What’s the Difference Between Upper and Lower Eyelid Surgery?

Woman in her late 50s looks at her reflection in the mirror to see rejuvenated eyesEyelid surgery, or blepharoplasty, is one of the most effective procedures for refreshing tired, aging eyes. At his Chicago practice, board-certified plastic surgeon Dr. Gregory Wiener has helped many patients look more alert, rested, and youthful with this specialized procedure. With over two decades of experience and a reputation for natural-looking results, Dr. Wiener customizes each eyelid surgery to suit the unique anatomy and goals of the patient.

While upper and lower eyelid surgeries fall under the same category, they address different concerns and involve different techniques. Understanding the distinctions between them can help patients better visualize their ideal outcome.

What Upper Eyelid Surgery Treats

Upper eyelid surgery is performed to remove excess skin and fat that creates a heavy, drooping appearance over the eyes. This sagging skin may make you look tired or older than you feel (In some severe cases, it can even impair vision.) Dr. Wiener makes discreet incisions along the natural crease of the eyelid to remove loose tissue and restore a more open, refreshed look. The procedure is typically performed under local anesthesia with sedation and has a relatively short recovery time.

What Lower Eyelid Surgery Treats

Lower eyelid surgery targets puffiness, under-eye bags, and sagging skin beneath the eyes. These concerns are usually caused by aging or genetics and are not effectively treated with topical products. Dr. Wiener may use either an internal (transconjunctival) or external incision just beneath the lash line to access and reposition fat, tighten underlying muscles, and smooth the skin. The result is a firmer, more youthful appearance with less shadowing and volume under the eyes.

Should You Consider One or Both?

Some patients may only need one procedure, depending on their anatomy and age-related changes. However, it’s common to combine upper and lower eyelid surgery for more comprehensive rejuvenation. During your consultation, Dr. Wiener will assess your skin elasticity, fat distribution, and overall facial balance to recommend the most suitable surgical plan.

Schedule Your Eyelid Surgery Consultation in Chicago

If you’re considering eyelid surgery, trust Dr. Gregory Wiener’s experience and artistic approach to help you achieve natural, lasting results. As a top board-certified plastic surgeon in Chicago, Dr. Wiener is known for his precision and care in facial procedures. Contact 773-207-4910 today to schedule your consultation and learn more about what upper and lower eyelid surgery can do for you.

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