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Why the Midface Muscles Are Pulled During Lower Blepharoplasty

Ahnsungmin Plastic Surgery – Eyelid Revision Specialist · 눈성형 전문 안성민성형외과 EYE PLASTIC SURGERY · September 18, 2025

#Signs of Aging #LowerBlepharoplasty #AhnSungMinPlasticSurgery #MiddleAgedEyeSurgery #AfterEyeSurgery #Ectropion AhnSungMinPlasticSurgery never performs photo retouching. The pre-...

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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: Ahnsungmin Plastic Surgery – Eyelid Revision Specialist

Original post date: September 18, 2025

Translated at: April 20, 2026 at 2:29 PM

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

#Signs of Aging #LowerBlepharoplasty #AhnSungMinPlasticSurgery #MiddleAgedEyeSurgery #AfterEyeSurgery #Ectropion

AhnSungMinPlasticSurgery never performs photo retouching.

The pre- and post-operative photos of patients who gave consent were used exactly as they are.

Side effect of lower blepharoplasty: ectropion

Lower blepharoplasty refers to surgery on the overall lower eye area.

Aging under the eyes appears in various forms, and in most cases, double under-eye wrinkles, bulging fat, and shadows are all caused by skin laxity due to gravity. Skin laxity is addressed by removing the skin under the eyes, which is called lower blepharoplasty.

At this point, the amount of skin removed is very important. If all of the sagging skin is removed in order to eliminate every under-eye wrinkle, the downward pulling force can become too strong and cause side effects such as ectropion.

Why the Midface Muscles Are Pulled During Lower Blepharoplasty image 1

Symptoms of ectropion caused by incorrect surgery

Therefore, an appropriate amount of skin removal is necessary to prevent this. It is not possible to make every wrinkle perfectly smooth like ironing fabric flat, and some fine wrinkles may remain.

Why the Midface Muscles Are Pulled During Lower Blepharoplasty image 2

Before and after lower blepharoplasty in a patient in their 50s

How to prevent ectropion

To prevent ectropion, an appropriate amount is removed when making the skin incision for lower blepharoplasty, and the muscles of the midface are pulled and fixed to the periosteum. Midface lifting not only provides a lifting effect, but can also help prevent ectropion by counteracting and securing the downward pulling force that occurs during lower blepharoplasty.

As shown in the photo below, after incision 1, fat 2 is redistributed to make it even, and the midface muscles 3 are pulled upward and fixed.

Through this process, surgery can be safer and the results can also be satisfying.

Why the Midface Muscles Are Pulled During Lower Blepharoplasty image 3

The lifting effect on the midface can be clearly compared when the eyes are closed.

Why the Midface Muscles Are Pulled During Lower Blepharoplasty image 4

No. 1 for revision surgery and lower blepharoplasty

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Why the Midface Muscles Are Pulled During Lower Blepharoplasty image 5

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