The choice is that of the patient and the surgeon.
Some patients prefer eyelid surgery alone, without a facelift.
Others choose to have the procedures performed in stages for personal or financial reasons. In most cases both sides are performed at the same time. It is, however, not uncommon to do only the upper eyelids or the lower eyelids alone. Incisions are made in the fold of the upper eyelid and just below the lash margin of the lower eyelid. These incisions extend to the outside of the eyelid and into the smile lines.