Changes around the eyes can make the face appear tired, aged, or less vibrant over time. For patients considering eye surgery, determining whether upper or lower blepharoplasty is the right solution is often the first step.
At Icala Medical Aesthetics, Dr. Lilliam Díaz-Vélez, a fellowship-trained oculoplastic surgeon and ophthalmologist, helps patients identify the source of their concerns and develop personalized treatment plans. Recognizing whether your concerns involve the upper eyelids, lower eyelids, or both can help determine the most effective treatment approach.
What Is Upper Blepharoplasty?
Upper blepharoplasty focuses on the upper eyelids. As skin loses elasticity with age, excess tissue can develop above the eyes, creating a heavy or drooping appearance. In some cases, excess skin may even interfere with vision.
Upper blepharoplasty can address:
- Sagging upper eyelid skin
- Puffiness caused by excess fat
- A tired or heavy appearance around the eyes
- Vision obstruction caused by drooping eyelids
The procedure is designed to create a smoother, more refreshed upper eyelid contour while maintaining natural facial expression.
What Is Lower Blepharoplasty?
Lower blepharoplasty targets concerns beneath the eyes. Aging, genetics, and changes in fat distribution can contribute to under-eye bags, puffiness, and loose skin that are difficult to improve with skincare products alone.
This procedure may help improve:
- Under-eye bags
- Puffiness beneath the eyes
- Loose or crepey skin
- Shadowing caused by excess tissue
The goal is to restore a smoother, lower-eyelid appearance and a more rested look.
What Causes Changes Around The Eyes?
The skin around the eyes is thinner and more delicate than skin on many other areas of the face, making it especially susceptible to visible signs of aging. Over time, natural changes in skin elasticity, muscle support, and fat distribution can contribute to drooping upper eyelids, under-eye bags, and loose skin.
Additional factors such as genetics, sun exposure, and lifestyle habits can also influence how quickly these changes develop. As a result, the eye area is often one of the first places where signs of aging become noticeable.
When Is A Combination Approach Recommended?
Some patients benefit from both upper and lower blepharoplasty. When concerns affect the entire eye area, combining procedures can provide more comprehensive rejuvenation and create balanced results.
During a consultation, Dr. Díaz-Vélez evaluates eyelid anatomy, skin quality, and facial harmony to determine whether upper blepharoplasty, lower blepharoplasty, or a combination procedure is the most appropriate treatment.
Choosing the Right Eye Surgery in Aguadilla, PR
The best approach depends on the specific concerns affecting your upper eyelids, lower eyelids, or both. A thorough evaluation can help identify the procedure that yields the most effective, natural-looking results.
To learn whether blepharoplasty is right for you, schedule a consultation at Icala Medical Aesthetics by calling 787-422-6349.