Upper + Lower Eyelid Blepharoplasty

Combined upper and lower blepharoplasty is surgery performed on both the upper and lower eyelids during the same surgical plan.

For the upper eyelids, the surgeon may remove carefully measured excess skin and address selected underlying tissue when appropriate.

For the lower eyelids, treatment depends on your anatomy. Prominent fat may be removed or repositioned, excess skin may be addressed, and additional techniques may be used when necessary to support the lower eyelid.

Treating both areas together allows the surgeon to consider the overall relationship between the upper eyelids, lower eyelids, brows, cheeks, and surrounding facial features rather than looking at each concern separately.

Combined blepharoplasty may be considered by people who have concerns involving both their upper and lower eyelids.

You may notice heavier or hooded upper eyelids along with persistent under eye bags, puffiness, loose lower eyelid skin, or changes in the contour beneath your eyes.

Some people develop these changes gradually with age. Others naturally have fuller eyelids or more prominent under eye fat because of genetics and facial anatomy.

Not every concern around the eyes requires surgery. Brow position, skin quality, pigmentation, facial volume, cheek anatomy, fluid retention, and other factors can all influence the appearance of the eye area.

A consultation with a qualified surgeon is the best way to understand what is contributing to your concerns and which areas, if any, may benefit from treatment.

People considering upper and lower eyelid surgery often describe feeling that their eyes look tired or heavy even when they feel well rested.

Some notice that upper eyelid skin has become more noticeable while under eye bags have also become more prominent. Others feel that changes above and below the eyes together have altered the overall appearance of their eye area.

For some people, significant upper eyelid skin may also interfere with peripheral vision and requires appropriate medical assessment.

The goal of combined eyelid surgery should always be individualized. Your surgeon can help you understand what may realistically be achieved while preserving healthy eyelid function and the natural characteristics of your eyes.

Upper and lower eyelid blepharoplasty is performed by a qualified surgeon in an accredited medical facility.

For the upper eyelids, an incision is generally planned within the natural eyelid crease. A carefully measured amount of skin is removed, and underlying fat or other tissue may be addressed when appropriate.

The lower eyelids can be approached in different ways.

A transconjunctival approach uses an incision inside the lower eyelid and may be considered when the primary concern involves under eye fat and significant skin removal is not required.

An external approach generally places the incision close to the lower eyelashes and may be used when skin and other tissues also need to be addressed.

Rather than simply removing lower eyelid fat, your surgeon may recommend repositioning selected fat to create a smoother transition between the lower eyelid and cheek. Additional eyelid support techniques may also be considered depending on your anatomy.

Your surgeon will explain exactly what they recommend for each eyelid, incision placement, anticipated scars, potential risks, recovery, and realistic expectations before you decide whether to proceed.

Lewis Medix does not perform medical procedures. We connect you with carefully vetted medical providers and coordinate the care and support surrounding your journey.

Recovery following combined upper and lower eyelid surgery varies from person to person.

Swelling and bruising around the eyes are expected during the early stages of healing and may be more noticeable when both the upper and lower eyelids have been treated. Your eyes may also temporarily feel tight, dry, watery, sensitive, or tired.

Your appearance will change as swelling and bruising settle. Incisions and scars also continue to mature over time, so the early postoperative appearance should not be considered the final result.

Your surgeon will provide individualized instructions regarding incision and eye care, sleeping position, physical activity, makeup, contact lenses, medications, sun exposure, and follow up appointments.

Because you are travelling for care, your medical team will also advise when you have recovered sufficiently to travel home.

When surgery involves both the upper and lower eyelids, careful assessment and choosing an appropriately experienced medical provider are especially important.

Lewis Medix connects you with carefully vetted, accredited medical providers experienced in facial and eyelid surgery. We personally visit and review the medical partners in our network and help coordinate your consultations so you can understand what is contributing to the changes around your eyes and exactly what your surgeon proposes to address.

Your chosen surgeon and medical team remain fully responsible for your medical treatment. Lewis Medix coordinates everything surrounding that care, including appointments, private transportation, comfortable recovery accommodations, travel logistics, 24/7 onsite support, and personalized concierge support throughout your stay.

Our role is to make sure the pieces around your care come together, so you feel informed, prepared, comfortable, and supported while your medical team focuses on your treatment and recovery.