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Upper or Lower Eyelid Surgery

From time to time, we all notice changes in our faces associated with ageing. One of the most visible signs of ageing can be sagging eyelids, which not only affect facial appearance but may also impact vision.


The two most common cosmetic eyelid surgeries are upper eyelid surgery (upper blepharoplasty) and lower eyelid surgery (lower blepharoplasty).


While both procedures aim to enhance the appearance of the eyes, there are several key differences that are important to understand when choosing the right procedure.

Upper Eyelid Surgery

Upper eyelid surgery is a popular procedure designed to remove excess skin and fat from the upper eyelids. As we age, the skin on the upper eyelids loses elasticity and may begin to droop over the eyelashes, affecting both appearance and vision.


Candidates for upper eyelid surgery are usually individuals with sagging skin on the upper eyelids that creates a “heavy” eye appearance. This procedure is ideal for those looking to improve their appearance and restore a youthful facial expression.


The procedure itself involves the precise removal of excess skin and fat deposits, resulting in a fresher and more open-eyed look. Upper eyelid surgery is typically performed under local anaesthesia and takes about 1–2 hours.

Lower Eyelid Surgery

Unlike upper eyelid surgery, lower eyelid surgery focuses on removing excess skin and fat deposits beneath the eyes, which can lead to the formation of under-eye bags, wrinkles, or puffiness.


This procedure is ideal for individuals looking to eliminate signs of stress and ageing from the lower part of the face, which can make us appear more tired or older than we actually are.


During lower eyelid surgery, the specialist removes excess skin and fat deposits, resulting in a smoother and more rejuvenated under-eye area. In some cases, the lower eyelids may also have loose skin, in which case the procedure will focus on tightening the skin and improving contours. This procedure is performed under sedation, though local anaesthesia is also an option if preferred by the patient.


The recovery period is slightly longer compared to upper eyelid surgery, but the results are long-lasting.

Which Surgery Is Right for You?

The choice between upper and lower eyelid surgery depends on your specific needs. If you struggle with drooping upper eyelids that affect your vision or make your face appear older, upper eyelid surgery may be the right option. This procedure helps remove excess skin, enhancing both the appearance of the eyes and vision.


On the other hand, if under-eye bags or dark circles create a tired look, lower eyelid surgery can refresh the lower part of your face by reducing puffiness and under-eye shadows.


Both procedures can significantly improve your appearance and boost your confidence, but it is essential to consult with a specialist who will assess your condition and recommend the best solution based on your desires and needs. An experienced doctor will help you make an informed decision and choose the procedure that is most suitable for you.