Upper vs Lower Blepharoplasty: Key Differences

Upper and lower blepharoplasty address different parts of the eyelid area. This guide explains the distinction, the approaches that may be discussed and why an individual assessment is needed.

What is upper blepharoplasty?

Upper blepharoplasty addresses the upper eyelid. Depending on the person's anatomy and concerns, the surgical plan may involve excess skin and sometimes fat. An incision is commonly placed in the upper eyelid crease. The position and visibility of an incision after healing vary between people.

Some people seek assessment because upper eyelid skin feels heavy or affects their field of vision. Functional concerns require appropriate examination and may need additional assessment.

What is lower blepharoplasty?

Lower blepharoplasty addresses concerns below the eye. These may involve skin, fat or the structures supporting the lower eyelid. The approach depends on what is being treated and may use an incision below the lash line or inside the lower eyelid.

Lower eyelid planning includes the position and support of the lid. Dr Konrat discusses the proposed approach, alternatives, limitations and material risks during consultation.

Upper and lower blepharoplasty compared

The main difference is the area addressed. Upper blepharoplasty focuses on the upper lid between the brow and lash line. Lower blepharoplasty focuses on the area beneath the eye. Each procedure can involve different tissues and different incision placement.

Bruising, swelling, dryness, altered sensation, scarring, asymmetry and eyelid position changes are among the matters that may need to be considered. This is not a complete risk list. See the main eyelid surgery guide and discuss your individual risks during consultation.

Can both areas be addressed in one operation?

Upper and lower blepharoplasty may be considered together when both areas are being addressed. Combining procedures changes the operation, anaesthesia considerations and recovery. Whether that is appropriate depends on an individual clinical assessment and informed consent process.

Which area may be addressed?

The relevant procedure depends on the location of the concern, eyelid anatomy, eye health, medical history and goals. A consultation does not commit you to surgery. It is an opportunity to discuss whether surgery, another option or no treatment is appropriate.

You can also read about blepharoplasty recovery and blepharoplasty costs in Sydney before arranging an appointment.

Anaesthesia and recovery

Anaesthesia is determined from the planned operation, the individual's health and the treatment setting. Dr Konrat explains the proposed anaesthesia and its risks as part of the consultation process.

Bruising and swelling are common after eyelid surgery. Recovery varies according to the procedure and the individual. Follow the personalised instructions and review schedule provided by the practice. All surgical procedures carry risks; results vary.

Consultation pathway

A GP referral is required before the substantive consultation and may be brought or supplied at the appointment. Two pre-operative consultations are required, including at least one in person with Dr Georgina Konrat. After informed consent, a minimum 7-day cooling-off period applies before surgery can be booked or a deposit taken.

Dr Georgina Konrat, MBBS, FACCSM, is a registered medical practitioner and cosmetic doctor. AHPRA registration MED0001407863. Consultations take place at Suite 402, Level 4, 59-75 Grafton Street, Bondi Junction NSW 2022.