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[AetonTV] Eye Surgery in Middle Age: What to Know Before Upper Blepharoplasty!

Etonne Plastic Surgery Clinic · 에톤성형외과의원 · May 27, 2025

Upper blepharoplasty. It is a translation of the term Upper Blepharoplasty. It refers to surgery on the upper eyelid. It is commonly known as a surgery done when the eyelids sag wi...

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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: Etonne Plastic Surgery Clinic

Original post date: May 27, 2025

Translated at: April 23, 2026 at 2:05 AM

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

[AetonTV] Eye Surgery in Middle Age: What to Know Before Upper Blepharoplasty! image 1

Upper blepharoplasty.

It is a translation of the term

Upper Blepharoplasty.

It refers to surgery on the upper eyelid.

It is commonly known as a surgery done when the eyelids sag with age.

Western people tend to have thin eyelid skin and slightly deep-set eyes.

And there is little change in skin thickness from the eyelashes to the eyebrows.

So even if sagging skin is removed and sutured, there is almost no sense of incongruity.

However, Asian people, including Koreans, tend to have slightly thicker eyelid skin.

In particular, there is a large difference in skin thickness between the area near the eyelashes and the area near the eyebrows.

In cross-section, the difference can be several times greater.

This thickness difference affects the surgical outcome,

and upper blepharoplasty usually involves an incision along the double-eyelid line and stitching the upper and lower skin together.

But in Korean eyes, the double eyelid can fold in a thin area and then suddenly change to folding in a thicker area.

So if upper blepharoplasty is done carelessly on Korean eyes, a result that looks worse than no surgery at all is common.

Upper blepharoplasty is a procedure that needs to be approached carefully, with Korean eye anatomy in mind.

When you want to address eyelid sagging with age, the right goal is to aim for a natural improvement that makes you look a little younger without making you look worse after surgery.

If you have the desire to look much younger, upper blepharoplasty alone is difficult, and other methods need to be used in combination to solve the problem little by little.

Recently, the expression “non-incisional upper blepharoplasty” has become popular.

As the name suggests, non-incisional upper blepharoplasty is a method of addressing sagging eyelids without making an incision.

You should consider whether the degree of sagging can be treated without an incision, or whether simply changing the double-eyelid fixation without an incision can achieve the desired goal.

If the sagging is not severe, the desired change is not large, and a quick recovery period is important, non-incisional upper blepharoplasty can be considered.

However, if the sagging is severe or you want the best possible result, incisional upper blepharoplasty should also be considered.

But sometimes, because of eyelid thickness, there are eyes where it seems impossible for an incision to produce a beautiful result.

In such cases, you may want to avoid an incision, address the sagging with another method, and

if your lifelong wish is to have a double eyelid, you can also consider a method that creates double-eyelid fixation without an incision.

Depending on the condition of the eyes, you need to consider a variety of options, including incisional and non-incisional methods, as well as other approaches.

Many people also wonder whether wrinkles at the outer corners of the eyes can improve if they undergo upper blepharoplasty.

When performing upper blepharoplasty, removing more skin on the outer side can help improve crow’s feet wrinkles.

However,

these wrinkles are caused by the muscles that close the eyes as they become tense.

As we age, the skin becomes thinner, so muscle movement becomes more visible.

Simply cutting away the skin should not be expected to make these wrinkles disappear completely.

Crow’s feet are related to muscle movement, so they are difficult to solve perfectly with upper blepharoplasty alone.

And if those wrinkles are gone, the eye-smiling expression disappears too.

Living younger is important, but I think aging gracefully is also important.

If you want to age gracefully, shouldn’t your facial expressions be natural and comfortable?

Being overly fixated on erasing crow’s feet is not a good idea.

The secret to aging gracefully is having moderate wrinkles.

Don’t place too much meaning on cleanly erasing wrinkles 😄

Of course, sagging can also be addressed by removing only the skin in an area where a double eyelid will not form.

However, I personally think that method is inefficient.

If the surgery is done in a way that uses the double eyelid fold, you do not need to remove as much skin. The less skin that is removed, the more natural it looks.

When dealing with sagging skin as you age, if you want a result that does not look awkward and feels natural, I think the method that uses the double eyelid fold has an advantage.

For a natural result, a method that makes use of the double eyelid may be more effective.

Upper blepharoplasty is a procedure that should be approached carefully, with the characteristics of Korean eyes in mind.

Before surgery, please take a moment to consider the importance of natural results and aging gracefully.

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