How Can Drooping Upper Eyelids Be Improved in Middle Age?

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Upper Blepharoplasty in Middle Age

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Many people notice that their eyelids look heavier than they used to when they look in the mirror,

but simply dismiss it as “aging.”

However, in quite a few cases, this drooping progresses

beyond a change in appearance and can even obstruct the field of vision.

At Globie Plastic Surgery Clinic, when speaking with people concerned about drooping eyelids,

our principle is to honestly explain first what stage their condition is currently at,

rather than hastily recommending surgery.

We will explain step by step how to improve drooping eyelids,

from the underlying principles to the actual recovery process.

Drooping eyelids are not just a skin problem

Upper Blepharoplasty in Middle Age

I cannot tell whether my double eyelid has disappeared,

or whether my eyes have simply become smaller.

This is what people who visit our consultation room after their 40s

say most often.

If these words sound familiar to you,

there is a good chance it is not simply your imagination.

Drooping eyelids are not merely a change in the skin.

The upper eyelid contains the levator palpebrae superioris,

the muscle that opens the eye.

As we age, the strength of this muscle gradually weakens,

while the eyelid skin also begins to sag downward

as it can no longer overcome gravity.

If only the skin has become loose, the approach may be to remove the excess skin,

but if ptosis caused by weakened muscle strength is also present,

it is difficult to expect sufficient improvement

from skin excision alone.

This is why we directly examine the eyelid thickness and degree of drooping

with our hands during consultations.

Here is one simple way to check for yourself.

If your eyes open noticeably wider when you gently lift the area above your eyebrows with your fingers,

this may be a sign that your forehead muscles are already helping to lift your eyelids.

If upper blepharoplasty alone is performed in this situation,

the result may be less satisfactory than expected,

so it is more accurate to also consider the position of the eyebrows

and whether a forehead lift is needed.

On the other hand, for people whose drooping is still at an early stage

or who do not have sufficient excess skin,

we honestly explain that another approach may be more suitable than surgery.

Rather than trying to solve every case with surgery,

our basic approach at Globie Plastic Surgery Clinic is to first find the method

that best suits the person's current condition.

Recovery after surgery,

what to pay extra attention to in middle age

Upper Blepharoplasty in Middle Age

Does recovery take longer than it does for younger people?

This is the point that concerns people the most

when considering upper blepharoplasty for the first time after middle age.

To give you the conclusion first, the quality of care during the recovery period

has a greater effect on the outcome than the speed of recovery itself.

The first thing a patient in her early 50s said when she visited us was,

“My eyelids feel so heavy that it becomes difficult to keep my eyes open in the afternoon.”

After examining her condition, we found that along with skin laxity,

the levator muscle had also weakened somewhat,

so we planned to perform skin excision together with muscle correction.

When we checked her condition the day after surgery, there was some swelling,

but it was mild enough to be easily concealed with glasses,

and she resumed her social activities one week after the stitches were removed.

Around one month later, she said, “It has been a long time since opening my eyes felt this comfortable.”

This is the kind of response we hear when functional discomfort is also relieved.

However, care during the recovery period is essential for this kind of progress.

The stitches are removed between 5 and 7 days after surgery,

and the following week is an important period when the incision begins to stabilize.

During this period, the basic rule is not to rub the area around the eyes when washing your face,

and it is safer to finish with a gentle wash by lightly splashing water over the face.

Scar ointment should be started about 10 days after stitch removal

and applied consistently after washing your face in the morning and evening for up to six months,

which can practically help the scar settle smoothly.

The points we emphasize most in practice are alcohol consumption and smoking.

Because they interfere with circulation and slow wound healing,

they must be avoided for three weeks, until the skin barrier has sufficiently recovered.

Following these precautions carefully

can help ensure a smooth recovery.

You will feel much more at ease if you evaluate the results based on how they look three or six months later,

rather than focusing on your appearance immediately after surgery.

Drooping eyelids tend to progress more quickly

over time.

Even if your condition does not currently require surgery,

simply understanding its present stage

will make your options much clearer later on.

At Globie Plastic Surgery Clinic, our principle is to provide an accurate diagnosis suited to your current condition,

rather than automatically recommending surgery.

If you would like to know the precise plan suited to your eyelid condition and individual circumstances,

please feel free to confirm your options through a consultation first.

※ The surgical method and recovery period for upper blepharoplasty may vary depending on the individual's eyelid condition, skin elasticity, and muscle function. Because complications may occur, be sure to make a decision after a sufficient consultation.

Globie Plastic Surgery Clinic
Thank you for reading this lengthy post. ​ When making a reservation or consultation, just mention, “I’m contacting you after seeing your blog.” ​ We will be delighted to assist you with even greater care and attention!

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Globie Plastic Surgery Clinic

is located a one-minute walk from Exit 4 of Apgujeong Station on Subway Line 3,

at 5F and 6F of the EGI Building, 843 Nonhyeon-ro, Gangnam-gu, Seoul.

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Upper Blepharoplasty in Middle Age