Upper and Lower Eyelid Surgery

Upper blepharoplasty primarily treats excess skin and fullness above the eyes, while lower blepharoplasty addresses bags, bulging fat, and loose skin beneath the eyes. The procedures can be performed independently or together depending on where your concerns are located.

Yes. When both areas need correction, Dr. Abtahi may perform upper and lower blepharoplasty during one surgical session. This is sometimes called quad blepharoplasty and allows the entire eye area to heal during the same recovery period.

Upper blepharoplasty incisions are positioned within the natural eyelid crease, so they are difficult to see once healed. Lower eyelid incisions may be placed inside the eyelid with a transconjunctival approach or immediately beneath the eyelashes when excess skin needs to be treated. Scars generally continue to soften and fade with time.

Yes, for appropriate patients. Dr. Abtahi offers awake eyelid surgery using local anesthesia, with light sedation available when appropriate. Whether an awake approach makes sense will depend on the extent of your procedure, your health, and whether other surgery is being performed at the same time.

It depends on what is causing them. Lower blepharoplasty can improve dark shadowing created by prominent under-eye bags or an uneven transition beneath the eye. It will not necessarily correct discoloration caused primarily by pigmentation or visible blood vessels. Dr. Abtahi can help determine what is contributing to your particular concern.

Upper blepharoplasty removes excess eyelid skin, while a brow lift addresses tissue that has descended from above. Because brow position can contribute to upper eyelid hooding, Dr. Abtahi evaluates both areas before recommending surgery. Some patients need only blepharoplasty, while others benefit from a brow lift or a combination approach.

Blepharoplasty creates long-lasting changes because the skin and fat that are removed do not simply return. Your face will continue to age naturally, however, and the tissues around the eyes can gradually change over the years. Maintaining good skin care and sun protection can help support your results.

The fat addressed during lower blepharoplasty does not regenerate in the same way, so improvement can last for many years. Aging continues, however, and surrounding tissues may gradually loosen or change. Genetics and individual anatomy also influence how the eye area evolves over time.

Yes. Blepharoplasty is frequently performed as a stand-alone operation, but it can also complement broader facial rejuvenation. Patients considering a facelift or neck lift can discuss whether treating the eyelids at the same time would create a more balanced overall result.

The cost depends on whether you are treating the upper eyelids, lower eyelids, or both, as well as the surgical technique, anesthesia plan, and whether other procedures are included. Amor Propio Aesthetic Surgery will provide individualized pricing after Dr. Abtahi evaluates you and develops your treatment plan.