Four Signs You’re Ready for A Blepharoplasty

upper blepharoplasty

Are your eyelids looking puffier, saggier or heavier with every passing year? Do you have crow’s feet, wrinkles, dark circles, eye bags and puffy eyelids?  Maybe you need to consider these four signs you’re ready for a blepharoplasty (an eyelid lift facial rejuvenation procedure) with an expert Surgeon.


When people look in the mirror and see a version of their parents (or grandparents) staring back at them, it can be a confronting sign of ageing.

Facial Rejuvenation Trends in 2018: Eyelid Surgery and Facial Treatments

There are FIVE types of facial ageing that people end up wanting to do something about:

  1. Eyelids – ageing eyes including sagging eyelids and puffy under-eye bags or eye shadows/dark circles under the eyes.
  2. Lower face and jowls – the sagging jawline skin that leads people to consider a facelift and a neck lift.
  3. Double Chin (under jawline/under chin fat) – leading people to explore the latest cosmetic trends for facial rejuvenation, the under chin fat reduction injection to reduce a double chin appearance
  4. Volume losses – hollowing of the temples or cheeks – leading people to explore dermal fillers to temples and cheeks or jawlines and lip filler/lip augmentation options
  5. Wrinkles and lines (such as smokers lines above the lips) – leading people to choose muscle relaxing injections to return a smoother, less lined and less grooved appearance to the skin.

These are all treatments that can lead to a younger-looking, less worried, less angry and more refreshed looking facial appearance.

Today, we’re discussing eyelid surgery, and the signs you are ready for eyelid surgery, known formally as a Blepharoplasty surgery.

And why you should call us on (03) 8849 1444 and ask to see Dr Rohit Kumar Specialist Plastic Surgeon in our Melbourne Clinic.

Eyes and Ageing: Why Eyelid Surgery is the GO TO procedure when our faces age.


Originally published in July 2016, updated in March 2018.

  • Eyelid surgery has been very popular for many decades. That’s because our eyes are such a focal area of our faces.
  • Not to mention that sagging eyelids impedes our vision over time.

There’s a lot of benefits to avoiding getting too much sun – and to using proper skincare – for preventing signs of ageing from showing up too early around your eyes.  But doing the right thing will only get you so far. Eventually, your eyes – and eyelids – will age.

  • Genetics as well as lifestyle choices and beauty routines ALSO plays a part in how quickly – or slowly – your eyelids age (and how much the ageing shows).
  • It’s the combination of sun exposure, lifestyle choices and your genetic heritage that impacts how well your eyelid area ages, or looks, over time.

Even if you were born with great skin and take perfect care of your eyes and eyelid skin, you cannot fully stop yourself from eventually looking older.

  • At some stage, if you’re skin is ageing, it will start to show around your eyes and eyelids.
  • Cosmetic injections can reduce some eye area wrinkles such as crow’s feet. It can, however, only go so far – it doesn’t reduce sagging skin folds above or below the eyelash line(s).
  • This is typically when EYELID SURGERY becomes the GO TO rejuvenation procedure worth exploring.

If you want to look younger and more refreshed, or find you’re constantly raising your eyebrows in order to see – then consider that it might be time for an eyelid lift.

So what are the Four signs you’re ready for a Blepharoplasty (eyelid surgery or an eyelid lift)?

eyelid and brow lift surgeon

And WHY is getting an eyelid lift whilst you’re younger, potentially helpful for you get a better Blepharoplasty result than if you wait until your eyelid skin has REALLY sagged?

Considering Blepharoplasty?  The quick synopsis of the BEST TIME for an eyelid lift surgery is when you notice these four signs you may be ready for a Blepharoplasty.

So what are the four signs you’re ready to have an eyelid surgery procedure?

drooping eyelids

1. You look tired even when you’re rested.

  • Even after a good nights sleep, you hear comments such as ‘you look tired’ or ‘did you have a big night out?’.
  • You have a ‘hang dog’ look of sadness or exhaustion.

2. Your lashes are invisible or you have no visible eyelid crease/eyelid platform

  • You have no place to put your eye makeup.
  • Plus, your lashes are hidden underneath sagging eyelid skin.

3. The skin is sagging to such a degree you end up making faces to raise your brows, which looks unnatural, just to see properly.

  • You find yourself forcing your eyes to be more OPEN (raising one or both brows).
  • You start making ‘funny looking’ open-eyed “surprised” expressions to keep your iris unimpeded by sagging skin folds.

