"What Is Upper and Lower Blepharoplasty?"

Upper Blepharoplasty: Upper blepharoplasty is a surgical procedure that removes excess skin and tissue from the upper eyelid, with the option to create a double eyelid fold when desired. This surgery enhances visual comfort while creating more defined, rejuvenated eyes with a refreshed appearance. For optimal results, upper blepharoplasty can be combined with complementary procedures such as sub-brow lift surgery or endoscopic forehead surgery.
Lower Blepharoplasty: Lower blepharoplasty addresses concerns beneath the eyes by removing excess skin and strategically repositioning fat deposits that create under-eye bags. This procedure smooths and flattens the under-eye area by eliminating loose skin and redistributing fat tissue, effectively addressing hollowness and creating a more youthful contour. To enhance surgical outcomes, lower blepharoplasty may be performed in conjunction with micro fat grafting or SOOF lift (suborbicularis oculi fat lift), which elevates the upper cheek area for comprehensive rejuvenation.

Doctor's Message

"Blepharoplasty focuses on both aesthetic and functional improvement. As elders have slower recovery and thinner skin, extra care is required for success."
Aging typically starts first in the eye area due to its delicate skin structure. As skin loosens and sags, patients may experience tearing and discomfort from tissue coverage, potentially affecting vision. Since eyelid and brow sagging often occur simultaneously, we recommend combining upper blepharoplasty with sub-brow lifting surgery. Performing upper blepharoplasty alone can create an overly intense appearance and accentuate periorbital wrinkles. For younger patients with brow ptosis, sub-brow lifting takes precedence over double eyelid surgery, regardless of age, ensuring proper treatment sequencing for natural results.

Operation Information

  • Surgery Time : 30-60 Minutes
  • Anesthesia Type : Local Anesthesia or IV Sedation
  • Hospitalization : None
  • Stitch Removal : 4-5 Days
  • Recovery Time : 1-2 Weeks

Q & A

Q. I am a man, and I want to have a natural blepharoplasty result. Is that possible?
A. If you do not wish to change your original eye shape, it is possible to not create new double eyelids. Rather, the surgery can focus on removing excess skin and creating a natural result.

Ideal Candidates for Upper Blepharoplasty

  • Who feels uncomfortable opening an eye due to sagging eyelids
  • Disappeared double eyelids or loosened double eyelids due to sagging eyelids
  • Who uses the forehead or eyebrow muscles to open eyes due to weak eye muscles
  • Who looks older than their actual age due to sagging eyelids
  • Bumpy eyelids due to irregular and loosened fat tissues

Upper Blepharoplasty (Upper Eyelids) Surgery Method

Step 01

STEP 01

Design the eyelid incision line.

Step 02

STEP 02

Incise the eyelids following the line and remove unnecessary skin, muscles, and fats.

Step 03

STEP 03

Fix the skin and muscle (levatorpalpebraesuperioris) and either create a new double eyelids or keep the same eye shape.

Step 04

STEP 04

Defined and young image is created.

Before & After

Before & After

* Results may vary.

Ideal Candidates for Lower Blepharoplasty

  • Sagging and severe wrinkles under the eye
  • Bulky under-eye bag giving a tired look
  • Dark circle due to the shadows of the under-eye bag
  • Sunken under eye giving a tired look

Lower Blepharoplasty (Under Eye Bags) Surgery Method

Step 01

STEP 01

the line 1-2mm below the lower eyelashes.

Step 02

STEP 02

Incise the under eye following the line and remove unnecessary skin, muscles, and fats.

Step 03

STEP 03

Fix the loosened muscles for tightening effect and suture.

Step 04

STEP 04

Fresh and young eye shape is created.

Before & After

Before & After

* Side effects such as inflammation after the surgery may vary for each individual and may require appropriate treatments. Please check the guidelines with the doctor.

Ideal Candidates for Sub-Brow Lifting

  • People who have tired and aging face image due to sagging eyelids
  • People who wish to simply reduce sagging skin without double eyelid surgery
  • People who wish to adjust the eyebrow asymmetry
  • People who wish to selectively remove the glabella wrinkles

Sub-brow Lifting Surgery Method

Step 01

STEP 01

Measure the sagging amount of skin and design the incision line under eyebrows

Step 02

STEP 02

Incise and remove loosened skin.

Step 03

STEP 03

Pull up the muscles and fix at the periosteum and suture.

Step 04

STEP 04

Sub-brow Lifting is finished.

Blepharoplasty Point

  • Minimize the incision near the eyelashes for minimal scarring
  • Reduce or remove eye bags, wrinkles, loosened, and sagging skin
  • Create a fresh and young image

FAQ

Is there a way to keep my natural crease and lift up the loose skin?
Upper blepharoplasty involves making an incision along the natural crease to directly remove excess skin from the upper eyelid. For those seeking an alternative approach to reduce eyelid laxity, a sub-brow lift or endoscopic brow lift may also be considered.
Can blepharoplasty fix hooded eyes?
Yes, blepharoplasty is an effective solution for hooded eyes. The procedure removes excess skin and fat from the upper eyelid, reducing the hooded appearance and restoring a more open, alert look to the eyes. In some cases, combining it with a brow lift can enhance results further.
How long does a blepharoplasty last?
The results of blepharoplasty are long-lasting, typically 7-10 years or more. While the surgery cannot stop the natural aging process, it significantly delays the appearance of sagging and bagging around the eyes. Lifestyle factors like sun protection and skincare can help prolong the results.
How many days do I have to stay in China for blepharoplasty?
For blepharoplasty, we recommend staying in China for at least 5-7 days. This allows time for the initial surgery, post-operative check-ups, and stitch removal (usually on day 4-5). Most international patients can return home after 7 days, with full recovery continuing at home for 1-2 weeks.

Updated September 22nd, 2025

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