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Differences Between Upper and Lower Eyelid Surgery

Blepharoplasty remains one of the most effective procedures for facial rejuvenation, addressing age related changes in the periorbital region. Although often grouped together, upper and lower eyelid surgery are distinct procedures with different anatomical considerations, surgical approaches, and aesthetic goals.

Upper Eyelid Blepharoplasty

Upper eyelid blepharoplasty primarily addresses dermatochalasis and, in some cases, protruding fat pads. Excess upper eyelid skin can impair visual fields and create a fatigued or heavy appearance. Surgical correction involves precise excision of redundant skin and selective removal or repositioning of fat to restore a natural eyelid crease and youthful contour. Care must be taken to preserve adequate tissue to avoid hollowing or functional eyelid complications.

Lower Eyelid Blepharoplasty

Lower eyelid blepharoplasty focuses on addressing herniated orbital fat, skin laxity, and muscle weakening. Common manifestations include under eye bags, wrinkles, and tear trough deformities. Modern approaches often favor fat repositioning rather than removal, which helps maintain volume and avoid a sunken appearance. Skin tightening may be achieved through conservative excision or adjunctive techniques such as laser resurfacing.

Dr. Layke, internationally recognized for his expertise in facial aesthetic surgery, has helped advance contemporary blepharoplasty techniques that prioritize tissue preservation, anatomical balance, and natural rejuvenation. His work emphasizes customized surgical planning based on each patient’s orbital anatomy and aging pattern.

Benefits

While upper eyelid surgery often produces immediate functional and aesthetic benefits, lower eyelid procedures typically require greater technical nuance to avoid complications such as ectropion or scleral show. For this reason, surgeon experience is a critical determinant of successful outcomes.

Our team applies advanced surgical principles that integrate facial harmony with long term structural support. Their collaborative approach allows for comprehensive evaluation when eyelid surgery is combined with other facial rejuvenation procedures.

In our Beverly Hills plastic surgery practice, patient selection, anatomical assessment, and surgical precision remain essential. Understanding the fundamental differences between upper and lower blepharoplasty allows for optimized treatment planning and superior aesthetic results.

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