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commonly known as eyelid surgery, is a surgical procedure used to correct excess skin and other tissue changes affecting the upper or lower eyelids. It may be performed for aesthetic reasons, while significant excess upper eyelid skin can sometimes also interfere with the visual field.",[404],{"type":405,"text":406},"text","\u003Cp>Upper and lower blepharoplasty are not the same operation. Upper eyelid surgery more commonly addresses excess skin and heaviness, while lower eyelid surgery is often performed to treat under-eye bags, prominent fat deposits or loose skin.\u003C\u002Fp>\u003Cp>The appropriate procedure depends on the anatomy around the eyes and on what is actually creating the tired, heavy or aged appearance.\u003C\u002Fp>\u003Ch3>What Is Blepharoplasty?\u003C\u002Fh3>\u003Cp>During blepharoplasty, the surgeon adjusts the tissues contributing to the appearance of the upper or lower eyelids. Depending on the individual anatomy, this may involve removing excess skin, adjusting fat or making other changes to the eyelid structures.\u003C\u002Fp>\u003Cp>The goal is not to dramatically change the natural shape of the eyes. Well-planned eyelid surgery aims to reduce heaviness, puffiness or a persistently tired appearance while preserving natural expression.\u003C\u002Fp>\u003Ch3>What Is the Difference Between Upper and Lower Blepharoplasty?\u003C\u002Fh3>\u003Cp>Upper eyelid surgery is commonly performed when excess skin develops above the eyes, creating a heavier or more tired appearance. When significant, this tissue may extend towards the lash line and can sometimes affect the upper visual field.\u003C\u002Fp>\u003Cp>The incision is usually positioned within the natural upper eyelid crease, helping the scar become less noticeable as it heals.\u003C\u002Fp>\u003Cp>Lower blepharoplasty addresses different concerns. It may be considered when under-eye bags, prominent fat or loose lower eyelid skin affect the contour beneath the eyes.\u003C\u002Fp>\u003Cp>"Upper and lower blepharoplasty address different concerns. In the upper eyelid we more commonly assess excess skin and heaviness, while in the lower eyelid it is important to determine whether the appearance is caused by prominent fat, skin laxity, tissue position or a combination of factors."\u003C\u002Fp>\u003Cp>Justinas Grašys, MD, PhD, FEBOPRAS, Plastic and Reconstructive Surgeon\u003C\u002Fp>\u003Cp>Someone concerned primarily about heavy upper eyelids therefore does not necessarily require the same operation as someone whose main concern is under-eye bags.\u003C\u002Fp>\u003Ch3>Is the Eyelid Always the Main Problem?\u003C\u002Fh3>\u003Cp>No. This is an important part of preoperative assessment.\u003C\u002Fp>\u003Cp>A low or descending eyebrow can sometimes contribute to the appearance of excess upper eyelid skin. In these cases, removing eyelid skin alone may not address the underlying issue.\u003C\u002Fp>\u003Cp>"The eyelid should never be assessed in isolation. A lower eyebrow position can sometimes contribute to the appearance of a heavy upper eyelid, which is why the entire eye and brow area should be evaluated before deciding on surgery."\u003C\u002Fp>\u003Cp>Vygintas Kaikaris, MD, PhD, Plastic and Reconstructive Surgeon\u003C\u002Fp>\u003Cp>For this reason, assessment includes the position of the brows, eyelid anatomy, tissue excess and overall facial proportions. In selected cases, blepharoplasty may be combined with a brow lift or another facial procedure.\u003C\u002Fp>\u003Ch3>How Is Upper Eyelid Surgery Performed?\u003C\u002Fh3>\u003Cp>During upper blepharoplasty, the surgeon carefully marks the amount of skin that can be removed while maintaining normal eyelid function. The incision is positioned within the natural eyelid crease.\u003C\u002Fp>\u003Cp>Depending on the anatomy, small amounts of muscle or fat may also be adjusted.\u003C\u002Fp>\u003Cp>At Fi Clinica, upper eyelid blepharoplasty is generally performed under local anaesthesia. The exact surgical plan and anaesthetic approach depend on the individual patient and the extent of correction required.\u003C\u002Fp>\u003Ch3>How Is Lower Eyelid Surgery Performed?\u003C\u002Fh3>\u003Cp>The appearance of the lower eyelids is often influenced by more than excess skin alone. Under-eye bags can result from prominent fat, skin laxity or a combination of anatomical factors.\u003C\u002Fp>\u003Cp>Lower blepharoplasty must therefore be tailored to the specific cause. The surgeon may adjust the amount or position of fat and, when necessary, correct excess skin.\u003C\u002Fp>\u003Cp>At Fi Clinica, lower eyelid surgery is performed under general anaesthesia. As with all procedures around the eyes, the exact approach is planned individually.\u003C\u002Fp>\u003Ch3>Can Upper and Lower Blepharoplasty Be Performed Together?\u003C\u002Fh3>\u003Cp>Yes. When concerns affect both the upper and lower eyelids, the procedures may be combined if doing so is appropriate and safe for the individual patient.\u003C\u002Fp>\u003Cp>This allows the eye area to be treated more comprehensively while avoiding two separate operations and recovery periods.\u003C\u002Fp>\u003Cp>However, performing more surgery is not automatically better. If only one area requires correction, an additional procedure should not be included simply because it can be performed at the same time.\u003C\u002Fp>\u003Ch3>What Is Recovery Like After Eyelid Surgery?\u003C\u002Fh3>\u003Cp>Swelling and bruising around the eyes are common during the early recovery period. Some patients may also experience temporary dryness, tightness or sensitivity.