Upper vs. Lower Blepharoplasty: Differences in Eyelid Surgery

The decision between upper vs. lower blepharoplasty can feel overwhelming for adults in Houston, Spring, and The Woodlands seeking a refreshed, youthful appearance. Whether you’re bothered by droopy eyelids impairing your vision or persistent under-eye bags causing a tired look, understanding the nuances of eyelid surgery is key. In this guide, we’ll break down each procedure, answer common questions, and help you decide which approach aligns with your goals and anatomy.

What Is Upper Blepharoplasty?

Upper blepharoplasty—often called an upper eyelid lift—targets excess skin, muscle, or fat on the upper eyelids. Over time, skin laxity and weak muscle tone can lead to hooded lids that create a tired appearance or even impair peripheral vision. This cosmetic eyelid surgery removes or repositions tissue to restore a smoother, more alert eye contour.

Key Benefits of Upper Eyelid Surgery

• Improved field of vision for patients with functional concerns (source: American Society of Plastic Surgeons).
• A more youthful, rested appearance by lifting drooping skin.
• Reduced heaviness and improved makeup application.

Candidates for Upper Blepharoplasty

• Adults with hooded or sagging upper lids.
• Individuals with fatty deposits causing bulges in the upper eyelid.
• Healthy patients with realistic expectations, free of active eye infections or severe dry eye.

What Is Lower Blepharoplasty?

Lower blepharoplasty—also known as lower eyelid surgery—focuses on the region beneath the eyes. Dark circles, puffiness, and under-eye bags often result from herniated fat or thinning skin. During the procedure, Dr. Ben Cilento may remove or redistribute fat pads and tighten skin and muscle to smooth the transition between the lower eyelid and the cheek.

Key Benefits of Lower Eyelid Surgery

• Diminished under-eye bags and puffiness for a more rested look.
• Smoothing fine wrinkles, improving skin texture.
• Long-lasting results with proper skin care and sun protection.

Candidates for Lower Blepharoplasty

• Adults experiencing genetic under-eye puffiness or age-related changes.
• Patients with tear trough deformities seeking volume restoration.
• Individuals in good general health without lid malposition.

Comparing Upper vs. Lower Blepharoplasty

When choosing between upper and lower eyelid surgery, consider the specific concerns you wish to address:

• Incision location: Upper blepharoplasty incisions follow the natural crease of the eyelid, while lower blepharoplasty uses either a transconjunctival (inside the lid) or subciliary approach just below the lashes.
• Recovery timeline: Swelling and bruising after upper blepharoplasty typically subside within 7–10 days; lower blepharoplasty may require 10–14 days.
• Combination procedures: Many patients opt for both upper and lower blepharoplasty in a single session for comprehensive eyelid rejuvenation.
• Cost considerations: Pricing varies based on complexity, anesthesia type, and facility fees. A consultation at a reputable clinic like Cilento Facial Plastics will provide an accurate estimate.

Eyelid Surgery Consultation in Houston, Spring, and The Woodlands

Choosing a qualified surgeon is crucial for safety, natural results, and a comfortable experience. In your consultation, expect a thorough medical history review, eyelid anatomy evaluation, and discussion of personal goals. Bring photos of your ideal eyelid contour, and ask plenty of questions about the procedure, recovery, and potential complications.

Choosing the Right Surgeon

• Verify board certification in facial plastic surgery or oculoplastic surgery.
• Review before-and-after galleries specific to upper and lower blepharoplasty.
• Look for patient testimonials from Houston and The Woodlands to gauge satisfaction.

Dr. Ben Cilento’s Expertise and Certifications

Dr. Ben Cilento is a double board-certified facial plastic surgeon leading Cilento Facial Plastics in The Woodlands, Texas. With decades of experience in cosmetic and reconstructive facial procedures, Dr. Cilento specializes in eyelid surgery Houston, rhinoplasty, and facial contouring. His individualized approach, attention to detail, and commitment to safety have earned him recognition as one of the top facial plastic surgery specialists in the region. Learn more about his credentials and patient-focused philosophy at About Dr. Cilento.

What to Expect Before, During, and After Eyelid Surgery

Preoperative Preparation

• Comprehensive eye exam to rule out glaucoma, dry eye syndrome, or other ocular conditions (American Academy of Ophthalmology).
• Medication review—stop blood thinners, anti-inflammatory drugs, and supplements that promote bleeding.
• Photography and digital simulation to visualize potential outcomes.

The Surgical Process

Eyelid surgery is usually performed under local anesthesia with sedation or general anesthesia, depending on the extent of correction and patient preference. For upper blepharoplasty, Dr. Cilento makes precise incisions within the natural lid crease, removes or repositions fat, trims excess skin, and closes the incision with fine sutures. Lower blepharoplasty may involve a hidden incision on the inside of the lid (transconjunctival) or a subciliary approach. Incisions are meticulously closed to minimize scarring.

Recovery Timeline and Aftercare

• First 48 hours: Cold compresses and head elevation to reduce swelling and bruising.
• Day 3–7: Most patients return to work; makeup can conceal light bruising.
• Week 2–4: Sutures removed (if non-absorbable), and residual swelling resolves.
• Month 1–3: Final contours become evident; scars fade and blend into natural creases.

Follow your surgeon’s instructions on eye ointments, sun protection, and activity restrictions to ensure optimal healing and minimize complications like dry eye or lid malposition.

Frequently Asked Questions About Eyelid Lift

• Is blepharoplasty painful? Discomfort is mild and managed with oral pain relievers. Most patients compare it to a dental procedure rather than major surgery.
• How long do results last? Upper and lower eyelid improvements often last 10–15 years, as aging continues. Many patients return for touch-ups or adjunct treatments like PRP microneedling to maintain skin quality.
• Can I combine blepharoplasty with other procedures? Absolutely. Common combinations include facelift, brow lift, and rhinoplasty. See options like facial contouring surgery for a full facial rejuvenation plan.
• What are the risks? Rare risks include infection, hematoma, asymmetry, and dry eye. Choosing a board-certified specialist and following pre-/post-op care minimizes complications.
• Will people notice my surgery? Skilled surgeons place incisions along natural creases and use fine sutures, making scars almost invisible. Most patients report friends remarking that they look “rested” or “refreshed.”

Why Choose Cilento Facial Plastics?

Cilento Facial Plastics is a premier facial plastic surgery clinic in The Woodlands, Texas, trusted by patients from Spring, Houston, and beyond. Under the leadership of Dr. Ben Cilento, you will receive:

• Personalized treatment plans tailored to your anatomy and aesthetic goals.
• State-of-the-art techniques that prioritize natural-looking, long-lasting results.
• Compassionate care from a dedicated team committed to your safety and comfort.

Whether you’re exploring eyelid surgery, rhinoplasty, or other facial rejuvenation procedures, our clinic combines expertise, experience, and a patient-first philosophy. Schedule your consultation today at cilentofacialplastics.com/about/ and discover why we’re recognized for exceptional outcomes in Texas.