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Stuart H. Bentkover, MD, FACS

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Blog » Upper vs. Lower Blepharoplasty

Upper vs. Lower Blepharoplasty

03/06/2015 by Dr. Bentkover

Upper vs. Lower Blepharoplasty - Worcester, MAIn the past, plastic surgery was not nearly as customizable as it is today. For most procedures, there were few techniques that had been developed, and fewer patients got optimal results that suited their specific needs. Today, with new technology, techniques, and a greater understanding of facial aesthetics and how aging progresses, there is much more flexibility in facial plastic surgery. Everyone ages at slightly different rates, and for that reason, each patient needs a custom facial rejuvenation plan in order to get their desired anti-aging results. For many people, early signs of aging start in the eye area, prompting younger middle-aged people to seek blepharoplasty, a cosmetic eyelid surgery. However, there are two major types of blepharoplasty: upper and lower. So what do these different procedures accomplish?

Why Blepharoplasty?

Blepharoplasty is often recommended as an early response to the signs of aging, which often begin in the eye and forehead areas. The eyes are a focal point of the face, and they convey a great deal to others, both positive and negative. The effects of aging often make the support structures of the eye area weaker, which causes sagging and puffiness. This appearance tends to create a perpetually tired or disinterested expression, which can greatly affect first impressions and more. Blepharoplasty can address many of the signs of aging for a more youthful look.

Lower Blepharoplasty

One of the telltale signs of age are the puffy “bags” that often appear under the eyes as we get older. Fat settles below the eye and pushes against thinning skin, which creates this appearance. In the past, lower blepharoplasty usually involved removing this fat, but skilled surgeons today favor the approach of simply repositioning the tissue to avoid over-hollowing of the facial features. This is because aging typically involves natural volume loss, so it is important to preserve as much tissue as possible during surgery.

Upper Blepharoplasty

Sagging upper eyelids can contribute to a tired and disinterested appearance, and in some cases, can even lead to vision impairment. Upper eyelid blepharoplasty typically involves the removal of some skin, but surgeons do their best to minimize the loss while promoting good results. Sometimes, it is a better option to choose a forehead lift instead of an upper blepharoplasty for the desired results.

Combination Procedures

For patients who desire comprehensive anti-aging of the eye area, a combination procedure can be performed that combines the lower and upper blepharoplasty techniques. Other techniques that can be used to get the desired results include resurfacing of the area and other skin treatments, dermal fillers for deep tear troughs, and other techniques. A skilled facial plastic surgeon will be able to come up with an appropriate treatment plan to suit each individual patient’s needs.

Recovery

Recovery times are totally dependent on the techniques used, but initial recovery typically takes a couple of weeks, with final results appearing within three to six months, allowing for scars to fade and swelling to subside. Each surgeon has his or her own guidelines for patient activity and care during the recovery period.

Are You a Candidate?

Though blepharoplasty is generally a very safe surgery, facial plastic surgeons must exercise utmost care in determining the candidacy of prospective patients. Safety is top priority, and a reputable surgeon will not operate on a patient who is not physically or emotionally prepared for voluntary surgery. Here are some of the basic requirements for cosmetic eyelid surgery:

  • General good health
  • Non-smoking
  • Not taking certain medications
  • Realistic expectations

Aside from these requirements, you and your surgeon may determine that blepharoplasty simply is not the right procedure for you. Experienced facial plastic surgeons have the skills and knowledge to help you find the course of action that will get you the best anti-aging results, so consider your surgeon’s advice carefully.

Choosing a Surgeon

In order to get the best results and speak with knowledgeable plastic surgeons, you will need to do some research. Look for board certified facial plastic surgeons who specialize. Your consultations will help you plan your surgery and choose a surgeon, giving you an opportunity to develop rapport and ask specific questions. Remember—never choose a surgeon you do not feel completely comfortable with. You do not want to risk your results or have unnecessary anxiety about the procedure.

If you are looking for a skilled and experienced facial plastic surgeon in the Boston area, come to Bentkover Facial Plastic Surgery and meet with acclaimed specialist Dr. Stuart Bentkover. Dr. Bentkover has been helping patients get beautiful, natural results from facial surgery for over 25 years, and is standing by to help you reach your facial rejuvenation goals. Call Dr. Bentkover’s Worcester (508-363-6500) or Stoneham (617-247-0033) offices today to schedule your consultation.

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Our Practice

Double Board Certified Facial Plastic Surgeon Dr. Stuart H. Bentkover practices the full scope of Facial Plastic Surgery at the Bentkover Facial Plastic Surgery and Laser Center. Dr. Bentkover is Princeton and Harvard educated. He specializes in rhinoplasty, revision rhinoplasty, facial rejuvenation, eyelid rejuvenation procedure, facial injections and various laser procedures.

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