The Art of Balance: Upper and Lower Blepharoplasty Before and After … and Beyond!

Close-up of smiling mature woman's eye (model)

In the world of aesthetic surgery, some of the most transformative results begin with the most minor adjustments. Upper and lower blepharoplasty—commonly known as eyelid surgery—is a prime example. But while rejuvenating the eyes alone can create a brighter, more alert appearance, it’s often just one piece of the facial harmony puzzle.

For patients curious about upper and lower blepharoplasty before and after results, it’s essential to understand that the best outcomes frequently involve strategic enhancements to surrounding features. That’s because aging doesn’t happen in one isolated area. Sagging brows, hollow cheeks, and volume loss around the temples and tear troughs can all contribute to a tired, aged appearance—often masking the full impact of eyelid surgery alone.

Dr. Thomas Mustoe and Dr. Sammy Sinno specialize in comprehensive rejuvenation that looks refined and natural—keep scrolling to see for yourself!

Upper and Lower Blepharoplasty to Restore Harmony

Combining upper and lower blepharoplasty offers more than just a refreshed eye area—it creates facial harmony. Treating both the upper and lower eyelids in a single procedure allows for a balanced, natural-looking result that enhances the entire face. While upper blepharoplasty focuses on lifting drooping lids and improving vision or heaviness, lower eyelid surgery smooths under eye bags and hollows for a more rested, youthful appearance.

As these results showcase, performing upper and lower eyelid surgery simultaneously ensures seamless rejuvenation and symmetry.

Before & After Blepharoplasty by Dr. Mustoe Case 439 View #1 View in Chicago, IL
Before and After Upper and Lower Blepharoplasty in Chicago, IL, by Dr. Thomas Mustoe
Before & After Blepharoplasty by Dr. Mustoe Case 134 View #1 View in Chicago, IL
Before and After Upper and Lower Blepharoplasty in Chicago, IL, by Dr. Thomas Mustoe
Dr. Sinno Eyelid Surgery in Chicago, Illinois
Before and After Upper and Lower Blepharoplasty in Chicago, IL, by Dr. Sammy Sinno
Before & After Blepharoplasty by Dr. Sinno Case 920 Front View in Chicago, IL
Before and After Upper and Lower Blepharoplasty in Chicago, IL, by Dr. Sammy Sinno

Looking Beyond the Eyelids

The eyes are a facial focal point, but the surrounding structures often influence how aged or fatigued a face looks. For instance, a patient with low-hanging brows or flattened cheeks may still appear tired after blepharoplasty if those concerns aren’t addressed.

Each patient’s full facial anatomy is thoroughly evaluated during consultations with our board-certified plastic surgeons. This holistic approach helps determine whether complementary procedures, like a brow lift, fat transfer, or a facelift, might elevate upper and lower blepharoplasty results for a more naturally refreshed look. This is often the case.

When a Brow Lift Makes Sense

In some cases, what looks like drooping upper eyelid skin is caused by a descending brow. A brow lift restores the natural arch and creates a more open upper eye area without over-resecting eyelid skin.

In these cases, note how combining a subtle brow lift with upper blepharoplasty preserves natural expression while dramatically rejuvenating the upper facial region.

Before & After Blepharoplasty by Dr. Sinno Case 902 Front View in Chicago, IL
Before and After Upper Blepharoplasty With Brow Lift in Chicago, IL, by Dr. Sammy Sinno
Before & After Blepharoplasty by Dr. Mustoe Case 963 Front View in Chicago, IL
Before and After Upper Blepharoplasty With Brow Lift in Chicago, IL, by Dr. Thomas Mustoe

Replacing Volume for Natural Contours

Due to aging, volume loss under the eyes and around the temples and cheeks may create shadows and hollows that make you look older than you feel. Fat grafting or dermal fillers restore youthful-looking softness and smooth transitions between facial zones.

Dr. Mustoe often incorporates fat transfer with eyelid surgery to enhance blepharoplasty results. These refinements create a seamless, rested appearance that goes beyond fresher eyes.

Before & After Blepharoplasty by Dr. Mustoe Case 1047 Front View in Chicago, IL
Before and After Blepharoplasty with Fat Grafting in Chicago, IL, by Dr. Thomas Mustoe

Lifting the Midface for True Balance

Combining a facelift with eyelid surgery and/or a brow lift offers the most cohesive rejuvenation for some patients. While blepharoplasty surgery addresses sagging skin or puffiness around the eyes, a facelift improves the lower face, including jowls and nasolabial folds, restoring harmony from brow to jawline.

In the featured case below, Dr. Sinno’s patient benefited from refreshing the eye and brow region with blepharoplasty and improving mid-to-lower face contours with a facelift. The result is a radiant yet completely natural look that reflects her vitality without a trace of overt “work.”

Before & After Facelift/Minilift by Dr. Sinno Case 784 Right Oblique View in Chicago, IL
Before and After Blepharoplasty, a Brow Lift, and Facelift Surgery in Chicago, IL, by Dr. Sammy Sinno

To help the patient featured below achieve a refreshed, natural look without obvious signs of surgery. Dr. Mustoe performed a customized combination of upper blepharoplasty, brow lift, fat grafting, and facelift surgery. The results are harmonious and youthful-looking without appearing overdone.

Before & After Deep Plane Facelift by Dr. Mustoe Case 997 Front View in Chicago, IL
Before and After Blepharoplasty with Brow Lift, Fat Grafting, and a Facelift in Chicago, IL, by Dr. Thomas Mustoe

One Surgery, One Recovery

Combining procedures often means one surgery date and one recovery period. Many patients appreciate the efficiency and cost savings, not to mention the ability to emerge from downtime with more dramatic—but still natural-looking—results. When going this route, it’s essential to prioritize your safety by selecting a board-certified plastic surgeon with a proven skillset and track record for performing combination procedures.

Tailored Treatment for Harmonious Results

Not everyone needs multiple procedures. For some, upper or lower blepharoplasty alone achieves the desired outcome. However, for those seeking comprehensive facial rejuvenation, Dr. Mustoe and Dr. Sinno’s artistic eye, expertise, and conservative techniques ensure every enhancement complements—rather than changes—your natural features. During your personalized consultation, Dr. Mustoe or Dr. Sinno will assess your unique needs and share a treatment plan that aligns with your cosmetic goals.

Upper and Lower Blepharoplasty: Your Next Step

Have our before and after photos inspired you to pursue the possibilities of refreshing your look? We encourage you to request a consultation with Dr. Mustoe or Dr. Sinno using the online form or by calling our office at (312) 788-2560. We can’t wait to discuss whether blepharoplasty is right for you and whether other complementary options can help you look like the most vibrant version of yourself!

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