Eyelid Lift Surgery – 4 Signs You May Need It That Are Easily Missed

Dr Richard Sackelariou sydney melbourne blepharoplasty eyelid lift

4 Signs it is time for a Blepharoplasty (Eyelid Lift Surgery) with a  Plastic Surgeon


They say “the eyes have it,” but what if your eyes used to have it – and they no longer look as bright and youthful as they did?  It seems the skin around your eyes always the first area of your face to show ageing.  Cosmetic injections and anti-wrinkle injections from our Injectors can do a lot to keep your eye area looking youthful and less wrinkled.

Dermal Filler injections and wrinkle relaxing solutions can go a long way to restore a smoother look to the area around your eyes. However, whilst Cosmetic Injections are great for some ageing eye concerns, including crow’s feet and tear troughs, sometimes Eyelid lift Surgery/Blepharoplasty is needed to get rid of puffy, sagging eyelid skin.

Not only are the results of eyelid surgery longer-lasting than cosmetic and anti-wrinkle injections nut they are also more noticeable and rejuvenating than anti-wrinkle and dermal filler injections would get you as stand-alone treatments. it’s all about combining treatments to get the best facial rejuvenation results for the individual patient.

Combining Eyelid Surgery and Eye Area Injectables (Anti-Wrinkle Solutions and Dermal Fillers or Tear Trough Fillers) often gets better results than stand-alone procedures.

Get our Blepharoplasty Guide!

Blepharoplasty Guide Download

Visit the Eyelid Surgery page.

4 Signs of Ageing Eyelids you May have Missed: Eyelid Lift Surgery (Blepharoplasty)

Cosmetic injections CAN help remedy many signs of ageing eyelids.  However, once the skin has become heavy, puffy or sagging to the point the eyelashes or pupils are quite obscured by the eyelid skin, only a Blepharoplasty will tend to get the results most people want for eyelid rejuvenation.

time for a blepharoplasty? best age for eyelid surgery

The key signs of ageing include;

  1.  Sagging eyelid skin that has lost strength and collagen
  2. Atrophy of the skeletal system. This leaves you with less facial bone support around the eye socket area and cheeks.
  3. Deteriorating muscles around the eyes
  4. And, a general downwards drooping of the skin. Medically known as ptosis, meaning skin droopiness.

Why do eyes age? Why your eyelids look heavy, saggy, droopy and puffy over time.

Eyes age because your eye area suffers from cumulative appearance changes over time.  It’s not just one thing that makes your eyes seem aged. It’s a combination of factors.

Weight and hormonal changes as well as other lifestyle factors can all leave your eyelid skin looking lax and less attractive.

Some other factors that can lead people to consider Eyelid lift surgery include;

Do you need surgery for drooping, wrinkled eye lids
  • Blinking every few seconds when you’re awake
  • Sun exposure
  • Squinting
  • Staring at computer screens
  • Sleep routine. In other words, not getting enough sleep.
  • Using incorrect skincare products
  • Wearing a lot of makeup
  • Rubbing your eyes
  • Drug and alcohol abuse
  • Being too aggressive when removing makeup from your delicate eyelid skin
  • Less skin resiliency over time (causing sagging)
  • Genetic tendencies towards eye bags, dark circles or eyelid puffiness

What’s the best age to get an Eyelid Lift Surgery (Blepharoplasty)?


The answer is that there is NO one perfect age for a Blepharoplasty or Canthoplasty surgery. IT all depends on the individual.

“We see patients of ALL ages,” notes our Team’s Eyelid Surgeon Expert, Oculoplastic Surgeon  (FACS, FRANZCO). “It really depends on; the person, their genetics, their preferences for eyelid contours, and how they’ve aged.”

Why do younger people get eyelid lift surgery (Blepharoplasty or Canthoplasty)?

  • If a person in their 20’s has genetically heavy eyelids, they may not only be prone to skin infections or lid irritations, but they may look older than they are.
  • If a person in their 20’s or 30’s has heavy, puffy eyelids or early ptosis, their vision may be impeded (as with older patients).
  • Many younger patients want to be able to wear eye makeup on their lids. Furthermore, if the eyelid isn’t being seen beneath the skin fold, or the eyelashes are covered up, the capacity to enhance the eyes with makeup is extremely limited.

