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Are You Worried About Sagging Eyelids in Middle Age?

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · January 15, 2024

​ Hello. This is Ainique. Sagging eyelids in middle age are one of the natural aging changes that can appear in anyone over time. As the eyes age, they lose elasticity and the musc...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Inique Plastic Surgery

Original post date: January 15, 2024

Translated at: April 23, 2026 at 3:53 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Hello.

This is Ainique.

Sagging eyelids in middle age are one of the natural aging changes that can appear in anyone over time. As the eyes age, they lose elasticity and the muscles weaken, making sagging more likely to occur.

In particular, the skin and soft tissues of the eyelids lose elasticity and develop wrinkles as we age, and after middle age, facial fat decreases, reducing support around the eyes and making the eyes appear even more saggy.

In addition to the reasons above,

if the muscles around the eyes, such as the quadrate muscle and orbicular muscle, become weakened, the eyes may feel tired, and tension, ongoing stress, and irregular sleep can also affect the muscles around the eyes, which may be related to sagging eyelids in middle age.

If sagging eyelids in middle age or changes in the shape of the eyes cause significant inconvenience in daily life or lead to vision problems,

it is recommended to consult an ophthalmology specialist and receive appropriate examination and surgery.

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Methods that can help address sagging eyelids in middle age include brow-below lifting and lower blepharoplasty.

Brow-below lifting is recommended when sagging eyelids make the eyes look smaller and obstruct the field of vision.

It is a surgical method that improves eyelid sagging by incising the sagging skin and muscle beneath the eyebrow without changing the original eye shape.

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Brow-below lifting does not alter the original double-eyelid line and removes only the sagging portion, so the facial impression does not change even after surgery. This makes it much more natural than upper blepharoplasty and also results in a shorter recovery period.

You may be wondering why upper blepharoplasty is not recommended as a solution for sagging eyelids in middle age.

The reason is that the results can look unnatural and change the facial impression.

The skin of the eyelids is generally thinner on the lower side and becomes thicker closer to the upper eyebrow.

However, upper blepharoplasty removes the thin skin just above the double-eyelid line, so the thicker upper skin comes down, making the eyelids thicker and creating an unnatural look.

For this reason, Ainique, a clinic specializing in eye surgery, recommends brow-below lifting, which removes the thicker upper skin, more strongly.

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In the case of lower blepharoplasty, it is a method that creates a cleaner under-eye area by removing the sagging tissue under the eyes.

For lower blepharoplasty, care must be taken to avoid ectropion, a symptom in which the area under the eyes turns outward.

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This is a side effect caused by excessive skin removal, so at Ainique, only about 80% of the sagging skin is removed and the muscles are preserved as much as possible to ensure that ectropion does not occur.

Sagging eyelids in middle age can help improve eye function, but because sagging eyelids can make a person look older, tired, or depressed, many middle-aged people are interested in treatment.

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Since the eyes play an important role not only in appearance but also in important bodily functions, Ainique carefully checks each patient’s health condition, needs, and degree of eyelid sagging before surgery, and through detailed consultations, suggests the surgical method that is appropriate for the patient.

After surgery, it is important to allow 충분한 recovery time and not overdo it, and Ainique also provides regular follow-up care for patients.

If you are worried about sagging eyelids in middle age, try Ainique, recognized for its skill through more than 5,000 eye surgeries!

Then, as if you had been beautiful from the very beginning,

this was Ainique.

Thank you.

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