Upper vs Lower Blepharoplasty in Dubai: What’s the Difference?

When it comes to facial rejuvenation, the eyes are often the first area people notice. Sagging eyelids or under-eye bags can make you look tired or older than you feel. This is where blepharoplasty in dubai becomes a popular solution. Whether it’s the upper eyelids or the lower ones that are causing concern, eyelid surgery offers a way to refresh your appearance.

But what exactly is the difference between upper and lower blepharoplasty? How do you know which one is right for you? This blog will explain both types in a clear and simple way so you can understand what to expect and make a confident decision.


What Is Blepharoplasty?

Blepharoplasty is the medical term for eyelid surgery. It is a cosmetic procedure that improves the appearance of the eyelids. Depending on your specific needs, you may choose to have:

  • Upper Blepharoplasty (for the upper eyelids)

  • Lower Blepharoplasty (for the lower eyelids)

  • Or both procedures together

Blepharoplasty in Dubai is usually done by a plastic surgeon who specializes in facial and eye-related cosmetic surgeries. The goal is to remove excess skin, fat, or muscle to create a more youthful, rested appearance.


Why Do People Choose Blepharoplasty?

As we age, the skin around our eyes loses elasticity and the muscles supporting the eyelids begin to weaken. This causes:

  • Droopy upper eyelids

  • Puffiness or bags under the eyes

  • Wrinkles around the eyes

  • Obstruction of vision (in severe cases)

Blepharoplasty addresses these concerns and can dramatically enhance how you look and feel. Many people report looking more alert, youthful, and confident after the procedure.


What Is Upper Blepharoplasty?

Upper blepharoplasty focuses on the upper eyelids. It involves removing excess skin, and sometimes muscle or fat, that causes the eyelids to droop or look heavy.

Common Reasons for Upper Blepharoplasty:

  • Drooping eyelids that make you look tired

  • Hooded eyelids that affect your vision

  • Desire for a more defined upper eyelid crease

  • Signs of aging around the upper eye area

How the Procedure Works:

  1. A small incision is made along the natural fold of the upper eyelid.

  2. The surgeon removes or repositions excess skin, fat, and muscle.

  3. The incision is then carefully closed to reduce visible scarring.

The procedure usually takes about 1 hour and is often done under local anesthesia. Recovery is fairly quick, and most patients return to normal activities within 7 to 10 days.


What Is Lower Blepharoplasty?

Lower blepharoplasty is performed on the lower eyelids to remove or reposition fat, tighten skin, and smooth out wrinkles or puffiness under the eyes.

Common Reasons for Lower Blepharoplasty:

  • Under-eye bags or puffiness

  • Dark circles caused by fat deposits or hollowing

  • Wrinkled or sagging skin under the eyes

  • A tired or aged appearance

How the Procedure Works:

There are two common techniques for lower eyelid surgery:

  1. Transconjunctival Approach:

    • No external incision

    • Fat is removed or repositioned through the inside of the lower eyelid

    • Best for patients without excess skin

  2. Subciliary (External) Approach:

    • A small incision is made just below the lower lash line

    • Skin and fat are adjusted or removed

    • Best for patients with loose skin and puffiness

Like upper blepharoplasty, this surgery takes about 1 to 2 hours and can be done with local anesthesia and sedation.


Key Differences Between Upper and Lower Blepharoplasty

FeatureUpper BlepharoplastyLower Blepharoplasty
Area TreatedUpper eyelidLower eyelid
Common IssuesSagging skin, hooded eyesBags under the eyes, puffiness
Incision LocationNatural eyelid creaseInside eyelid or just below lashes
Recovery Time7–10 days10–14 days
ScarringUsually hidden in eyelid foldUsually minimal and well hidden
Vision ImprovementSometimes improves peripheral visionCosmetic only, no effect on vision

Who Is a Good Candidate?

Good candidates for blepharoplasty include:

  • Adults with healthy facial tissue and muscle

  • Non-smokers

  • People without serious eye conditions

  • Individuals with realistic expectations

During your consultation, the surgeon will examine your eyelids, skin quality, and medical history to decide if you need upper, lower, or combined blepharoplasty.


What to Expect Before and After Surgery

Before Surgery:

  • You’ll have a consultation with a plastic surgeon.

  • They may take photographs and assess your face structure.

  • You’ll be asked to avoid smoking and certain medications.

On Surgery Day:

  • The procedure usually takes 1 to 2 hours.

  • You can go home the same day (day surgery).

  • You will need someone to drive you home and help during the first 24 hours.

After Surgery:

  • Swelling and bruising are common for the first week.

  • Cold compresses and prescribed ointments help healing.

  • You should avoid strenuous activity, heavy lifting, and rubbing your eyes.

  • Most people return to work within 7–14 days, depending on the procedure.


Risks and Considerations

Like any surgical procedure, blepharoplasty has some risks. These may include:

  • Infection

  • Scarring

  • Dry or irritated eyes

  • Difficulty closing your eyes (temporary or rare)

  • Asymmetry or dissatisfaction with the results

Choosing a skilled and experienced surgeon can significantly reduce these risks and lead to better outcomes.


Cost of Blepharoplasty in Dubai

The cost of blepharoplasty in Dubai varies based on:

  • Whether you choose upper, lower, or both

  • The experience of the surgeon

  • The clinic or hospital facilities

  • Whether anesthesia is local or general

On average, the cost can range from AED 10,000 to AED 25,000 for one area. Combined procedures may cost more. It’s best to book a consultation to receive a personalized estimate based on your needs.


Benefits of Blepharoplasty

Here are the main benefits patients report after undergoing blepharoplasty:

  • A more youthful and refreshed appearance

  • Improved self-confidence

  • Reduced under-eye bags or puffiness

  • More visible and open eyes

  • In some cases, improved vision

The results are long-lasting and can make a big difference in how you look and feel every day.


Is Blepharoplasty Permanent?

Blepharoplasty results are long-lasting, but not completely permanent. The effects can last 7 to 10 years or more, depending on your skin quality, lifestyle, and age.

Keep in mind:

  • Aging continues, so some sagging may return over time.

  • Sun protection and good skincare can help maintain results longer.


Combining Blepharoplasty With Other Treatments

Sometimes, blepharoplasty is combined with other facial procedures to enhance results, such as:

  • Botox for forehead wrinkles or crow’s feet

  • Dermal fillers for hollow under-eyes or cheeks

  • Facelift or brow lift for a more complete rejuvenation

Your surgeon can help you plan a treatment that fits your aesthetic goals.


Conclusion

Whether you’re concerned about drooping eyelids or under-eye bags, blepharoplasty in Dubai can offer a safe and effective solution. Understanding the difference between upper and lower eyelid surgery is the first step in making the right choice for your needs.

Upper blepharoplasty targets sagging upper eyelids that may even affect vision, while lower blepharoplasty focuses on reducing puffiness and smoothening the area under the eyes.

Both procedures are widely performed, have minimal downtime, and offer long-lasting results with proper care. However, to get the best results, always consult a qualified and experienced cosmetic surgeon.

If you’re considering eyelid surgery, Dr. Jerome Paris, a specialist in aesthetic facial procedures, can guide you through the process and recommend the most suitable option for your individual needs.

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