Eyelid surgery, also called blepharoplasty, can improve a tired or heavy appearance around the eyes. While upper and lower eyelid surgery both target the eye area, they address different concerns. Understanding the difference can help you decide which option may better match your goals.
 

What Upper Eyelid Surgery Treats

Upper eyelid surgery focuses on excess skin and tissue above the eye. Many patients consider this procedure when their upper lids begin to droop, look heavy, or create a hooded appearance. In some cases, loose skin can even interfere with vision.
 

By removing or repositioning excess skin and fat, upper blepharoplasty can create a more open, rested look. It is often chosen by patients who want to refresh their appearance without changing their natural features.
 

What Lower Eyelid Surgery Treats

Lower eyelid surgery is designed to improve the area beneath the eyes. This procedure is commonly used to address under-eye bags, puffiness, or loose skin that creates a worn or aged look.
 

In lower blepharoplasty, the goal is usually to smooth and tighten the lower lid area while reducing fullness caused by fat pockets. For patients bothered by persistent bags under the eyes, this can make a noticeable difference.
 

Key Differences Between the Two Procedures

Although both procedures fall under the category of eyelid surgery, they are not the same. Each one targets a different part of the eye area and a different cosmetic concern.

• Upper eyelid surgery addresses sagging or excess skin on the upper lids

• Lower eyelid surgery focuses on under-eye bags, puffiness, and loose skin below the eyes

• Upper blepharoplasty may also help when drooping skin affects vision

• Lower blepharoplasty is often chosen to create a smoother, less tired appearance
   

Can You Combine Upper and Lower Blepharoplasty?

Yes - many patients choose to combine upper and lower eyelid surgery in one treatment plan. This approach can refresh the full eye area at the same time, helping the eyes look brighter and more balanced overall.
 

Combining procedures may also be helpful when both the upper lids and under-eye area show visible signs of ageing. The right approach depends on your anatomy, concerns, and desired outcome.
 

Who May Be a Good Candidate

Good candidates for blepharoplasty are generally adults in good health who want to improve sagging eyelids, puffiness, or a tired appearance around the eyes. Some people only need upper eyelid surgery, while others benefit more from lower eyelid surgery or a combination of both.
 

A consultation is the best way to determine the most appropriate option. Your surgeon can evaluate the eye area carefully and recommend a treatment plan that looks natural and supports your goals.
 

Why a Personalised Evaluation Matters

No two faces age in the same way. What works for one patient may not be the best choice for another. The most effective eyelid surgery plan considers skin quality, fat distribution, eye shape, and the overall balance of your facial features.
 

At Rich & Humenansky Plastic Surgery of the Face & Body, patients receive a tailored approach to eyelid surgery based on their individual needs and concerns.
 

To learn more about upper or lower eyelid surgery, contact Rich & Humenansky Plastic Surgery of the Face & Body in Columbia, SC by calling (803) 799-3223.