Comparing Your Options: Upper or Lower Eyelid Surgery or Both? (Before and After Photos)

close up of young woman's blue eyes

If you have sagging upper eyelids, dark circles under the eyes, or under-eye bags, it can make you look tired and older than you feel. Eyelid surgery, also known as blepharoplasty, can be an excellent solution.

The procedure involves the removal of excess skin, fat, and muscle surrounding the eye area. It can be performed on the upper eyelids, lower eyelids, or both, depending on your needs.

Do I Need Upper or Lower Eyelid Surgery?

Blepharoplasty can be performed on the upper and lower eyelids, although the procedures are quite different. Some patients require only one of these procedures, while others may require both. Many patients choose to undergo upper and lower eyelid surgeries in one session to reduce the time required for recovery. 

Upper Eyelid Surgery

Facelift / Reflection Lift Case 85 Before & After Front | Nashville, TN | Youthful Reflections
Before & After Upper Blepharoplasty
Facelift / Reflection Lift Case 18 Before & After Right Oblique | Nashville, TN | Youthful Reflections
Before & After Upper Blepharoplasty

This procedure is performed to correct drooping of the upper eyelids, which tend to sag due to excess skin or fat. Drooping eyelids can cause a sleepy or even angry appearance. 

An incision is typically made in the natural crease of the lids. Dr. Boggess will remove the excess tissues and stitch the area closed. After the area has healed, your upper eyelids will appear tighter and smoother and you may notice a more alert, youthful look.

Lower Eyelid Surgery

Facelift / Reflection Lift Case 27 Before & After Right Oblique | Nashville, TN | Youthful Reflections
Before & After Lower Blepharoplasty
Facelift / Reflection Lift Case 50 Before & After Left Oblique | Nashville, TN | Youthful Reflections
Before & After Lower Blepharoplasty

When the skin loses its elasticity or has collected fat, the under-eye area can appear dark and puffy. Lower blepharoplasty reduces the prominence of under-eye bags and improves the overall appearance. 

During surgery, an incision is made just below the lash line of the lower lids (transcutaneous) or on the inside of the lower lids (transconjunctival), and excess fat is removed. With the transcutaneous approach, excess skin and muscle are also removed as needed. 

Take a look at the Instagram post below to see how beautifully eyelid surgery complements a facelift:


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A post shared by Youthful Reflections (@youthful_reflections)

What Are the Benefits of Blepharoplasty?

Droopy eyelids aren’t just an aesthetic issue—they can affect your vision. When this is the case, blepharoplasty can improve vision problems.

How Do I Prepare for Blepharoplasty?

It’s important to have realistic expectations for your surgery. At Youthful Reflections, we make sure you’re informed and that your questions and concerns have been addressed. You’ll receive preoperative and postoperative directions, which you should follow carefully. These detailed instructions will help ensure that everything goes smoothly before and after the procedure to achieve the best results.

We may advise you to stop taking certain medications prior to surgery, including the following: 

• Warfarin

• Aspirin

• Ibuprofen

• Naproxen

The medications listed above are known to increase bleeding. If you smoke, you should stop for at least a few weeks before and after your procedure since smoking is known to inhibit healing. 

What Can I Expect After Eyelid Surgery?

Be sure that you have someone to drive you home after your surgery.

You may experience watery eyes, blurry vision, and light sensitivity after the procedure. WebMD offers more information about the potential side effects of eyelid surgery.

Request a Consultation

Dr. Michael Boggess has more than 20 years of experience in facial cosmetic procedures and has performed thousands of successful eyelid surgeries. If you’re interested in speaking with Dr. Boggess to find out which blepharoplasty option is best suited to your needs, call our Nashville, TN, office today at (615) 942-8016 or request a consultation online. We’ll work closely with you to create a personalized treatment plan addressing your needs and goals.

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Worth Waiting For

We understand you want your facial plastic surgery right away, but this is an instance where patience pays off. Our surgeries are often booked out a few months because Dr. Boggess:

  • Is highly accomplished, and his services are in demand.

  • Takes his time to ensure outstanding safety, care, and results.

  • Offers personalized techniques that aren’t available elsewhere.

We are worth the wait.

Learn more about why the best facial plastic surgeons are worth the wait, and how you can make the most of that time in this blog post.

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