Eyelids are remarkable if you think about it. While the eye is the fastest healing part of your body, it’s also pretty fragile. Scratches, bruises—even mild contact can—can cause terrible discomfort. But such injuries tend to be rare (on a daily basis, anyway). And that’s all thanks to your eyelids.
We don’t often think about how useful eyelids are, but they are the primary means of protecting your eyes and maintaining the health of those eyes (your eyelids also work to keep your eyes hydrated).
But your eyelids can be a source of problems, particularly as you age. Addressing those problems often means giving some attention to both the upper and the lower eyelids.
Uppers and Lowers Both Important
It’s not as though your upper row of teeth is more important than the lower—and you wouldn’t expect your dentist to pay attention to only one or the other. Yet, that’s how it seems, sometimes, when some people talk about blepharoplasty. The upper eyelid gets the lion’s share of the attention.
And in a way, that makes sense. When it comes to excess tissue caused by the gradual effects of gravity, the upper eyelids definitely suffer the most (that’s just, you know, the way gravity works).
But gravity isn’t the only source of excess tissue in the eyes.
What Causes Wrinkles and Lines Around the Lower Eyelids?
It turns out there are several reasons one might end up with a few wrinkles and lines around the lower eyelids. And, yes, one of them is still gravity (sometimes the skin around your eyes just gets stretched out and tends to accumulate around the lower eyelids). But there are other reasons, too:
- Movement of fat deposits: In some cases, the lower eyelids can become bulbous or look swollen. This has the same effect on the eyes as excess skin around the upper eyelid, but it’s caused for a different reason: the movement of fatty tissue. The fatty tissue can accumulate and, in that undesirable position, make your eyes appear more aged.
- Lifestyle choices: There are certain lifestyle choices that can lead to more wrinkles and more lines in the face overall-not just around the eyes. Chief among these is the smoking of tobacco products, such as cigarettes. In most cases, we ask our patients to abstain from smoking around the time of their procedure (mostly for health reasons, but also because smoking has been found to cause severe lines and wrinkles).
Two Birds, One Stone
Whatever their causes, issues with upper and with lower eyelids can often be addressed in a single procedure. It really just depends on what’s best for the patient. Some patients require only upper blepharoplasty. Some patients require lower blepharoplasty. And some patients require both.
Whether patients get only upper or lower, or whether they get both done at the same time, the recovery process is pretty comparable. This means that there’s really no disadvantage for patients who want both their upper and lower eyelids addressed.
The best way to determine which approach will be best for you is to consult with either Dr. Rostami or Dr. Nazemzadeh. They’ll be able to look at your eyes and understand the cause of the lines, wrinkles, and folds you want eliminated. It’s only by knowing those root causes that surgeons are able to take appropriate action to mitigate the problems.
Patients who undergo blepharoplasty on their upper and lower eyelids report a significant improvement in their lifestyles. They look younger and more energetic. And they can see better—excess tissue around the eyelids tend to hamper your vision (all that tissue gets in the way).
That’s why eyelid surgery—especially of lower and upper eyelids—is such a powerful procedure. The results really pack a wallop!