#Aging process #Lower eyelid #Anseongmin Plastic Surgery #Middle-aged women
The area under the eyes looks puffy.
The area under the eyes is generally called the “lower eyelid.”
The aging process in this area can be said to consist of sagging caused by gravity on the soft tissue and a decrease in volume.
Changes due to aging appear in various ways, and to solve these problems, it is necessary to carefully choose the appropriate surgery according to the changes.
Lower eyelid blepharoplasty can produce satisfactory results simply by cutting away the loose skin and repositioning or removing the fatty tissue that bulges outward and drops downward.
As patients are older, more delicate and varied approaches are needed to maximize the surgical effect and minimize complications.
As average life expectancy has increased in modern times, the age of patients seeking surgery has also risen.
Therefore, not only cosmetic purposes but also the prevention of functional side effects and the appropriate surgical method must be considered.

Suture removal after lower eyelid surgery in a woman in her 70s
This was a female patient in her 70s, and the sutures were removed 7 days after surgery.
Precautions for lower eyelid surgery according to the aging process
- Do not expect all wrinkles under the eyes to be smoothed out like ironing a shirt.
After fat repositioning, it is not possible to remove all of the loose skin.
If all of the loose skin is forcefully removed, the tension can make the result look unnatural, and side effects such as turning outward may occur because it cannot withstand the weight of gravity.
Some fine wrinkles will remain.
- Do not remove protruding fat carelessly.
Just as skin becomes loose and wrinkled after dieting, fat is one of the most effective elements in providing fullness and elasticity.
When this fat is lost, the skin has no choice but to become wrinkled like a deflated balloon.
The reason people look older is due to wrinkles and sagging caused by reduced volume.
The goal of fat repositioning and anti-aging is to restore volume by using one’s own fat.
It is a mistaken idea that all bulging fat should simply be removed, and since once removed fat is not easy to replace, the fat in middle age is precious.
If lower eyelid fat is removed indiscriminately, fat from the upper eyelid area may be pushed downward, causing the bulging to recur and creating a sunken appearance in the upper eyelid area.
To prevent these side effects, moving one’s own fat to sunken areas and adding volume is a specialized technique of Anseongmin Plastic Surgery.
- To prevent turning outward, a conservative approach is taken, and the septum is reinforced for firm fixation so that recurrence does not occur.
The biggest complication of lower eyelid surgery is ectropion. If severe contraction occurs due to postoperative bleeding, ectropion can temporarily appear. For a satisfactory result, we ask that you manage your blood pressure well and take care of your health.
- The importance of midface muscle lifting
During lower eyelid surgery, pulling and fixing the midface muscles can help prevent turning outward and provide a lifting effect.

Suture removal after lower eyelid surgery in a woman in her 70s
The recovery process after incision-based lower eyelid surgery

Suture removal process after lower eyelid surgery in a woman in her 70s
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Lower eyelid surgery makes an incision just below the eyelashes.
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After the incision, the opening is sufficiently secured to access the fat layer.
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The bulging fat is moved and repositioned to the sunken area.
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The septum is reinforced, and the midface muscles are pulled and fixed.
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The incision is sutured.
Lower eyelid surgery and blood pressure
Blood pressure management is very important during lower eyelid surgery.
Because blood pressure is closely related to bleeding, high blood pressure can cause more bleeding and interfere with hemostasis.
If you are taking aspirin, you should stop it for at least 2 weeks.
If you are taking blood pressure medication, be sure to continue taking it and consult the medical staff.
https://blog.naver.com/asmps2020/223353752337
Surgery time and aftercare
The surgery takes about 1 hour and 30 minutes for both eyes combined.
It is performed under local anesthesia.
For 1–2 days after surgery, it is best to rest and avoid overexertion.
After surgery, for about 2 weeks, you should avoid irritation such as rubbing your eyes hard, and you should avoid positions that lower your head and increase intraocular pressure.
It is good to allow about 6 months for the surgical marks to disappear completely and for the lower eyelids to look natural.
Revision surgery · No. 1 in middle-aged eye surgery
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