Are droopy lids or under-eye bags making you seem older or constantly tired? Blepharoplasty (eyelid surgery) can be a game-changer for these issues. Before you move forward with the procedure, though, you need to decide whether you want upper or lower eyelid surgery.
Dr. Stuart Lipton, board-certified by the American Board of Plastic Surgery, performs both options at his practice in Lewisville, TX. Learn the top five distinctions to help you choose the most suitable approach below.
1. Targeted Concerns
Upper eyelid blepharoplasty focuses on sagging skin and hooded lids that can rest on lashes or block vision.
Lower eyelid surgery addresses puffy bags, dark circles, and wrinkles beneath the eyes.
2. Incision Placement
For upper lids, incisions are hidden within the natural crease, making scars nearly invisible.
For lower lids, the incision is placed along the lash line or hidden inside the eyelid (transconjunctival incision), which helps conceal potential scarring.
3. Muscle and Fat Management
Upper blepharoplasty typically removes excess skin and tightens the muscles, thereby lifting the eyelid.
With lower blepharoplasty, excess fat can be removed or repositioned, and the muscle tightened to smooth the under-eye area.
4. Recovery Time & Procedure Duration
Both upper and lower blepharoplasty are outpatient and done under sedation or local anesthesia.
When done separately, each takes about 45 minutes to 2 hours, depending on whether one or both eyelids are treated.
Most patients return to their daily routines within a few days to a week, although full healing can take several weeks.
5. Visual & Functional Results
Upper eyelid surgery can provide a youthful appearance and improve vision by removing obstructive sagging skin.
Lower eyelid surgery takes years off your face by reducing puffiness and brightening the eyes.
Is Upper or Lower Eyelid Surgery Right for You?
If your upper eyelids feel heavy, block your vision, or appear hooded, upper blepharoplasty is likely the right choice. On the other hand, if under-eye bags or shadows leave you looking perpetually tired, you may prefer a lower blepharoplasty.
Keep in mind that you don’t necessarily have to choose just one option. Some patients undergo upper and lower eyelid surgery simultaneously.
Learn More About Blepharoplasty in Lewisville
If you’re considering eyelid surgery in Lewisville or the Dallas–Fort Worth area, schedule a consultation with Dr. Stuart Lipton today.
With decades of expertise, a compassionate team, and tailored results, you’ll feel supported and confident every step of the way. Call (972) 420‑0023 to request your consultation.