When you’re considering eyelid lift surgery, you no doubt have looked in the mirror and seen tired-looking, puffy and sagging eyelid skin – even after a great night’s sleep. Certainly, puffy eyelids, invisible eyelashes due to drooping eyelids and tear troughs under your eyes are signs it may be time for a cosmetic solution, surgical or otherwise.

However, there are other signs on your face that can help you determine whether you would genuinely benefit from an eyelid lift procedure. Or, which indicate you can wait a bit longer before resorting to surgical rejuvenation options.

The best way to tell if you are ready for a Blepharoplasty (eyelid lift) surgery is to visit an Experienced Oculoplastic or Plastic Surgeon who performs eyelid lift surgery and/or facelift, brow lift and other facial rejuvenation procedures such as Double Chin treatment using cosmetic injections.

But here’s how you can tell if it’s TIME for a surgical eyelid rejuvenation approach rather than just serums or injectables to reduce the wrinkles.

Look at Your Eyes Through the Eyes of the Pros

healite ii low level light therapy LLLT, skin collagen
  • Seeing someone about potential eyelid rejuvenation surgery may sometimes be confronting.
  • That’s because you and your Plastic Surgeon will be highly focused on the signs of ageing you want to change. This includes how advanced these signs of ageing have become over recent years.
  • On the upside, you’ll also be going into great details about what signs of skin ageing you’re unhappy with, and what you want to improve.
  • It can be quite exciting to learn what CAN be done through surgery and to see before and after photos.
  • HOWEVER, it is important that you keep your expectations realistic.  Remember, every patient is different.
Vectra H1 camera - facial features - eyelids

So whilst many of us enjoy the wisdom that comes with age, a majority of us believe that we look older than we actually feel inside.

Seeing the impact of the passing years more closely – whether in a photograph or in 3D facial imaging on a larger screen – can, indeed, be a real eye-opener about the skin around our eyes.

Our external appearance doesn’t match our internal views of how young and vibrant we may feel despite the passing years.

Do you need a Blepharoplasty?

xeomin face surgery, facial surgery

According to eyelid lift experts:

  • It seems the longer you wait for eyelid surgery once the signs of ageing are quite noticeable the;
    • Less transformation you are apt to see
    • More significant the procedure you might need
    • More challenging it might be for your skin to adjust to its new eyelid contours
  • Older you are, in general, the slower your healing will tend to be after your eyelid surgery
  • More aged your skin is, the less collagen – and the less strength in the muscles of your eyelids

In addition, ageing eyelids that droop or sag can lead to other problems that impact your eyes including vision.

If you want an assessment with Eyelid Lift/Blepharoplasty Surgeon, send a confidential enquiry form below OR phone our Patient Care Advisors on (03) 8849 1444. Our Specialist Plastic Surgeons see patients in Hawthorn East.

Or read further for more information that can help you assess the best age for you to have Blepharoplasty surgery.

How ageing eyelids cause problems for people

(Source: Consumer Version)

[The muscles that squeeze the eyelids shut decrease in strength with age. This decrease in strength, combined with gravity and age-related looseness of the eyelids, sometimes causes the lower eyelid to turn outward from the eyeball. This condition is called ectropion. Sometimes, because of age-related looseness affecting a different part of the eyelid, the lower eyelid turns inward, causing the eyelashes to rub against the eyeball. This condition is called entropion [see info on Entropion and Ectropion]. In some older people, the fat around the orbit shrinks, causing the eyeball to sink backward into the orbit. This condition is called enophthalmos. Because of lax tissues in the eyelids, the orbital fat can also bulge forward into the eyelids, making them appear constantly puffy. Enophthalmos may cause a slight blockage of a person’s peripheral (side) vision.]” (Merk Manual, accessed 15 July 2016).

FOUR Signs You Could Really Benefit from Eyelid Surgery


Your eyes look hooded and it may even look like the rounded part of your upper eye has literally disappeared. The ‘hood’ comes from the tissues that have lost their firmness. Check your eyes right now. Are they hooded?

hooded eyelids fixed by blepharoplasty surgery


When your friend looks at you from the side, your eyes look small, as if they are disappearing. Let your friend tell you honestly whether or not you have this sign – and take a side-view photo just to check.

eyelids - eyes look small due to sagging skin


The skin around your eye closest to your cheekbone looks sunken in and is somewhat darker.

