Upper vs. Lower Blepharoplasty: Functional and Cosmetic Goals

Upper eyelid blepharoplasty is the procedure that most often carries functional benefits. The primary issue it corrects is dermatochalasis, or an excess of skin on the upper lid. As this skin loses elasticity, it can sag and create "hooding." Cosmetically, this makes the eyes look heavy and aged. Functionally, as the condition worsens, this skin can hang over the eyelashes and block the upper field of vision. The surgery involves removing this excess skin and sometimes small pockets of fat to restore a clean eyelid crease and, in functional cases, to clear the visual axis.

Lower eyelid blepharoplasty, in contrast, is almost exclusively a cosmetic procedure. It is designed to address under-eye "bags" and puffiness. These bags are typically caused by orbital fat pads protruding forward as the tissues holding them in place weaken with time. This procedure can also help with excess, crepey skin or fine wrinkles under the eye. The surgical approach is different as well; incisions can be made just below the lash line or, in many cases, from inside the lower eyelid (a transconjunctival approach) to remove or reposition this fat without a visible external scar.

The goals for each procedure are distinct. The goal of upper eyelid surgery is often twofold: to create a more alert, rested appearance and, in many cases, to improve vision and relieve brow strain. The goal for lower eyelid surgery is to create a smooth, harmonious transition from the lower lid to the cheek, reducing the appearance of puffiness and tiredness. For individuals seeking blepharoplasty honolulu providers can help identify which area is the primary source of their concern.

Sometimes, a patient may be a good candidate for both procedures, which can be performed together to achieve a comprehensive rejuvenation of the entire eye area. Understanding the difference is key to setting realistic expectations. Upper blepharoplasty addresses sagging skin and vision, while lower blepharoplasty addresses puffy under-eye bags. If you are unsure which procedure is right for you, consult with the experts at Hawaii Facial Plastic Surgery. Learn more about their advanced surgical techniques at https://hawaiifacialplasticsurgery.com/.

When considering eyelid surgery, it is important to know that the procedures for the upper and lower eyelids address very different concerns. Both fall under the term "blepharoplasty," but they are not interchangeable. At Hawaii Facial Plastic Surgery, consultations begin with a careful analysis to determine which procedure, or combination of procedures, will best meet a patient's goals. Upper eyelid blepharoplasty is the procedure that most often carries functional benefits. The primary issue it corrects is dermatochalasis, or an excess of skin on the upper lid. As this skin loses elasticity, it can sag and create "hooding." Cosmetically, this makes the eyes look heavy and aged. Functionally, as the condition worsens, this skin can hang over the eyelashes and block the upper field of vision. The surgery involves removing this excess skin and sometimes small pockets of fat to restore a clean eyelid crease and, in functional cases, to clear the visual axis. Lower eyelid blepharoplasty, in contrast, is almost exclusively a cosmetic procedure. It is designed to address under-eye "bags" and puffiness. These bags are typically caused by orbital fat pads protruding forward as the tissues holding them in place weaken with time. This procedure can also help with excess, crepey skin or fine wrinkles under the eye. The surgical approach is different as well; incisions can be made just below the lash line or, in many cases, from inside the lower eyelid (a transconjunctival approach) to remove or reposition this fat without a visible external scar. The goals for each procedure are distinct. The goal of upper eyelid surgery is often twofold: to create a more alert, rested appearance and, in many cases, to improve vision and relieve brow strain. The goal for lower eyelid surgery is to create a smooth, harmonious transition from the lower lid to the cheek, reducing the appearance of puffiness and tiredness. For individuals seeking [blepharoplasty honolulu](https://hawaiifacialplasticsurgery.com/blepharoplasty/) providers can help identify which area is the primary source of their concern. Sometimes, a patient may be a good candidate for both procedures, which can be performed together to achieve a comprehensive rejuvenation of the entire eye area. Understanding the difference is key to setting realistic expectations. Upper blepharoplasty addresses sagging skin and vision, while lower blepharoplasty addresses puffy under-eye bags. If you are unsure which procedure is right for you, consult with the experts at Hawaii Facial Plastic Surgery. Learn more about their advanced surgical techniques at https://hawaiifacialplasticsurgery.com/.

#1 Upper vs. Lower Blepharoplasty: Functional and Cosmetic Goals