Before and After upper and lower eyelid blepharoplasty

The Art of Natural Rejuvenation: Achieving a Refreshed Look with Combined Eyelid Surgery

The eyes are often described as the windows to the soul, conveying our emotions and vitality. However, as time progresses, the delicate skin and tissues around our eyes can undergo changes – upper eyelids may begin to droop and hood, while lower eyelids can develop puffiness or “bags.” These common signs of aging can inadvertently create an appearance of tiredness or sadness that doesn’t reflect how we feel internally. For those seeking a comprehensive yet remarkably natural-looking solution, combined upper and lower eyelid blepharoplasty offers a path to significant eyelid rejuvenation.

This sophisticated eyelid surgery is a cornerstone of the procedures performed by Dr. Jason Sabet-Peyman. As a board-certified ophthalmologist who is fellowship-trained in oculofacial plastic and reconstructive surgery, Dr. Sabet-Peyman possesses a unique and profound understanding of both the functional health of the eye and the intricate aesthetics of the surrounding facial structures. His practice is dedicated to achieving results that are not only rejuvenating but also harmoniously natural, enhancing each patient’s inherent features.

Understanding the Changes Around Your Eyes

To appreciate how blepharoplasty works, it’s helpful to understand what causes these age-related changes:

  • Upper Eyelids: Over time, the skin on the upper eyelids can lose its elasticity and begin to sag. Underlying fat pads may also shift or become more prominent. This can lead to a “hooded” appearance, and in some cases, even partial obstruction of the upper visual field.
  • Lower Eyelids: The “bags” or puffiness often seen under the eyes are typically due to the herniation, or bulging, of normal orbital fat pads. As the thin skin and supporting tissues of the lower eyelid weaken with age, these fat pads can become more noticeable.

Combined Blepharoplasty: A Comprehensive Solution for Total Eye Rejuvenation

Upper and lower eyelid blepharoplasty addresses these concerns simultaneously, providing a balanced and holistic rejuvenation:

  • Upper Blepharoplasty: During this procedure, precise incisions are often hidden within the natural crease of the upper eyelid. Through these, Dr. Sabet-Peyman carefully removes excess skin and repositions or sculpts underlying fatty tissue. The result is a smoother, more defined upper eyelid platform, a more alert and open eye appearance, and in some cases, an unhindered field of vision.
  • Lower Blepharoplasty: For the lower eyelids, the focus is typically on eyelid bag removal and reducing puffiness. Dr. Sabet-Peyman frequently utilizes a transconjunctival blepharoplasty approach. This advanced technique involves making an incision discreetly on the inside surface of the lower eyelid, meaning there are no visible external skin scars. Through this internal incision, he can access and reduce or reposition the protruding fat pads, effectively diminishing bags and creating a smoother transition from the lower eyelid to the cheek.

The Artistry of Achieving Truly Natural Results

The ultimate goal of eyelid rejuvenation with Dr. Jason Sabet-Peyman is to achieve results that look refreshed and youthful, yet entirely natural – as if you’ve simply had a wonderfully restful vacation. This “art of natural results” stems from:

  • A Deep Understanding of Facial Anatomy: Recognizing that the eyes do not exist in isolation, but are part of a dynamic, expressive whole.
  • Meticulous Surgical Planning: Each surgery is tailored to the individual’s unique anatomical structures, skin quality, and specific aesthetic aspirations. This isn’t a “one-size-fits-all” procedure.
  • Preservation of Identity: Enhancing your appearance means helping you look like the best version of yourself, not like someone else. Natural results maintain your unique character.
  • Avoiding an “Overdone” Look: The focus is on subtle, refined changes that avoid the tell-tale signs of surgery, ensuring you look rested, not “operated on.”

The transformative results, such as those shown for the patient in the accompanying before-and-after photograph, beautifully illustrate this philosophy: the aim is a significant improvement that still feels authentic and true to the individual.

Why Opt for Combined Upper and Lower Eyelid Surgery?

Addressing both the upper and lower eyelids in a single, coordinated procedure often yields the most harmonious and satisfying outcomes. Key advantages include:

  • Comprehensive Rejuvenation: Tackles all primary age-related concerns around the eyes simultaneously.
  • Enhanced Facial Balance: Ensures that the improvements in the upper and lower eyelids are proportionate and complement each other.
  • One Consolidated Recovery Period: Patients experience a single period of healing, rather than undergoing two separate surgical episodes and recovery phases.

The Importance of Specialized Oculofacial Expertise

The eyelids are among the most delicate and complex structures of the face, integral to both vision and appearance. Entrusting your eyelid surgery to a board-certified ophthalmologist who is fellowship-trained in oculofacial plastic and reconstructive surgery, like Dr. Jason Sabet-Peyman, is crucial. This extensive specialization provides:

  • An intimate knowledge of eye health and safety.
  • Advanced training in the full spectrum of oculoplastic surgery techniques.
  • A refined aesthetic sense honed by focusing exclusively on the eye and surrounding facial regions.

Your Consultation: The First Step to Natural Rejuvenation

The journey toward refreshed, natural-looking eyes begins with a comprehensive consultation. During this important meeting, Dr. Jason Sabet-Peyman will:

  • Listen carefully to your concerns and aesthetic goals.
  • Perform a thorough examination of your eyes and periorbital area.
  • Discuss your medical history.
  • Explain the proposed surgical plan in detail, including what can be realistically achieved.
  • Answer all your questions, ensuring you feel fully informed and comfortable.

This personalized approach is key to developing a treatment strategy that aligns with your vision for natural enhancement.

What to Expect During Recovery

Following combined upper and lower blepharoplasty, some temporary swelling, bruising, and mild discomfort are normal. Dr. Sabet-Peyman and his team will provide detailed post-operative instructions to help manage these effects and promote a smooth recovery. Most patients have minimal pain by the evening of surgery and are able to drive by the next day. There are no patches of covers over the eyes. Walking is fine but patients should minimize bending, straining, or lifting within the first two weeks. At the end of two weeks, most of the bruising and swelling has resolved.  

Discover Natural Eyelid Rejuvenation in Orange County

If you feel that your eyes make you look older or more tired than you truly are, combined upper and lower eyelid blepharoplasty can offer a significant yet wonderfully natural rejuvenation. When performed by a highly skilled and specialized surgeon like Dr. Jason Sabet-Peyman, this eyelid surgery can help restore a brighter, more rested, and subtly more youthful appearance that is authentically you.

Dr. Jason Sabet-Peyman provides expert oculoplastic surgery at his state-of-the-art office in Fullerton, California. He proudly serves patients seeking Orange County blepharoplasty from across the region, including neighboring communities such as Anaheim, Brea, and Placentia, as well as those from Irvine, Newport Beach, Yorba Linda, Tustin, and beyond.

To learn more about achieving natural eyelid rejuvenation, we invite you to schedule a personal consultation. Contact our Fullerton office today at (714) 449-1940.


As a leading oculoplastic surgeon based in Fullerton, Dr. Jason Sabet-Peyman offers highly specialized cosmetic and reconstructive eyelid procedures. His expertise draws patients not only from Fullerton but also from across Orange County, including residents of Newport Beach, Irvine, Yorba Linda, Anaheim Hills, and beyond, who value his meticulous approach and natural results.
Skip to content