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As people enter middle age, everyone experiences various changes without exception. In terms of appearance, these changes often start to show first around the eyes, where the skin is thinner.
When the eyelids droop, it can go beyond a simple cosmetic issue and cause functional problems with the skin or eyes, such as worsening forehead wrinkles, eyelashes poking the eye, visual disturbance, and irritation around the outer corners of the eyes.
Correcting these eyelid issues in middle age is an important decision that goes beyond making your appearance look younger and helps you live a healthier and more comfortable life.
There are several surgical methods for improving the eyelids, but today we have prepared a comparison of the two best-known procedures: <upper blepharoplasty> and <brow lift under the eyebrow>.
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Double eyelid surgery performed in middle age is usually called upper blepharoplasty.
It is one of the representative cosmetic procedures for improving sagging skin caused by aging, and it is also the surgery that first comes to mind when people say "middle-aged eye plastic surgery."
Upper blepharoplasty aims to improve both function and appearance by removing sagging skin and fat from the upper eyelid.
It addresses the problem of the upper eyelid making the eyes look tired or heavy, and by uncovering the black of the eye that had been hidden by the drooping eyelid, it can create a more open and healthier-looking eye shape.
At this point, if not only the skin but also the muscles are loosened, it is important to perform ptosis correction at the same time so that the eyes can be opened comfortably without using the eyebrows or forehead.
If only a double eyelid is created through upper blepharoplasty without addressing this, the eyes may end up looking even more tired over time, so it is best to check this carefully as well.
<Advantages of upper blepharoplasty>
| · A double eyelid is created, making the overall impression appear deeper and more three-dimensional. · Various functional problems caused by sagging skin can be resolved. · Ptosis correction can be performed together to make the eyes appear larger. |
<Disadvantages of upper blepharoplasty>
| · If the skin is significantly sagging and a large amount of tissue needs to be removed, the double eyelid line may become too thick and resemble a sausage-like double eyelid. |
Therefore, in such cases, it is important to make an incision in another area to remove some of the skin tissue, and then create the double eyelid using the buried suture method to achieve a natural result.

- Brow lift under the eyebrow
Upper blepharoplasty is a procedure that removes skin tissue by making an incision along the double eyelid line, whereas a brow lift under the eyebrow focuses on making a small incision just below the eyebrow, removing skin, and lifting it.
It can produce a natural effect immediately after surgery, and because it mainly removes the thicker skin below the eyebrow, it can prevent in advance the "unnatural appearance" that commonly occurs with upper blepharoplasty.
In particular, some men may feel resistant to suddenly having a double eyelid in middle age.
In such cases, brow lift under the eyebrow lifts only the eyelid, allowing a natural result.
<Advantages of brow lift under the eyebrow>
| · The shape looks natural right after surgery, so it does not significantly interfere with daily life. · Since only the skin is lifted, people who already have a double eyelid can also undergo the procedure without much burden. |
<Disadvantages of brow lift under the eyebrow>
| · If the distance between the eyes and eyebrows is narrow, the impression may become sharper and more severe. · It is difficult to create the desired double eyelid shape exactly as intended. · If ptosis correction is needed, the surgery must be performed separately through an additional incision. · Because the incision is made below the eyebrow, there is a greater chance of visible scarring than with an incision along the double eyelid area. (Since this part can vary depending on the surgical method and aftercare, we recommend choosing a plastic surgery clinic that provides delicate suturing and thorough care~) |

- Who are upper blepharoplasty and brow lift under the eyebrow best for?
Upper blepharoplasty is a procedure that works well when the skin is not thick and there is not much skin tissue that needs to be removed.
On the other hand, brow lift under the eyebrow is recommended for people with severe eyelid drooping and a large distance between the eyes and eyebrows.
So, even though both are classified as middle-aged eye plastic surgery, the surgical method can always differ depending on the individual’s condition, right?
We hope you keep in mind how important careful consultation is and choose your plastic surgery clinic accordingly.
At Re:Bon Plastic Surgery, a one-on-one consultation with the director is essential, and the surgery is decided through thorough communication.
Since "naturalness" is the core of middle-aged eye plastic surgery, we will also do our best to help create healthy and beautiful eyes for you.
Thank you.


