Facial
Combined upper and lower eyelid surgery
Refresh the whole eye area in one procedure, treating hooding above and bags below together.
Quick Facts
- Procedure time: Usually about 1.5 hours
- Anesthesia: Local anesthesia with sedation, or general anesthesia
- Clinic stay: Same-day discharge
- Recovery: Around 1–2 weeks
- Back to social life: About 2 weeks
- Final result: Settles over a few weeks
- Price: Determined after consultation
- Minimum age: From 18 years
What it is
Combined eyelid surgery treats the upper and lower lids in a single procedure, addressing hooding and heaviness above and bags below at the same time. It suits patients whose whole eye area looks tired and who want a balanced, complete refresh in one recovery.
The upper lids are refined by removing excess skin and a little fat through the natural crease, while the lower lids are smoothed by removing or repositioning fat, often through an incision inside the lid. Treating both keeps the eyes in harmony.
Doing both together means one anesthetic and one recovery rather than two. It does not lift the brow or treat pigment-based dark circles. All surgery carries risks, and results vary.
What it can improve
- Hooding and heaviness of the upper lids
- Under-eye bags on the lower lids
- An overall tired look to the eyes
- Balance and harmony across the whole eye area
It does not lift a low brow, treat pigment-based dark circles, or improve skin texture and fine lines. It does not stop further aging.
Before the procedure
You will receive instructions on medication, supplements, smoking, and fasting. Both lids and the brow are assessed together so the plan balances the whole eye area.
During the procedure
The upper lids are refined through the natural crease and the lower lids through an incision inside the lid or below the lashes, removing or repositioning skin and fat as needed for a balanced result.
After the procedure
Swelling and bruising around the eyes settle over one to two weeks, helped by cool compresses and head elevation. Most patients return to social activity within about two weeks.
Results: what it can and cannot achieve
A refreshed, balanced, less tired eye area is achievable in one recovery. It cannot raise the brow, cannot treat pigment-based dark circles, and conservative technique protects lower-lid position.
Possible risks and complications
Combined eyelid surgery carries the risks of both upper and lower procedures. Possible risks include:
- Bruising and swelling
- Infection
- Dry or irritated eyes
- Lower-lid malposition (ectropion)
- Asymmetry between the lids
- Visible scarring where external incisions are used
- Rarely, changes in vision
Existing dry eye or eye conditions should be discussed. Conservative lower-lid technique protects lid position. Smoking impairs healing.
Who it suits
Combined eyelid surgery may suit patients with both upper and lower lid concerns. It is especially suitable for patients who:
- Have hooding above and bags below
- Want to refresh the whole eye area in one recovery
- Understand it does not treat pigment or the brow
- Are in good general health with realistic expectations and do not smoke or can stop before and after surgery
It may not suit patients with only upper or only lower lid concerns, who may need a single procedure, or those whose main issue is the brow. Your surgeon advises after assessing the whole area.
Why Skulpturkliniken
Facial Surgery by Dr. Matteo Amoroso
Dr. Matteo Amoroso, MD, PhD, is a senior consultant in plastic surgery with extensive experience in both aesthetic and reconstructive surgery.
His background includes advanced international surgical training at several world-leading institutions and highly specialised surgical centres. Through fellowships in microsurgery and supermicrosurgery in Taiwan, Japan, and South Korea, he gained exceptional experience in complex tissue reconstruction, precision surgery, and advanced anatomical techniques.
Dr. Amoroso also worked for several years at Karolinska University Hospital, where he performed advanced microsurgical reconstruction of the head and neck. These complex procedures required meticulous planning, detailed anatomical knowledge, and a high level of technical precision.
This reconstructive background has profoundly shaped his approach to aesthetic facial surgery. His work is founded on a deep understanding of facial anatomy, careful surgical execution, patient safety, and the creation of natural-looking, harmonious results.
His philosophy is simple: reveal, do not reinvent. The purpose of facial surgery is not to change your identity, but to restore balance, definition, and freshness while preserving the individual characteristics that make your face uniquely yours.
A Refined and Natural Approach to Eyelid Surgery
Eyelid surgery requires more than technical ability. It demands a detailed understanding of the delicate anatomy around the eyes, refined aesthetic judgment, surgical precision, and respect for the patient’s natural identity.
At Skulpturkliniken, eyelid surgery is performed by Dr. Matteo Amoroso using an individualised and anatomically based approach. His focus is on creating elegant, balanced results that restore a fresher and more rested appearance without making the eyes look hollow, tight, altered, or overoperated.
