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For a Refreshed Eye Shape and Lively Appearance During Upper and Lower Blepharoplasty

리본성형외과 · 리본성형외과 · April 10, 2024

​ ​ As time goes by, many people worry about eyelids that look increasingly droopy. These days, unlike in the past, the barrier to surgery is not as high, so many people are challe...

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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: April 10, 2024

Translated at: April 25, 2026 at 8:23 AM

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

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As time goes by, many people worry about eyelids that look increasingly droopy. These days, unlike in the past, the barrier to surgery is not as high, so many people are challenging themselves with upper/lower blepharoplasty.

As a clinic that has been seeing you from the same location for over 20 years, Reborn Plastic Surgery Clinic also approaches “middle-aged eye surgery” with a fresh mindset each time.

“How can we achieve a more natural result?”, “For people who hesitate about surgery because dramatic before-and-after changes feel burdensome, what method can provide a more natural effect?”...

Unlike eye surgery for people in their 20s and 30s, upper/lower blepharoplasty must be approached from a completely different perspective because it targets the skin around the eyes where aging has progressed significantly.

Simply removing tissue because the skin has sagged, or simply removing it because under-eye fat is protruding, is not a solution at all.

If you only remove tissue, it can instead lead to side effects such as skin shrinkage and hollowness, so you should carefully research and decide. In the article below, I will organize upper and lower blepharoplasty for you, so please be sure to check it and use it as a reference when choosing a plastic surgery clinic. :)

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Upper blepharoplasty, lower blepharoplasty principles

① Upper blepharoplasty

As the name suggests, this refers to surgery that corrects the upper eyelid.

As aging progresses, the eyelids become noticeably droopy, causing skin to chafe near the outer corners of the eyes and making it uncomfortable to open the eyes. This is a procedure worth considering in such cases.

In general, the surgery is performed by partially removing the sagging skin and then creating a double eyelid crease with a folding technique. At this time, if the strength to open the eyes itself is insufficient, it is necessary to perform ptosis correction together to improve the sleepy-looking impression.

One of the most notable features of upper blepharoplasty is that because the incision is made in the middle, a clear double eyelid crease is created after surgery.

However, even in this case, if the sagging is severe and a lot of skin must be removed, instead of making an incision along the double eyelid line, it is recommended to make the incision in a less visible area, remove the skin, and create the double eyelid with a buried method.

If removal is performed through the double eyelid line, there is a risk that the double eyelid may look too thick or that problems such as a “sausage” double eyelid may occur.

Many people ask, “I heard that upper blepharoplasty can only be done with the incision method...” but that is not the case. Since tissue is removed, incision is usually performed, but skin removal can also be sufficiently done through another incision site.

Please be sure to check during consultation that the surgical method may vary depending on how much skin needs to be removed. (There are also places that only perform incision-based upper blepharoplasty~)

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② Lower blepharoplasty

Lower blepharoplasty is a procedure that improves excessively protruding under-eye areas, and by partially removing fat and skin, it can improve a dull and aged appearance.

The more the under-eye fat protrudes, the more severe the dark circles may look, and the folds of the tear trough can appear deeper. Lower blepharoplasty can be understood as a procedure that improves these issues overall.

However, these days, as more functional cosmetics for elasticity and wrinkles around the eyes, such as eye cream, have been released, the degree of elasticity often varies depending on how the area has been managed.

Even among people in their 40s, some have a lot of protrusion under the eyes, while others still have good elasticity. That is why our clinic divides the procedure into two types: transconjunctival lower blepharoplasty and transcutaneous lower blepharoplasty.

  1. Transconjunctival lower blepharoplasty

The conjunctiva is the sensitive tissue that appears when the lower eyelid is turned inside out.

Making a small incision in this area and repositioning the fat inside is what is called <transconjunctival lower blepharoplasty>. It is also called <under-eye fat repositioning>.

The advantage of transconjunctival lower blepharoplasty is that the scar is not visible from the outside, and the disadvantage is that only fat repositioning is possible. Therefore, we recommend it for people whose under-eye elasticity is still preserved.

  1. Transcutaneous lower blepharoplasty

On the other hand, transcutaneous lower blepharoplasty involves making an incision in the outer skin rather than the conjunctiva, making it possible to perform fat repositioning and lifting at the same time.

We recommend this for people with noticeably stretched skin, severe wrinkles, or clear tear trough lines in addition to protruding under-eye areas.

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If too much tissue is removed in upper or lower blepharoplasty, the overall shape of the eyes can be damaged, and if too little is removed, satisfaction will be low.

This means that positive results can be achieved only when a plan suited to each individual is established first.

Our clinic is staffed by a board-certified plastic surgeon who has been meeting with patients at the same location for more than 20 years.

With an exceptional record of zero medical accidents over that long period, we will guide you to the surgery that best suits you through a thorough evaluation of surgical suitability.

Thank you. :)

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https://blog.naver.com/reborn1999/223410709957

https://blog.naver.com/reborn1999/223398424396

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