding or haematoma
- Infection
- Wound healing problems
- Blood clots
- Scarring that may be more noticeable than expected
- Anaesthetic risks
Upper blepharoplasty-specific risks may include:
- Dry eye symptoms or eye irritation
- Swelling and bruising that lasts longer than expected
- Asymmetry or uneven eyelid crease position
- Changes in skin sensation around the incision
- Difficulty closing the eyelids fully during early healing
- Visible scarring or thickened scarring in the crease
- Need for further surgery in the future
Your individual risk profile depends on your health history, eyelid anatomy, and the surgical plan, and these should be discussed in detail before you decide to proceed.