  • The darkness tends to occur because the tissue is lax (meaning it has lost collagen, elastin and resiliency. In other words, there’s a loss of facial volume in this area. This can tell you to things;
    • Firstly, that it’s not ONLY the upper lid that appears sunken
    • And, secondly this is a sign of ageing of the overall face
  • Do you have the ‘sunkenness’ (a hollowed look) or infra-orbital pigment (darkness) near your cheekbone, close to your eye area?

how to get rid of dark circles under eyes


There is darkness under your eyes (infraorbital dark circles)

  • The darkness comes from two things:
    1. The thinning of the skin around the eyes
    2. The loss of facial volume in the middle of your face (facial hollowing)


Ask your friend to check you for this sign or take a look at close-up photos.  Do you have circles under pigment? For most people, these changes are all considered normal aspects of the ageing process – but this doesn’t mean you have to live with it!

So What Can You Do About Your Results on This Sagging Eyelid Self-Assessment Quiz?

How did your eyelids rate? Did you find that you had three of the four-plus tired-looking eyes even when you’re feeling rested?

Or overall, are your eyelids still sitting nicely where you’d like them to be, with minimal sagging and no puffiness, heaviness or droopiness?

How you answer can depend a lot on how your eyelids, and genetic dispositions, have adapted to the processes of ageing. In the next few days, if you look closely in the mirror – you may just end up seeing every one of these signs, or perhaps it has drawn your attention to other areas of your face that are showing signs of ageing. Fortunately, these can most likely be remedied with the right approach, by the right type of surgeon, in the right facility, at the right time.  Sometimes that may be a combination of procedures, and eyelid lift surgery may only be one of several options you’ll have to get a brighter, more open-eyes (but natural-looking) look.

If you want to get started, you can stop directing your focus into what the mirror is showing you about your eyelids.

Instead, try investigating solutions to ageing eyelid problems – such as eyelid surgery (an Upper or Lower Blepharoplasty).

You can read more about eyelid lift surgery on our Eyelid Surgery Pages.

What To Do Next if you want to remedy drooping eyelids

Now is a good time to get out those old pictures of yourself and look at the difference in how your eyelids looked when you were younger, and how they look now. You can’t fully turn back the clock, nor can you go back in time – but eyelid surgery CAN make a difference.

A blepharoplasty can decrease the appearance of ageing eyelids and even, for some, help improve vision by lifting sagging eyelid skin that has fallen over the pupil.

Give our clinic a call today to schedule an appointment…or if easier, send a confidential enquiry form.

Further Reading about Eyelid Surgery

Last updated: 29/04/2022
Author profile image
Dr Patrick Briggs - FRCS, FRCSI (Plast. Surg)
Dr Patrick Briggs is an experienced Specialist Plastic Surgeon Now based in Melbourne, Australia. He is an expert in Breast, Body and Face Surgery with a special interest in Gender Assignment Surgery. Dr Briggs has been published widely in surgical literature; he is trained and experienced in all aspects of Plastic and Cosmetic Surgery. Dr Briggs’ extensive experience across multiple surgical fields has allowed him to refine his skills to produce optimum results for his patients. Combined with his experience, Dr Briggs continually attends conferences and seminars to extend his knowledge and training surrounding the latest and best surgical techniques and equipment. By doing so he is able to provide his patients with the highest level of care and skill ensuring quality results.

Coco Ruby’s Specialist Plastic and ENT Surgeons

With a wealth of experience and training, our Specialist Plastic Surgeons are dedicated to best practice patient care and education, customising Breast Enlargement Surgery for each and every patient to best meet their needs and desired surgical outcomes.

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What to do next?

Our Patient Liaison Team can assist with any questions you may have when considering a procedure. You can send in an enquiry form below or call our Melbourne Clinic between 9 am – 5 pm Monday to Friday.

Phone 1300 264 811, Email us: enquiries@cocoruby.com.au or Book a FREE 15-minute Phone Chat with our Patient Liaison Manager or a Virtual Consultation with a Surgeon.

Disclaimer: Results depend on individual patient circumstances and can vary significantly. Results may also be impacted by a variety of factors including your lifestyle, weight, nutritional intake and overall health. Consult your Specialist Plastic Surgeon for details. This information is general in nature and is not intended to be medical advice nor does it constitute a doctor-patient relationship. Surgery risks and complications will be covered in detail during a consultation with your Surgeon.