Eyelid Surgery Options: Upper, Lower Or Both? Choosing The Right Procedure


Eyelid Surgery Options: Upper, Lower Or Both? Choosing The Right Procedure

Tired Eyes Need A Refresh?

Bags under the eyes, dark circles, and saggy eyelids can all add years to the face. A blepharoplasty, or eyelid surgery, can correct many of these problems. With both upper and lower blepharoplasty procedures available, potential patients often wonder which approach is best. The answer depends on the underlying eye concerns, but in some cases, both procedures can work together to offer an even more dramatic improvement.

Upper blepharoplasty

Whether the reason for surgery is cosmetic or functional, an upper blepharoplasty is a very common eye surgery. To perform the procedure, a surgeon makes a cut in the fold of the eyelid, removes excess skin and fat, and then closes the cut. The upper form of this surgery is usually recommended for people with droopy upper eyelids or puffiness. Some people move forward with the procedure for purely aesthetic reasons, while others need surgery to help with vision. Removing the extra weight of heavy upper eyelids can also result in a smoother forehead since the eyebrows no longer have to be raised for a better view.

Lower blepharoplasty

Tired-looking eyes can benefit from a lower blepharoplasty. During the procedure, a cut is made just below the lashes, where the eye’s natural crease occurs. Like the upper blepharoplasty, excess fat, muscle, and sagging skin is removed and tightened, and the cut is closed. A lower approach is often recommended for patients with saggy or baggy under eyes. After the procedure, patients should look less tired and have a visible reduction in undereye circles.

A dual approach

Since age tends to affect both the upper and lower eyes, older patients can often benefit from simultaneously performing an upper and lower blepharoplasty. This dual approach can provide an immediate and balanced improvement to the appearance of the eyes. An additional benefit of having both procedures done at once is a single exposure to anesthesia. Healing can also be consolidated, requiring patients to take less time off work than if the procedures were performed on separate days.

Plan for recovery

As with any surgical procedure, a period of recovery is necessary. For upper blepharoplasty, 7-10 days off work is generally suggested. A lower approach requires additional healing time, and 10-11 days off work is typically advised. People with both procedures should plan for at least 10 days off work. This post-op recovery period allows the bruising to subside and the eyes to heal properly.

Brighter rejuvenated eyes today

A blepharoplasty is an effective surgery designed to improve the appearance of the eyes. Patients report improved self-confidence and feeling years younger after the procedure. Whether to pursue an upper or lower blepharoplasty or have both done simultaneously will depend on the underlying medical and aesthetic concerns. A qualified surgeon will discuss all the available options during a pre-operative consultation to help patients select the procedure that will offer the most benefit.

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