Bleph before or after facelift?

Question

I'd like to get a facelift done by one dr and an upper and lower bleph done by another. Which should I do first?

Andrew Miller, MD · Answer

While you can certainly do all of it at one time (probably lower overall price), it really doesn't matter which one you do first if you are splitting them up. Just make sure that your surgeon is a facial specialist and has a lot of experience with these procedures.

Stephen Prendiville, MD · Answer

It truly doesn't matter in terms of which procedure you have performed first.  In fact, you can do both together.

Jeffrey M. Darrow, MD · Answer

It will not matter whether you have your facelift done first or your upper and lower eyelids. If your surgeon does a good job, you will have a good result. However, if you were to combine the two procedures, with the surgeon that you find acceptable, it would be less expensive for you, as you would have a single Anesthesia, as opposed to two. Something to consider. Best wishes.

Dana Goldberg, MD · Answer

I’d recommend the facelift first. If lower face skin is pushed towards the eyelid, it can be addressed with the lower lid surgery.

Jeffrey H. Spiegel, MD · Answer

It doesn't matter.  I'd leave a few months (3-6) between procedures.
But, in general, someone who can do a good job with a facelift will also do a good blepharoplasty but not vice versa.

Michael I. Echavez, MD · Answer

You could have an upper and lower blepharoplasty and facelift in whichever order you prefer.  I'm not sure how much time you are planning in between them, but the recovery from eyelid surgery is faster than recovery from a facelift.  You might take this into account when you are scheduling your procedures.

William Portuese, MD · Answer

It does not matter which procedure is done first or second if you're doing them separately. We frequently perform both procedures together under one anesthesia with one recovery. Performing them separately will give you two weeks of visible, bruising and swelling for each procedure. In our practice, just an upper blepharoplasty can be performed under local anesthesia, however, the facelift procedure is performed under general anesthesia. Study your perspective surgeon's eyelid and facelift photo gallery very carefully  to make sure that your surgeon is very experienced producing natural results consistently.

Zoran Potparic, MD · Answer

Most surgeons who do good face lifts would do eyelid surgery in the same time. However, for patients  who want these procedures to be done separately it should be a question of priority since these surgeries do not have much interference. Hope this helps.

Whitney Pafford, MD · Answer

These procedures are often done all together so it may balance your look all at the same time. If you haven't found a surgeon you like that does both then you could keep looking or if you are determined to stick with these two physicians you could split them up. The area around the eye starts aging first so I would usually recommend starting there. It's also one of the best surgeries to make you look less tired and just overall more refreshed.

Mats Hagstrom, MD (license on probation) · Answer

I suggest you speak with each of your providers and ask to see what they recommend.
I wouldn’t feel bad telling your facelift surgeon that you want another doctor to do your eyelids or vice versa.
If they can’t handle that then they shouldn’t be your providers.
Some plastic surgeons do have fragile egos. Still, we’ve all been through enough during our training and careers to handle a little competition.
I don’t think it makes much difference which procedure comes first period
I generally recommend having the procedure that’s going to have the greatest impact first.
You may want to let yourself heal up between the procedures, and having them at the same time has the advantage of having only one recovery.
Perhaps you can find a provider who can do all the procedures with sufficient skill and expertise to leave you happy with the outcome.
As a general statement, I found that patients often are not all that great at selecting providers.
Perhaps you’ve done the research and you really have the two correct providers in mind.
Generally speaking, finding the best plastic surgeon tends to be far more difficult than most people realize.
There are certainly advantages to doing combined procedures.
I think some open communication with your providers is in order
Best,
Mats Hagstrom, MD

Bleph before or after facelift?

Answers (10)

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