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Q. Should I add an upper blepharoplasty to my facelift? I’m getting a facelift and fat transfer to my face. I also want to get a blethaplasty on my upper eyelids. I am concerned that the doctor has too much to do and will cut corners on my facelift and muscle work. I trust the doctor but still have this fear. Is this a valid fear? A. The idea of cosmetic surgical and non-surgical improvements generates a enlarging “wishlist” for many of my patients. Reason and safety must prevail. If a blepharoplasty is indicated, the benefits of adding a blepharoplasty outweigh the risk and you trust your surgeon, I cannot anticipate any reason why you may hesitate to proceed. Your surgeon should add the additional time required to comfortably provide you the right care; and not rush one procedure to perform an additional one. The obvious advantages include: