Transcript: The changes in the upper and lower eyelids associated with aging are quite different and so the surgical correction has to be different as well.
In the upper eyelid, the problem is more a stretching of the skin, and so the correction is designed to remove the excess skin. On the other hand, the lower eyelids have a problem of bulging or bags under the eyes, which come from protruding fat pads. And so, the best treatment is often just a conservative removal of fat and there is no need to remove any skin.
Not everyone needs both upper and lower eyelid surgery. As with all cosmetic procedures, the treatment is dictated by the person’s anatomy and goals – and it is true with upper and lower eyelid surgery as well.