Upper blepharoplasty reduces excess skin and fat in the upper eyelids. This excess skin can hang over the eyelid and interfere with vision. It can also make you look tired and older. Incisions are hidden in the natural contours and lines in the upper eyelids. Excess skin and fat are then removed and the incisions are closed with fine sutures.
Lower blepharoplasty reduces the excess fat or bags in the lower eyelids. The surgeon makes an incision in the inside (transconjuctival approach) or on the outside of the lower eyelids. The excess fat, and sometimes, skin are removed. Incisions made on the inside of the eyelids are not visible. The incisions made on the outside of the lower eyelids are barely visible and fade over time.