Successful eyelid rejuvenation requires the entire eye area to be considered as a whole. The upper and lower eyelids, eyebrows, temples, cheeks, tear troughs, skin quality, and facial volume are closely connected and influence one another. Treating the eyelids in isolation without considering the surrounding structures may produce an incomplete or disharmonious result.
For this reason, every eyelid procedure at Skulpturkliniken is planned around your individual anatomy, eyelid shape, skin quality, facial proportions, and personal goals. The intention is to reduce heaviness, puffiness, excess skin, and visible signs of ageing while preserving the natural character and expression of your eyes.
You should still look like yourself, only more rested, refreshed, and naturally refined.
A Relationship Built on Trust
Choosing a facial surgeon is an important and deeply personal decision. The relationship between you and your surgeon should be founded on open and transparent communication, realistic expectations, and strong mutual trust. This relationship is an essential part of a safe and successful surgical experience.
Dr. Amoroso’s approach is calm, honest, and attentive. From the first consultation, the focus is on understanding your concerns and helping you make a well-informed decision. He will explain what can realistically be achieved, which surgical technique may be most appropriate, and whether facial surgery is genuinely the right option for your anatomy and goals.
Each patient is personally guided through every stage of the process, from the initial consultation and surgical planning to the operation, recovery, and long-term follow-up. His aim is to achieve a result that feels natural, restores confidence, and contributes positively to the patient’s quality of life.
Patients choose Dr. Amoroso not only because of his qualifications, international experience, reconstructive background, and refined eye for facial balance, but also because of the personal attention he gives to every individual. Complications, questions, or worries may arise. That’s part of being human but you will never face them alone. Whether it's a moment of concern, an unusual symptom, or simply the need to speak to someone, we are behind you.
What Does upper and lower eyelid surgery Cost?
The cost of upper and lower eyelid surgery is listed in the price section and often doesn't change. However, the price depends on the extent of the procedure, the technique used, anesthesia, surgical time, and whether additional procedures are combined, such as brow lift, facial fat grafting, or laser resurfacing.
Facial surgery requires precision, anatomical knowledge, experience, safety, and a refined aesthetic eye. Every procedure is individually planned, and the final price is discussed clearly during consultation after Dr. Matteo Amoroso has assessed your anatomy, goals, and surgical needs.
All surgical prices include one of the most extensive, transparent, and safe warranty programs. The price is designed to be comprehensive and includes everything related to the operation, from consultation and surgical planning to the procedure itself, compression garment when applicable, direct access to Dr. Matteo Amoroso and the medical team, and unlimited follow-up controls during the first year.
Safety and Trust
When considering Facial surgery, price should not be the only factor.
Safety is central to every step of the surgical journey. At Skulpturkliniken, safety isn't a luxury, it's the foundation of everything we do. We have created an environment where accessibility, personal connection, and full transparency are not privileges, but standards. Your Surgeon will be your closest point of contact. We understand that aesthetic surgery is a personal journey, sometimes even life-changing. We have built a model where you don't just meet a surgeon, you build a trust-based, continuous relationship with him. From your first consultation to long after your recovery, your surgeon is personally available to you. You will never find yourself speaking to a call center or an automated message. Need guidance, reassurance, or a second opinion, we will be there not as a favor, but as a part of our philosophy.
Your Treatment Includes:
Choosing Skulpturkliniken means choosing a complete experience with no compromises.
Our pricing is fully transparent and published openly on our website, what you see is what you pay, with no hidden fees or additional charges.
- Extensive first consultation with Dr. Matteo Amoroso
- Eventual additional preoperative consultation with Dr. Matteo Amoroso
- Detailed assessment and individualized surgical planning
- 3D simulation
- Careful evaluation of whether surgery is the right option
- Preoperative preparation guidance
- Surgery in a safe and controlled surgical environment
- Anesthesia
- Compression garments
- Unlimited postoperative follow-up visits during the first year
- Direct access to the surgeon and nursing team
- Digital access to your medical records through Adoreal®
- Aesthetic care program
- Patient insurance through Folksam
- Long-term postoperative support
- One of the most extensive, transparent, and safe warranty programs.
Frequently asked questions
In their words
Patients trust Skulpturkliniken for care.
Trust The Adoreal Experience
The Adoreal Platform gives you complete control of your aesthetic journey. You will be guided throughout your entire process, from consultation to recovery, ensuring an exceptional experience for you as a patient.
You are in control
Complete access to your information, health records and previous journeys.
Unmatched predictability
Manage your expectations with our questionnaire Silhouette, and visualize your ideal outcomes with 3D simulation.
Trusted step-by-step guide
From bookings to payments, logistics and after care, Adoreal will be your companion.
Empowered safety measures
Complimentary health check, careful monitoring, and meticulous preparation.
