Why Patients Often Combine Both
The eyes and midface are visually linked. Patients who address the lower face and neck without touching periorbital aging often note a residual "tired" appearance around the eyes. Combining blepharoplasty with a deep plane facelift produces a more balanced result.
Upper Blepharoplasty
Removes redundant upper eyelid skin and, when indicated, a small amount of underlying fat. Scars sit within the natural upper lid crease and typically fade well.
Lower Blepharoplasty
Addresses lower lid bags (herniated orbital fat), tear-trough hollows, and skin laxity. Approaches include transconjunctival (hidden inside the lid) and transcutaneous (external incision) depending on findings.
Combined Operative Considerations
- Longer single anesthetic vs. staging as two separate procedures
- Coordinated recovery — bruising and swelling overlap in a shared timeline
- Careful surgical sequencing to avoid over-resection of lower lid skin
Risks Specific to Blepharoplasty
Dry eye, ectropion (lower lid pulling away), asymmetry, and scarring are documented risks. Meticulous technique and appropriate patient selection reduce these risks but do not eliminate them.
Recovery
Eyelid swelling and bruising typically resolve over 2–3 weeks. Vision may transiently blur from ointment or swelling. Sun protection and eye lubrication are important during healing.
Educational content only — not medical advice. Results vary.
Medical Review
Reviewed by: Juan Cuellar, MD — Plastic & Reconstructive Surgery
- Content reviewed
- Combined deep plane facelift and blepharoplasty planning.
- Last reviewed
- June 2026
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