Droopy upper lids and bags under the eyes are different problems — and they often need different solutions. Understanding the distinction between upper and lower blepharoplasty is the first step to getting a result that looks refreshed, not overdone.
Upper blepharoplasty: when the lid itself is the issue
Upper blepharoplasty removes excess skin from the upper eyelid. It is ideal when the lid hangs over the lash line or creates a tired appearance. The incision follows the natural crease, so the scar is hidden when your eyes are open.
Lower blepharoplasty: addressing under-eye bags
Lower blepharoplasty targets puffiness and bags beneath the eye. The surgeon may remove or reposition fat to preserve a smooth, natural contour. Recovery takes 10–14 days, with final refinement at 6–8 weeks.
Can you combine both?
Yes — many patients address the entire eye area in one procedure. Your surgeon will assess whether doing both together is safe for your anatomy.
How to choose