Sep
Over time, the delicate skin around the eyes may develop puffiness, heaviness, or increased laxity due to natural age-related changes. These shifts can alter the appearance of the upper eyelids and contribute to heaviness of the upper eyelids. In some cases, upper blepharoplasty (eyelid surgery) may be considered to address these concerns.
Dr Adam Honeybrook is a specialist Head and Neck Surgeon and is also United States dual board-certified in Facial Plastic and Reconstructive Surgery. At our Queensland practice, upper eyelid procedures are tailored to each individual’s anatomy and goals, with a focus on both function and appearance.
Candidates for upper blepharoplasty are generally healthy individuals experiencing changes to the upper eyelid area—such as excess skin, drooping, or fullness caused by soft tissue or fat displacement. These effects often stem from a loss of skin elasticity, collagen reduction, and gravitational changes over time.
In some cases, brow position may also contribute to the appearance of hooding or visual obstruction. A thorough assessment helps determine the underlying cause and whether this procedure—or a combination approach—is suitable.
Upper blepharoplasty may help improve the contour and position of the upper eyelid. In some cases, excess tissue may contribute to visual field interference, particularly in the upper gaze. Where clinically appropriate, upper eyelid surgery may address both cosmetic and functional concerns.
If the procedure is deemed medically necessary—for example, where vision is affected—it may be partially eligible for Medicare or private health fund contribution.
Upper blepharoplasty is typically performed in rooms under local anaesthetic. Small incisions are made in the natural upper eyelid crease (supratarsal fold) to minimise visibility once healed. Through these incisions, redundant skin, muscle, or fat can be adjusted.
Where appropriate, excess fat near the inner upper eyelid may be carefully repositioned or reduced. Dr Honeybrook tailors the surgical approach based on facial anatomy, skin quality, and the presence of additional contributing factors.
In certain cases, complementary procedures may be considered to support overall facial balance. For example, fat grafting may be used to restore volume to areas affected by age-related hollowness. Small amounts of fat may be transferred from other body areas—such as the abdomen or thighs—to augment volume where needed.
If multiple procedures are performed together, general anaesthesia may be required, and this will be discussed during your consultation.
Swelling and bruising in the treatment area are normal and usually resolve over weeks to months. Patients are typically advised to avoid strenuous activity for the first 2–3 weeks and to follow a structured aftercare plan provided before surgery.
Most people feel comfortable returning to work or light daily activities within a week, depending on individual healing. As swelling settles, changes in eyelid contour and visual field may become more noticeable over time.
For more information about upper blepharoplasty and whether it may be appropriate for you, we welcome you to schedule a consultation at our Queensland practice.
📍 Queensland Office: 07 3485 0596
Important Information About Surgery Risks and Complications
All surgical procedures carry risks, and recovery times and outcomes vary for each individual. Before proceeding, it is advisable to seek a second opinion from a qualified health practitioner.
For more information on surgical risks and complications, please visit the [Procedure Risk Information] section on the Patient Resources page of this website.
Results of cosmetic procedures differ based on individual factors. It is important to discuss potential risks, benefits, and expectations with a qualified medical professional. Final results may take up to 12 months to become fully apparent.
This page does not endorse specific procedures, treatments, or products. The content provided is for educational purposes only and does not promote cosmetic surgery.
Dr Adam Honeybrook is an Australian specialist surgeon in Otolaryngology – Head and Neck Surgery. He holds Board Certification in the United States in Facial Plastic and Reconstructive Surgery and Otolaryngology – Head and Neck Surgery. Dr Honeybrook has undertaken additional training in facial procedures and is a Senior Lecturer at the University of Queensland.
Dr Honeybrook obtained his medical degree from the University of New South Wales, Sydney. He completed basic surgical training at Royal Prince Alfred Hospital, Sydney, and passed the United States Medical Licensing Examinations. His training included experience at Vanderbilt University Hospital and Duke University Hospital.
Dr Honeybrook completed a Facial Plastic and Reconstructive Surgery fellowship at the University of Pennsylvania under the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). He later undertook another fellowship in Louisiana and served as an Assistant Professor of Otolaryngology.
In 2020, Dr Honeybrook returned to Australia and currently works as a consultant surgeon at the Royal Brisbane and Women’s Hospital. He is a Fellow of the Royal Australasian College of Surgeons (FRACS) and the American College of Surgeons (FACS). Dr Honeybrook has contributed to peer-reviewed research and presents at national and international conferences on various surgical techniques.
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