Eyelid Surgery (Blepharoplasty)

Dr Anh Nguyen performs upper blepharoplasty (upper eyelid lift) and lower blepharoplasty (lower eyelid surgery) from her Perth practice. Upper blepharoplasty removes excess upper eyelid skin and, where indicated, herniated orbital fat, restoring an open and youthful appearance. Lower blepharoplasty addresses under-eye bags, puffiness, and hollowing at the tear trough. Procedures are frequently combined with facelift or brow lift surgery for comprehensive facial rejuvenation.

Eyelid surgery (blepharoplasty) at Dr Anh Specialist Plastic Surgeon in Rivervale, Perth, is performed by a specialist plastic surgeon whose training spans both aesthetic and reconstructive facial surgery, providing expertise across the periorbital anatomy that underpins safe and effective blepharoplasty outcomes. Upper blepharoplasty addresses excess skin and subcutaneous tissue of the upper eyelid that accumulates with age as brow descent and loss of skin elasticity combine to create redundant folds that may obscure the eyelid margin and upper visual field. Surgery is performed through a precisely planned incision within the upper eyelid crease, with removal of the calculated excess skin and, where indicated, a conservative strip of orbicularis oculi muscle. Herniated orbital fat from the medial and central fat compartments is removed or repositioned as required. Where upper eyelid skin excess causes a documented visual field defect, the procedure may qualify for partial Medicare rebate coverage in Australia, making it important for Perth patients to undergo formal visual field testing prior to surgery. Lower blepharoplasty targets the three lower orbital fat compartments — medial, central, and lateral — which herniate through the weakening orbital septum with age, creating the bulging under-eye appearance commonly called eye bags. Dr Anh employs both transconjunctival and subciliary approaches: the transconjunctival technique, performed through the inner surface of the lower eyelid without external incision, is favoured in younger patients with isolated fat prolapse and good skin tone; the subciliary approach allows simultaneous skin resection and addresses patients who also have lower eyelid skin creasing, excess, or festooning. Fat repositioning over the orbital rim to address concurrent tear trough hollowing is incorporated where indicated. Blepharoplasty procedures at the Perth practice are frequently combined with facelift surgery, brow lift, or as standalone procedures — all performed at Kings Park Day Hospital or St John of God Mt Lawley Hospital, Western Australia.