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Excess eyelid skin (dermatochalasis)

Eyelid skin often loosens with age and can drape over the lashes, which impairs the vision - particularly the outer part of the upper lid. This can be cosmetically unappealing but it also impairs the visual field and is therefore worth attending to.

Surgery to remove excess skin (blepharoplasty) may also involve remodelling of orbital fat to reduce the bulky appearance of the upper lid. The procedure takes around 45 minutes, and is performed with mild sedation and local anaesthetic, either at the North Adelaide rooms, or in an approved day surgical facility (depending on the level of sedation required). It is common to have bruising for around one week afterwards but most patients return to normal activities thereafter.

 droopy eyelids

Some patients request don't have a large amount of excess skin but request eyelid re-shaping to improve the appearance of their upper or lower eyelids. This usually involves reducing the bulk of the lid by removing or remodelling fat pads, but is may also involve creating a new eyelid crease (also known as Asian Blepharoplasty). These procedures are primarily cosmetic and therefore require significant discussion and planning before booking the procedure. Other non-surgical options may also be suitable and those will be discussed with you at the time of consultation. 

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Ptosis

Ptosis is a drooping of the upper eyelid itself rather than just a draping of excess skin over the lashes. It can be from birth but it is more commonly due to the eyelid muscles stretching with age. Ptosis can also occur after trauma or eye surgery and it is usually worse in the evening as you get tired. Most patients simply don't like the appearance of a droopy lid but sometimes it can also get in the way of the vision. Very rarely a droopy lid can indicate a more serious problem and it therefore needs to be assessed by an Ophthalmologist or Neurologist. 

Ptosis repair requires a reattachment of the muscle that lifts the eyelid so that the lid can rest in a more natural position. Even if only one lid appears to be drooping, both lids may require surgery to get the balance right.  

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