Upper or lower blepharoplasty

Upper Blepharoplasty Vs. Lower Blepharoplasty

As we age, our skin loses its tautness and begins to sag. This condition can be corrected with a plastic surgery procedure called Blepharoplasty, restoring full field of vision and achieving a more youthful, healthier looking appearance.

While upper eyelid surgery eliminates excess skin that weighs down the eyelids, lower eyelid surgery reduces puffiness. But what if you think you need both procedures?

Upper Blepharoplasty Vs. Lower Blepharoplasty Surgery

Blepharoplasty surgery primarily targets the upper eyelids, but it can also accommodate other techniques that remove extra muscle, skin and fat from the lower eyelids that cause puffiness or “bags” under the eyes.

The operations can be performed separately or combined. Let’s take a closer look at what both surgeries do, so you can determine what best suits your needs.

Upper or lower blepharoplasty

Upper Blepharoplasty Eyelid Surgery

Upper Blepharoplasty tightens sagging and drooping eyelids, removing excess fat and tissue from the upper eyelid, improving your vision by clearing away obstructions to your field of view.

Besides improving your vision, Upper Blepharoplasty gives your face a more open and alert appearance and can make you appear years younger. In such cases, Upper Blepharoplasty may be enhanced with a cosmetic Brow Lift for an even more dramatic improvement in appearance and vision.

An upper eye lift is performed by removing excess skin and muscle, and sometimes fat, through a small incision in the upper eyelid. Muscles above the eye may be repositioned before the skin is lifted and reattached.

Incisions are hidden in the crease above the eye, concealing scars throughout the healing period. The entire procedure normally takes between 45-to-60 minutes and can be performed under local anesthesia.

Lower Blepharoplasty Eyelid Surgery

Another effect of aging is that the eyelid skin begins to lose its natural elasticity and fat-padding, giving the lower eyelid an unattractive wrinkled, baggy appearance that also obstructs your vision. Lower Blepharoplasty effectively treats puffiness and drooping skin underneath the eyes.

Lower eyelid surgery is performed differently depending upon your eye anatomy and the results you hope to achieve. The procedure opens the eye by removing excess fat and loose skin, and can also eliminate fine lines and wrinkles around the undereye area.

What If I Need Both Types Of Blepharoplasty?

The procedures for Upper and Lower Blepharoplasty are not the same. In Upper Blepharoplasty the goal is to remove fat and excess skin to improve field of vision. Lower Blepharoplasty is more cosmetic in nature, the surgeon may have to sculpt and reposition fat and apply other methods of Plastic Surgery to ensure that the lower eyelid matches the upper.

The combination of Upper and Lower procedures is called Quad Blepharoplasty. Despite the differences in approach, Upper and Lower Blepharoplasty can be performed at the same time. Getting both procedures performed together does not increase recovery time.

Ancillary Procedures

Blepharoplasty is an effective method for improving the structure of the eyelid, but for many patients, it does not tighten all of the eyelid skin. For fine lines around the eyes, lasers or chemical peels are often used at the same time as Blepharoplasty to attain the best outcome. Consult with your plastic surgeon to decide if you want additional treatments to compliment your Blepharoplasty.

How Can I Get Blepharoplasty Surgery?

To achieve the best outcome possible, you need to find a Board Certified plastic surgeon with experience performing Blepharoplasty surgeries. Be honest about your current state of health and aesthetic goals, and keep your expectations realistic.

Dr. James Aronovitz has over 25 years of experience with Facial and Reconstructive surgeries . He is Board Certified and is a member of the American Academy of Facial and Plastic Reconstructive Surgery.

If you think you might be a candidate for plastic surgery, schedule a free consultation today!