\u003C\u002Fp>\u003Cp>Cold compresses, keeping the head elevated and following the surgeon's postoperative instructions can help manage early recovery symptoms.\u003C\u002Fp>\u003Cp>After upper blepharoplasty at Fi Clinica, sutures are generally removed at around one week. Much of the more visible bruising and swelling gradually improves over the following weeks, although complete tissue settling takes longer.\u003C\u002Fp>\u003Cp>"Patients often notice a change in the eye area relatively early after blepharoplasty, but the final result should not be judged during the first few weeks. Swelling and tissue healing continue to influence the appearance, so the result needs time to settle."\u003C\u002Fp>\u003Cp>Karolina Venslauskaitė-Jarukė, Plastic and Reconstructive Surgeon\u003C\u002Fp>\u003Cp>For this reason, the final outcome should not be judged immediately after surgery.\u003C\u002Fp>\u003Ch3>When Can You Return to Work and Normal Activities?\u003C\u002Fh3>\u003Cp>The timing depends on the extent of surgery and the individual's healing response.\u003C\u002Fp>\u003Cp>Some patients can return to lighter daily activities relatively quickly, although visible bruising and swelling may remain for a couple of weeks. More strenuous exercise and activities that significantly increase blood pressure are resumed according to the surgeon's advice.\u003C\u002Fp>\u003Cp>The eyelid area is delicate, so trying to accelerate recovery is rarely beneficial. Allowing sufficient time for healing is more important than following a fixed timetable.\u003C\u002Fp>\u003Ch3>Are Scars Visible After Blepharoplasty?\u003C\u002Fh3>\u003Cp>Incisions are planned to make scars as discreet as possible.\u003C\u002Fp>\u003Cp>With upper eyelid surgery, the scar is usually positioned within the natural eyelid crease. In lower blepharoplasty, incision placement depends on the surgical technique and the concern being treated.\u003C\u002Fp>\u003Cp>Scars can initially appear pinker or more noticeable, but they generally soften and fade as healing progresses. Their final appearance also depends on individual skin and healing characteristics.\u003C\u002Fp>\u003Ch3>When Will the Final Result Be Visible?\u003C\u002Fh3>\u003Cp>Changes around the eyes can become noticeable relatively early, but the final result develops gradually.\u003C\u002Fp>\u003Cp>During the first weeks, swelling, bruising and healing still influence the appearance of the eyelids. As these settle, the eye area gradually takes on a more natural contour.\u003C\u002Fp>\u003Cp>Blepharoplasty results are generally long-lasting, although the procedure cannot stop natural ageing. The skin and surrounding tissues will continue to change over time.\u003C\u002Fp>\u003Ch3>What Are the Possible Risks?\u003C\u002Fh3>\u003Cp>Like any surgical procedure, blepharoplasty carries potential risks. Temporary swelling, bruising, dryness and sensitivity are relatively common during early recovery.\u003C\u002Fp>\u003Cp>Less common complications can include infection, bleeding, prolonged dryness, asymmetry, changes in eyelid position or unfavourable scarring. Serious changes in vision are very rare but are one reason why unexpected symptoms following eyelid surgery should be assessed promptly.\u003C\u002Fp>\u003Cp>Before surgery, patients should tell their surgeon about existing eye conditions, dry eye symptoms, medications and their general medical history.\u003C\u002Fp>\u003Ch2>Frequently Asked Questions\u003C\u002Fh2>\u003Cp>\u003Cstrong>Can upper blepharoplasty improve vision?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>If significant excess skin is physically restricting the upper visual field, removing it may improve function in selected patients. This requires individual assessment.\u003C\u002Fp>\u003Cp>\u003Cstrong>Does blepharoplasty remove dark circles?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Not necessarily. Dark circles can be caused by pigmentation, thin skin, visible blood vessels, facial anatomy or volume loss. Eyelid surgery is not a universal treatment for every under-eye concern.\u003C\u002Fp>\u003Cp>\u003Cstrong>Does eyelid surgery remove all wrinkles around the eyes?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>No. Blepharoplasty addresses excess eyelid tissue. Dynamic wrinkles around the eyes may remain and can require different treatments.\u003C\u002Fp>\u003Cp>\u003Cstrong>Which is better, upper or lower blepharoplasty?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Neither is inherently better. They address different anatomical concerns, so the appropriate procedure depends on what is causing the patient's appearance.\u003C\u002Fp>\u003Ch3>Blepharoplasty: The Best Result Starts With Identifying the Right Problem\u003C\u002Fh3>\u003Cp>Upper and lower eyelid surgery can significantly improve the appearance of the eye area, but a successful result depends on treating the actual anatomical cause of the concern.\u003C\u002Fp>\u003Cp>For one patient, this may be excess upper eyelid skin. For another, it may be prominent lower eyelid fat. In other cases, the appearance of the eyes may be influenced by brow position or a combination of several structural changes.\u003C\u002Fp>\u003Cp>Assessment should therefore consider the entire eye area rather than an isolated eyelid. Selecting the appropriate procedure and extent of correction helps preserve eyelid function, maintain a natural expression and create a result that suits the patient's individual 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