Blepharoplasty or Facelift? Exploring Which Procedure to have First

Cosmetic surgery has become increasingly popular over the years, offering individuals the opportunity to enhance their appearance and boost their confidence. Among the various procedures available, blepharoplasty (eyelid surgery) and facelifts are commonly sought after to address signs of aging around the eyes and face. However, for those considering both, the question arises: should you opt for blepharoplasty before or after a facelift? Let’s explore the factors to consider when making this decision.

Understanding Blepharoplasty and Facelift:

Blepharoplasty focuses on rejuvenating the eyelids. An upper blepharoplasty targets the upper eyelids and removes skin and defines the eyelid crease, while a lower blepharoplasty targets fat bags of the lower eyelid. On the other hand, a facelift focuses the lower two-thirds of the face, addressing sagging skin, deep creases, and jowls, typically through tightening the deeper layers.

Factors to Consider:
1. Severity of Aging Signs:

Assess the extent of changes around your eyes and face. If your main concern is sagging, drooping, or puffy eyelids with minimal signs of aging in the lower face, opting for blepharoplasty first might be suitable. Conversely, if your primary concern is sagging jowls or deep facial creases, a facelift might take precedence.

2. Desired Overall Outcome:

Consider your aesthetic goals and how blepharoplasty and facelift can complement each other. Some individuals prefer to address all aging concerns at once for a comprehensive rejuvenation, while others may prioritize one area before proceeding to the next. Having one surgeon perform the blepharoplasty and facelift may be an option, but our recommendation is to find the best surgeon for each particular procedure. While some surgeons may offer both blepharoplasty and facelift, this does not mean that they have the requisite skill and experience to get the best possible result for both procedures. 

3. Recovery Time:

Both blepharoplasty and facelift entail a period of recovery, during which swelling, bruising, and discomfort are common. However, comparatively, blepharoplasty is a much easier recovery with less downtime. 

4. Consultation with a Plastic Surgeon:

Ultimately, the best course of action can be determined through a thorough consultation with a board-certified plastic surgeon. They can evaluate your unique anatomy, discuss your goals, and provide personalized recommendations tailored to your needs.

Deciding whether to undergo blepharoplasty before or after a facelift requires careful consideration of various factors, including the severity of aging signs, desired outcomes, recovery time, and consultation with a plastic surgeon. The key is to prioritize your individual needs and goals while also achieving the best possible results. Our recommendation is to see an expert for each specific procedure you are considering, and this most often means having two separate surgeries. Schedule a consultation with Dr. Mettu to learn more about your options for upper and lower blepharoplasty.