Understanding Upper Eyelid Surgery

Upper blepharoplasty is surgery to remove selected excess skin and sometimes other tissue from the upper eyelids. It may be considered for skin excess or selected functional concerns. Assessment is needed because a low eyebrow or drooping eyelid margin can resemble excess skin and may require a different treatment.

Eyelid and eye health assessment

Consultation considers eyelid position, symmetry, vision symptoms, dry eye, eye disease, medications and previous facial or eye surgery. An ophthalmology assessment or visual field testing may be appropriate. Surgery cannot guarantee an improvement in vision or appearance and is not suitable for every concern around the eyes.

The operation and alternatives

An incision is usually planned within the upper eyelid crease. The amount of skin and tissue treated must be individualised to preserve eyelid function. Alternatives can include observation or treatment directed at another diagnosis. Lower eyelid surgery, a brow procedure and treatment of eyelid ptosis are different operations and should not be assumed to be included.

Risks and limitations

Risks include bleeding, infection, scars, asymmetry, dry eye, irritation, difficulty closing the eye and further surgery. Double vision and injury to the eye surface may occur. Bleeding into the eye socket is rare but can threaten vision and requires urgent treatment. Discuss eye-related risks and anaesthetic considerations before consent. Results and scars vary and change over time.

Recovery and urgent symptoms

Bruising, swelling and temporary discomfort may affect daily activities. Follow your team’s instructions about wound care, eye medication, driving, exercise and contact lenses. Recovery depends on the operation and eye health. Sudden loss of vision, severe eye pain or rapidly increasing swelling after surgery requires urgent medical assessment.

Consultation and costs in Perth

Dr Raj Zaman, Specialist Plastic Surgeon, provides consultations in Murdoch, Joondalup and Bunbury. Bring your referral, medication list and relevant previous treatment records. The surgical plan, hospital and anaesthetic care affect costs. Medicare and private health insurance eligibility depend on current criteria and your circumstances; rebates should not be assumed.

Read our patient resources, or request an individual consultation. This information does not replace medical advice. Surgery is optional and outcomes vary.


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About Dr. Raj Zaman
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Dr Raj Zaman is a Specialist Plastic Surgeon based in Perth, Western Australia, with MBBS and FRACS (Plast) qualifications. His practice includes reconstructive and aesthetic plastic surgery. Consultation considers individual concerns, treatment options, limitations, risks and recovery.
About Dr. Raj Zaman

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