Blepharoplasty explained: What to expect from upper & lower blepharoplasty?
Eyes are often the first feature people notice — and also the first to show signs of aging.
Blepharoplasty, commonly known as eyelid surgery, is a transformative procedure designed to rejuvenate tired or sagging eyes. Whether performed on the upper eyelids to correct drooping skin or the lower eyelids to remove puffiness and under-eye bags, blepharoplasty can restore a refreshed, youthful appearance.
In this blog, we’ll explain what upper and lower eyelid blepharoplasty involves, how they differ, and what you can expect before, during, and after the procedure.
What is blepharoplasty?
Blepharoplasty or eyelid surgery is a cosmetic surgical procedure that improves the appearance of the eyes by removing or repositioning excess skin, fat, and muscle from the upper and/or lower eyelids.
Over time, genetics, lifestyle, and natural skin changes can cause the eyelid area to droop or become puffy, leading to a tired or aged look.
Understanding types of blepharoplasty: Upper and lower eyelid surgery
Blepharoplasty is generally divided into two main types based on the area being treated — upper eyelid blepharoplasty and lower eyelid blepharoplasty.
Upper blepharoplasty
Upper eyelid surgery focuses on lifting droopy or sagging eyelids that can give the eyes a tired appearance or even interfere with vision.
During upper blepharoplasty, excess skin, fat, and sometimes muscle are removed or repositioned. The incision is typically made along the natural eyelid crease, ensuring minimal visible scarring and a natural-looking result.
Benefits include:
- Creates a more alert and youthful appearance
- Improved vision in cases where drooping lids obstruct sight
- Creates a more alert and youthful appearance
Lower blepharoplasty
Lower eyelid blepharoplasty focuses on addressing under-eye bags, puffiness, and loose skin that can give the eyes a tired or aged appearance.
During lower blepharoplasty, excess fat may be removed or repositioned, and sagging skin is tightened to create a smoother, firmer under-eye area.
Incisions are made just below the lash line or inside the eyelid, minimizing visible scarring.
Benefits include:
- Reduces puffiness and under-eye bags
- Smoothens and rejuvenates the lower eyelid contour
- Creates a refreshed and well-rested appearance
Combined upper and lower blepharoplasty
For patients experiencing both upper and lower eyelid concerns, a combined procedure can be performed during the same surgery.
This comprehensive approach simultaneously addresses sagging lids and under-eye puffiness, creating a harmonious, youthful eye contour and overall facial balance.
Benefits of blepharoplasty: Why it’s done?
- Rejuvenates your appearance: Removes sagging skin, puffiness, and under-eye bags for a more youthful, alert, and refreshed look.
- Improves vision (upper eyelid surgery): Lifts droopy upper lids that may obstruct peripheral vision for daily activities like reading and driving.
- Smooths and defines eye contours: Reduces under-eye puffiness and fine lines for a firmer, balanced appearance.
- Long-lasting, natural results: Precise incisions minimize scarring while enhancing your natural look.
- Full eye rejuvenation: Combined upper and lower blepharoplasty offers harmonious and refreshed eyes.
The blepharoplasty procedure: What to expect?
Eyelid surgery, or blepharoplasty, typically takes 1 to 3 hours, depending on whether you are having upper, lower, or both blepharoplasty.
Before the procedure, you’ll be given a sedative, usually intravenously, to ensure you are completely relaxed and comfortable during surgery. The surgeon then makes precise incisions along the natural lines and creases of your eyelids, minimizing visible scarring.
Once the incisions are made, any excess skin, fat, and sometimes muscle are carefully repositioned or removed for a smoother and more youthful eyelid contour. The incisions are then sutured, and while there may be minor scarring initially, it typically fades within a few days.
With proper technique and care, blepharoplasty provides natural-looking results, improving the appearance of both the upper and lower eyelids while restoring a refreshed, alert look.
Recovery after blepharoplasty
After blepharoplasty, some swelling, bruising, and mild discomfort around the eyelids are normal, peaking in the first few days and gradually improving within one to two weeks. Applying cold compresses and keeping your head elevated can help minimize swelling and promote faster healing.
Sutures are typically removed within 5 to 7 days, and most patients can resume light activities within a week.
Strenuous exercise, heavy lifting, and any activities that put strain on the eyes should be avoided for 2–3 weeks, while minor numbness, tightness, or itching typically resolves as healing progresses.
Aftercare tips for optimal recovery
- Apply cold compresses regularly during the first 48 hours to reduce swelling and bruising.
- Keep your head elevated, even while sleeping, to minimize fluid accumulation.
- Avoid rubbing your eyes to prevent the risk of irritation and infection.
- Follow your surgeon’s instructions carefully regarding medication and ointments.
- Refrain from strenuous activities, heavy lifting, and exercise for at least 2–3 weeks.
- Protect your eyes from direct sunlight and always wear sunglasses when outdoors.
- Resume makeup and contact lens use only after your surgeon gives clearance.
Results: How blepharoplasty transforms your appearance?
The outcomes of upper and lower blepharoplasty are often subtle yet transformative, enhancing the eyes and overall facial harmony.
Upper blepharoplasty lifts droopy lids, giving the eyes a more open and alert appearance, while lower blepharoplasty smooths under-eye bags and puffiness, creating a refreshed and youthful look.
Patients frequently notice significant improvement in tired or aged eyes, with minimal visible scarring.
Comparing upper and lower blepharoplasty before and after photos highlights how these procedures can restore symmetry, brighten the gaze, and rejuvenate the entire eye area.
With proper care, blepharoplasty results can last for many years, providing a natural enhancement that enhances confidence and overall appearance.
Transform your eyes with expert blepharoplasty
Choosing the right plastic surgeon is important for achieving natural, beautiful results with blepharoplasty.
Dr. Omar Fouda is a board-certified cosmetic surgeon with expertise in both upper and lower eyelid surgery. Renowned for his precision, artistry, and patient-focused approach, Dr. Omar ensures each procedure enhances your eyes while preserving your unique facial features.
With advanced surgical techniques, meticulous attention to detail, and a strong commitment to safety and satisfaction, Dr. Omar Fouda helps patients achieve refreshed, youthful-looking eyes. Whether you’re considering upper eyelid blepharoplasty, lower eyelid blepharoplasty, or a combined procedure, his expertise ensures natural, long-lasting results that boost confidence and transform your appearance.
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FAQs
Upper blepharoplasty addresses droopy upper eyelids, while lower blepharoplasty targets under-eye bags, puffiness, and loose skin. Both procedures can be performed separately or together for full eye rejuvenation.
Incisions are carefully placed along natural eyelid creases for upper eyelid blepharoplasty or just below the lash line/inside the eyelid for lower eyelid surgery, resulting in minimal visible scarring that fades over time.
Initial improvements are visible once swelling and bruising subside, usually within 1–2 weeks, with final results appearing over several weeks, giving a refreshed and youthful eye contour.
Yes, upper eyelid blepharoplasty can improve peripheral vision if droopy eyelids are obstructing sight.
Yes, upper and lower blepharoplasty can be combined with procedures like brow lifts, facelifts, or skin resurfacing for more comprehensive facial rejuvenation.
