Upper vs. Lower Eyelid Surgery: Which Concerns Does Each Treat?

Close up of woman's bright eyes after eyelid surgery in Savannah, GAThe eyes are often one of the first areas to show signs of aging. Drooping upper lids can make you look tired or interfere with your line of sight, while under-eye bags may create a constantly fatigued appearance. Eyelid surgery can address these concerns, but upper and lower procedures are designed to treat different areas.

At Chatham Plastic Surgery, board-certified plastic surgeon Dr. Carl B. Pearl provides aesthetic and reconstructive procedures for the face, breast, and body in Savannah, Georgia. He tailors each eyelid surgery plan to the patient’s anatomy and goals, focusing on meaningful, natural-looking results with as little downtime as possible.

Upper Eyelid Surgery Treats Drooping and Excess Skin

Upper eyelid surgery, also called upper blepharoplasty, primarily addresses loose or sagging skin above the eyes. As the skin loses elasticity, it may fold over the natural eyelid crease, creating a heavy or hooded appearance.

Upper eyelid surgery may improve:

  • Excess skin that obscures the eyelid crease
  • A tired, aged, or stern expression
  • Heaviness around the upper eyes
  • Peripheral vision affected by sagging skin
  • Asymmetry between the upper eyelids

During surgery, Dr. Pearl carefully removes or repositions excess skin and, when appropriate, a small amount of fat. The goal is to create a more open, refreshed appearance without making the eyes look overly tight.

Lower Eyelid Surgery Targets Bags and Puffiness

Lower eyelid surgery treats the area beneath the eyes. It is commonly recommended for patients bothered by persistent under-eye bags, puffiness, or loose skin that does not improve with sleep or skin care.

Lower blepharoplasty may treat:

  • Bulging fat beneath the eyes
  • Persistent under-eye bags
  • Loose or crepey lower-eyelid skin
  • Deep grooves between the eyelid and cheek
  • A tired appearance caused by shadowing

Depending on your needs, Dr. Pearl may remove or reposition fat and tighten excess skin to smooth the area from the lower eyelid to the upper cheek.

Choosing Upper, Lower, or Combined Eyelid Surgery

Some patients need only upper or lower eyelid surgery, while others benefit from treating both areas during the same procedure. Combining them can create more balanced rejuvenation when aging affects the entire eye area. A consultation helps determine which approach will best address your specific concerns.

Reveal Brighter, More Rested Eyes With Eyelid Surgery in Savannah, GA

Upper and lower eyelid surgery can refresh your appearance while preserving the natural character of your eyes. Dr. Pearl will evaluate your eyelid position, skin quality, fat distribution, and cosmetic goals to recommend a personalized treatment plan. Call 912-446-1985 to schedule a consultation for eyelid surgery in Savannah, GA.

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