Upper vs. Lower Eyelid Surgery: Understanding the Difference

Before and after of an older woman's eyes, who has received a blepharoplasty to remove excess skin and improve vision.Eyelid surgery is a cosmetic procedure used to address sagging skin, puffiness, and other visible changes around the eyes. In Burbank, CA, blepharoplasty is tailored to address concerns affecting different areas of the eyelids.

Dr. Saul R. Berger is a plastic surgery specialist with over 25 years of experience and training at The Mount Sinai School of Medicine and USC. Board-certified in both General Surgery and Plastic Surgery, he focuses on aesthetic procedures that support natural-looking facial rejuvenation. 

Knowing the difference between upper and lower eyelid surgery can help guide treatment decisions.

What Is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, focuses on improving eyelid appearance by adjusting or removing excess skin, fat, and tissue. It is commonly chosen by those who feel their eyes no longer reflect their energy or overall appearance.

This procedure is often used to address:

  • Drooping upper eyelids that create a heavy look
  • Puffiness or bags beneath the eyes
  • Loose or crepey skin around the eye area

Upper Eyelid Surgery For A More Open Look

Upper eyelid surgery focuses on correcting sagging skin that can create a hooded or aged appearance. In some cases, excess skin may interfere with vision, making daily activities more difficult. 

During the procedure, tissue is carefully removed or repositioned to restore a more open, well-defined eyelid contour. The result is a brighter, more alert appearance that still looks natural and balanced. This approach can also improve symmetry and enhance how the eyes complement the rest of the facial features.

Lower Eyelid Surgery For Under-Eye Bags

Lower eyelid surgery targets the area beneath the eyes, where puffiness and skin laxity tend to develop over time. These concerns can make the face appear tired, even when well-rested. Modern blepharoplasty techniques often reposition fat rather than simply removing it. This helps create a smoother transition between the lower eyelid and cheek while reducing the appearance of under-eye bags. 

The goal is a more rested look that aligns naturally with the surrounding facial contours.

How To Decide Which Option Is Right For You

The right approach depends on which area shows the most noticeable changes. Some individuals benefit from treating only one area, while others may achieve more comprehensive results by combining both procedures.

A consultation typically evaluates:

  • The location and severity of visible aging
  • Whether excess skin is affecting vision
  • Overall facial balance and aesthetic goals

Personalized Eyelid Surgery In Burbank, CA

For those considering eyelid surgery in Burbank, CA, learning about available options can make the process feel more manageable. Blepharoplasty offers targeted solutions for upper and lower eyelid concerns, helping individuals achieve a more refreshed, confident look.

To explore your treatment options, schedule a consultation with Saul R. Berger, M.D. by calling 818-245-6101.

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