Upper vs. Lower Eyelid Surgery: What’s the Difference?

The eyes are often one of the first areas to show signs of aging. Sagging upper lids, under-eye bags, puffiness, and loose skin can make the face look tired and old. Eyelid surgery, or blepharoplasty, can address these concerns, but there are two options available: Upper and lower eyelid surgery focus on different areas and goals.

Saltz Plastic Surgery offers a holistic approach to eyelid rejuvenation, supporting patients before, during, and after cosmetic surgery with advanced surgical care and restorative post-operative treatments. Led by board-certified plastic surgeon Dr. Renato Saltz and a highly trained team, the practice provides personalized facial aesthetic care in Salt Lake City and Park City, UT.

What Is Upper Eyelid Surgery?

Upper eyelid surgery improves the appearance of heavy upper lids. It typically addresses loose or drooping skin that hangs over the eyes, creates heaviness, or makes the eyelids look less defined. In some cases, too much upper eyelid skin can even interfere with vision.

During upper eyelid surgery, excess skin and, when needed, small amounts of fat are carefully removed or repositioned. The goal is to create a more open, refreshed appearance while maintaining a natural eyelid shape.

What Is Lower Eyelid Surgery?

Lower eyelid surgery targets the area just below the eyes. It is commonly used to improve under-eye bags, puffiness, loose skin, and shadowing caused by bulging fat or skin laxity. Lower eyelid concerns can make a person look tired, stressed, or older than they feel.

Depending on the patient’s needs, lower eyelid surgery may involve removing or repositioning fat, tightening loose skin, or smoothing the transition between the lower lid and cheek. The goal is a smoother, more rested under-eye appearance.

The Main Differences

The biggest difference between upper and lower eyelid surgery is the area being treated. Upper eyelid surgery lifts and refines the upper lids, while lower eyelid surgery smooths and refreshes the under-eye area.

Upper eyelid surgery is often chosen for hooding, heaviness, or drooping skin. Lower eyelid surgery is typically chosen to address bags, puffiness, wrinkles, or a tired under-eye appearance. Some patients benefit from one procedure, while others choose to combine both for more complete rejuvenation.

Rejuvenate the Eyes with Eyelid Surgery in Salt Lake City, UT

The right option depends on your anatomy, concerns, and goals. With careful planning, eyelid surgery can help the eyes look brighter, more alert, and naturally refreshed. Call us in Park City at 435-655-6612 or Salt Lake City at 801-274-9500 to schedule a visit.