Blepharoplasty is performed on both the upper and the lower eyelids to remove excess skin and protruding fatty tissue, as well as to smooth wrinkles and improve the tendency of dark circles. Using a CO2 laser is the only precise method to evaporate fat and tie up the subcutaneous tissue and the skin. In upper eyelid blepharoplasty, an incision is made in the natural folds of the eyelids, which makes the incisions virtually unnoticeable when healed.
To have good improvement on the upper eyelid with blepharoplasty, it is not enough to remove a few millimetres of skin. We also have to a remove part of superficial eye muscles and pockets of fat in this area. In modern lower eyelid blepharoplasty, the incision is made on the inside of the lower lid thereby avoiding watery eyes and visibility of the scar. The laser cuts and seals the blood vessels, and as a result, there is no bleeding during the surgery and in the great majority of patients there is no bruising and there is minimal swelling for a few days.
Blepharoplasty on the upper and lower eyelids are totally different – the lower eyelids require much deeper penetration using the CO2 laser to remove the pockets of fatty tissue layer by layer, sometimes larger volumes of fat. After the procedure, the skin sits better on the underlying structure and wrinkles are not visible. It is important to use CO2 because Erbium is not able to coagulate properly and for this reason is not able to control potential bleeding in deeper tissue.
Following blepharoplasty laser surgery, you are able to walk, shop, and continue with daily activities the next day while wearing sunglasses and in 5 to 7 days you can resume professional and social activities. There is a big difference between laser blepharoplasty and knife surgery in recovery and laser can be more precise for many reasons. One of them is that during laser blepharoplasty we can perform laser resurfacing at the same time on the skin of the eyelids to smooth the skin. For very good improvement for blepharoplasty, it is important to measure the details with a Calliper for how big the excision should be.
Our work is so precise that we do not recommend using an ice pack after blepharoplasty, and we also do not use self-absorbing sutures because they make the healing/swelling visible longer. Our sutures are removed 6-7 days later. Also, we do not use sutures for lower eyelids. During the first night, there is some soreness which can be controlled with painkillers.
Dr.Roberts was one of the first surgeons in Australia to use lasers as a cutting tool for blepharoplasty 15 years ago.