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Upper vs. Lower Blepharoplasty: What’s the Difference?

Upper vs. Lower Blepharoplasty: What’s the Difference?

Our eyes are the first thing people notice about us. They are also one of the first areas to show signs of aging. Drooping lids, puffiness, and under-eye bags can make you look more tired than you feel. That is where blepharoplasty, also known as eyelid surgery, comes in.

But did you know there are two types? Upper and lower blepharoplasty. They target different concerns, and understanding the difference can help you decide which one might be right for you.

What Is Upper Blepharoplasty?


Upper blepharoplasty focuses on the eyelids above your eyes. Over time, the skin here can stretch and sag, sometimes even affecting vision.

This surgery removes or repositions excess skin and fat, creating a more open, youthful look. Many people notice their eyes appear brighter and less heavy after the procedure.

Best for:
  • Drooping or hooded upper lids
  • Excess skin that hides the natural crease
  • Vision problems caused by sagging skin

What Is Lower Blepharoplasty?


Lower blepharoplasty treats the area under the eyes. It targets puffiness, bags, and loose skin that create shadows and make you look tired.

The procedure can involve removing or repositioning fat, tightening skin, and smoothing the under-eye area. The result is a refreshed, well-rested appearance.

Best for:
  • Under-eye bags or puffiness
  • Loose, wrinkled skin below the eyes
  • Dark shadows caused by bulging fat pads


Which One Do You Need?


Some people benefit from just one procedure, while others choose to combine both for a full eye rejuvenation. The right choice depends on your main concern:
  • If your eyelids feel heavy and you struggle with drooping skin, upper blepharoplasty is likely the answer.
  • If it is under-eye bags or tired-looking shadows, lower blepharoplasty may be more effective.
  • For those with both concerns, combining the two can create a balanced, natural refresh.

Why Patients Choose Blepharoplasty


The biggest appeal of eyelid surgery is how subtle yet powerful the change can be. You do not look like a different person. You simply look more awake, refreshed, and in many cases, younger.

The Bottom Line


Upper and lower blepharoplasty may sound similar, but they target different areas and create different results. The best way to know what is right for you is to book a consultation with our plastic surgeon at Alkem. Together, we will create a treatment plan that enhances your natural features while keeping your look authentically you.

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