If you’re considering eyelid surgery to rejuvenate your appearance, you might wonder whether it’s possible to address both your upper and lower eyelids in a single procedure. The good news is that upper and lower blepharoplasty same surgery is not only possible but often recommended for optimal results and convenience.
What Is Combined Blepharoplasty?
Combined blepharoplasty refers to performing both upper and lower eyelid surgery during the same surgical session. This comprehensive approach allows surgeons to address multiple concerns simultaneously, including:
- Drooping upper eyelids
- Excess skin and fat in the upper eyelid area
- Under-eye bags and puffiness
- Wrinkles and fine lines around the eyes
- Loss of skin elasticity in both areas
Benefits of Having Both Procedures Together
Single Recovery Period
One of the most significant advantages of combining procedures is experiencing only one recovery from complete blepharoplasty procedure instead of two separate healing periods. This means:
- Less total downtime from work and daily activities
- Reduced overall discomfort and inconvenience
- Faster return to your normal routine
Cost Effectiveness
Having both procedures done simultaneously typically costs less than scheduling them separately because you’ll only pay once for:
- Anesthesia fees
- Operating room costs
- Surgeon’s facility fees
Harmonious Results
When performed together, upper and lower blepharoplasty can create more balanced, natural-looking results. Your surgeon can ensure that both areas complement each other perfectly, avoiding any potential asymmetry that might occur with staged procedures.
The Surgical Process
Pre-Operative Planning
During your consultation, your plastic surgeon will:
- Evaluate both your upper and lower eyelids
- Discuss your aesthetic goals
- Determine if you’re a good candidate for combined surgery
- Explain the specific techniques that will be used
During Surgery
The upper and lower blepharoplasty same surgery typically takes 2-4 hours, depending on the complexity of your case. The procedure generally follows this sequence:
- Upper Eyelid Surgery: Removal of excess skin and fat from the upper eyelids
- Lower Eyelid Surgery: Addressing under-eye bags and excess skin
- Final Adjustments: Ensuring symmetry and optimal results
Recovery from Complete Blepharoplasty Procedure
First Week
The initial recovery from complete blepharoplasty procedure requires careful attention to post-operative care:
- Days 1-3: Expect significant swelling and bruising
- Days 4-7: Gradual reduction in swelling
- Suture removal: Usually occurs within 5-7 days
Managing Discomfort
During recovery, you can expect:
- Mild to moderate discomfort manageable with prescribed pain medication
- Temporary vision changes due to swelling
- Sensitivity to light and wind
Activity Restrictions
For optimal healing:
- Avoid strenuous activities for 2-3 weeks
- Keep your head elevated while sleeping
- Use cold compresses to reduce swelling
- Follow all post-operative care instructions carefully
Who Is a Good Candidate?
You may be an ideal candidate for combined blepharoplasty if you:
- Have concerns with both upper and lower eyelids
- Are in good overall health
- Have realistic expectations about results
- Can commit to the full recovery period
- Don’t smoke or are willing to quit before surgery
Potential Risks and Considerations
While combining procedures offers many benefits, it’s important to understand that:
- The surgery takes longer than individual procedures
- Recovery may be slightly more intensive
- There’s a slightly higher risk of complications due to the extended surgical time
However, these risks are generally minimal when performed by an experienced, board-certified plastic surgeon.
Timeline for Final Results
The complete healing process follows this general timeline:
2-4 Weeks
- Most swelling and bruising subsides
- Return to normal daily activities
- Makeup can typically be applied
3-6 Months
- Final results become apparent
- All residual swelling resolves
- Scars continue to fade and mature
Making the Decision
When considering upper and lower blepharoplasty same surgery, it’s essential to:
- Choose a board-certified plastic surgeon with extensive experience
- Discuss your goals and expectations thoroughly
- Understand the complete recovery process
- Consider your schedule and support system during recovery
Schedule a Consultation with The Seattle Eyelid & Blepharoplasty Center
Having upper and lower blepharoplasty performed simultaneously is not only safe but often the preferred approach for patients seeking comprehensive eyelid rejuvenation. The benefits of a single surgery and recovery from complete blepharoplasty procedure often outweigh the considerations, making it an excellent choice for appropriate candidates.
If you’re considering this procedure, schedule a consultation with a qualified plastic surgeon to discuss whether combined blepharoplasty is right for you. With proper planning and realistic expectations, you can achieve the refreshed, youthful appearance you desire while minimizing downtime and maximizing results.

