Gold Coast
Eyelid & Brow Surgery
A Balanced Upper-Face Approach

Upper and lower eyelid surgery, combined with brow elevation where indicated, planned as one anatomy-driven procedure — performed by Dr David Sparks, Specialist Plastic Surgeon (FRACS (Plast.)).

FRACS (Plast.) | Gold Coast | AHPRA Registered Specialist

Is eyelid or brow surgery right for you?

Heaviness around the eyes can come from more than one place — excess upper eyelid skin, puffiness or hollowing below the eye, a brow that has descended over time, or some combination of all three.

Non-surgical treatments can soften some early changes, but they can’t remove excess skin or reposition a descended brow. Surgery addresses the structural change directly, and which procedure that means depends on where the heaviness is actually coming from.

The purpose of a consultation is to work out which of these is driving what you’re seeing in the mirror — because a heavy brow can mimic upper eyelid excess, and treating the eyelid alone in that case won’t give a lasting result. For some patients, surgery isn’t the right next step, and that is discussed openly.

Treating the Upper Face as One Unit

Three structures, assessed together, because brow position, upper lid, and lower lid all influence how the eyes read at rest and in expression.

Upper lid, removing what’s weighing the eye down

Excess skin and, where present, protruding fat are removed from the upper eyelid to restore a more open, rested appearance without changing the natural eye shape. The amount removed is judged against your brow position and skin quality, since removing too much is difficult to reverse.

Lower lid, addressing bags, hollows, or both

Lower eyelid concerns range from puffiness caused by fat pushing forward, to hollowing where volume has been lost, to a combination of both on the same person. Technique is matched to which of these is actually present, assessed at consultation rather than assumed from age alone.

Brow, elevated only where it’s actually descended

Where brow descent is contributing to upper eyelid heaviness, brow lift surgery can reposition the brow rather than simply removing more eyelid skin to compensate for it. Not every patient needs this — it’s only recommended where assessment shows brow position is part of the picture.

Why this matters
Because these structures influence each other, treating one in isolation can produce a result that looks unbalanced or doesn’t hold — a heavy brow will re-create hooding even after a well-executed eyelid surgery. Which combination of upper lid, lower lid, and brow work applies to you is a question for consultation, not something to assume from a mirror at home.

Dr David Sparks

  • FRACS (Plast.) — Fellowship of the Royal Australasian College of Surgeons in Plastic Surgery
  • MBBS (Hons), MS (Plast.), PhD
  • Post fellowship Craniofacial training with facial aesthetic experience in Vancouver (Canada), Beverly Hills (USA) and London (UK)
  • Consulting: The Coastal Clinic, Southport | Fraser-Kirk Plastic Surgery, Maroochydore
  • Operating: Pindara Private, Pacific Private & Broadwater Day Surgery (Gold Coast) | Buderim Private Hospital (Sunshine Coast)
Dr David Sparks is a Specialist Plastic and Reconstructive Surgeon. AHPRA registration MED0001863770. You can verify his specialist registration at ahpra.gov.au.

Book a Consultation

The Coastal Clinic – Gold Coast

Dr Sparks consults and operates from The Coastal Clinic in Southport — a purpose-built private practice on the Gold Coast. Consultations are by appointment, and new patients are welcome via referral or direct enquiry.

Address

278 Ferry Road,
Southport, QLD 4215
View location

Phone

(07) 5683 0820

Email

admin@thecoastalclinic.com.au

Opening Hours

Mon – Fri: 9am – 5pm

Frequently Asked Questions

What’s the difference between upper and lower eyelid surgery?

Upper eyelid surgery (upper blepharoplasty) removes excess skin, and sometimes fat, that creates heaviness or hooding over the eye. Lower eyelid surgery (lower blepharoplasty) addresses puffiness, bags, or hollowing beneath the eye, using fat removal, fat repositioning, or a combination depending on what’s present. They’re separate procedures that are often, but not always, performed together.

Do I need brow lift surgery too, or just eyelids?

That depends on where your brow actually sits, not just where the heaviness appears to be. If brow descent is contributing to the hooding over your upper eyelid, addressing the eyelid alone will give an incomplete or short-lived result. Part of a proper assessment is checking brow position specifically, rather than treating every case as an eyelid-only concern.

Am I a good candidate for eyelid or brow surgery?

Good candidates generally have excess upper eyelid skin, under-eye puffiness or hollowing, or brow descent that’s affecting how they look or, in some cases, their peripheral vision, and are in good general health with realistic expectations. Some patients who expect to need eyelid surgery are better served by addressing brow position instead, which is why an individual assessment matters.

How long does recovery take?

Bruising and swelling are most noticeable in the first one to two weeks, and most patients take this time away from work and social commitments. Fine sutures around the eyelids are typically removed within the first week. Some residual swelling and tightness can persist for several weeks longer, and subtle changes continue to settle over a few months.

Do I need a GP referral before my consultation?

Yes. A referral from your GP is required before your initial consultation — this is a regulatory requirement, not a barrier we’ve put in place. If you don’t already have one, your GP can provide a referral to me as a specialist plastic surgeon.

Where are consultations and surgery performed?

Consultations are held at The Coastal Clinic in Southport on the Gold Coast, and at Fraser-Kirk Plastic Surgery in Maroochydore on the Sunshine Coast. Surgery takes place at accredited private hospital facilities — Pindara Private Hospital, Pacific Private Hospital, and Broadwater Day Surgery for Gold Coast patients, and Buderim Private Hospital for Sunshine Coast patients.

What are the risks of eyelid or brow surgery?

As with any surgical procedure, eyelid and brow surgery carry risks, discussed in detail during consultation. General risks include bleeding, infection, and reactions to anaesthesia. Procedure-specific risks can include dry or irritated eyes, asymmetry, changes in skin sensation, and, rarely, changes in eyelid position or function.

What is the cost of a consultation?

General consultation fees can be discussed when you book, and our team is happy to talk through what’s included before your appointment. In line with medical advertising guidelines, we don’t publish pricing for the surgical procedure itself online, since an accurate quote depends on your individual treatment plan.

Not ready to book? Start with the guide.

Download “Your Eyelid & Brow Surgery Guide” — Dr Sparks’ patient education guide covering candidacy, technique, recovery, and how to choose your surgeon.

Book a consultation

A member of our team will respond to your enquiry within one business day. A GP referral is required — if you don’t yet have one, we can advise you on next steps.

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As featured in

All surgery and invasive procedures carry risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. Read our full information on the risks of surgery. Dr David Sparks — Specialist Plastic Surgeon, MED0001863770.