Smiling Eyes Again: Marisa’s Journey with Combined Upper and Lower Blepharoplasty

The desire to restore a fresh, rested, and youthful appearance to the eyes is one of the most common reasons patients visit our clinic. For Marisa, a 54-year-old patient, the daily discomfort was twofold and significantly impacted her well-being. First, she struggled with a prominent amount of excess skin on her upper eyelids, which not only created an aesthetic concern but also caused a heavy, uncomfortable sensation and actual visual field disturbances. Secondly, she dealt with noticeable under-eye bags, dark circles with a purple hue, and general skin laxity in the lower eyelid region. Together, these issues resulted in a persistently tired and aged gaze that didn’t match how she felt inside.


The ideal and customized solution for Marisa’s specific clinical presentation was a combined surgical approach utilizing upper blepharoplasty and lower blepharoplasty. During her initial consultation, we mapped out a precise surgical plan to remove the burdensome upper skin fold while simultaneously lifting and smoothing the lower eye area. Our paramount objective in these cases is always to achieve a highly natural and harmonious result—meticulously removing excess tissue while strictly preserving the patient’s natural eye shape and innate expression.

Marisa’s post-operative recovery was outstanding. At her first check-up, just 10 days after the surgery, she confirmed experiencing absolutely no pain. She noted only mild, transient itching and slight localized swelling, both of which are completely normal and expected during the early stages of the healing process. Even at this early stage, her incisions were already healing beautifully.

By her follow-up appointment a little over a month later, the stunning final results were truly shining through. The lower eye area now looks clean and smooth, the heavy bags are completely gone, and the surgical scars are crisp and barely visible to the naked eye. Marisa shared that she is thrilled with the outcome, noting that the most rewarding part has been the constant compliments from friends who mention her eyes are “smiling” once again. If you are ready to refresh your appearance and remove heavy eyelid skin, schedule your personalized consultation today through our contact page.