Facial Surgery

Combined upper and lower eyelid surgery

Refresh the whole eye area in one procedure, treating hooding above and bags below together.

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.

Quick facts

  • Procedure time: Usually 1.5--2.5 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

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.

Why Skulpturkliniken

Eyelid surgery by Dr. Matteo Amoroso

Eyelid surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon whose balanced, conservative technique refreshes the whole eye while keeping its natural character.

Natural, balanced results

Dr. Amoroso plans facial surgery around harmony and proportion, not a pulled or operated look. The aim is a refreshed version of your own face, where the change reads as good health rather than surgery.

Reconstructive precision meets aesthetic judgment

His background in reconstructive microsurgery brings a detailed command of facial anatomy, the nerves, the deeper support layers, and the way tissues age. That precision underpins both safety and natural, lasting results.

Individualized assessment

Every eyelid procedure begins with a detailed assessment. We evaluate:

  • Upper-lid skin and fat
  • Lower-lid bags, skin, and support
  • Brow position
  • Eye health and tear function
  • Symmetry across the eye area
  • Whether one or both lids need treatment

Safety, precision, and long-term care

Safety is central to every step of the surgical journey. Your treatment includes:

  1. ✓ Specialist consultation with Dr. Matteo Amoroso
  2. ✓ Detailed assessment and individualized surgical planning
  3. ✓ Careful evaluation of whether surgery is the right option
  4. ✓ Preoperative preparation guidance
  5. ✓ Surgery in a safe and controlled surgical environment
  6. ✓ Scheduled postoperative follow-up visits
  7. ✓ Direct access to the surgeon and nursing team
  8. ✓ Digital medical records through Adoreal®
  9. ✓ Patient insurance through Folksam
  10. ✓ Long-term postoperative support

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 each of our patients.

The Adoreal app on a phone showing your care journey

You are in Control

Complete access to your information, health records and previous journeys.

The Adoreal app – feature view

Unmatched Predictability

Manage your expectations with our questionnare Silhouette, and visualise your ideal outcomes with 3D simulation.

Trusted step-by-step guide

From bookings to payments, logistics and after care, Adoreal will be your companion.

The Adoreal app – feature view

Enhanced Safety Measures

Complimentary health check, conscious monitoring, and meticulous preparation.

In their words

Patients trust Skulpturkliniken for care.

Our patient trust is our greater achievement.

Jun 17, 2026

The best surgeon

I had a circumferential abdominoplasty with Matteo Amoroso, and I can honestly say I couldn't have wished for a better surgeon. From the moment I met Matteo, I felt the sense of security I was looking for. He was kind, attentive, and professional from the very beginning. He took the time to explain everything in detail and answered all my questions, which made me feel well-informed before the surgery. I never had to go home and wonder about anything because he was so thorough in his explanations. It's now been three weeks since my surgery, and even though the healing process is still ongoing, I'm already incredibly happy with the result. The change is greater than I had dared to hope for, and I feel so grateful that I chose Matteo. I have more surgeries I want to undergo in the future, and there's no doubt that Matteo will be my first choice then too. I warmly recommend him to anyone considering plastic surgery!

May 18, 2026

A pro

I've had two surgeries with Matteo. The first was liposuction on my stomach, and most recently, my eyes – specifically, my lower eyelids and eyebrows. Matteo suggested a unique technique for my eyebrows that no other surgeon had proposed. This allowed me to remove excess skin under my eyebrows without needing an eyebrow or forehead lift, which I wasn't interested in. I'm extremely happy with the results of both my procedures. Matteo is a true professional; he loves his work, and you're always met with kindness and genuine care. He's an excellent communicator, explaining everything clearly and answering all questions and concerns. You feel completely confident in his knowledge and experience. Matteo also has a wonderful ability to make you feel understood; he listens carefully and is just as dedicated and invested as you are in achieving a successful procedure and outcome. I wholeheartedly recommend Dr. Matteo. I've had surgery 6 times in total, with the last two being with him. Whatever my next procedure may be, I will undoubtedly choose Matteo first again.

May 10, 2026

The best surgeon

Matteo is an incredibly skilled surgeon whom I highly recommend. I underwent a major tummy tuck, and from the very first consultation, Matteo was professional, calm, and very accessible. He took the time to answer all my questions and made me feel secure, involved, and well-informed throughout the entire process. He thoroughly explained the procedure, recovery, and what results I could expect, which gave me great confidence going into the surgery. Everything went very well without any complications, and I am very happy with the result. I would undoubtedly choose Matteo again if I were to have more procedures in the future.

Apr 6, 2026

The best choice for a plastic surgeon!

Dr. Amoroso has performed several operations on me, including a neck and facelift with fat grafting, a lip lift, eyelid surgery, breast and tummy tucks, and liposuction on my knees. All operations have been successful and exceeded my expectations. I have worked with doctors for 50 years and am very impressed by Dr. Amoroso's artistry and skill. He is truly an asset to this profession and to patients who desire excellent results and the peace of mind that comes from being cared for in a responsible and professional manner.

Mar 13, 2026

Successful 360 lipo

Matteo is the best surgeon I could ever imagine. I am beyond satisfied. Both the care I received and the results of the 360 liposuction Matteo performed on me have been absolutely fantastic. It couldn't have been better! Everything has exceeded my expectations. Matteo is professional, skilled, competent, caring, reassuring, and experienced. Thank you, Matteo!

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Resources

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