Eyelid Surgery: Upper, Lower or Both?

Eyelid Surgery: Upper, Lower or Both?

Introduction

Eyes are often the first thing people notice. Over time, however, eyelids can begin to sag or puff. This can make you appear tired, older or even affect your vision. Eyelid surgery—also called blepharoplasty—offers a solution. But many patients wonder whether to focus on upper lids, lower lids or both. In this guide, we explore what each procedure does, how they differ and how to decide which is right for you.

What Is Eyelid Surgery?

Eyelid surgery removes or reshapes skin, fat or muscle around the eyes. It targets sagging, puffiness, or fine lines caused by ageing, genetics or lifestyle. The goal is to achieve a fresher, younger look. This surgery can be performed on the upper lids, lower lids or both. Although primarily cosmetic, it can also improve vision in cases where sagging upper lids interfere with eyesight. The result is a more awake and rested appearance.

What Does Upper Eyelid Surgery Correct?

Upper eyelid surgery focuses on drooping or heavy upper eyelids. These changes may make you look tired or unhappy. The procedure involves removing excess skin and sometimes fat or muscle. It can lift the eyes and improve field of vision. Often, this surgery is done under local anaesthetic and takes under one hour. Healing is usually quick, and results are long-lasting. Many patients say it opens up their face and boosts their self-esteem.

What Does Lower Eyelid Surgery Correct?

Lower eyelid surgery targets under-eye bags, puffiness or loose skin. These signs may appear even with adequate sleep. The procedure removes or redistributes fat and tightens sagging skin. Some surgeons use internal incisions to avoid visible scars. Others use external methods depending on the case. This form of eyelid surgery can also reduce dark shadows caused by bulging fat. Recovery may take longer than for upper lids, but the results are usually very natural.

Should You Have Both Upper and Lower Eyelid Surgery?

If ageing affects both your upper and lower eyelids, combined eyelid surgery may be ideal. Many patients choose both to save time and maximise their transformation. Doing both in one session offers balance and facial harmony. Additionally, you only need one recovery period. However, the decision depends on your goals and what bothers you most. A consultation with a skilled surgeon can help determine the best approach.

What Happens During the Procedure?

Eyelid surgery typically takes one to two hours, depending on the areas treated. Most patients receive local anaesthetic with sedation or general anaesthetic. Incisions follow the natural lines of the eyelids to minimise scarring. Fat is either removed or repositioned. Skin is then trimmed, and fine sutures are used to close. You may be monitored for a few hours before discharge. Some patients stay overnight for added comfort and observation.

What Should You Expect After Eyelid Surgery?

Recovery is generally smooth. Swelling and bruising peak after two days and fade over a week. Most people resume light activities within seven to ten days. It is important to follow all aftercare instructions. Cold compresses and eye drops may be recommended. Stitches are usually removed after five days. Final results become visible after several weeks as healing continues. With proper care, eyelid surgery results can last many years.

What Are the Benefits of Eyelid Surgery?

Eyelid surgery offers more than cosmetic benefits. For upper eyelids, it can restore clear vision obstructed by sagging skin. For lower lids, it reduces puffiness and tired expressions. Emotionally, it often boosts confidence. Many people feel more refreshed and energised after the procedure. Makeup application becomes easier, and eyes look more symmetrical. Whether done alone or with other facial treatments, this surgery delivers subtle yet powerful improvements.

Conclusion

Whether you opt for upper, lower or both, eyelid surgery offers real, lasting benefits. It can rejuvenate your appearance and improve both confidence and comfort. By understanding the differences and assessing your goals, you can make an informed choice. Working with a skilled surgeon ensures natural-looking results and smooth recovery. For many patients, it’s a small change that leads to a brighter, more youthful expression.

For more information and to book a consultation visit the ACIBADEM Beauty Center eyelid surgery page.