Eyelid Surgery (Blepharoplasty)

Dr Rohit Kumar FRACS (Plas) performs upper and lower blepharoplasty (eyelid surgery) at Westmead Private Hospital in Sydney. Upper blepharoplasty removes excess eyelid skin and herniated fat to restore an open, youthful appearance; functional cases with visual field obstruction may qualify for a Medicare rebate. Lower blepharoplasty addresses under-eye bags and puffiness caused by prolapsed orbital fat. Both procedures are commonly combined with facelift or brow lift as part of comprehensive facial rejuvenation.

Eyelid surgery (blepharoplasty) at Sydney Cosmetic Sanctuary is performed by Dr Rohit Kumar FRACS (Plas) at Westmead Private Hospital, addressing the periorbital changes — drooping upper eyelids, under-eye bags, and skin creping — that are among the earliest and most conspicuous signs of facial ageing. The eye area is the first focus of a face-to-face interaction and consequently among the areas where patients most strongly desire rejuvenation. Upper blepharoplasty corrects dermatochalasis — the accumulation of redundant upper eyelid skin that occurs as the brow descends and upper eyelid skin loses elasticity — through precise excision of the excess skin and, where indicated, a strip of the underlying orbicularis oculi muscle and the medial and central pre-aponeurotic fat pads. The incision is placed within the existing upper eyelid crease and heals to near-invisibility. In cases of functional ptosis where the overhanging skin drapes across the eyelid margin and measurably obscures the superior visual field — documented by formal visual field testing with and without the brow elevated — upper blepharoplasty may qualify for a Medicare rebate as a functionally indicated procedure. Dr Kumar operates within the public hospital system as a VMO at Nepean Public Hospital and is familiar with the Medicare criteria applicable to eyelid surgery in New South Wales. Lower blepharoplasty addresses the three orbital fat compartments — medial, central, and lateral — that herniate through a progressively attenuating orbital septum with age, creating the bulges commonly described as under-eye bags. The transconjunctival approach, accessing the fat compartments through the inner surface of the lower eyelid without an external skin incision, is preferred for patients with adequate lower eyelid skin tone whose primary concern is fat prolapse; the fat may be conservatively reduced or, in patients with concurrent tear trough hollowing, repositioned over the orbital rim to blend the lid-cheek junction. Where lower eyelid skin excess and surface crinkling are also present, a subciliary approach with a fine external incision beneath the lash line allows concurrent skin resection. Blepharoplasty procedures in Sydney are commonly combined with facelift and brow lift surgery to achieve comprehensive periorbital and lower face rejuvenation within a single anaesthetic event.