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Organizing Midlife Eye Surgery in Sinsa-dong.

리본성형외과 · 리본성형외과 · October 4, 2023

Hello, this is Ribbon Plastic Surgery at Sinsa Station. “My eyelids have sagged badly, so I want to correct them, but people around me keep saying I should get upper eyelid surgery...

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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: 리본성형외과

Original post date: October 4, 2023

Translated at: April 25, 2026 at 8:49 AM

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

Hello, this is Ribbon Plastic Surgery at Sinsa Station.

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“My eyelids have sagged badly, so I want to correct them, but people around me keep saying I should get upper eyelid surgery. But some people say their faces looked too severe after surgery... I’m not sure what to do.”

“My under-eyes are uneven. I hear a lot that I look stern—would surgery make it much better?”

If you are reading this, you are likely considering upper eyelid surgery or lower eyelid surgery because of sagging eyelids or uneven under-eyes.

Upper and lower eyelid surgery are 대표적인 types of midlife eye surgery, and because they are commonly performed, many people today are looking for a younger, more lively eye appearance.

However, there is one thing to be careful about here as well.

Among middle-aged patients, unless their children carefully help them look for a clinic, there are quite a few cases where they choose a hospital based only on someone else’s recommendation or are swayed by location and price.

In addition, there are cases where they do not visit several places and decide on just one clinic, have a consultation, and then proceed with surgery right away, which is concerning.

Upper and lower eyelid surgery are different from general eye surgery.

First, because sagging skin tissue must be taken into account, the conditions to consider are much more stringent than for other eye surgeries.

Second, because related tissues must also be checked, simply removing a lot of tissue does not necessarily lead to good results.

Therefore, if you want a more natural and appropriate midlife eye surgery, we would like to strongly recommend choosing a skilled plastic surgery clinic that carefully evaluates these conditions before performing surgery.

In today’s post, we will take a deeper look at upper and lower eyelid surgery.

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What is upper eyelid surgery?

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The upper eyelid is one of the thinnest tissues in our skin, so as aging progresses, it begins to sag first.

In particular, after your 30s, collagen decreases noticeably, which also speeds up the aging process.

As aging progresses, the eyelids and the outer corners of the eyes gradually sag, creating an impression of looking older and more tired.

In addition, if the sagging is severe, it can cause functional problems such as skin irritation at the outer corners of the eyes or obstruction of vision. If it is causing significant inconvenience in daily life, surgical correction is advisable.

Usually, upper eyelid surgery is performed by making an incision along the desired line, removing wrinkled skin and unnecessary fat, and then suturing to create the eyelid crease.

When explained this way, patients without a double eyelid may ask, “Then will I definitely get a double eyelid after surgery?”

Because the biggest feature of upper eyelid surgery is the eyelid crease, if you do not want a double eyelid, you should consider other alternatives.

Another point to be careful about is that if the incision in upper eyelid surgery is too extensive, it can create a thicker double eyelid line than intended.

If that happens, it can give an unnatural impression, so our clinic combines removal of sagging skin with a buried-suture double eyelid procedure to help form a natural-looking crease.

What is lower eyelid surgery?

A decrease in elasticity due to aging appears not only in the upper eyelids but also in the lower eyelids.

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When the lower eyelid tissue stretches and the surrounding muscles and conjunctiva loosen, the under-eye area naturally becomes puffy, and dark circles or tear troughs can form, giving a tired and aged appearance.

This is exactly the problem that lower eyelid surgery is designed to improve.

The surgical method for lower eyelid surgery varies slightly depending on the degree of skin sagging.

If there is little skin sagging and only the fat is protrudingA small incision is made inside the lower eyelid, that is, in the "conjunctiva," unnecessary fat is removed, and the remaining fat is broadly repositioned and then fixed.
If the under-eye fat is protruding and the skin is sagging or wrinkledIn this case, after designing the wrinkle-removal area, an incision is made close to the eyelashes. (the front part of the eye) After removing sagging skin and fat, the remaining fat is broadly repositioned. At this time, the skin and muscle are pulled upward for double fixation. Finally, it is closed with fine thread so that it is concealed under the lower eyelashes.

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The most important key point in upper and lower eyelid surgery is that the appropriate procedure must be performed according to the degree of aging.

And an ideal surgical plan should be established by considering both the aesthetic and functional aspects of the eyes.

If you need help, please contact us at Ribbon Plastic Surgery at Sinsa Station, and we will kindly assist you.

This has been Ribbon Plastic Surgery.

Thank you.

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