Everything You Need to Know About Upper and Lower Blepharoplasty

Our eyes are often the first feature people notice, but over time, they can also be the first to show signs of aging. If you’re struggling with droopy eyelids, puffy under-eye bags, or a tired appearance, blepharoplasty may be the solution you’ve been looking for. Let’s explore what upper and lower blepharoplasty surgeries involve, who might be a good candidate, and what to expect during the procedure and recovery.

What Is Blepharoplasty?

Blepharoplasty, or eyelid surgery, is a procedure designed to improve the appearance and function of the eyelids. It’s typically divided into two types:

• • Upper Blepharoplasty: Focuses on removing excess skin, fat, and muscle from the upper eyelids to improve vision and create a more youthful, refreshed look.

• • Lower Blepharoplasty: Addresses puffiness, sagging, or wrinkles under the eyes by removing or repositioning fat and tightening the skin.

Some patients choose to have one procedure, while others opt for both to achieve a harmonious result.

Who Is a Good Candidate for Blepharoplasty?

You may be a good plastic surgery candidate if:

• • Upper Blepharoplasty:
    
    • • You have droopy upper eyelids that affect your vision.
    • • Your eyelids make you look tired or older than you feel.
    • • You’re in good overall health and have realistic expectations.

• • Lower Blepharoplasty:
    
    • • You have persistent under-eye bags or puffiness.
    • • Your lower eyelids sag, exposing the whites of your eyes.
    • • You have fine wrinkles under the eyes that you want to minimize.

Ideal candidates are non-smokers with no significant eye conditions, such as dry eye or glaucoma. A consultation with a board-certified plastic surgeon can help determine if blepharoplasty is right for you.

What Does the Plastic Surgery Procedure Involve?

Blepharoplasty is typically performed under local anesthesia with sedation or general anesthesia, depending on the complexity of the procedure. Here’s a brief overview:

• • Upper Blepharoplasty:
    
    • • An incision is made along the natural crease of the upper eyelid.
    • • Excess skin, fat, and sometimes muscle are removed or repositioned.
    • • The incision is closed with fine sutures, leaving a nearly invisible scar.

• • Lower Blepharoplasty:
    
    • • The incision is often made just below the lower lash line or inside the eyelid (transconjunctival approach).
    • • Fat is removed or repositioned to eliminate puffiness, and skin is tightened if needed.
    • • The incision is closed with sutures.

The procedure typically takes 1-2 hours, depending on whether you’re having one or both surgeries.

What Is Recovery Like?

Recovery from blepharoplasty is usually straightforward, but it’s important to follow your plastic surgeon’s post-operative instructions. Here’s what you can expect:

• • First Few Days after Plastic Surgery:
    
    • • Swelling and bruising are common but can be managed with cold compresses and keeping your head elevated.
    • • Mild discomfort is normal and can be relieved with prescribed pain medication.

• • First Week:
    
    • • Stitches are usually removed within 5-7 days.
    • • Avoid strenuous activities, heavy lifting, or bending over.
    • • Blurred vision and sensitivity to light may occur temporarily.

• • 1-2 Weeks:
    
    • • Swelling and bruising begin to subside.
    • • Many patients feel comfortable returning to work and light activities.

• • 4-6 Weeks:
    
    • • Most swelling is gone, and results start to become more noticeable.
    • • You can typically resume all normal activities, including exercise.

Why Choose Blepharoplasty?

Eyelid surgery is a popular choice because it offers dramatic yet natural-looking results. Benefits include:

• • A more youthful and rested appearance

• • Improved vision for those with drooping upper eyelids

• • Long-lasting results that can boost confidence

Ready to Brighten Your Look?

At The Loudoun Center for Plastic Surgery, we specialize in customized blepharoplasty procedures designed to meet your unique needs. During your consultation, we’ll discuss your goals, evaluate your anatomy, and create a tailored plan to help you achieve the refreshed, vibrant look you deserve.

Schedule a consultation today and take the first step toward brighter, more youthful eyes!