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Dr Douglas McManamny
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Eyelid Surgery

Heavy eyelids or hollow-looking eye sockets can age your appearance. Men and women with laxity or volume loss around their eyes can develop a chronically fatigued appearance or angry expression. In extreme cases, skin laxity around the eyes can obscure your vision. Improving the tone and texture of your eyelids by reducing eyelid ptosis can help rejuvenate your upper facial appearance by giving you a refreshed-looking aesthetic or 'brighter' eye area.

Types of Eyelid Problems

Excess Tissue


Low-hanging tissue in the upper eyelids can be caused by weak eyelid tissue or a loss of muscle tone. Excess tissue or ptotic eyelid skin can create the appearance of heavy eyelids and can even obscure vision in some patients. Reducing excess upper eyelid tissue may help restore a firmer, less crêpey-looking appearance, but sometimes additional treatment modalities may be needed to address eye area wrinkles or lines.

Volume Loss


Many men and women have diminished volume due to fat and collagen loss around the eyes. Volume changes always need to be taken into account because removing tissue without restoring volume will result in a hollowed eye appearance.



Under-eye puffiness is often the result of excess or displaced fat. Eye puffiness can create a fatigued or sad expression. Excess fat under the eyes can distort the attractive contour along the cheek. Correcting puffiness may provide a more rested look or a brighter-looking appearance.

Methods of Correction

Micro Fat Transfer

Micro fat transfer can be performed with any eyelid lift to correct volume loss around the eyes. Fat is harvested from the abdomen, back, or thighs and is processed down for transfer. The fat is then injected around the eyes to fill in hollow or gaunt areas. Combining micro fat transfer helps ensure better, more even excision results.

Skin Excision

Fat Removal

Addressing Your Concerns


Everyone experiences surgery and recovery a bit differently, so expect some variance in your response or healing time frames. In general, you may experience bruising, swelling, and redness around the eyes after your surgery. Cool packs may be used to help soothe swelling. Patients should rest with their head elevated for several days following their procedure.

Although time off work can vary from patient to patient and depend on responsibilities or tasks, many eyelid surgery patients return to work within two weeks of their procedure and resume most of their regular activities after three to four weeks. Excess swelling typically subsides by six weeks, but minor swelling may last for up to three months. As stated, recovery times can vary significantly between patients; it is important that you follow the pre-surgery and post-operative instructions your Surgeon provides.


Incisions are usually placed in the natural folds of the eyelids. Many patients don’t develop overly noticeable visible scarring. If scars do develop, they are likely to fade over time for the majority of patients, but not all, and scars after surgery can vary. Some patients may be prone to more visible scars or keloid scars. If you scar readily, please discuss this with your Surgeon.


The cost of your eyelid reduction surgery will vary depending on the Blepharopasty techniques used. Surgical, anaesthetic, and hospital fees will all affect the final cost or surgery PRICE of your eyelid procedure.


Eyelid surgery is performed using either a local or general anaesthetic to reduce discomfort. The first few days may be accompanied by some discomfort, tenderness or pain in the treated areas. For the majority of patients, associated pain is usually manageable using over-the-counter or prescribed oral medication.

Before & Afters


Frequently Asked Questions

Do I need to stay in hospital overnight following my procedure?

Many upper eyelid surgery procedures are performed as outpatient procedures. Some patients may choose to stay overnight in a hospital because a hospital environment provides assistance with meals, personal care, nursing or pain relief. You and your Surgeon may discuss hospital stay vs overnight surgery options during your eyelid surgery consultation. For some patients, hospitalisation may be necessary for one or more nights after surgery.

Can eyelid surgery be combined with other procedures?

Since most patients have signs of ageing around more than just their eyes, facial enhancement procedures are often combined to improve the aesthetic outcomes from the procedure. Procedures commonly combined with eyelid lift surgery include brow lift surgery and facelift surgery and skin treatments including chemical peels or laser treatments.

How long will eyelid lift surgery results last?

Eyelid surgery is designed to provide long-lasting enhancement to your appearance. Most results last for over five years, but the procedure doesn’t prevent future ageing from occurring.

How can I prolong the life of my results?

Avoiding direct exposure to sunlight often helps prolong the life of your plastic surgery results. Non-surgical treatments such as laser treatments or facial injections can also help reduce wrinkles that form around your eyes to help you maintain a more youthful appearance. However, your skin will continue to age, and surgery results will vary and change over time AND in response to health conditions, medication side effects, skin damage, skin ageing and other life events.

Are there any RISKS to having eyelid surgery?

Yes, any surgical or invasive procedure carries RISKS and RESULTS can vary significantly from patient to patient. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner (a FRACS qualified Plastic Surgeon recognised by AHPRA or an Oculoplastic Surgeon are good choices for a second opinion). Please be sure you review ALL materials provided to you about your eyelid surgery risks and ask questions or voice any concerns BEFORE proceeding, and never have eyelid surgery to please someone else. It is also imperative you DO NOT SMOKE and that you follow your Surgeon's pre-op and post-op instructions. Please also be aware that surgery experiences, recovery time frames, results, incision line placement and scars can vary significantly from patient to patient. For a general overview, review the plastic surgery risks page.

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