Eyelid Surgery: Lower vs. Upper Eyelid Lifts

Eyelid LiftEyelid lifts are a great way to rejuvenate our appearance. Our eyes and mouth are the two most common aspects of ourselves that people focus on. Think about that the next time you speak with a friend or family member – it’s unconsciously driven.

The eyelids are also one of our most defining features. One of my earliest oculoplastic surgery mentors once told me, “The eyelids are the most beautiful part of a person.” I at first thought this strange, but over the years I really have come to appreciate this thought and try to implement this concept with all my eyelid lifts.

Eyelid lifts are one of the most common cosmetic surgery procedures preformed to help rejuvenate our face. A few reasons for this include:

  1. Great result with relatively minimal surgery;
  2. Out-patient procedure – with no need for general anesthesia (if preferred);
  3. Mild post-operative recovery;
  4. Typically, imperceptible incision lines; and
  5. Long-lasting results—may not ever need repeating.

Upper Eyelid Lift: One of the most common complaints an individual may have is that with age and gravity they have noticed extra skin and fullness pushing their eyelids down, creating an aged look. Women often stop using mascara because it smears with the extra skin. An eyelid lift can address these issues by removing some of the extra skin and usually some fat that is contributing to the problem.

Lower Eyelid Lift: As we age, our cheeks slowly deflate as youthful fat is lost and begin to sag. Our lower lids develop more wrinkles and puffiness, typically developing underneath the skin. There is generally a hollow look between the cheek and the eyelids making us look older than we feel. Three main contributing factors include:

  1. Lower eyelid puffiness—usually fat;
  2. Loss of elastin and collagen in skin with wrinkle formation; and
  3. Separation of the eyelid and the cheek—remember when we are young, our lower eyelids and cheek blend together creating a youthful appearance.

To address these issues, fat is not sculpted back but is instead used to blend the cheek and the lids to create an even younger appearance than the more traditional lower lid lifts.

The surgeons at the Emory Aesthetic Center are trained to treat people of all different races and genders. Approaches may change depending on these factors and our patient’s goals. A thorough understanding of these anatomic relationships and how to tailor them to each person’s individual needs is critical. The physicians at the Emory Aesthetic Center will consult with you to help determine your needs and provide you with an optimal result.

About Dr. Hayek

Brent Hayek, MD

Dr. Hayek’s areas of expertise include both reconstructive and cosmetic procedures. He addresses “droopy” (puffy) or malpositioned eyelids, treats Graves disease or thyroid problems as they affect the eyes, and orbital problems including tumors around the eye and fractures that affect the protective bony walls. Dr. Hayek also handles tearing problems that involve obstruction, infection or other issues of the tear drain system. Dr. Hayek performs a number of eyelid and facial cosmetic services include Botox®, facial fillers and peels, upper and lower blepharoplasty, midface and endoscopic forehead lifts.

Dr. Hayek’s research interests include eyelid and orbital tumors, as well as various implants suitable for long-term eyelid reconstruction. He has published articles in peer-reviewed publications, book chapters and has presented at regional, national and international meetings.

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