Is it better to have the upper blepharoplasty first and then the lower blepharoplasty?

Is it better to have the upper blepharoplasty first and then the lower blepharoplasty? Or both upper and lower at the same time?

Doctor Answers 11

Upper and Lower Blepharoplasty at The Same Time

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If a patient desires both upper and lower eyelid cosmetic surgery (blepharoplasty) it is most common to have the procedures done at the same time.  This offers the advantage of having one procedure, one anesthesia, and most importantly a single recovery period.

The exception to this is a patient who is not sure if they want both upper and lower lid surgery done.  Some patients are more comfortable deciding about upper or lower eyelid surgery first and then deciding about the other eyelids after they see how they look.  It is more trouble for the patient to do things that way, but if makes you more comfortable, that is the way to go.

As always the key is seeing a cosmetic surgeon who has a lot of experience doing eyelid surgery and who is willing to take the time to talk to you and see what makes the most sense for you. 


Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 26 reviews

Quad Blepharoplasty

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I typically recommend having both upper and lower eyelids done at the same time. This allows for one surgery, one anesthesia, and one recovery period as well as optimal aesthetic results. Please have an in person consultation with a board certified Plastic Surgeon. Best of luck!

F. Mark Owsley, MD
Coeur d'Alene Plastic Surgeon

Is it better to have the upper blepharoplasty first and then the lower blepharoplasty?

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The normal procedure is to do everything that is needed at the same sitting. If you plan to have both upper and lower eyelid surgery it would be basically unheard of to do them on different days. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 29 reviews

Upper and lower lid blepharoplasty simultaneously or separately

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Unless you have some sort of unusual condition, it is best to undergo both upper and lower blepharoplasty at the same time. There is no additional risk to the eye or eyelids in so doing. The risk of anesthesia is exceedingly low, but you will cut the risk in half if you only undergo anesthesia once. You will also cut your healing time in half by having the procedures done together.

Daniel Lensink, MD
Redding Oculoplastic Surgeon
5.0 out of 5 stars 4 reviews

Should both upper and lower eyelids be done at the same time

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It is routine and preferable if both the upper and lower eyelids( if needed) are treated at the same time. In addition to achieving optimal harmony and optimal aesthetic imporvment, it is advantageous to combine procedures with the advantage of one anesthesia and one surgical procedure with combined healing of two areas within the same time frame .

Please make sure to consult with a Board-certified Plastic Surgeon .

Michael H. Wojtanowski, MD
Cleveland Plastic Surgeon
4.9 out of 5 stars 13 reviews

upper and lower blepharoplasty procedure

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An upper and lower blepharoplasty procedure can be performed simultaneously under one anesthesia with one recovery period. There's no reason to have two separate surgeries. For more information  And many examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Is it better to have the upper blepharoplasty first and then the lower blepharoplasty?

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Thank you for your question. If a patient needs to do both upper and lower I always recommend to do it at the same time, because it will save the patient time and money. Some patients may only need to do upper or lower, so it will depend on each patient. 

Franco R. Jacome, MD
Mexico Plastic Surgeon
5.0 out of 5 stars 8 reviews

Upper and lower blepharoplasty best done together

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It is better to do both procedure done at the same time as the patient goes through the surgery and healing process, once rather than twice. The upper and lower eyelids are separate structures and do not affect each other.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

Should I do my upper and lower eyelid surgery at the same time?

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It is very common and safe to do both operations at the same time. It will also be good for your pocket because you only pay for anesthesia once!

Good luck!

It is common to do these surgeries together.

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The real reason for not doing them together is if you are not sure you really need both procedures.  For example some individuals are certain that they need upper eyelid surgery but they are less certain that they need lower eyelid surgery.  This is especially true with the fantastic results we now get with under eye fillers.  Do what you feel you need and don't feel pressured to have surgeries you do not feel you are ready for.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.