The eyes often show the first signs of ageing. Many factors, including inherited characteristics, can lead to premature ageing in this area. Eyelid surgery is often the first facial cosmetic procedure that people have. It can be performed on its own, or in combination with other facial rejuvenation techniques including face and neck lift, and brow lift.
When you see Mr Kenton-Smith for a consultation he will consider your whole eyelid region including the position of your brow. Your upper eyelid hooding and any symptoms associated with this (including obstruction of vision and upper eyelid irritation) will also be analysed. Mr Kenton-Smith will also want to know if your eyelids are puffier in the morning.
As we age the brow often drops, this is a common cause for upper eyelid hooding. Repositioning the brow, with a brow lift, may be required for optimal results.
Lower eyelid lifting can be used to reduce puffiness of the lower eyelid and bags. Lower eyelid blepharoplasty does not remove crow's feet, it does however smooth lower eyelid skin to some extent.
Surgery to correct upper eyelid hooding, puffiness and ageing may be performed under local anaesthetic in Mr Kenton-Smith's clinic. Lower eyelid surgery, often performed in combination with upper eyelid lifts, is carried out under general anaesthetic at St Georges Hospital or Southern Cross Hospital in Christchurch.
If upper eyelid blepharoplasty is performed on its own it can be done under local anaesthetic. Skin and underlying muscle will be removed to reduce the presence of hooding and uncover the upper eyelid, this may have been hidden from view for many years. Mr Kenton-Smith tends to be very conservative about fat removal in the eyelid region as, long term, this can lead to excessive hollowness. You will be advised of how much fat needs to be removed at the time of consultation. Surgery takes less than one hour. Stitches are removed after one week. Most patients return to work after two weeks.
Mr Kenton-Smith regularly performs four different types of lower eyelid blepharoplasty. Your lower eyelid blepharoplasty will be tailored to your needs. Generally, Mr Kenton-Smith recontours the puffy lower eyelid bag to produce a smooth transition between eyelid and cheek. This can be extremely effective at lower eyelid and mid facial rejuvenation.
Patients having upper eyelid surgery in Mr Kenton-Smith's clinic may be collected soon after the surgery by family or friends. Ice packs should be applied to the eyes regularly during the first evening at home.
Most patients having lower eyelid surgery stay over night in hospital. This adds little to the overall cost of the surgery and significantly reduces bruising and swelling by allowing the nurses at St Georges Hospital and Southern Cross Hospital to apply regular eye packs.
It is usual to expect bruising for a week or two after surgery. Approximately 50% of patients who have had upper eyelid surgery are socially acceptable after one week. It would be very rare for there to be bruising, remaining from either upper or lower eyelid blepharoplasty, after two weeks.
Mr Kenton-Smith will see you one week post-operatively for removal of stitches. He will then check you as required, with a long term follow-up planned at three months. Mr Kenton-Smith performs this surgery on patients all over New Zealand and can arrange early follow-up with your local GP if you are from outside Christchurch.
The following prices reflect typical costs our patients incur for a procedure and an exact price guide will be calculated after your consultation with Mr Kenton-Smith.