Upper or Lower Blepharoplasty: Which Do I Need?
Your eyes may look tired even when you feel rested. Blepharoplasty can create a cleaner, fresher eye area, but upper and lower eyelid surgery solve different problems. The right choice depends on where the heaviness or puffiness comes from.
Upper Blepharoplasty
Upper blepharoplasty removes or repositions selected tissue through an incision usually placed in the upper-eyelid crease. It may help excess skin that folds over the crease and selected puffiness. Removing too much skin or fat can create difficulty closing the eyes or an overly hollow appearance, so conservative planning matters.
Lower Blepharoplasty
Lower blepharoplasty addresses selected under-eye bags, skin excess, and contour. An incision may be made just below the lashes or inside the lower eyelid, depending on whether skin treatment is needed. Fat may be reduced or repositioned rather than automatically removed.
Dark Circles Are Not One Problem
Under-eye darkness may come from shadowing, hollowing, pigment, visible blood vessels, thin skin, allergies, or a combination. Lower blepharoplasty improves certain structural causes but cannot promise to remove every dark circle.
Could the Brow or Cheek Be Part of the Problem?
A low brow can make the upper lid look crowded. A hollow or lower cheek can deepen the shadow beneath the eye. Eyelid surgery alone may not fix either problem, so your NDV MED team looks at the whole eye area before suggesting a procedure.
Important Risks
Risks can include bleeding, infection, dry-eye symptoms, difficulty closing the eyes, asymmetry, visible scars, eyelid-position changes such as ectropion or lid lag, persistent discomfort, light sensitivity, revision surgery, and temporary or permanent visual change; blindness is very rare but recognized.
What Recovery Looks Like
Bruising, swelling, tightness, watering, dryness, and temporary blurred vision from ointment may occur. Patients should follow instructions on cold compresses, head elevation, medicines, eye care, contact lenses, activity, and sun protection. Seek urgent care for severe eye pain or any sudden change in vision.
References
See What Is Possible for Your Face
You do not need to arrive knowing the name of a procedure. Simply tell your NDV MED team what you would like to improve. We will explain what can make a meaningful difference, what you may not need, and how to keep the result balanced and recognizably you. You will also receive clear information about scars, recovery, risks, and the complete quotation before deciding.
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This article provides general educational information and is not a diagnosis or a substitute for an in-person medical consultation. Suitability, outcomes, risks, and recovery vary between patients.