Mature woman has rejuvenated eyes with upper and lower eyelid surgery.

Eyelid surgery is one of the most effective ways to refresh your appearance, but not all blepharoplasty procedures are the same. At his Miami practice, premier plastic surgeon Dr. Ary Krau performs both upper and lower blepharoplasty, tailoring each approach to your specific concerns and anatomy. Knowing the differences between these procedures can help you determine which option may be right for you.

What Upper Blepharoplasty Addresses

Upper blepharoplasty is typically ideal when you are experiencing sagging eyelid skin, hooding, or a loss of visible eyelid space. It focuses on your upper eyelids, where excess skin and tissue can create a heavy or drooping appearance. Over time, this can make your eyes look tired or, in some cases, even interfere with your vision.

This procedure removes excess skin and, when necessary, adjusts underlying fat to create a smoother, more defined upper eyelid contour. Afterward, you should notice that your eyes appear more open and refreshed without changing their natural expression.

What Lower Blepharoplasty Addresses

Lower blepharoplasty is most appropriate when you have persistent under-eye bags or contour irregularities that do not improve with non-surgical treatments. This surgery targets the area beneath your eyes, where puffiness, under-eye bags, and hollowing can develop. These changes are often caused by shifting fat pads, skin laxity, and thinning tissue.

During the procedure, excess fat may be removed or repositioned, and loose skin may be tightened to create a smoother transition between your lower eyelid and cheek. The result is a more rested and youthful appearance without the heaviness or puffiness that can make you look fatigued.

Can You Combine Both Procedures?

Many patients benefit from combining upper and lower blepharoplasty to achieve more comprehensive rejuvenation around the eyes. Addressing both areas simultaneously can create a balanced, natural result that restores harmony to the upper and lower eyelids.

Dr. Krau evaluates the entire eye area during consultation to determine whether one or both procedures will provide the most effective outcome.

How to Choose the Right Option

The right procedure depends on where your concerns are most noticeable. If your upper eyelids feel heavy or appear droopy, upper blepharoplasty may be sufficient. If under-eye bags or puffiness are your primary concern, lower blepharoplasty may be more appropriate.

Schedule a Consultation

If you are considering eyelid surgery, a personalized consultation with Dr. Krau, a leading plastic surgeon, can help determine whether upper, lower, or combined blepharoplasty is right for you. Contact our Miami office at 305-861-6881 to schedule an appointment and learn more about your options.

Posted in: Eyelid Surgery