Upper Eyelid Treatment Sydney

Why Do Eyelids Droop?

Some people are more genetically disposed to eyelid ptosis than others. However, a strong contributor to changes in the upper eyelids is simply the ageing process. As we age, our skin becomes less elastic, and various changes in the underlying tissue contribute to the eyelids losing their firmness and drooping. Environmental factors, such as UV exposure, affect the area. And, lifestyle factors such as alcohol consumption, smoking, skincare habits and overall health play a role. Your general health, medical conditions and medications also contribute.

Creating a Treatment Plan for You

At Bella Plastic Surgery, we have a range of treatment options to help address changes in the upper eyelids. To determine the most appropriate options for you, the first step is an initial consultation with one of our trained cosmetic nurses. During your consultation, your cosmetic nurse will assess the treatment area, gather important information about your health and medical history, and take the time to understand your concerns. Based on this assessment and your individual anatomy, your cosmetic nurse will then develop a personalised treatment plan outlining a range of potential treatment options.

Upper Eyelid Treatments

A commonly used treatment for the upper eyelid area is a muscle relaxant treatment. This involves using a prescription medication that reduces muscle activity that contributes to the eyelids drooping. When a muscle relaxant is administered to the tissues, it reduces the number of messages sent from the brain to the muscles, which tell them to contract and move. As these messages slow down, the treated muscles begin to relax. The eye is surrounded by a circular muscle called the orbicularis oculi. This muscle’s role is to contract, helping the eye close. When the muscle is active, it tends to make the eyes appear more closed and can cause the eyelids to droop. By treating the area with a muscle relaxant, the circular muscle relaxes, making the eyes appear more open, and the lids slightly lift. A muscle relaxant can also be used on the forehead (frontalis). The central part of the forehead can be treated, allowing the muscle above the arch of the brow to keep working, pulling the brow area more strongly, resulting in the brow sitting slightly higher. Treating the areas around the brow and the eye may help support changes in the appearance of the upper eyelids in appropriate individuals.

Upper Eyelid Treatment Details

An upper eyelid treatment takes just one appointment. Afterwards, there may be slight swelling, temporary skin redness and localised bruising. However, this usually settles within a week. Some individuals may experience a temporary headache that typically resolves on its own. Treatment effects occur within two weeks. The product typically lasts two to three months, so if the individual would like the results to continue, further treatment will be repeated after an individual assessment.

Potential Risks & Side-Effects

As with all non-surgical procedures, muscle relaxant treatment carries some risk. Although most patients don’t experience these complications, all potential risks and complications will be discussed with the patient (and provided in writing) so that they are fully aware and can make an informed decision about commencing treatment. Side effects can occur immediately after treatment or at a later date. They include redness, bruising, stinging, tenderness, swelling at the injection site, temporary muscle weakness, puffiness around the eyes, heaviness or drooping of the eyelids or brows, itching, skin tightness, nausea, headaches or flu-like symptoms. The effects of the product may reach beyond the treated area in very rare cases. Symptoms such as drooping of the upper eyelid, blurred or double vision, general muscle weakness, difficulty swallowing or speaking, reading difficulties or constipation can occur. These side effects may become evident hours to weeks after treatment. They are most likely to occur in individuals with underlying medical conditions or those receiving higher doses of muscle relaxants.

Other Non-surgical Treatments

Sometimes, other non-surgical treatments may be recommended to treat the upper eyelid area. This may include ablative laser resurfacing, such as Erbium or CO2 laser. During treatment, the laser creates a controlled injury to the skin, encouraging new skin to form during the healing process. In some instances, this can help support tightening of the upper eyelid skin and reduce the appearance of heavy upper eyelids, following assessment. Ablative laser resurfacing is considered a more aggressive treatment and requires a longer downtime and recovery period. Potential risks must also be carefully considered, such as scarring, changes in skin colour, and infection. Therefore, a thorough consultation and facial assessment are necessary before proceeding with laser treatments.

Exploring Upper Eyelid Surgery (Blepharoplasty)

For some individuals, non-surgical options may not be used to address their concerns. If, after assessment, an individual has a significant upper eyelid droop, upper eyelid surgery (blepharoplasty) may be considered. An upper eyelid blepharoplasty is a surgical procedure designed to reduce heaviness in the upper eyelids where appropriate. Excess skin, muscle or fat is carefully removed from the upper eyelids, with attention given to preserving the shape and function of the eyes.

Possible Blepharoplasty Complications

No surgical procedure should be considered minor, and all surgery carries risks, including those related to anaesthesia. Although complications are uncommon, general risks include anaesthetic-related issues, blood clots, wound problems, allergic reactions, bleeding and also serious complications (although rare). Specific risks associated with upper eyelid surgery include changes in eyelid symmetry, pain, dryness or irritation of the eyes, injury to the surface of the eye, vision changes, and, in rare cases, vision loss. Certain factors, such as smoking, pre-existing eye conditions and physical strain, may increase these risks.

Determining Treatment Costs

The cost of your treatments will depend on the type of treatment you choose and the number of sessions required. Non-surgical treatment for the upper eyelid area is typically ongoing, rather than a one-off procedure, so ongoing costs should be factored in. To determine how much your treatments will cost, you’ll need an initial consultation so an individual assessment can be performed. When considering surgical options, all costs and suitability for your procedure will be discussed during an initial consultation with a Plastic and Reconstructive Surgeon.

Frequently Asked Questions

What non-surgical treatments are available for the upper eyelids?

There are non-surgical treatments that may help improve the appearance of the upper eyelids. The most suitable option depends on your individual features and will be discussed during your consultation.

What causes heavy or drooping upper eyelids?

Heavy or drooping upper eyelids usually develop over time. Common causes include genetics, ageing, and a gradual loss of skin firmness. Sun exposure, lifestyle factors such as smoking or alcohol use, skincare habits, overall health, and some medical conditions or medications can also contribute.

How much do upper eyelid treatments cost?

Costs vary depending on the type of treatment recommended and the number of sessions needed. Non-surgical treatments are usually part of ongoing maintenance. Exact pricing is provided during an in-person consultation. Surgical options and costs are discussed during a surgical consultation.

How does muscle relaxant treatment work for the upper eyelids?

Muscle relaxant treatment works by gently relaxing specific muscles around the eyes. This can help the eyes look more open and, in some people, may lead to a small improvement in the position of the upper eyelid after assessment.

Are there other treatment options for heavy upper eyelids?

Other options may include laser skin treatments, such as CO₂ or Erbium lasers. These treatments encourage the skin to renew itself as it heals and may help tighten the upper eyelid skin in some cases.

When is upper eyelid surgery considered?

If the upper eyelids are exceptionally heavy or drooping, non-surgical treatments may not be suitable. In these cases, surgery may be discussed following a detailed assessment.