Upper vs. Lower Blepharoplasty in the San Francisco Bay Area

Learn how eyelid surgeries are different and complementary

The two eyelids, upper and lower, work together as a team, but age and changes to the skin impact them differently. Since gravity steadily pulls tissue downward, the upper lid begins to droop and change the contours there, possibly even beginning to obscure the eye from above. The lower lid begins to do the opposite, pulling away to expose more of the lower portion of the eyeball and creating wrinkles and pouches. The two problems have a solution with one name: blepharoplasty. Facial cosmetic surgeon Dr. Stanley Jacobs regularly explains to patients, however, that blepharoplasty, better known as eyelid surgery, is not a single procedure, but the blanket term for surgical improvement made to the upper eyelids, the lower eyelids, or both.

Since upper and lower lids can be worked on independently of each other, and since the surgeries yield distinct results, Dr. Jacobs works with each of his patients, starting at the consultation, to determine the ultimate aesthetic outcome they want. Based on a patient’s responses, he may recommend blepharoplasty for the upper lids alone, solely the lower lids, or the whole area.

Contact Dr. Stanley Jacobs about blepharoplasty in the San Francisco Bay Area today, and learn more about the possibilities. Call his San Francisco office at (415) 433-0303 or his Healdsburg office at (707) 473-0220.

Upper-Lid Blepharoplasty

The sagging unique to the upper eyelid requires a dedicated approach that begins with an assessment of all of the skin and tissue in the area, since a drooping lid may be the fault of laxity higher on the face. Loose skin on the brow can slump and push the upper eyelid downward. Dr. Jacobs can determine the source of the problem and respond accordingly. A brow lift may be necessary to correct a permanent look of fatigue, anger, or sadness. If a blepharoplasty is found to be the best option, he can make the required adjustments in a matter of one or two hours.

Lower-Lid Blepharoplasty

Below the eye, gravity can pull tissue downward, causing fat that was once firmly in place to collect in a visible pouch. Dr. Jacobs can remove this fat, along with loose skin or muscle that has similarly sagged, creating or drawing more attention to what most people refer to as bags under the eyes. A lack of sleep, fluid retention, and allergies can also give the under-eye area a puffy look, so surgery will only be recommended if the cosmetic problem is due to laxity and not temporary swelling.

Dr. Jacobs practices a technique specific to lower-lid blepharoplasty known as canthopexy, which prevents post-surgical distortion by tightening a key structure: the canthal tendon that holds up the lower eyelid like a belt holds up a pair of pants. This technique requires particular experience and skill, and is not practiced by all surgeons. Without it, however, about 30 percent of patients who get lower eyelid surgery find that the treated lid rolls outward, exposing the inner surface, in a condition known as ectropion.

Dr. Jacobs performs canthopexy as a part of his lower-lid blepharoplasty surgeries to preemptively stop ectropion from happening. He also corrects the problem for patients who developed it after having surgery performed elsewhere.

Dual-Lid Blepharoplasty

If both the upper and lower lids need correction, a patient may choose to have one blepharoplasty procedure performed first, and then the other, or can have both handled at the same time to shorten recovery time.

To learn more about the surgical details a blepharoplasty involves, including information on Dr. Jacobs' effective and modern technique for precision suturing to preserve the eyes' overall youthful shape, visit this site's page dedicated to blepharoplasty. San Francisco Bay Area patients who want to learn even more can contact the practice directly.

Get started with blepharoplasty

Call facial cosmetic surgeon Dr. Stanley Jacobs today for a blepharoplasty consultationat his San Francisco office (415) 433-0303 or Healdsburg office (707) 473-0220.

* Patient Results May Vary