4. Your skin is sagging to the point it not only impacts your looks, but impacts your vision and your ability to close your eyes or blink properly.

  • Ageing eyelids that droop or sag can lead to other problems that impact your eyes including vision.
  • You may find difficulty seeing and your eyesight and peripheral vision ranges may become impeded by sagging eyelids.

Another sign you’re ready for eyelid surgery (Blepharoplasty) is when eye area functionality is being detrimentally impacted.

  • Sometimes functionality of the eyes, such as the necessity of properly working eyelids (and eye area muscles) to blink or cleanse the eye area with tears, becomes impeded by skin ptosis (such as high degrees of eyelid skin sagging).
  • If you can’t properly close your eyes or blink, you can end up with eye area infections, inward poking eyelashes, or dry eye syndrome.

What age is best to get an eyelid lift?

Sometimes it’s best to get an eyelid lift a bit younger; a bit before you really need it – because it’s typically only a matter of time when you’ll end up with needing a far more significant procedure.

The longer you wait for eyelid surgery once the signs of eyelid ageing is quite noticeable, the less transformation you are able to see. Also, the slower your healing as skin healing is typically faster when you’re younger and have more collagen and strength in your skin.

Reasons to have eyelid surgery sooner (or younger) rather than later (and older).

The more advanced the skin ageing or ptosis (sagging or puffiness), the more complex the surgery becomes, and the longer it can take to heal.

  • the surgery procedure type (or combined procedures) you may NEED to see results may be increased by how long you wait
  • the more complex the procedure, the higher your risk of eyelid surgery complications and the slower your healing and recovery times
  • the less collagen your skin has – the less strength in the muscles of your eyelids – the more complex the procedure

The older you are, in general, the slower your healing will be after eyelid lift procedures.

  • There are, however, some ways to improve your healing capacity.
  • These include our Rapid Recovery Packs and protocols and even scar minimisation treatments and Healite II for some patients.
  • The best results of eyelid surgery tend to come from procedures performed on eyelid skin that still has sufficient elasticity and collagen, and fewer functional problems.
  • But for ALL eyelid surgeries, be sure you choose a seasoned, highly respected facial Plastic Surgeon who is FRACS.

Excerpt from the BLOG on COCO RUBY about Eye Lid Lift Surgery Timing

Ageing eyelids cause problems that lead to the need for eyelid surgery (Source: Consumer Version, MERK MANUAL): An excerpt

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).

Other good reasons to have earlier eyelid surgery rather than delayed Eyelid Surgery


Read our eyelid surgery BLOG about potential surgery complications 

  • Delays can deter good results because your overall health – and your skin’s recovery capacity – tends to become compromised with every passing decade.

This doesn’t occur for everyone, but in general – the passing years increase your risks of heart disease, high blood pressure, unhealthy cholesterol levels, and far less elastin and collagen in your skin (meaning your skin becomes less resilient and doesn’t tend to heal as well).

Plus, the underlying structures of the eye area can atrophy and leave some areas of your face looking a bit hollow – atrophy will impact on your final results

Eyelid-surgery-upper-and lower blepharoplasty-drbenjamin-burt_e3

Ask yourself if you’re ready for an eyelid lift

Four questions to ask yourself about your ageing eyelids.

  • Do you hate how tired or worn out you look around the eyes?
    Are your eyelashes still beautifully visible, or do they become partially buried under your sagging eyelid skin?
  • Do you struggle at times with raising your brows just to see better, or to see peripherally?
  • When you’re approaching your late 60s or 70s or beyond, would you rather your eyelids reflected your biological age – or worse yet, older than you actually are, due to your time spent in the sun?
  • Would you like to look younger with just a few weeks of recovery time and minimal scars?

Download Our Guide to Blepharoplasty

Blepharoplasty Guide Download

You can also phone us during clinic hours on (03) 8849 1444. We look forward to helping YOUR eyes look their best with a quality procedure by our esteemed Surgical team.


Last updated: 28/11/2019
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Dr Rohit Kumar - MBBS MMedSci FRACS (Plas)
Dr Rohit Kumar is an Australian trained and fully certified Specialist Plastic and Reconstructive Surgeon. Dr Kumar completed his Bachelor of Medicine and Bachelor of Surgery (MBBS) and later went on to complete his Masters Degree in the field of Burns Surgery (MMedSci, Burns). Dr Kumar is a member of FRACS, ASPS, ASAPS, ANZBA and RACS.