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Why Midlife Blepharoplasty Should Be Performed by a Specialist in Sinnonhyeon

리본성형외과 · 리본성형외과 · July 15, 2024

Hello, this is Re:本 Plastic Surgery, located at Exit 1 of Sinsa Station. Aging is a common condition that happens to people. However, its appearance and speed differ from person to...

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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: July 15, 2024

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

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

Hello, this is Re:本 Plastic Surgery, located at Exit 1 of Sinsa Station.

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Aging is a common condition that happens to people.

However, its appearance and speed differ from person to person.

For that reason, plastic surgery especially cannot treat every patient in the same way.

This is even more true for people who visit in middle age for functional purposes, not simply for aesthetic reasons.

It is necessary to carefully diagnose the condition of the skin and the degree of aging, which vary by age group, then make a plan and proceed with surgery.

If surgery is performed in a one-size-fits-all way, it can result in a burdensome and unnatural outcome.

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Upper Blepharoplasty and Lower Blepharoplasty

When talking about midlife eye surgery, upper blepharoplasty and lower blepharoplasty are such representative procedures that they cannot be left out.

These are completely different from simply correcting the eye shape or creating a double eyelid.

First, upper blepharoplasty is a method that can help when the upper eyelid has sagged due to aging.

The upper eyelid keeps blinking to protect the eyeball, and because it does not have well-developed sebaceous glands, the skin tends to sag faster than in other areas.

When the upper eyelid sags, it can cover the pupil and obstruct vision, or cause discomfort such as skin maceration around the eyes. The eyelashes may also poke the eye.

The sagging eyelid is incised to remove wrinkled skin and unnecessary fat.

Then it is sutured along the existing double eyelid line, or a new double eyelid is created to minimize scarring.

Thanks to this, the eye shape becomes more defined, and functional issues can be improved at the same time.

Lower blepharoplasty is performed to improve changes that occur under the eyes.

As people age and the elasticity of the skin and fat decreases, the skin becomes thinner and stretches out.

At this point, the orbital fat around the eyes bulges out under the eyes.

As a result, the tear trough appears relatively sunken, emphasizing dark circles and making the overall impression look dull and older.

Lower blepharoplasty is a procedure that improves sagging skin under the eyes and repositions the fat to create a more lively and youthful appearance.

Upper blepharoplasty and lower blepharoplasty are performed differently depending on the person's eye shape and degree of aging.

For some people, each procedure is needed separately, while others may need both.

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Points to Keep in Mind for Midlife Eye Surgery

When performing midlife eye surgery, more care is needed than for people in their 20s and 30s.

This is because there are differences in the skin's regenerative ability.

As aging progresses and the skin sags more, excision becomes unavoidable.

However, regenerative ability is significantly reduced.

Therefore, great care must be taken to control this well and perform the surgery safely.

In particular, many middle-aged patients have high blood pressure or diabetes.

In such cases, appropriate medications should be used.

Also, upper blepharoplasty/lower blepharoplasty alone is not always the solution.

Depending on the case, eye shape correction or double eyelid surgery may be sufficient.

Even within upper and lower blepharoplasty, there are several types depending on how much incision is made and which surgical method is used.

For example, in upper blepharoplasty, the extent of the incision can be adjusted.

When creating a double eyelid afterward, you can also choose between an incisional or non-incisional method.

For lower blepharoplasty, the main types are transcutaneous lower blepharoplasty and transconjunctival lower blepharoplasty.

The procedure is chosen according to the degree of elasticity remaining under the eyes.

If elasticity remains under the eyes, it is enough to make an incision only in the transconjunctival area (the red conjunctiva on the inside of the eyelid) and reposition only the protruding fat to flatten the area.

Because this is a procedure that incises the septum, the incision site is not exposed, and the surgery is completed quickly.

However, if elasticity has dropped significantly and there are wrinkles as well, the skin covered by the eyelashes must be incised to reposition the fat while also performing a lift.

In this way, the surgical method is applied differently depending on the patient's eyelids, fat, muscles, structural features of the eyes, and the degree and direction of aging.

Compared with general double eyelid surgery, upper and lower blepharoplasty are more detailed and complex procedures.

From a doctor's perspective, there is a great deal to pay attention to.

In addition, every person has different features, and the direction and speed of aging vary widely.

Even twins look different when examined closely.

As people get older, those differences become more pronounced.

Therefore, we recommend receiving a careful diagnosis at a plastic surgery clinic with extensive experience treating a wide variety of patients before undergoing surgery.

In particular, please look for a director who has extensive experience with midlife eye surgery while also handling surgeries across various age groups.

Since this is surgery performed on the face, aesthetic aspects, functional aspects, and safety all must be taken care of without leaving anything out.

If you visit our clinic, we will provide more detailed and friendly consultation.

Thank you for reading this long post.

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