Upper & Lower Blepharoplasty Together: Is Combined Eyelid Surgery a Good Idea?

December 25, 2025

Yes—upper blepharoplasty and lower blepharoplasty can be safely performed together and are commonly combined, especially for patients seeking full eye rejuvenation. Doing both in one session can create more balanced, natural results when the entire eye area shows signs of aging.

Below is a clear guide to help you decide if combining them is right for you.

What Each Procedure Treats

Upper blepharoplasty

  • Removes excess upper eyelid skin
  • Improves heavy or droopy upper lids
  • Can improve visual obstruction and eye fatigue

Lower blepharoplasty

  • Removes or repositions under-eye fat
  • Tightens loose lower eyelid skin
  • Improves eye bags, wrinkles, and dark shadows

When done together, the eyes look refreshed from top to bottom, not partially corrected.

Who Is a Good Candidate for Doing Both Together?

You may be a good candidate if you have:

  • Droopy upper eyelid skin and under-eye bags
  • Tired-looking eyes even when well-rested
  • Age-related changes affecting the whole eye area
  • Time constraints and prefer one recovery period
  • Realistic expectations for natural improvement

This is most common for patients in their 40s–60s, but younger patients with genetic eye bags may also qualify.

Benefits of Combining Upper & Lower Blepharoplasty

  • One anesthesia, one recovery period
  • More harmonious, balanced results
  • Lower overall downtime compared to two separate surgeries
  • Cost efficiency compared to staging procedures
  • Unified surgical design for the entire eye area

Surgeons can plan skin tension, eyelid support, and proportions together, which reduces imbalance.

Safety Considerations

Combining procedures is generally safe when done conservatively by an experienced surgeon.

Key safety points:

  • Conservative skin removal is critical
  • Lower eyelid support must be preserved
  • Ptosis (weak eyelid muscle) should be evaluated
  • Over-aggressive surgery increases complication risk

Not everyone is suitable for combined surgery—proper evaluation matters.

Recovery Timeline (Typical)

  • Days 1–3: Swelling and bruising around eyes
  • Days 5–7: Stitch removal (if applicable)
  • 2–3 weeks: Most swelling subsides
  • 1–3 months: Eyes begin to look natural
  • 6 months: Final results stabilize

Most patients return to daily activities within 7–10 days.

When Staging Surgeries May Be Better

Separate surgeries may be recommended if:

  • Ptosis correction is complex
  • Lower eyelid laxity is severe
  • You have dry eye or healing concerns
  • A conservative, step-by-step approach is safer

A surgeon may prioritize function first, then aesthetics.

Korean Approach to Combined Eyelid Surgery

In Korea, surgeons typically:

  • Avoid excessive skin removal
  • Prefer fat repositioning over aggressive fat removal
  • Focus on function + aesthetics
  • Design age-appropriate, natural results

The goal is rested eyes, not dramatically changed eyes.

Is Doing Both Together Right for You?

Consider combined surgery if:

  • Both upper and lower eyelids show aging
  • You want one recovery period
  • You prefer a comprehensive result

Consider staged surgery if:

  • Only one area truly needs correction
  • You have complex eyelid anatomy
  • Safety requires a conservative plan

A personalized consultation is essential.

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Swelling Stages After Eye Plastic Surgery Swelling after eye plastic surgery is normal, expected, and temporary. In Korea, surgeons place strong emphasis on educating patients about swelling stages because eyelid healing is gradual and early appearance does not reflect final results. Understanding each swelling phase helps prevent unnecessary anxiety and reduces the risk of premature revision concerns. Why Swelling Happens After Eye Surgery Eye surgery involves: Delicate skin Fine muscles (levator muscle) Fat compartments Dense blood supply Even small adjustments can cause visible swelling. Because eyelid skin is thin, swelling appears more dramatic than it actually is, especially in the first two weeks. Stage 1: Immediate Post-Surgery (Day 0–3) This is the peak swelling phase. What to expect: Significant puffiness Tight or heavy feeling Mild bruising (purple or reddish tones) Temporary asymmetry between eyes Difficulty judging crease height What this means: This is inflammatory swelling, not your final result One eye often swells more than the other Creases may look too high or uneven Korean surgeons consider this phase purely transitional. Stage 2: Early Recovery (Day 4–7) Swelling begins to gradually decrease, but is still noticeable. What to expect: Puffiness starts softening Bruising may change color (yellow/green) Eyelid movement feels stiff Crease still looks higher than final Important note: Many patients wrongly judge results at this stage Stitches are usually removed during this period (if incisional) Surgeons in Korea strongly advise not evaluating symmetry yet. Stage 3: Visible Improvement Phase (Week 2–3) This is when patients start to feel more confident. What to expect: Major swelling reduction Crease becomes more defined and natural Eyelids move more smoothly Asymmetry improves noticeably At this stage: You look socially presentable Photos start to look normal Residual swelling is still present internally Most Korean clinics consider this the “public recovery” phase. Stage 4: Settling Phase (1–3 Months) Swelling becomes subtle and localized. What to expect: Eyelid thickness continues to decrease Crease height lowers gradually Eye shape refines Skin softens This stage is critical because: Patients may think swelling is gone—but it’s not Final symmetry is still developing Overreaction here can lead to unnecessary revision requests Korean surgeons typically say: “Judge the result after 3 months, not before.” Stage 5: Final Healing Phase (3–6 Months) This is when results stabilize. What to expect: Swelling fully resolves Eyelid movement feels natural Crease looks softer and more blended Final symmetry is achieved For: Ptosis surgery → closer to 6 months Revision surgery → sometimes up to 12 months This is when surgeons can accurately assess if any adjustment is needed. Swelling Differences by Procedure Type Non-incisional double eyelid surgery Faster swelling reduction Most swelling gone by 2–3 weeks Incisional double eyelid surgery More swelling initially Takes longer to settle (up to 3 months) Ptosis surgery Swelling lasts longer due to muscle work Tightness may persist for weeks Lower eyelid surgery Swelling may descend into cheeks Can last longer but resolves naturally Common Swelling Myths ❌ “If it’s still swollen after 2 weeks, something is wrong” → False. This is normal. ❌ “Uneven swelling means surgical failure” → False. Healing is rarely symmetrical. ❌ “Crease height at 1 week is final” → Very false. Creases always drop as swelling resolves. How Korean Surgeons Help Minimize Swelling Typical post-op care includes: Cold compresses (early phase) Proper head elevation Anti-inflammatory guidance Avoiding alcohol and intense exercise Gentle scar and swelling care instructions Aggressive massage or early manipulation is usually discouraged. When to Contact the Clinic You should contact your clinic if you experience: Increasing pain (not decreasing) Sudden severe swelling on one side Signs of infection (fever, pus, worsening redness) Normal swelling does not worsen after the first few days. Final Thoughts Swelling after eye plastic surgery follows a predictable, staged process. In Korea, surgeons design procedures expecting this timeline and plan crease height and eyelid position accordingly. The most important rule: Never judge eye surgery results during swelling. Patience during healing is the key to appreciating a natural, balanced final outcome. When allowed to settle fully, Korean eye surgery results often look much softer and more natural than early post-op appearances suggest.
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