Eyelid Surgery (Upper & Lower Blepharoplasty)

Upper and lower blepharoplasty (eyelid surgery) performed by FRACS plastic surgeon Dr Geoffrey Barnett at Hawthorn East, Melbourne. Upper blepharoplasty removes excess skin and fat from the upper eyelid to restore a refreshed appearance and improve visual field where hooding is significant. Lower blepharoplasty addresses under-eye bags, hollowing, and excess skin. Often combined with facelift.

Coco Ruby Plastic Surgery in Melbourne offers upper and lower blepharoplasty performed by Dr Geoffrey Barnett MBBS FRACS — a specialist plastic and reconstructive surgeon with over three decades of facial surgery experience serving patients from across Victoria and Australia. Blepharoplasty addresses the changes in eyelid anatomy that occur with ageing: accumulation of excess upper eyelid skin (dermatochalasis) that hooding the eyelid crease, prolapse of orbital fat creating upper eyelid fullness or lower eyelid bags (steatoblepharon), laxity of the lower eyelid skin, and descent of the mid-face that hollows the tear trough and creates a tired or aged appearance. Upper blepharoplasty involves excision of a carefully measured ellipse of excess upper eyelid skin and, where indicated, conservative removal or repositioning of prolapsed orbital fat, through an incision placed precisely in the natural upper eyelid crease so that the healed scar is virtually invisible when the eye is open. Where the degree of upper eyelid hooding obstructs the superior visual field — a functional impairment — Medicare may provide a partial rebate for the procedure, provided ophthalmology documentation and a formal visual field test confirm the functional deficit. Lower blepharoplasty is approached either transcutaneously (an incision just below the lower lash line, allowing skin and fat management) or transconjunctivally (through the inner surface of the lower eyelid, leaving no external scar — ideal for patients with fat prolapse but minimal skin excess). Fat repositioning to the tear trough is offered as an adjunct technique to address the hollowing that contributes to the dark-circle appearance. Blepharoplasty at the Melbourne clinic is frequently combined with facelift, brow lift, or midface lift procedures as part of a comprehensive facial rejuvenation plan. Recovery involves bruising and swelling for ten to fourteen days, with final results visible at six to eight weeks.