Blepharoplasty Eyelid Surgery

Do you look tired even after a good night sleep? It is difficult to feel bright and vibrant when you see tired drooping eyes looking back at you from the mirror. Unfortunately drooping eyelids is hereditary and no matter how good your diet, lifestyle and cosmetic practices they make you look and feel older than you are.

Eyelid surgery (known as Blepharoplasty) is the most common and successful treatment to address tired looking eyes where excess upper eyelid skin droops down, causing a hooded look over the eyes. This is a minimially invasive procedure which has a very short recovery time. The treatment is usually completed within ninety minutes. This procedure is suitable for both men and women from their 40’s.

Eyelid surgery is not just about vanity, it also has functional benefits. For some, eyelid surgery can also help improve the field of vision. Dr Bernard Leung will personally consult you and assess if eyelid surgery will be the best solution to address your concerns. He will use his experience, technical skills and artistic judgement to get you the best possible outcome.

What causes drooping eyelids?

Over the years, heredity, age and sun combine to damage our skin and cause unwanted folds of skin. This usually manifests as a loose skin over the top of the eye creating a hooded look and bags of skin that hold fat under the eye.

Fortunately, eyelid surgery (blepharoplasty) is now highly developed and we can restore the youthful appearance of your eyes. There are a number of minimally invasive techniques that Dr Bernard Leung can use to achieve this.

Case studies

Case 1

Site Images / Bleph before (medium)


The drooping eyelid gives her a tired appearance.


Site Images / Blepharoplasty After Photos (medium)

This photo was taken two and a half weeks after upper blepharoplasty and it amply illustrates how rapid the recovery is. Dermal fillers was used around the eyes to replenish soft tissue volume loss. The net result is that her beautiful eyes are now nicely framed and they positively sparkle.


How does Radiofrequency Eyelid surgery work? What can it do for you?

Upper eyelid surgery (blepharoplasty)

This is arguably the most common eyelid procedure performed. It involves the removal of the loose hood of redundant skin from your upper eyelid. Due to aging and sun damage, we develop increasing laxity of the very thin eyelid skin. When the eye opens, the redundant upper eyelid skin folds like a concertina door forming a hooded look in the upper eyelid. With increasing severity, this fold of skin sits on, or hangs below the eyelashes. We achieve a younger look and effectively turn back the clock by removing this redundant skin and the underlying orbicularis muscle using radiofrequency surgery.

Lower eyelid surgery (blepharoplasty)

Bagginess under the eyes is generally not caused by fluid but rather by skin and muscle laxity, allowing the underlying fat pads to bulge. There are three such fat pads in the lower eyelid. If bagginess is your problem then these fat pads may need to be treated either by removal. This procedure is known as lower blepharoplasty. Alternatively, these fat pads could be supported by dermal fillers in a process also known as Facial Revolumisation or liquid facelift.

Who can benefit from Radiofrequency eyelid surgery?

Radiofrequency eyelid surgery is extremely popular treatment and can be performed on virtually any patient who is fit to undertake minor surgery. This procedure is suitable for both men and women from their 40’s. Eyelid surgery can often improve the field of vision.

Case 2

Site Images / Blepharoplasty_Before Photo (medium)

This lady felt that she constantly looked tired and sad from the sagging and dropping upper eyelids.


Site Images / Blepharoplasty_After Photo (medium)

This photo was taken just over 3 weeks after upper blepharoplasty.


What happens in a typical treatment? How will you feel during treatment?

Both Upper and Lower procedures are simple walk-in, walk-out treatments.

First, the extent of the redundant skin is carefully marked out with you sitting upright. This step is crucial as careful planning is essential for the ideal outcome. Next local anaesthetic is administered into the upper eyelids and local anaesthetic drops are instilled into the eyes.

Upper eyelid surgery

Once the local anaesthetic has taken effect, a protective eye shield is inserted under the eyelid. A radiofrequency probe is then used to remove the excess skin and a strip of underlying orbicularis muscle. The benefit of using radiofrequency vs conventional scalpel is that it seals the blood vessels and reduces your risk of bleeding and bruising. At the end of treatment, the wound is expertly stitched with minute sutures so that it is invisible to others while your eye is open.

Lower eyelid surgery

The conventional way to remove redundant skin in the lower eyelid is by cutting this out. This can be visible as a fine scar below the lower eyelashes. However, it has a higher rate of complications, particularly the lower eyelid turning outwards (ectropion). At Facial Artistry the preferred method is to remove the fat pads from the incision on the inside of the eyelid (so there is no external scar), this is called the transconjunctival technique. The advantage of this is that there is no fine scar under the eye and it substantially decreases the chance of ectropion.

How will you feel after treatment?

You will feel very little sensation during the treatment and you will need someone to drive you home after the procedure. There is  little or no discomfort in the post operative period and the recovery phase. Some degree of swelling is normal in the first few days after the procedure, as is minimal bruising. The swelling and bruising usually subsides within a few days.

Patients often comment on how easy the procedure is for them and how rapidly they recover.

When will you see results? What do you need to do after the treatment to ensure the best result?

Your skin will normally heal completely within two to three weeks. The scar will fade over the next couple of months until it is almost invisible.

With upper eyelid surgery the upper eyelid does have a fine scar buried in the crease, therefore this is normally not visible.

The area around your eye may be bruised and swollen for up to two weeks. Sutures are removed usually after a week or so.

Will you be left with a scar?

Dr Bernard Leung understands that you may be concerned about the potential for scarring. Rest assured, the incision line is skilfully placed in the natural eyelid crease such that it is usually invisible upon healing.

Will you look unnatural afterwards?

Dr Leung is passionate about the artistic aspects of beauty. He has a keen artistic eye which is backed up by years of surgical experience. Dr Leung always errs on the side of caution so that you do not look ’overdone’ or end up with a startled, ’cat eyed’ look. He is meticulous in planning your procedure and determining the extent of skin excision.

How much does blepharoplasty (eyelid surgery) cost?

We understand you are curious to know how much the procedure you are thinking of having might cost.

The truth is that with the cost of many procedures vary considerably depending on different factors, such as age, sex, skin tone, body fat content etc. We therefore believe it is difficult to give a cost estimate without gaining a proper understanding of your needs. Your body, your skin and your expectations are different to anybody else’s. We want to plan treatments based on your needs.

Our philosophy is simple. We want you to be fully informed, we want you to understand all your options and have one accurate price quoted once. Our experience tells us  that this is what most of our clients want too. It is important to note that you may be eligible for a Medicare rebate for upper eyelid surgery.

To request an appointment with Dr Bernard Leung to discuss your suitability for Blepharoplasty please email us or call us on 02 6255 8988.