As a person ages, the skin surrounding the eyes tends to lose elasticity while the area under the eyes accumulates excess fat cells. This sometimes causes the face to appear bloated, giving it an older appearance. In severe cases, sagging skin can hinder normal eyesight.


Blepharoplasty (eyelid surgery) is a surgical procedure that can remove excess skin and fat in the eye area resulting in a smoother appearance. The upper and lower eyelids are lifted and excess fat cells or loose skin is removed from the eye area. The procedure is limited to the eyelids and does not attempt to change other areas of the face.


There are several approaches to blepharoplasty (eyelid surgery):

  1. Removes excess skin from either the upper or lower eyelid as well as the underlying fat pad when indicated. The dermatologist makes an incision along the crease in the eyelid, peels back the skin and punctures the underlying tissue to remove the fat pad. The pad is then cauterised (heat sealed). Loose skin is removed from the exterior, if necessary, and the incision is sutured. The procedure takes about one hour and can be performed with local anaesthesia or under general anaesthesia. In some cases a short hospital stay may be required.
  2. The second type of blepharoplasty (eyelid surgery) procedure may benefit patients with protruding fat under the eye and not too much extra skin. This surgery is performed by entering just inside the lining of the lower eyelids. This approach eliminates the scar.
  3. The third type of blepharoplasty (eyelid surgery) may be performed with a laser instrument. The intense energy produced by the laser causes blood to coagulate, which may diminish bleeding and swelling during and after the operation.


The post-operative effects of eyelid surgery are minimal and temporary. Stitches are usually removed after five or six days. Minor swelling, bruising and discomfort of the eyelid area should disappear within two weeks. Temporary blurred vision and excessive tear production may also occur. Cold compresses will help alleviate these side effects. Most patients will be able to return to work within 7-10 days.


A “too tight” or uneven appearance can be caused by the removal of too much skin or uneven amounts of fat. Additional surgeries can usually reverse this problem. On rare occasions, bleeding behind the eye can cause blindness and may impose pressure on the eye, pushing it forward in the socket. Any surgery will produce scarring, although your surgeon will place incisions in natural skin creases and folds which will make any scarring as inconspicuous as possible.


A more smoothed appearance will be achieved by removal of excess skin and bulging fat pads. Additional procedures may be required to achieve change in surrounding areas. These include laser resurfacing or chemical peeling for wrinkling. (It is important to remember that a perfect result is not achievable as people are naturally asymmetrical and that the desired result is improvement not perfection.)


  • Have required blood tests at least three (3) weeks prior to surgery
  • Any prescriptions given by Doctor should be filled and commenced as per instructions from Doctor
  • If your day surgery procedure is scheduled for the afternoon, arrange for someone to be with you at home for the first 24 hours.
  • Please advise Dr Hills if you are taking Aspirin or products containing Aspirin, Coumadin, Pradaxa or Vitamin E. They can cause excessive bleeding and poor healing. Do not take any medication without our knowledge as it may conflict with your surgery
  • No smoking four (4) weeks prior to surgery
  • No alcohol for one (1) week prior to your surgery. Alcohol can cause excess bleeding.


To discuss eyelid surgery in more detail or to arrange an appointment, please contact us on 07 3720 8788 or make an enquiry online. We look forward to speaking with you.

Dr Russell HillsDr Russell Hills is an experienced cosmetic dermatologist based in Brisbane, Australia and is a member of the Academy of Facial Plastic Surgery. Dr Hills also has extensive experience in MOHS surgery for skin cancer removal, and is the principal Dermatologist at Aesthetix.

Dr Hills regularly lectures on cosmetic and laser surgery and skin cancer removal, and has numerous publications on these topics. He is a member of a number of Australian and American medical associations, and attends local and international conferences to stay up-to-date with the latest approaches in cosmetic medicine.

Cosmetic Surgeon Brisbane


Adherence to the information on this site will not ensure successful treatment in every situation and will not ensure specific results in the individual patient. Although complications may be rare, there are certain inherent risks connected with surgical procedures that should be discussed with the dermatologist. This Website contains very general information and any procedures mentioned in it should be discussed in detail with your dermatologist at the time of consultation.

Eyelid Surgery in Brisbane: Our services include eyelid lift surgery, blepharoplasty, eye lid lift surgery, eyelid wrinkle removal and crows feet removal.

We also offer cosmetic surgery services and facial plastic surgery by Dr Russell Hills in our cosmetic clinics in Brisbane, based in Auchenflower and Nundah, including dermal fillers and body contouring.

Our clinics are based in Auchenflower and Nundah, Brisbane. We service clients in the greater Brisbane area, including but not limited to: central Brisbane CBD, Auchenflower, Paddington, West End, Bardon, Toowong, Spring Hill, Kangaroo Point, New Farm, East Brisbane, Newstead, Kelvin Grove, Ashgrove, Indooroopilly, The Gap, Highgate Hill, Chapel Hill, Morningside, Bulimba, Enoggera, Grange, Lutyche, Clayfield, Nundah, Chermside, Everton Hills, Everton Park, Greenslopes, Sandgate, Woollongabba, Southbank, Carindale, Mount Gravatt, Moorooka, Acacia Ridge, Logan, Springwood, Nudgee, Ascot, Hamilton, Taringa, Annerley, Yeronga, Tennyson, Graceville, Sherwood, St Lucia, Kenmore, Brookfield, Coorparoo, Red Hill, Milton, South Brisbane, North Brisbane.