At Ava Eye Clinic, older patients often achieve excellent results through a combined approach of signature ptosis surgery and sub-brow blepharoplasty. This dual technique restores eyelid function and rejuvenates the appearance of the eyes at the same time by lifting drooping lids and reducing excess soft tissue.
With age, the skin around the eyes loses its firmness and elasticity, while muscles responsible for eyelid elevation may weaken. Many of our older patients not only struggle with a tired appearance but also experience functional issues such as visual obstruction. By addressing both the underlying muscle weakness and excess skin or fat, the combined procedure offers both aesthetic and functional benefits. Here is why this approach is proving effective for ageing eyes.
Understanding ptosis and its effects on ageing eyes
Ptosis is the medical term for drooping of the upper eyelid. It may develop gradually over time due to the natural ageing process or occur following an injury or previous eye surgery. In older adults, the most common cause is a weakening or detachment of the levator muscle, which is responsible for lifting the eyelid. This condition can affect one or both eyes and, in more advanced cases, may obstruct the upper field of vision.
Patients with ptosis often report looking more tired or older than they feel. In severe cases, they may even find themselves tilting their heads backwards to see more clearly. Ptosis surgery is the solution many turn to, aiming to correct the droop by tightening or reattaching the levator muscle.
Why combine ptosis repair with sub-brow blepharoplasty?
While ptosis surgery addresses the functional issues associated with drooping eyelids, it does not always fully correct the appearance of excess skin and sagging in the brow area. This is where sub-brow blepharoplasty becomes a valuable complement.
Sub-brow blepharoplasty involves the removal of excess skin and underlying tissue just below the eyebrow. This technique helps with elimination of the thick tissues located just below the brow and allows the surgeon to sacrifice less of the thinner skin closer to the eyelashes. Additionally, it allows the outer area of the eye to open up more. Overall, this results in a lighter and more pleasing outcome. When performed alongside ptosis repair, the result is a refreshed, alert appearance with ease of eye opening.
At Ava Eye Clinic, our eye surgery specialist carefully evaluates the degree of eyelid droop, skin redundancy, and patient goals before recommending a combined approach. The advantage lies in treating both the root cause of eyelid drooping and the overlying skin and soft tissue excess in a single procedure. This holistic method not only enhances appearance but also contributes to better vision and comfort.
A tailored approach for older patients
Older patients tend to benefit more from a dual approach due to the cumulative effects of age on both muscle function and skin quality. The skin loses collagen, and tends to sag, particularly in the upper face. For some, undergoing ptosis surgery alone may not provide a satisfactory cosmetic outcome, as residual thick skin may still give the eyes a heavy or tired look.
By combining ptosis surgery with sub-brow blepharoplasty, our specialists can create a lighter and more pleasing result. This procedure helps preserve the youthful contour of the eyelids while reducing the heaviness caused by ageing skin.
Each treatment plan at Ava Eye Clinic is customised, considering factors such as the severity of ptosis, brow position, and overall facial harmony. Our focus is not just on restoring function but also on respecting the natural features of each individual’s face.
Recovery and results
Patients undergoing combined ptosis and sub-brow blepharoplasty can expect a relatively smooth recovery. Mild bruising and swelling are common in the first week, but these symptoms typically resolve with proper post-operative care. Most patients return to daily activities within 7 to 10 days, although strenuous exercise should be avoided for a few weeks.
The results are often visible soon after the swelling subsides. Patients notice a clearer field of vision, improved symmetry, and a rejuvenated eye appearance. Importantly, because the incisions are well-placed under the brow and within the eyelid crease, scarring is minimal and easily concealed.
For many, this procedure also answers the common question of if blepharoplasty is worth the cost. When both functional and aesthetic improvements are achieved, the combined effect often justifies the decision, especially when it significantly enhances the quality of life.
Trusting the right specialist
Choosing an experienced and qualified eye surgery specialist is essential for a successful outcome. This is particularly true for procedures involving both function and form. At Ava Eye Clinic, our oculoplastic specialist is highly trained in eyelid surgeries and has many years of experience working with older patients who may have more complex wear and tear issues with regards to their anatomy.
We prioritise patient education and safety at every stage, from consultation to post-surgical care. During your consultation, we take the time to explain the expected process and outcomes, potential risks, and how the combined approach may be more appropriate.
Our commitment is to ensure that each procedure is done with precision and care, enhancing both vision and overall eye aesthetics. Many of our patients appreciate the natural and refreshed look achieved with our tailored approach.
Conclusion
If you have noticed sagging or drooping eyelids affecting your appearance or vision, you do not need to accept it as part of ageing. A combined ptosis repair and sub-brow blepharoplasty could provide the functional and aesthetic improvements you are looking for.
Contact Ava Eye Clinic today to learn more or book a consultation with our eye surgery specialist. Our team is here to guide you through your options and support you on your journey towards clearer vision and youthful eyes.